Radiology Notes

My notes during radiology residency, fellowship, and beyond…

Archive for the ‘sample dictation’ Category

L Spine MRI Dictation

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Indication: [x].

Technique: An MRI of the lumbar spine was performed utilizing the following sequences: [x]

Comparison: [x]

Findings: Normal lumbar lordosis is preserved. Lumbar vertebral heights and alignment are maintained. No expansile or destructive osseous lesion is seen. No focal disk herniation, spinal canal or neural foramina stenosis is identified. The conus and cauda equina appear normal; the conus terminates at the [x] level. No epidural mass or collection is seen.

Impression: Normal lumbar spine MRI.

Written by lmwong

April 9, 2008 at 11:04 am

MRA Neck Dictation

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Indication: [x].

Technique: An MRA of the neck was performed using 2D and 3D time-of-flight techniques without the use of gadolinium.

Comparison: [x]

Findings: No hemodynamically significant stenosis of the common carotid, carotid bifurcation, or internal carotid arteries is seen. The extracranial portions of the vertebral basilar system are preserved without stenosis. No aneurysmal dilatation or dissection is seen.

Impression: Normal MRA of the neck.

Written by lmwong

April 9, 2008 at 11:03 am

Brain MRI Dictation

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Indication: [x]

Technique: An MRI of the brain was performed utilizing the following sequences: [x]

Comparison: [x]

Findings: The ventricles and sulci are normal in size and configuration. There is no acute infarct or intracerebral hemorrhage. No extra-axial blood or fluid collection is present. No intracranial mass is identified. The brainstem, posterior fossa and cervical medullary junction are preserved. Normal intracranial intravascular flow voids are seen. The orbits, periorbital and paracavernous spaces are normal. No abnormality of the skull base or calvarium is identified.

Impression: Normal MRI of the brain.

Written by lmwong

April 9, 2008 at 11:02 am

MRA Head Dictation

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Indication: [x]

Technique: An MRA of the head was performed using 3D time-of-flight technique without the use of gadolinium.

Comparison: [x]

Findings: The anterior and posterior cerebral circulations are patent. No hemodynamically significant stenosis, anuerysmal dilatation or dissection is seen. No focal anuerysm is identified.

Impression: Normal MRA of the head.

Written by lmwong

April 9, 2008 at 11:02 am

C-Spine CT Dictation

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Indication: Neck injury.

Technique: Multiple contiguous 3 mm axial images were obtained from the skull base through the thoracic inlet without intravenous contrast. Reformats in the coronal and sagittal planes were also obtained.

Comparison: [x]

Findings: No prevertebral soft tissue swelling is seen. The cervical alignment is maintained without spondylolisthesis. No acute fracture is identified. The vertebral body and disk space heights are preserved. The odontoid process is intact.

Impression: [x]

Written by lmwong

April 9, 2008 at 11:01 am

Posted in ct, neck, neuro, sample dictation

Petrous Temporal Bone CT Dictation

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Indication: [x]

Technique: A CT of the petrous temporal bone was obtained utilizing multiple contiguous 1 mm axial and coronal images without the use of intravenous contrast. Sagittal and coronal reformats were also obtained.

Comparison: [x]

Findings: The external auditory canals, tympanic membranes, and osseous labyrinths are normal bilaterally. There is no evidence of erosion of the ossicles, scutum, or tegmen tympani. The mastoid air cells are well-pneumatized and well aerated. No suspicious osseous lesion or fracture is identified.

Impression: Normal petrous temporal bone CT.

Written by lmwong

April 9, 2008 at 11:00 am

Neck Soft Tissue CT Dictation

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Indication: [x]

Technique: Contiguous 3mm axial images were obtained from the skull base to the thoracic inlet following the administration of intravenous contrast.

Comparison: [x]

Findings: The nasopharynx, oropharynx and hypopharynx are normal. No cervical mass or collection is seen. No aerodigestive tract mass is identified. The parotid, submandibular and thyroid glands are normal. No lymphadenopathy is identified. The osseous structures are intact.

Impression: Normal neck CT.

Written by lmwong

April 9, 2008 at 11:00 am

Posted in ct, neck, neuro, sample dictation

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