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1、Evaluation Warning: The document was created with Spire.Doc for .NET.1.頭顱骨質(zhì)未見異常Theshapeandthesizeoftheskullarenormal。Theinnerandoutertables,andthediploeofthecranialvaultareunremarkable,onthelateralview,thesizes,theshapeandthedensityofthesellaturcicaarenothingremarkable。Impression:plainfilmsofthehead

2、arenormal.2.頭顱正常APandlateralviewsoftheskullaresubmitted.Thecavariumhasnormalconfigurationandappearance.Thereisnoevidenceoffracture.Thesofttissuesarenormal.Impression:Normalskull.3.鼻旁竇炎癥Thereisgeneralizedhazinessofthefrontal,ethmoidandbilateralmaxillarysinuses.Findingsareconsistentwithsinusitis.Impre

3、ssion:Frontal,(額竇)ethmoid(篩)andmaxillary(上頜)sinusitis.4.右膝關(guān)節(jié)正常Thebonesandjointsoftherightkneearenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Thereisnojointeffusion.Impression:Normalrightknee.5.右膝退變Thebonesandjointsoftherightkneearenormal.Milddegenerativechangesofthekneejoi

4、ntispresent.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Thereisnojointeffusion.Impression:MildDJDofkneejoint。6.左小腿蜂窩炎,(軟組織腫脹,無骨髓炎)Thereismilddegreeofsofttissueswelling10.9cmattheproximalanteriorleg.Thereisnoevidenceofadjacentboneabnormality.Thereisnoevidenceofperiostealreaction.

5、Thefibularbonehasnormalconfigurationandappearance.Impression:Thereisafocal10.9cmlengthsofttissueswellingattheproximalanteriorlegadjacenttothetibia.Thetibialbonehasnormalconfigurationwithnoevidenceofosteomyelitis.Findingsareconsistentwithlocalizedcellulitis.7.右側(cè)脛骨石膏固定中,位置可,和老片比較相似Therightlegisinaplas

6、tercast.Thereisobliquefractureoftherightmidtibialshaft.Thereismildcallousformationacrossthefractureline.Thebonefragnmentsareinproperalignment.Comparisonwithpreviouseximinationof4/19/2006revealsnosignificantintervalchange.Impression:S/Pfractureoftherightmidtibialshaft.Callousformationispresentacrosst

7、hefractureline.Thereisnointervalchangefrompreviousstudyof4/19/2006.8.右足正斜位正常Thebonesandjointsoftherightforefootarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightforefoot.9.正常左踝正側(cè)位APandlateralviewsoftheleftanklewereobtained.Thebonesandjointsoftheankleare

8、normal.Thereisnofracture.Impression:Normalleftankle.10.右側(cè)足背距骨和舟狀骨之間退變Thebonesandjointsoftherightforefootarenormal.Milddegenerativechangesofthetalo-navicularjointispresent.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightforefoot.MildDJDoftalo-naviculatjoint.11.雙

9、側(cè)足背斜位,拇外翻Thereismilddegreeofhalluxvalgusdeformitiesofthebothfeetrightandleft.Thebonesandjointsoftherestofthefeetareunremarkable.Softtissuesarewithinnormallimits.Impression:1.Mildrighthalluxvalgusdeformities.Thebonesandjointsofbilateralelbowsarenormal.Thesofttissuesarenormal.Thereisnoevidenceoffractu

10、reorsubluxation.Impression:Normalelbows.13.右側(cè)拇指正常Thebonesandjointsoftherightthumbarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightthumb.14.右肩關(guān)節(jié)正位正常Thebonesandjointsoftherightshoulderarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesareno

11、rmal.Impression:Normalrightshoulder.15.右腕正側(cè)位正常Thebonesandjointsoftherightwristarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightwrist.16.雙側(cè)腕關(guān)節(jié)(右側(cè)正常,左側(cè)橫行骨折,未移位)Thereisatransversenondisplacedfractureoftheleftdistalradialmetaphysisregion.Theleftwristisnorm

12、alinconfigurationandappearance.Therightdistalforearmandrightwristarenormalinappearance.Softtissuesarewithinnormallimits.Impression:Transversenondisplacedfractureoftheleftdistalradialmetaphysis.Rightdistalforearmandwristarenormal.Thebonesandjointsofthelefthandarenormal.Thereisnoevidenceoffractureorsu

13、bluxation.Thesofttissuesarenormal.Impression:Normallefthand.18.正常鎖骨片(左)Theleftclaviclehasnormalconfigurationandappearance.Thesofttissuesoftheneckabovetheclavicleisnormlainappearance.Scapularandleftshoulderjointarewithinnormallimits.Noevidenceofsofttissuemassisdemonstrated.Impression:Normalleftclavic

14、le.19.左鎖骨及肩胛骨APviewsoftheleftshoulderandscapularevealnormalbonesandjoints.Thereisnoevidenceoffractureorboneabnormality.Thesofttissuesarenormal.Impression:Normalleftshoulderandscapula.20.腹部立臥位正常片Supineanduprightviewsoftheabdomenaresubmitted.Thebowelgaspatternisnormal.Thereisnoevidenceofintestinalobst

15、ruction.Thereisnoevidenceofabnormalcalcificationsoverlyingthekidneysorthepelvis.Theosseousstructuresarenormal.Impression:Normalabdomen.21.腹部立位正常:Thebowelgaspatternisnormal.Thereisnoevidenceofabnormalcalcifications.Theosseousstructuresarenormal.Impression:Normalabdomen.22.腹部立位大便APerectviewoftheabdome

16、nrevealfecesfilledcolon.Thereisnoevidenceofabdominalmassorcalcifications.Theosseousstructuresarenormal.Impression:Fecesimpactedcolon.23.頸椎增生性改變Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebraexist(disappear).NarrowingoftheintervertebalspacebetweenC?andc?isfound.Slightosteophytesarer

17、evealedattheposterior/anteriorofC?c?.Thereisnofractureordislocation.24.胸椎增生性改變Thealignmentofthoracicvertebraisnormal.Curveofthecervicalvertebraexist(disappear).Narrowingoftheintervertebalspacebetweent?andt?isfound.Slightosteophytesarerevealedattheposterior/anterioroft?t?.Thereisnofractureordislocati

18、on.Impression:Hyperplasychangesofthethoracicvertebra.25.頸椎正常Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebraexist.Theintervertebalspacebetweenthecervicalvertebraisnormal.Noosteophytesarerevealedatthecervicalvertebrabodies.Impression:Normalofthecervicalvertebra.26.胸椎正常Thealignmentoft

19、horacicvertebraeisnormal.Curveofthethoracicvertebraeexist.Theintervertebalspacebetweenthethoracicvertebraisnormal.Noosteophytesarerevealedatthethoracicvertebrabodies.Impression:Normalofthethoracicvertebra.27.腰椎正常Thealignmentoflumbarvertebraeisnormal.Curveofthelumbarvertebraeexist.Theintervertebalspa

20、cebetweenthelumbarvertebraisnormal.Noosteophytesarerevealedatthelumbarvertebrabodies.Impression:Normalofthelumbarvertebra.28.頸椎退行性變Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebradisappear.NarrowingoftheintervertebalspacebetweenC?andc?斜位片有椎間孔狹窄時:Thesecauseminimalnarrowingoftheinterv

21、ertebralforamina.Severeosteophytesarerevealedattheposterior/anteriorofC?c?Thereisnofractureordislocation.Impression:Degenerativeofthecervicalvertebra.29.腰椎退行性變Thealignmentoflumbarvertebraisnormal.Curveofthelumbarvertebradisappear.Narrowingoftheintervertebalspacebetweenl?andl?斜位片有椎間孔狹窄時:Thesecausemin

22、imalnarrowingoftheintervertebralforamina.Severeosteophytesarerevealedattheposterior/anteriorofl?l?Thereisnofractureordislocation.Impression:Degenerativeofthelumbarvertebra.30.胸片正側(cè)位正常PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilatera

23、lapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:NormalChest31.胸片正位正常PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal

24、.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:NormalChest32.胸片有鈣化點無其它肺部疾病。PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Asmallcalcifiedatthetopoftherightlung.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.T

25、hecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:Smallcalcifiedatthetopoftherightlung.Noacutelungdisease.33.胸部小結(jié)節(jié)。PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisasmalllungnodule3mmsizeattherightmidlung.Bilateralapicesarenormal.Bilateralpleuralspacesarenor

26、mal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:3mmnoduleatrightmidlung.SuggestcomparisonwitholdCXRtoensurestability,otherwisesuggestCTchest.34.兩肺紋理增多,未見明顯感染之征象。APviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Mildincr

27、easeoflungmarkingsarepresent.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:Mildincreaseoflungmarkings.Nofocalinfiltrateisseen.35.胸片側(cè)位,肋骨骨折Bilaterallungsarenormal.Thehearthasnormalsizeandcontour.Themediastinumisno

28、rmal.Thereisafractureofright7thaxillaryrib.Impression:1.Lungsarenormal.2.Fractureoftheright7thaxillaryrib.36.胸部正側(cè)位(右隔抬高,原因待查)PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardi

29、accontourisnormal.。ThereiselevationofrightseptumImpression:Thereiselevationofrightseptum,suggestfurthercheckup;37.心影稍增大(胸片正位)PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thereismildcardiomeg

30、aly.Themediastinumandbilateralhilaarenormal.Impression:Mildcardiomegaly.Lungsareclear.38.左上肺陳舊性肺結(jié)核PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisfibro-calcificchangesatleftupperlobe.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Theme

31、diastinumandbilateralhilaarenormal.Impression:LULpostTBinflmmatoryresiduals.39兩肺門增大,建議ct檢查PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereismildincreaseofinterstitiallungmarkingswithbilateralprominenthila.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnorm

32、al.Themediastinumandbilateralhilaarenormal.Impression:Thereismildincreaseofinterstitiallungmarkingswithbilateralprominenthila.SuggestCTchest.40.兩肺紋理增多,左側(cè)胸腔積液,心影中度擴(kuò)大。PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.ThereismildincreaseofinterstitiallungmarkingsandKerley-Blinesatri

33、ghtlowerlung.ThereisincreasedhazeattheLLLsuggestpleuraleffusion.Bilateralapicesarenormal.Thereismoderatecardiomegalywithlargerightatrium.Themediastinumandbilateralhilaarenormal.Impression:Increasedlungmarkingsatlungbases.Leftpleuraleffusion.Moderatecardiomegaly.41.肺感PAandlateralviewsofthechestwereob

34、tained.Bothlungfieldsarewellexpanded.Thereisdiffuseinterstitialinfiltratesatleftlung/rightlung/LUL?LLL/RUL/RLL.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:Pneumoniaofleftlung/rightlung/LUL/LLL/RUL/RLL.42.心包積液PA

35、andlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiacsizeisenlargedwithwaterbottleappearancesuggestingpericardialeffusion.Themediastinumandbilateralhilaarenormal.Impression:Enlargedheartwithwaterbottleappearancesuggestiveofpericardialeffusion.Nolunginfiltrateisseen.43.右上肺肉芽腫PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilater

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