英文版影像報(bào)告書寫

1、1. 頭顱骨質(zhì)未見異常The shape and the size of the skull are normal。The inner and outer tables，and the diploe of the cranial vault are unremarkable，on the lateral view ，the sizes，the shape and the density of the sella turcica are nothing remarkable。Impression：plain films of the head are normal.2.頭顱正常AP and la

2、teral views of the skull are submitted. The cavarium has normal configuration and appearance. There is no evidence of fracture. The soft tissues are normal.Impression: Normal skull.3.鼻旁竇炎癥There is generalized haziness of the frontal, ethmoid and bilateral maxillary sinuses. Findings are consistent w

3、ith sinusitis.Impression: Frontal,（額竇）ethmoid（篩）and maxillary （上頜）sinusitis.4. 右膝關(guān)節(jié)正常The bones and joints of the right knee are normal. There is no evidence of fracture or subluxation. The soft tissues are normal. There is no joint effusion.Impression: Normal right knee.5.右膝退變The bones and joints of

4、 the right knee are normal. Mild degenerative changes of the knee joint is present. There is no evidence of fracture or subluxation. The soft tissues are normal. There is no joint effusion.Impression: Mild DJD of knee joint。6.左小腿蜂窩炎，（軟組織腫脹，無(wú)骨髓炎）There is mild degree of soft tissue swelling 10.9cm at

5、the proximal anterior leg. There is no evidence of adjacent bone abnormality. There is no evidence of periosteal reaction. The fibular bone has normal configuration and appearance.Impression: There is a focal 10.9cm length soft tissue swelling at the proximal anterior leg adjacent to the tibia. The

6、tibial bone has normal configuration with no evidence of osteomyelitis. Findings are consistent with localized cellulitis.7.右側(cè)脛骨石膏固定中，位置可，和老片比較相似The right leg is in a plaster cast. There is oblique fracture of the right mid tibial shaft. There is mild callous formation across the fracture line. The

7、bone fragnments are in proper alignment. Comparison with previous eximination of 4/19/2006 reveals no significant interval change.Impression: S/P fracture of the right mid tibial shaft. Callous formation is present across the fracture line.There is no interval change from previous study of 4/19/2006

8、.8.右足正斜位正常The bones and joints of the right forefoot are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.Impression: Normal right forefoot.9.正常左踝正側(cè)位AP and lateral views of the left ankle were obtained. The bones and joints of the ankle are normal. There is no fra

9、cture.Impression: Normal left ankle.10.右側(cè)足背距骨和舟狀骨之間退變The bones and joints of the right fore foot are normal. Mild degenerative changes of the talo-navicular joint is present. There is no evidence of fracture or subluxation. The soft tissues are normal.Impression: Normal right fore foot. Mild DJD of

10、talo-naviculat joint.11.雙側(cè)足背斜位，拇外翻There is mild degree of hallux valgus deformities of the both feet right and left. The bones and joints of the rest of the feet are unremarkable. Soft tissues are within normal limits.Impression: 1. Mild right hallux valgus deformities.The bones and joints of bilate

11、ral elbows are normal. The soft tissues are normal. There is no evidence of fracture or subluxation.Impression: Normal elbows.13.右側(cè)拇指正常The bones and joints of the right thumb are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.Impression: Normal right thumb.14.右肩

12、關(guān)節(jié)正位正常The bones and joints of the right shoulder are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.Impression: Normal right shoulder.15.右腕正側(cè)位正常The bones and joints of the right wrist are normal. There is no evidence of fracture or subluxation. The soft tissues

13、are normal.Impression: Normal right wrist.16.雙側(cè)腕關(guān)節(jié)（右側(cè)正常，左側(cè)橫行骨折，未移位）There is a transverse non displaced fracture of the left distal radial metaphysis region. The left wrist is normal in configuration and appearance. The right distal forearm and right wrist are normal in appearance. Soft tissues are w

14、ithin normal limits.Impression: Transverse non displaced fracture of the left distal radial metaphysis. Right distal forearm and wrist are normal.The bones and joints of the left hand are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.Impression: Normal left han

15、d.18.正常鎖骨片（左）The left clavicle has normal configuration and appearance. The soft tissues of the neck above the clavicle is normla in appearance. Scapular and left shoulder joint are within normal limits.No evidence of soft tissue mass is demonstrated.Impression: Normal left clavicle.19.左鎖骨及肩胛骨AP vie

16、ws of the left shoulder and scapula reveal normal bones and joints. There is no evidence of fracture or bone abnormality. The soft tissues are normal.Impression: Normal left shoulder and scapula.20.腹部立臥位正常片Supine and upright views of the abdomen are submitted. The bowel gas pattern is normal. There

17、is no evidence of intestinal obstruction. There is no evidence of abnormal calcifications overlying the kidneys or the pelvis. The osseous structures are normal.Impression: Normal abdomen.21.腹部立位正常：The bowel gas pattern is normal. There is no evidence of abnormal calcifications. The osseous structur

18、es are normal.Impression: Normal abdomen.22.腹部立位大便AP erect view of the abdomen reveal feces filled colon. There is no evidence of abdominal mass or calcifications. The osseous structures are normal.Impression: Feces impacted colon.23.頸椎增生性改變The alignment of cervical vertebra is normal. Curve of the

19、cervical vertebra exist（disappear）. Narrowing of the intervertebal space between C？ and c？ is found. Slight osteophytes are revealed at the posterior/anterior of C？c？. There is no fracture or dislocation.24.胸椎增生性改變The alignment of thoracic vertebra is normal. Curve of the cervical vertebra exist（dis

20、appear）. Narrowing of the intervertebal space between t？ and t？ is found. Slight osteophytes are revealed at the posterior/anterior of t？t？. There is no fracture or dislocation.Impression: Hyperplasy changes of the thoracic vertebra.25.頸椎正常The alignment of cervical vertebra is normal. Curve of the c

21、ervical vertebra exist. The intervertebal space between the cervical vertebra is normal. No osteophytes are revealed at the cervical vertebra bodies.Impression: Normal of the cervical vertebra.26.胸椎正常The alignment of thoracic vertebrae is normal. Curve of the thoracic vertebrae exist. The interverte

22、bal space between the thoracic vertebra is normal. No osteophytes are revealed at the thoracic vertebra bodies.Impression: Normal of the thoracic vertebra.27.腰椎正常The alignment of lumbar vertebrae is normal. Curve of the lumbar vertebrae exist. The intervertebal space between the lumbar vertebra is n

23、ormal. No osteophytes are revealed at the lumbar vertebra bodies.Impression: Normal of the lumbar vertebra.28.頸椎退行性變The alignment of cervical vertebra is normal. Curve of the cervical vertebra disappear. Narrowing of the intervertebal space between C？ and c？斜位片有椎間孔狹窄時(shí)：These cause minimal narrowing o

24、f the intervertebral foramina. Severe osteophytes are revealed at the posterior/anterior of C？c？There is no fracture or dislocation.Impression: Degenerative of the cervical vertebra.29.腰椎退行性變The alignment of lumbar vertebra is normal. Curve of the lumbar vertebra disappear. Narrowing of the interver

25、tebal space between l？ and l？斜位片有椎間孔狹窄時(shí)：These cause minimal narrowing of the intervertebral foramina. Severe osteophytes are revealed at the posterior/anterior of l？l？There is no fracture or dislocation.Impression: Degenerative of the lumbar vertebra.30.胸片正側(cè)位正常PA and lateral views of the chest were

26、obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: Normal Chest31. 胸片正位正常PA view of the chest was obt

27、ained. Both lung fields are well expanded.There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: Normal Chest32.胸片有鈣化點(diǎn)無(wú)其它肺部疾病。PA view of the chest was

28、obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. A small calcified at the top of the right lung. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: Sm

29、all calcified at the top of the right lung. No acute lung disease. 33.胸部小結(jié)節(jié)。PA view of the chest was obtained. Both lung fields are well expanded.There is a small lung nodule 3mm size at the right mid lung. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is norm

30、al. The mediastinum and bilateral hila are normal.Impression: 3 mm nodule at right mid lung. Suggest comparison with old CXR to ensure stability, otherwise suggest CT chest.34.兩肺紋理增多，未見明顯感染之征象。AP view of the chest was obtained. Both lung fields are well expanded.There is no evidence of lung mass or

31、infiltrate. Mild increase of lung markings are present. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: Mild increase of lung markings. No focal infiltrate is seen.35.胸片側(cè)位，肋骨骨折Bilateral lungs a

32、re normal. The heart has normal size and contour. The mediastinum is normal. There is a fracture of right 7thaxillary rib.Impression: 1. Lungs are normal.2. Fracture of the right 7th axillary rib.36.胸部正側(cè)位（右隔抬高，原因待查）PA and lateral views of the chest were obtained. Both lung fields are well expanded.

33、There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal.。There is elevation of right septumImpression: There is elevation of right septum, suggest furthercheck up;37.心影稍增大（胸片正位）PA view of the chest was obtained.

34、 Both lung fields are well expanded.There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. There is mild cardiomegaly. The mediastinum and bilateral hila are normal.Impression: Mild cardiomegaly. Lungs are clear.38.左上肺陳舊性肺結(jié)核PA and lateral v

35、iews of the chest were obtained. Both lung fields are well expanded. There is fibro-calcific changes at left upper lobe. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: LUL post TB inflmmatory

36、residuals.39兩肺門增大，建議ct檢查PA view of the chest was obtained. Both lung fields are well expanded. There is mild increase of interstitial lung markings with bilateral prominent hila. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bila

37、teral hila are normal.Impression: There is mild increase of interstitial lung markings with bilateral prominent hila. Suggest CT chest.40.兩肺紋理增多，左側(cè)胸腔積液，心影中度擴(kuò)大。PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is mild increase of interstitial lung markings and

38、 Kerley-B lines at right lower lung. There is increased haze at the LLL suggest pleural effusion. Bilateral apices are normal. There is moderate cardiomegaly with large right atrium. The mediastinum and bilateral hila are normal.Impression: Increased lung markings at lung bases.Left pleural effusion

39、.Moderate cardiomegaly.41.肺感PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is diffuse interstitial infiltrates at left lung/right lung/LUL?LLL/RUL/RLL.Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The medi

40、astinum and bilateral hila are normal.Impression: Pneumonia of left lung/right lung/LUL/LLL/RUL/RLL.42.心包積液PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are n

41、ormal. The cardiac size is enlarged with " water bottle" appearance suggesting pericardial effusion. The mediastinum and bilateral hila are normal.Impression: Enlarged heart with "water bottle" appearance suggestive of pericardial effusion. No lung infiltrate is seen.43.右上肺肉芽腫PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices a