Radiology Notes

My notes during radiology residency, fellowship, and beyond…

Archive for the ‘pelvis’ Category

AP Pelvis Trauma Checklist

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  1. Iliopubic line
  2. Ilioischial line
  3. Anterior acetabular rim
  4. Posterior acetabular rim
  5. Pubic Symphysis
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Written by lmwong

January 14, 2010 at 7:14 am

Posted in bone, msk, pelvis, Phalen, trauma

Medial Ureteral Deviation

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Upper ureter:

  • Retrocaval ureter
  • Retroperitoneal fibrosis

Lower ureter:

  • Lymphadenopathy
  • Iliac artery aneurysm
  • Bladder diverticulum
  • Post-surgical (esp. AP resection)
  • Pelvic lipomatosis

http://www.learningradiology.com/notes/gunotes/ureteraldeviationapgepage.htm

Written by lmwong

April 11, 2008 at 4:57 pm

Pelvis Plain Film Dictation

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Indication: [x]
Technique: [x] views of the pelvis.
Comparison: [x]
Findings: No fracture or dislocation is seen. The hips joints, sacroiliac joints, and symphysis pubis are well-maintained.
Impression: No osseous or articular abnormalities of the pelvis.

Written by lmwong

April 7, 2008 at 4:19 am

Pelvis Ultrasound – Emergency department OB ultrasound Dictation

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INDICATION: [x]

TECHNIQUE: Limited sonographic obstetrical examination for the basis of emergency evaluation. This exam is not in lieu of a formal anatomical obstetrical scan. The exam was performed transabdominally.
*Transvaginal examination was also performed for assessment of the cervix.

COMPARISON EXAM: [x]

FINDINGS:
*Gestational Age: [x]
Status: Alive or Demise
Number: Singleton or Twin
Activity: Present or Absent
Position: Vertex, Breech, Tranverse head right , Tranverse head left, etc (if >25 weeks)
Placenta: State position and whether previa or not (if > 16 weeks)
Cervix: Cervix is greater than 3 cm and there is no funneling / Cervix is open and the residual cervix measures [x] cm
Amniotic fluid: if >16 weeks
Normal
Mild Oligo, Moderate Oligo, Severe Oligohydramnios
Mild Poly, Moderate Poly, Severe Polyhydramnios
Fetal cardiac activity: (Give FHR if <8weeks). Note as present or absent otherwise.
Ovaries: Both Normal
Right not seen, Left normal
Left not seen, Right normal
Both not seen
Other findings: [x]
*Basis for gestational age: LMP or EDC provided by patient

Findings were discussed with [x].

Written by lmwong

April 7, 2008 at 4:08 am

Pelvic Ultrasound Dictation

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Indication: [x]

Technique: A sonogram of the pelvis was performed utilizing [transabdominal and transvaginal] approaches assessing gray-scale appearance and color Doppler flow.

Comparison: [x]

Findings:
The uterus measures [x] x [x] x [x] cm. No focal uterine masses are seen. The endometrium measures [x] cm in diameter.
The right ovary measures [x] cm x [x] cm x [x] cm. The left ovary measures [x] cm x [x] cm x [x] cm. No adnexal lesion is seen. Normal right and left ovarian arterial and venous waveforms are idenitifed with normal resistive indices of [x] and [x], respectively.
No free pelvic fluid is demonstrated.

Impression: [x]

Written by lmwong

April 7, 2008 at 4:07 am

Routine Abdomen & Pelvis CT Dictation

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Indication: [x]
Technique: A CT of the abdomen and pelvis was performed utilizing contiguous axial images following the administration of oral and intravenous contrast.
Comparison: [x]
Findings: [x]
The liver is normal in size without focal hepatic lesions. No intrahepatic ductal dilatation is seen. The hepatic and portal veins are patent. The gallbladder, common bile duct, spleen, pancreas, kidneys and adrenal glands are unremarkable. The bowel is unremarkable. No abdominal or pelvic ascites or lymphadenopathy is identified. The urinary bladder and [uterus/prostate] are unremarkable. [No adnexal masses are seen.]
Impression: [x]

Written by lmwong

April 7, 2008 at 3:47 am