Radiology Notes

My notes during radiology residency, fellowship, and beyond…

Archive for the ‘fluoroscopy’ Category

IVP Dictation

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Indication: [x]

Technique: An intravenous pyelogram was performed following the intravenous administration of contrast.

Comparison: [x]

The scout film demonstrates a normal bowel gas pattern. There is no evidence of masses or organomegaly. There are no radiopaque calculi visible in the kidneys or along the ureteral tracts.

Following the uneventful administration of 100 cc’s of Omnipaque 300 intravenously, the nephrograms and pyelograms are prompt and bilateral. Kidneys are normal in size, shape, and axis. There are no masses evident.

There is no dilatation or filling defects of the renal calyces or pelves bilaterally. The ureters are normal in course and calibre, without any filling defects.

The bladder is normal in size, shape, and contour. No filling defects are evident. There is minimal post-void residual.

Impression: Normal IVP

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Written by lmwong

April 7, 2008 at 8:52 pm

Video Esophagram Dictation

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Indication: [x]

Technique: Standard video esophagram.

Comparison: [x]

Findings:
The patient was given thin and thick barium liquid, applesauce mixed with barium paste and crackers mixed with barium.
The oral and pharyngeal phases of swallowing are normal. No nasal regurgitation, laryngeal penetration or aspiration is identified. No pharyngeal morphologic abnormalily is visualized.

Esophageal motility is grossly within normal limits. No gastroesophageal reflux is identified, despite the performance of maneuvers to ellicit GE reflux. No gross morphologic esophageal abnormality is detected.

Impression: Unremarkable videoesophagram.

Written by lmwong

April 7, 2008 at 8:50 pm

Hysterosalpingogram Dictation

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Indication: [x]

Technique: A hysterosalpingogram was performed by the referring physician, [x], of the [obstetric/gynecology] [reproductive endocrinology] service and [x] images are submitted for review.

Comparison: [x]

Findings:
The endometrial cavity is normal in contour without any filling defects.
Contrast is seen in the fallopian tubes bilaterally which are normal in course and caliber. There is free intraperitoneal spill of contrast bilaterally.

Impression: Normal hysterosalpingogram.

Written by lmwong

April 7, 2008 at 8:50 pm

Small Bowel Series Dictation

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Indication: [x]

Technique: Standard barium small bowel series was performed with multiple overhead radiographs. In addition, the small bowel was examined fluoroscopically intermittently throughout the examination.

Comparison: [x]

Findings:
The small bowel is of normal course and caliber. No intrinsic or extrinsic mass lesions are identified. The transit time is within normal limits. The terminal ileum appears normal.

Impression: Unremarkable small bowel series.

Written by lmwong

April 7, 2008 at 8:49 pm

Double Contrast Esophagram Dictation

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Indication: [x]

Technique: A standard air contrast esophagram was performed.

Comparison: [x]

Findings:
The patient swallowed barium without difficulty. The oral and pharyngeal phases of swallowing are normal. There is no nasal regurgitation, laryngeal penetration or aspiration identified. Esophageal motility is within the limits of normal.
The esophagus is structurally normal without intrinsic or extrinsic masses. The esophageal mucosa appears normal. No gastroesophageal reflux was demonstrated during this examination, despite the performance of maneuvers to elicit GE reflux.

Impression: Unremarkable esophagram.

Written by lmwong

April 7, 2008 at 8:48 pm

Double Contrast Barium Enema Dictation

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Indication: [x]

Technique: Standard air contrast barium enema was performed.

Comparison: [x]

Findings:

Scout film of the abdomen demonstrates an unremarkable bowel gas pattern. No pathologic intra-abdominal calcifications are noted.

The colon is visualized in its entirety. The colonic mucosa appears normal. No annular constricting or obstructing lesions are identified. No polyps are noted. Reflux is seen into a normal appearing terminal ileum.

Impression: Normal double contrast barium enema.

Written by lmwong

April 7, 2008 at 8:46 pm

OR Fluoroscopy Dictation

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Indication: OR fluoroscopy.
Technique: [x] spot fluoroscopic views of the [x] were obtained in the OR by the referring physician and submitted for interpretation.
Comparison: [x]
Findings: [x]
Impression: [x] spot fluoroscopic view of the [x], as described in the findings section.

Written by lmwong

April 7, 2008 at 4:26 am