中英X线诊断模板.docx
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中英X线诊断模板.docx
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中英X线诊断模板
1.头颅骨质未见异常Theshapeandthesizeoftheskullarenormal。
Theinnerandoutertables,andthediploeofthecranialvaultareunremarkable,onthelateralview,thesizes,theshapeandthedensityofthesellaturcicaarenothingremarkable。
Impression:
plainfilmsoftheheadarenormal.2.头颅正常APandlateralviewsoftheskullaresubmitted.Thecavariumhasnormalconfigurationandappearance.Thereisnoevidenceoffracture.Thesofttissuesarenormal.Impression:
Normalskull.3.鼻旁窦炎症Thereisgeneralizedhazinessofthefrontal,ethmoidandbilateralmaxillarysinuses.Findingsareconsistentwithsinusitis.Impression:
Frontal,(额窦)ethmoid(筛)andmaxillary(上颌)sinusitis.4.右膝关节正常Thebonesandjointsoftherightkneearenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Thereisnojointeffusion.Impression:
Normalrightknee.5.右膝退变Thebonesandjointsoftherightkneearenormal.Milddegenerativechangesofthekneejointispresent.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Thereisnojointeffusion.Impression:
MildDJDofkneejoint。
6.左小腿蜂窝炎,(软组织肿胀,无骨髓炎)Thereismilddegreeofsofttissueswelling10.9cmattheproximalanteriorleg.Thereisnoevidenceofadjacentboneabnormality.Thereisnoevidenceofperiostealreaction.Thefibularbonehasnormalconfigurationandappearance.Impression:
Thereisafocal10.9cmlengthsofttissueswellingattheproximalanteriorlegadjacenttothetibia.Thetibialbonehasnormalconfigurationwithnoevidenceofosteomyelitis.Findingsareconsistentwithlocalizedcellulitis.7.右侧胫骨石膏固定中,位置可,和老片比较相似Therightlegisinaplastercast.Thereisobliquefractureoftherightmidtibialshaft.Thereismildcallousformationacrossthefractureline.Thebonefragnmentsareinproperalignment.Comparisonwithpreviouseximinationof4/19/2006revealsnosignificantintervalchange.Impression:
S/Pfractureoftherightmidtibialshaft.Callousformationispresentacrossthefractureline.Thereisnointervalchangefrompreviousstudyof4/19/2006.8.右足正斜位正常Thebonesandjointsoftherightforefootarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:
Normalrightforefoot.9.正常左踝正侧位APandlateralviewsoftheleftanklewereobtained.Thebonesandjointsoftheanklearenormal.Thereisnofracture.Impression:
Normalleftankle.10.右侧足背距骨和舟状骨之间退变
Thebonesandjointsoftherightforefootarenormal.Milddegenerativechangesofthetalo-navicularjointispresent.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:
Normalrightforefoot.MildDJDoftalo-naviculatjoint.11.双侧足背斜位,拇外翻Thereismilddegreeofhalluxvalgusdeformitiesofthebothfeetrightandleft.Thebonesandjointsoftherestofthefeetareunremarkable.Softtissuesarewithinnormallimits.Impression:
1.Mildrighthalluxvalgusdeformities.12.双肘正常Thebonesandjointsofbilateralelbowsarenormal.Thesofttissuesarenormal.Thereisnoevidenceoffractureorsubluxation.Impression:
Normalelbows.13.右侧拇指正常Thebonesandjointsoftherightthumbarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:
Normalrightthumb.14.右肩关节正位正常Thebonesandjointsoftherightshoulderarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:
Normalrightshoulder.15.右腕正侧位正常Thebonesandjointsoftherightwristarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:
Normalrightwrist.16.双侧腕关节(右侧正常,左侧横行骨折,未移位)
Thereisatransversenondisplacedfractureoftheleftdistalradialmetaphysisregion.Theleftwristisnormalinconfigurationandappearance.Therightdistalforearmandrightwristarenormalinappearance.Softtissuesarewithinnormallimits.Impression:
Transversenondisplacedfractureoftheleftdistalradialmetaphysis.Rightdistalforearmandwristarenormal.17.左手背正常Thebonesandjointsofthelefthandarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:
Normallefthand.18.正常锁骨片(左)Theleftclaviclehasnormalconfigurationandappearance.Thesofttissuesoftheneckabovetheclavicleisnormlainappearance.Scapularandleftshoulderjointarewithinnormallimits.Impression:
NormalleftNoevidenceofsofttissuemassisdemonstrated.clavicle.19.左锁骨及肩胛骨APviewsoftheleftshoulderandscapularevealnormalbonesandjoints.Thereisnoevidenceoffractureorboneabnormality.Thesofttissuesarenormal.Impression:
Normalleftshoulderandscapula.20.腹部立卧位正常片Supineanduprightviewsoftheabdomenaresubmitted.Thebowelgaspatternisnormal.Thereisnoevidenceofintestinalobstruction.Thereisnoevidenceofabnormalcalcificationsoverlyingthekidneysorthepelvis.Theosseousstructuresarenormal.
Impression:
Normalabdomen.21.腹部立位正常:
Thebowelgaspatternisnormal.Thereisnoevidenceofabnormalcalcifications.Theosseousstructuresarenormal.Impression:
Normalabdomen.22.腹部立位大便APerectviewoftheabdomenrevealfecesfilledcolon.Thereisnoevidenceofabdominalmassorcalcifications.Theosseousstructuresarenormal.Impression:
Fecesimpactedcolon.23.颈椎增生性改变Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebraexist(disappear).NarrowingoftheintervertebalspacebetweenC?
andc?
isfound.Slightosteophytesarerevealedattheposterior/anteriorofC?
-c?
.Thereisnofractureordislocation.24.胸椎增生性改变Thealignmentofthoracicvertebraisnormal.Curveofthecervicalvertebraexist(disappear).Narrowingoftheintervertebalspacebetweent?
andt?
isfound.Slightosteophytesarerevealedattheposterior/anterioroft?
-t?
.Thereisnofractureordislocation.Impression:
Hyperplasychangesofthethoracicvertebra.25.颈椎正常Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebraexist.Theintervertebalspacebetweenthecervicalvertebraisnormal.Noosteophytesarerevealedatthecervicalvertebrabodies.Impression:
Normalofthecervicalvertebra.
26.胸椎正常Thealignmentofthoracicvertebraeisnormal.Curveofthethoracicvertebraeexist.Theintervertebalspacebetweenthethoracicvertebraisnormal.Noosteophytesarerevealedatthethoracicvertebrabodies.Impression:
Normalofthethoracicvertebra.27.腰椎正常Thealignmentoflumbarvertebraeisnormal.Curveofthelumbarvertebraeexist.Theintervertebalspacebetweenthelumbarvertebraisnormal.Noosteophytesarerevealedatthelumbarvertebrabodies.Impression:
Normalofthelumbarvertebra.28.颈椎退行性变Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebradisappear.NarrowingoftheintervertebalspacebetweenC?
andc?
斜位片有椎间孔狭窄时:
+Thesecauseminimalnarrowingoftheintervertebralforamina.Severeosteophytesarerevealedattheposterior/anteriorofC?
-c?
Thereisnofractureordislocation.Impression:
Degenerativeofthecervicalvertebra.29.腰椎退行性变Thealignmentoflumbarvertebraisnormal.Curveofthelumbarvertebradisappear.Narrowingoftheintervertebalspacebetweenl?
andl?
斜位片有椎间孔狭窄时:
+Thesecauseminimalnarrowingoftheintervertebralforamina.Severeosteophytesarerevealedattheposterior/anteriorofl?
-l?
Thereisnofractureordislocation.Impression:
Degenerativeofthelumbarvertebra.30.胸片正侧位正常
PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:
NormalChest31.胸片正位正常PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:
NormalChest32.胸片有钙化点无其它肺部疾病。
PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Asmallcalcifiedatthetopoftherightlung.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:
Smallcalcifiedatthetopoftherightlung.Noacutelungdisease.33.胸部小结节。
PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisasmalllungnodule3mmsizeattherightmidlung.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:
3mmnoduleatrightmidlung.SuggestcomparisonwitholdCXRtoensurestability,otherwisesuggestCTchest.
34.两肺纹理增多,未见明显感染之征象。
APviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Mildincreaseoflungmarkingsarepresent.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:
Mildincreaseoflungmarkings.Nofocalinfiltrateisseen.35.胸片侧位,肋骨骨折Bilaterallungsarenormal.Thehearthasnormalsizeandcontour.Thethmediastinumisnormal.Thereisafractureofright7axillaryrib.thImpression:
1.Lungsarenormal.2.Fractureoftheright7axillaryrib.36.胸部正侧位(右隔抬高,原因待查)PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.。
ThereiselevationofrightseptumImpression:
Thereiselevationofrigh
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