Radiology Notes

My notes during radiology residency, fellowship, and beyond…

Archive for the ‘x-ray’ Category

Hardware

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What are those devices called and what are they used for? Here are some helpful links I use:

Gallery of Medical Devices, Part 1. Radiographics.

Gallery of Medical Devices, Part 2. Radiographics.

Ortho Atlas from University of Washington

Written by lmwong

June 12, 2013 at 9:10 am

Posted in abdomen, chest, fracture, msk, x-ray

Support Lines & Device Placement

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  • ET tube tip – 5-7 cm above carina; b/w T5-7
  • Chest tube tip and side port – pleural space
  • Nasogastric Tube side hole – distal to GE junction
  • Dobhoff tube – second portion of duodenum
  • Transvenous Pacemaker lead – RV apex
  • Central line tip – RA and SVC junction
  • Swan Ganz catheter tip – proximal R or L PA
  • IABP marker – distal to L subclavian artery
  • UAC tip – T5-T8
  • UVC – RA and IVC junction
  • pH probe marker – T8 or 5 cm above GEJ

Written by lmwong

September 2, 2008 at 3:47 pm

Posted in x-ray

L Spine xray Dictation

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Indication: [x].
Technique: 4 views of the lumbosacral spine.
Comparison: [x]
Findings: The vertebral body and disc space heights are preserved. The spinal alignment is maintained without evidence of spondylolisthesis. No acute fracture is identified. The SI joints are unremarkable.
Impression: Unremarkable examination of the lumbosacral spine.

Written by lmwong

April 9, 2008 at 10:57 am

Thoracic Spine xray Dictation

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Indication: [x]
Technique: [x] views of the thoracic spine.
Comparison: [x]
Findings: The vertebral body and disc space heights are preserved. The spinal alignment is maintained without evidence of spondylolithesis. No acute fracture is identified. No lytic or blastic lesions are seen.
Impression: Unremarkable examination of the thoracic spine.

Written by lmwong

April 9, 2008 at 10:56 am

C-spine xray Dictation

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Indication: [x].
Technique: Four views of the cervical spine.
Comparison: [x]
Findings: The cervical spine is visualized from C1-T1. 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: Unremarkable examination of the C-spine.

Written by lmwong

April 9, 2008 at 10:53 am

Chest Portable Dictation

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Indication: [x]
Technique: Portable AP view of the chest.
Comparison: [x]
Findings: The lungs are clear. The cardiomediastinal silhouette is stable. No pleural effusion is seen.
Impression: [x]

Written by lmwong

April 7, 2008 at 4:33 am

Chest PA & LA Dictation

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Indication: [x]
Technique: PA and lateral views of the chest.
Comparison: [x]
Findings: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.
Impression: Normal chest film.

Written by lmwong

April 7, 2008 at 4:31 am

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

L-spine Plain Film Dictation

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Indication: [x]
Technique: [x] views of the lumbosacral spine.
Comparison: [x]
Findings: The vertebral body and disc space heights are preserved. The spinal alignment is maintained without evidence of spondylolithesis. No acute fracture is identified. No lytic or blastic lesions are seen. The SI joints are unremarkable.
Impression: Unremarkable examination of the lumbosacral spine.

Written by lmwong

April 7, 2008 at 4:24 am

Osseous Survey Dictation

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Indication: [x]

Technique: Complete osseous survey, Including [x] images.

Comparison: [x]

Findings:

Skull: [No lytic or blastic lesions are seen.]

Cervical Spine: [No lytic or blastic lesions are seen.]

Thoracic Spine: [No lytic or blastic lesions are seen.]

Lumbosacral Spine: [No lytic or blastic lesions are seen.]

Pelvis: [No lytic or blastic lesions are seen.]

Bilateral upper extremities: [No lytic or blastic lesions are seen.]

Bilateral lower extremities: [No lytic or blastic lesions are seen.]

Impression:
[No lytic or blastic lesions seen on complete osseous survey.]

Written by lmwong

April 7, 2008 at 4:24 am

T-spine Plain Film Dictation

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Indication: [x]
Technique: [x] views of the thoracic spine.
Comparison: [x]
Findings: The vertebral body and disc space heights are preserved. The spinal alignment is maintained without evidence of spondylolithesis. No acute fracture is identified. No lytic or blastic lesions are seen.
Impression: Unremarkable examination of the thoracic spine.

Written by lmwong

April 7, 2008 at 4:23 am

C-Spine Plain Film Dictation

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Indication: [x]
Technique: [x] views of the cervical spine.
Comparison: [x]
Findings: The cervical spine is visualized from C1-C7. No prevertebral soft tissue swelling is seen. The cervical alignment is maintained without spondylolithesis. No acute fracture is identified. The vertebral body and disc space heights are preserved. The odontoid process is intact.
Impression: Unremarkable examination of the cervical spine.

Written by lmwong

April 7, 2008 at 4:22 am

Foot Plain Film Dictation

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Indication: [x]
Technique: 3 views of the [x] foot (AP, lateral, and oblique views).
Comparison: [x]
Findings: No fracture or dislocation is seen. No significant soft tissue swelling is identified.
Impression: No osseous or articular abnormalities of the [x] foot.

Written by lmwong

April 7, 2008 at 4:21 am

Knee Plain Film Dictation

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Indication: [x]
Technique: [x] views of the [x] knee.
Comparison: [x]
Findings: No fracture or dislocation is seen. No joint effusion is identified. No significant soft tissue swelling is seen.
Impression: No osseous or articular abnormalities of the [x] knee.

Written by lmwong

April 7, 2008 at 4:20 am

Ankle Plain Film Dictation

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Indication: [x]
Technique: 3 views of the [x] ankle (PA, lateral, and oblique views)
Comparison: [x]
Findings: No fracture or dislocation is seen. The ankle mortise appears intact on the nonstress views. No significant soft tissue swelling is identified.
Impression: No osseous or articular abnormalities of the [x] ankle.

Written by lmwong

April 7, 2008 at 4:20 am

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

Hip Plain Film Dictation

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Indication: [x]
Technique: [x] views of the [x] hip. [An AP radiograph of the pelvis was obtained to assess joint symmetry].
Comparison: [x]
Findings: No fracture or dislocation is seen.. The hip joint is well-maintained.
Impression: No osseous or articular abnormalities of the [x] hip.

Written by lmwong

April 7, 2008 at 4:19 am

Hand Plain Film Dictation

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Indication: [x]
Technique: 3 views of the [x] hand (PA, lateral, and oblique views).
Comparison: [x]
Findings: No fracture or dislocation is identified. No significant soft tissue swelling is seen.
Impression: No osseous or articular abnormalities of the [x] hand.

Written by lmwong

April 7, 2008 at 4:18 am

Elbow Plain Film Dictation

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Indication: [x]
Technique: 2 views of the [x] elbow (AP and lateral views).
Comparison: [x]
Findings: No fracture or dislocation is seen. No joint effusion is identified. No significant soft tissue swelling is seen.
Impression: No osseous or articular abnormalities of the [x] elbow.

Written by lmwong

April 7, 2008 at 4:15 am

Shoulder Plain Film Dictation

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Indication: [x]
Technique: [x] views of the [x] shoulder.
Comparison: [x]
Findings: No fracture or dislocation is identified. The AC joint is intact.
Impression: No osseous or articular abnormalities of the [x] shoulder.

Written by lmwong

April 7, 2008 at 4:14 am