판독 양식

`급여 상복부
Abdomen USG:
Findings and conclusions

Echogenicity of the liver is normal.

No defnite abnormal focal lesion and no definite IHD dilatation in liver.
No remarkable finding in spleen, and GB
Limited evaluation of pancreas and EHD due to bowel gas, but no remarkable in scanned
portion

REC) clinical correlation

reading by 영상의학과 전문의 이진영(94675)

`MMG 미세석회화
At MMG

Parenchymal pattern C

The breast tissue is heterogeneously dense. This may lower the sensitivity of mammography.

microcalcifications,

conclusion

미세석회화,

BI-RADS category 0

REC) magnification view(타원 반드시 요망), breast US

`외래용 chest x-ray

findings and conclusions

lung:

air way:

hilum:

aorta:

heart:

CPA, pleura:
rib:

clavicle, scapula:

spine:

upper abdomen:

chest wall/neck portion:

No definite active lung lesion

No cardiomegaly

REC) clinical correlation and F/U

유방 비대칭
At MMG
Parenchymal pattern C
The breast tissue is heterogeneously dense. This may lower the sensitivity of mammography.
비대칭,

conclusion
비대칭,
BI-RADS category 0

REC) breast US

Abdomen pelvic CT

Findings and conclusions

Liver: [unremarkable]

Gallbladder and biliary tree :

[No calcified gallstones. Normal caliber wall.]
[No intra- or extrahepatic biliary ductal dilation.]

Pancreas [unremarkable]

Spleen [unremarkable]

Adrenals [unremarkable]

Kidneys and ureters [unremarkable]

Bladder [unremarkable]
Reproductive organs [No pelvic masses]

Bowel [unremarkable]

Lymph nodes

Retroperitoneal [No enlarged retroperitoneal lymph nodes.]

Mesenteric [No enlarged mesenteric lymph nodes.]

Pelvic [No enlarged pelvic lymph nodes.]

Peritoneum [No ascites or free air. No other fluid collection.]

Vessels [unremarkable]

Retroperitoneum [unremarkable]

Abdominal wall [unremarkable]

Bones [unremarkable.]

Lower thorax[unremarkable]

REC) clinical correlation

Abdomen USG:
Findings and conclusions

Echogenicity of the liver is normal.

No defnite abnormal focal lesion and no definite IHD dilatation in liver.
No remarkable finding in spleen, both kidneys and GB
Limited evaluation of pancreas and EHD due to bowel gas, but no remarkable in scanned
portion
No ascites
Visualized aorta and IVC are unremarkable

Conclusion
No remarkable finding

REC) clinical correlation and F/U

Abdomen S/E
Findings and conclusions

No visible evidence of pneumoperitoneum

Normal bowel gas pattern
No visible abnormal calcifications
Feces in colon
Degenerative spondylosis

conclusion
No remarkable finding

REC) clinical correlation

Ankle MR

1. Axial and sagittal fat saturated T2WI show long segmental increased hyperintense fluid signal
intensity and soft tissue edema along the flexor digitorum longus tendon.
2. Distal tibia and fibula bone show no significant abnormal findings.
3. Talus and calcaneus show no abnormal findings.
4. Flexor and extensor muscle and tendon structures in ankle show no abnormal findings.
5. Ligamentous structures of ankle show no significant abnormal findings.
6. Achilles tendon shows no abnormal findings.
7. No significant fluid signal intensity in ankle joint is noted

conclusion

REC) clinical correlation

Bone CT
check x-ray

Rt, Lt

CT

findings and conclusions

천천히 끝까지 다 볼것, 빨리 넘기다 놓친다.

soft tissue lesion:

unremarkable

REC) clinical correlation and consider MR for evaluation of ligament/tendon injury and hidden
bone lesion (such as bony contusion or insufficiency fracture)

Brain MR/MRA
1.No evidence of signal abnormality or mass lesion is noted in the whole brain parenchyma.
2.Whole ventricular systems & cisternal spaces are normal in their size & shape.
3.No evidence of abnormality on the posterior fossa & bilateral infratemporal fossa.
4.Pituitary gl and & other mid-line structures are normal.
5.TOF MRA show no evidence of significant steno-occlusive change or aneurysm.
6. Otherwise, no remarkable finding.

Conclusion
No remarkable finding

REC)
clinical correlation

Limited evaluation of skull base due to beamhardening artifact from bone.

Brain CT
no remarkable in brain parenchyma and CSF space and skull

No evidence of intracranial hemorrhage or skull fracture.

No remarkable finding in Vascular system

No remarkable finding in Visualized orbits
No remarkable finding in Sella

Conclusion
No remarkable finding.

REC) clinical correlation if clinically warranted, brain MR/MRA for possible hidden lesion

Brain MR/MRA

Findings and conclusions

1. Diffuse brain atrophy
2. Several T2 WM hyperintensity of presumed vascular origin in PVWM(periventricular white
matter) and SCWM(subcortical white matter)
3. Lacune of presumed vascular origin in
4. Cerebral microbleed in
5. No visible evidence of acute infarction.
6. No evidence of signal abnormality or mass lesion is noted in the whole brain parenchyma.
7. Whole ventricular systems & cisternal spaces are normal in their size & shape.
8.No evidence of abnormality on the posterior fossa & bilateral infratemporal fossa.
9.TOF MRA show no evidence of significant steno-occlusive change or aneurysm.

conclusion
1. Small vessel disease
2. No visible evidence of acute infarction

REC) clinical correlation

Breast US
ovoid well circumscribed hypoechoic lesion:cat3
Lt
Rt
Both breasts show no other abnormal echogenecity without definite focal mass or abnormal duct
dilatation.
No remarkable in both axilla

conclusion
BI-RADS cat 1

[REC] Annual F/U

C spine
findings and conclusions

r/o C sprain
Degenerative spondylosis with disc space narrowing at c5-6

lung, rib, air way, soft tissue skull , lower face 확인

REC) clinical correlation consider C spine MR with T2 fat sat if clinically warranted.

Cardiomegaly

Finding

The cardiothoracic ratio is increased.

There is no active lung parenchymal lesion.

Conclusion

Cardiomegaly(F)

REC) clinical correlation and f/u

Carotid doppler
IMT(Intima-media thickness )
Rt Lt

Spectral wave form, PSV and EDV

conclusion

REC) clinical correlation

reference
1) CCA
>50% CCA stenosis: PSV > 182 cm/sec
2)ECA
>50% ECA stenosis :PSV > 130 cm/sec
>75% ECA stenosis:PSV > 220 cm/sec
3) ICA
Normal : PSV<125cm/sec
50~69% stenosis: PSV 125~230cm/sec
>70% stenosis: PSV > 230cm/sec

No definite active lesion in the lung and pleura.

Normal size and shape of heart.
No pleural effusion
척추측만증

CON)
No definite acitve lung lesion
척추측만증

REC) clinical correlation and regular f.u

Multiple reticulonodular densities with small calcified nodules and fibrosis are noted in .
No Cardiomegaly
No Pleural thickening

conclusion
R/o old Tbc in
(비활동성 결핵(C), )

REC) clinical correlation and f/U

Chest CT :
Findings and conclusions
Lungs and large airways [unremarkable]
Pleura: [unremarkable. No pleural effusion or thickening. ]
Heart and pericardium: [unremarkable. No pericardial effusion. ]
Limited evalation or vascular structure and mediastinum due to noncontrast scan
Mediastium and hila: [unremarkable. ]
Vessels: [Atherosclerotic changes in the aorta and coronary arteries.]
Chest wall and lower neck: [unremarkable]
Bones: [unremarkable]
Upper abdomen:
Conclusion

REC)

C spine MR
Findings and conclusions
A.General overview & Spinal alignment:
-Minor marginal bony spur change in cerivcal spine.
-Diffuse disc degeneration of cervicalspine.
-ADI(atlanto-dense interval):

B.Disc,canal stenosis:
-C3/4:HIVD-Protrusion at centralzone.
-C4/5:HIVD-Mild bulging disc.
-C5/6:HIVD-Mild bulging disc.
 Protrusion at central zone.
Right neural foraminal stenosis.
Mild left neural foraminal stenosis.
Grade1 central canal stenosis.
-C6/7:HIVD-Small protrusion at central zone.
Both neural foraminal stenosis.
-C7/T1:HIVD-Mildbulgingdisc.
Right neural foraminal stenosis.
Mild left neural foraminal stenosis.
C.Bony lesion:
-Decreased height without bony edema of T5,T6,T7.

D.synovial, uncovertebral & fibrous joints:

Uncovertebral joint hypertrophy at

E. Spinal cord & nerve root and canal lesion (except disc):
-Unremarkable.

E.Neck muscles: Unremarkable.

conclusion
1. HIVD at C3/4, C4/5, C5/6, C6/7, C7/T1 (as described above)
2.Spinal stenosis at C5/6, C6/7, C7/T1(as described above)
3.Old benign compression fracture of T5,T6,T7.

REC) clinical correlation

Elbow MR
Rt
Lt
Findings and conclusions
Joint effusion

[None | Small | Moderate | Large]

*Medial compartment

Ulnar collateral ligament: [Normal | Mild thickening | Moderate thickening | Severe thickening |
Partial-thickness tear | Full-thickness tear]

Common flexor tendon: [Normal | Mild thickening | Moderate thickening | Severe thickening |
Partial-thickness tear | Full-thickness tear]

Medial epicondyle: [Normal.]

*Lateral compartment

Radial collateral ligament [Normal | Mild thickening | Moderate thickening | Severe thickening |
Partial-thickness tear | Full-thickness tear]

Lateral ulnar collateral ligament: [Normal | Mild thickening | Moderate thickening | Severe
thickening | Partial-thickness tear | Full-thickness tear]

Common extensor tendon: [Normal | Mild tendonosis | Moderate tendonosis | Severe tendonosis |
Low-grade partial-thickness tear | High-grade partial-thickness tear | Full-thickness tear]

Lateral epicondyle [Normal.]

*Posterior compartment

Triceps: [Normal | Mild tendonosis | Moderate tendonosis | Severe tendonosis | Low-grade partial-
thickness tear | High-grade partial-thickness tear | Full-thickness tear]

Olecranon: [Normal.]

Bursitis: [None | Mild | Moderate | Severe]

*Anterior compartment

Biceps [Normal | Mild tendonosis | Moderate tendonosis | Severe tendonosis | Low-grade partial-
thickness tear | High-grade partial-thickness tear | Full-thickness tear]

Brachialis: [Normal | Mild tendonosis | Moderate tendonosis | Severe tendonosis | Low-grade

partial-thickness tear | High-grade partial-thickness tear | Full-thickness tear]

Bicipitoradial bursa: [Normal | Mild bursitis | Moderate bursitis | Severe bursitis]

Articulations

Radio-capitellar joint: [Normal.]

Ulno-humeral joint: [Normal.]

Proximal radio-ulnar joint: [Normal.]

*Other findings

Bones (other than subarticular marrow): [Normal.]

Muscles: [Normal.]

Vessels: [Normal.]

Nerves: [Normal. Cubital tunnel normal. Retinaculum intact.]

Anconeus epitrochlearis muscle: [Absent | Present]

: lateral aspect of elbow, cubital tunnesl syndrome , compression of ulnar nerve within cubittal
tunnel

Intra-articular bodies: [None.]

REC) clinical correlation

Endoscopy abdomen
Finding
No visible evidence of pneumoperitoneum

Diffuse gas filled colon and small bowel

-> Previous endoscopy related finding

con)
No visible evidence of pneumoperitoneum

REC) clinical correlation and if clinically warranted, F/U abdomen x-ray

Findings and conclusions

Facial bone CT
(not fully covered state of mandible, limited evaluation, routine cover 요망)
findings and conclusions

1. No evidence of facial bone fracture.

2. No anomalous bony structure.
3. visible mastoids, Both globes, extraocular muscles, optic nerves and retrobulbar fat
:unremarkable

con)
unremarkable facial CT finding

REC) clinical correlation

Hand MR
Findings:

1.Focal discontinuity and defect in triangularfibrocartilage on fat suppressed coronal T2WI and
fluid collection in distalradio-ulnar joint space is noted.
2.Positive ulnar variance of wrist joint is also noted.
3.Articular cartilage of lunate bone at ulnocarpal joint shows focal defect and increased signal
intensity on fat suppressed T2WI.
4.No abnormal finding is noted in metacarpal and phalangeal bones.
5.No abnormal signal intensity is noted in neurovascular structure.
6.No abnormal fluid signal intensity is noted in wrist joint.
7.No abnormal finding is noted in musculotendinous structure.

Conclusion
Right TFCC injury (Palmer type 2C)

REC) clinical correlation

Kidney US
Findings and conclusions

No detectable abnormal focal lesion in both kidneys

No definite hydronephrosis in both kidneys
Grossly no detectable mass in bladder

REC) clinical correlation and F/U

Knee MR
Findings and conclusions

1. Longitudinal horizontal tear on fat saturated T2WI in posterior horn of medial meniscus is
noted.
2. Coronal and sagittal fat suppressed T2WI show free extension of hyperintense joint fluid within
the horizontal plane of a lateral horizontal cleavage tear patellel to the tibial plateau.
3. Lateral articular facet of right patella shows partial thickness cartilage defect and subchondral
reactive marrow edema.
4. A small sized cyst structure communicating with knee joint space in posteromedial aspect
posterior to the medial gastrocnemius muscle is noted.
5. No abnormal signal change is noted in ACL, PCL, medial and lateral collateral ligament.
6. No abnormal signal changes in popliteus muscle and tendon.
7. Quadriceps tendon and patellar tendon show no significant signal or morphologic changes.
8. Small fluid signal intensity is noted in knee joint space.

conclusion
1. Longitudinal horizontal tear of right medial meniscus posterior horn
2. Longitudinal horizontal tear of right lateral meniscus
3. Right chondromalacia patellae
4. Small Baker's cyst
5. Small knee joint effusion

REC) clinical correlation

K-L grade
Dountful joint space narrowing and possible osteophyte lipping

conclusion
K-L grade 1 DJD

minute Osteophytes on tibia patella and femoral condyle. unimpaired joint spaces.

conclusion
K-L grade 2 DJD.

definite osteophytes on tibia patellar and femoral condyle. moderate severe joint space narrowing
subchondral sclerosis

conclusion
K-L grade 3 4 DJD

REC) clinical correlation, if clinically warranted, consider knee MR

L spine MR
Findings and conclusions
A. General overview & Spinal alignment :
- Multiple marginal bony spur change in thoracolumbar spine.
B. Disc & spinal canal
- L1/2 : HIVD - Unremarkable.
- L2/3 : HIVD - Protrusion and anular tear at central zone.
- L3/4 : HIVD - Bulging disc.
Posterocentral anular fissure.
Moderate both neural foraminal stenosis (right>left).
- L4/5 : HIVD - Bulging disc.
Posterocentral anular fissure.
Moderate both neural foraminal stenosis.
Mild central canal stenosis.
- L5/S1 : HIVD - Bulging disc.
Right and left posterocentral anular fissure.
Moderate both neural foraminal stenosis
C. Bony lesion : rib, T process, sacrum, spinous process check on T2 fat sat
- Schmorl's node and decreased vertebral body height in upper endplate of L1.
D. Synovial and fibrous joints :
- Unremarkable.
E. Spinal cord (Conus & Cauda equina) & nerve root lesion:
-Unremarkable.
F. Back muscles : Unremarkable.
G. Others : A few cortical cysts in both kidneys.

conclusion
1. HIVD at L3-4, L4-5, L5-S1(mentioned above)
2. Spinal stenosis at L3-4, L4-5 and L5-S1(mentioned above)

REC) clinical correlation

At MMG
Parenchymal pattern C
The breast tissue is heterogeneously dense. This may lower the sensitivity of mammography.
No visible evidence of malignancy on MMG

conclusion
BI-RADS category 1

REC) Annual F/U MMG, but if clinically warranted(lump, pain, nipple discharge), breast US for
possible hidden lesion

MMG Rec
Addendum: US 만으로는 microcalcification 이나 architecture distortion 등이 abnormality evaluation
은 불충분합니다. 올해 mammography 시행하지 않으셨다면 꼭 같이 시행하실것을 권고합니다.
MS x-ray
findings and conclusions
Rt
Lt
There is no definite destructive lesions in visible bones.
Joint spaces are preserved.
No abnormal mass lesion is noted.
Others are not remarkable.

all bony structure, soft tissue lung, abdomen, spine, check

conclusion
No visible bony abnormality

REC) clinical correlation and if clinically warranted, consider CT or MR with full cover on ax, cor, sag

Neck CT
Findings and conclusions

Orbits, paranasal sinuses, and skull base:

unremarkable

Nasopharynx:
unremarkable

Suprahyoid neck:
unremakable in oropharynx, oral cavity, parapharyngeal space, and retropharyngeal space.

Infrahyoid neck:
unremarkable in larynx, hypopharynx, and supraglottis.

Thyroid:
unremarkable

Upper thorax :
unremarkable

Lymph nodes [Normal. No lymphadenopathy. ]

Vascular structures:
unremarkable

Other findings:

REC) clinical correlation

No active lung lesion

Findings
No visible active lung lesion
No cardiomegaly
No detectable pleural effusion or pleural mass
No definite visible pneumothorax
No remarkable finding in visible rib, spine, shoulder
No remarkable finding in visible lower neck to chest wall
No remarkable finding in visible upper abdomen

con)
No visible active lung lesion

REC) clinical correlation and regular f/u

No diffusion MR
1. Diffuse brain atrophy
2. Several WM hyperintensity of presumed vascular origin in PVWM(periventricular white matter)
and SCWM(subcortical white matter)
3. Lacune of presumed vascular origin in
4. Cerebral microbleed in
5. Limited evaluation of acute or hyperacute infarction due to no diffusion MRI on this MR scan.
6. No evidence of other signal abnormality or mass lesion is noted in the whole brain
parenchyma.
7. Whole ventricular systems & cisternal spaces are normal in their size & shape.
8.No evidence of abnormality on the posterior fossa & bilateral infratemporal fossa.

conclusion
1. Small vessel disease
2.

REC) clinical correlation

C spine open mouth view

Overlapping with tooth and skull
-limited evaluation

No detectable remarkable finding in odontoid process and lateral borders of C1-2

No visible abnormal alignment at C1-2

conclusion
No detectable remarkbale finding

REC) clinical correlation if clinically warranted C spine MR(C1, C2 level full cover)

At MMG
Parenchymal pattern B
There are scattered fibroglandular densities.
There is no mammographic evidence of malignancy.

conclusion
BI-RADS cat 1

REC) 1yr F/U MMG.

At MMG
Parenchymal pattern D
The breast tissue is extremely dense, which could obscure a lesion on mammography.
However, there is no mammographic evidence of malignancy.

conclusion)
BI-RADS cat 1

REC) annual F/U MMG but if clinically warranted(lump, pain, nipple discharge), breast US

Pelvis MRI
Findings and conclusions

Bony structures:
sacrum, ilium, femur, lower L spine, acetabulum, femur, check
unremarkable

Articular cartilage and acetabular labrum:

unremarkable

Ligamentum teres:

Joint effusion:
small amount of effusion in both femoroacetabular joint

Bursal effusion :
No iliopsoas or trochanteric bursal effusion is present.

Muscles and tendons and subcutaneous tissue:

rectus femoris, iliopsoas, proximal hamstrings, quadratus femoris, and hip abductors check

ischiofemoral space and iliotibila tract:

unremarkable

Other findings:
degenerative spondylosis in lower L spine
L4-5: HIVD

L5-S1: HIVD

scanned spinal cord and nerve root

pelvic cavity

REC) clinical correlation

PNS CT
1. Periosteal mucosal thickening is noted in the ethmoid, both maxillary, right frontal sinuses.
2. Deviated nasal septum convexity to left.
3. Superior and middle meatus mucosal thickening is noted, both.
4. No other remarkable findings.

Conclusion:
Chronic sinusitis.
Rhinitis.

REC) clinical correlation

Normal PNS CT
The visualized paranasal sinuses are otherwise well aerated.
No evidence of air-fluid level.
Bilateral ostiomeatal units are patent.
No abnormality in visualized bilateral orbits

conclusion)
Within normal limit

REC) clinical correlation

PNS x-ray
There is increased density in maxillary sinus.
Bony destruction and abnormal calcification are not noted.
Others are not remarkable.

Conclusion
Maxillary sinusitis,

REC) clinical correlation

Prostate US
findings and conclusions

Limited evaluatio due to poor sonic window related transabdominal US

Prostate vol: cc
No grossly visible focal lesion in ppl. zone

conclusion
cc
No grossly visible focal lesion in ppl. zone

REC) clinical and PSA correlation

If PSA elevated, consider prostate MR

Rib series
No visible evidence of rib fracture on x-ray

conclusion
No detectable rib fracture

REC) clinical correlation and if clinically needed, chest CT

findings and conclusions
shoulder MR
Rt
Lt
1. Rotator cuff
1) SST(suprasupinatus): negative
2) IST(infrasupinatus): negative
3) SScT(subscapularis): negative
4) TM(teres minor): negative
5) LHBT(long head of biceps tendon): negative
5) Fatty degeneration of rotator cuff muscle: Grade

2.Labrum and capsule

3.SASD(subacromialandsundeltoidspace):effusion(-)
4.Bony structure
AC joint

5.OA change:
6.Bone marrow signal abnormality

conclusion

REC) clinical correlation

Skull series
1. No evidence of skull fracture.
2. No other remarkable findings.

conclusion
No remarkable finding

REC) clinical correlation and if clinically warranted, brain CT

sprain
-spine
Straightening of spine curvature
Marginal osteophyte in spine.
Disc space narrowing at
T process, spinous proces, pedicle, pars, sacrum rib paraspinal and soft tissue check

con)
r/o spine sprain
Degenerative spondylosis with disc space narrowing at

REC) clinical correlation consider L spine MR with T2 fat sat if clinically warranted.

Thyroid US
Rt
K-TIRADS category
Lt
K-TIRADS category
Both lobes of thyroid gland is normal in size without abnormal focal lesion.
Echogenicity of the thyroid is homogeneous.
Isthmus portion of thyroid shows grossly normal.
No definite abnormal lymph node in both cervical chain
Others are unremarkable.

Conclusion
No remarkable finding

REC) clincial correlation

reference
K-TIRADS category
2: benign
3:low suspicious malignant
4:intermediate suspicious malignant
5:high suspcious malignant

TM joint MR

Findings and conclusions

Right temporomandibular joint:

[The articular disc is normally positioned between the mandibular condyle and the temporal bone
in both open and closed positions. There is normal anterior translation of the mandibular condyle
with jaw opening.]

Left temporomandibular joint:

[The articular disc is normally positioned between the mandibular condyle and the temporal bone
in both open and closed positions. There is normal anterior translation of the mandibular condyle
with jaw opening.]

REC) clinical correlation

Upper extremity vein

Vein
Findings

Upper extremity veins [The internal jugular, subclavian, and axillary veins are patent and free of
thrombus bilaterally. The visualized brachiocephalic veins are patent. The brachial, basilic, and
cephalic veins are patent and compressible bilaterally.]

Impression

[Negative examination. No thrombus in central veins of upper extremities. ]

Wrist MR
Rt Lt
Findings and conclusions

Alignment
Ulnar variance: [None. | Positive ulnar variance. | Negative ulnar variance.]

Distal radioulnar joint [Congruent.]

Carpal instability: [None | VISI | DISI]

Fluid

Carpus effusion: [None | Mild | Moderate | Severe]

Distal radioulnar joint effusion: [None | Mild | Moderate | Severe]

Intrinsic ligaments

Scapholunate ligament: [Intact.]

Lunotriquetral ligament: [Intact.]

Triangular fibrocartilage: [Intact.]

Lunate facet: [Yes | No]

Hamate-lunate facet: [Normal.]

Extensor compartment

I: [Normal. | Mild tendinosis. | Moderate tendinosis. | Severe tendinosis.]

II: [Normal. | Mild tendinosis. | Moderate tendinosis. | Severe tendinosis.]

III: [Normal. | Mild tendinosis. | Moderate tendinosis. | Severe tendinosis.]

IV: [Normal. | Mild tendinosis. | Moderate tendinosis. | Severe tendinosis.]

V: [Normal. | Mild tendinosis. | Moderate tendinosis. | Severe tendinosis.]

VI: [Normal. | Mild tendinosis. | Moderate tendinosis. | Severe tendinosis.]

Flexor compartment

Carpal tunnel: [Normal.]

Median nerve: [Normal.]

Flexor retinaculum: [Normal.]

Flexor tendons: [Normal.]

Guyon canal: [Normal.]

Articulations

Thumb carpometacarpal joint: [Normal. | Mild osteoarthritis. | Moderate osteoarthritis. | Severe

osteoarthritis.]

Scaphotrapezotrapezoidal joint: [Normal. | Mild osteoarthritis. | Moderate osteoarthritis. | Severe

osteoarthritis.]

Pisiform-triquetral joint: [Normal. | Mild osteoarthritis. | Moderate osteoarthritis. | Severe

osteoarthritis.]

Other findings

Bones: [Normal.]

Muscles: [Normal.]

Vessels: [Normal.]

REC) clinical correlation

기억나는 놓쳤던 것들
OS

CT 상 fracture, x-ray 반드시 확인

CT 상 soft tissue mass, soft tissue window 확인

MR 상 spine 부분 frx 의심되는데 무증상일 경우 tumor 다

MR 상 T2 fat sat high 여도 T1 disc 보다 낮은 signal tumor 반드시 감별
MR 상 fracture, x-ray 반드시 확인
MR 상 vascular, nerve, soft tissue mass 마지막에 꼭 확인
spine MR 상 sacrum(T1/T2 fat sat sagittal)
abdomen/neck soft tissue 나 내부 병변(T2 axial, T2 sagi)
nerve root, spinal cord 병변(T2/T2 fat sat sagittal)
bone marrow 병변(T1 sagittal)
epidural/paraspinal 병변도 반드시 확인(T2 axial/T2 fat sat sag)

IM
US 상 ureter stone, appendix 소견 배아프면 확인 요망
chest PA 상 nodule 의심되면 반드시 Fu 특히 늙은 사람
chest PA 상 pneumothorax 도 반드시 확인할것, 특히 젊은 사람
chest PA 상 abdomen free air bowel 도 확인할것
abdomen x-ray 상 free air , mid abdomen calcification(chronic pancreatitia)확인 할것
CT 상 혈관/chest wall 이나 abdomen wall 병변 확인!
CT 상 mass like consolidation 은 single 이여도 lung cancer 와 함께 반드시 pneumonia /Tbc 같이
ddx
chest x-ray 에서 clavicle frx 놓침, bone 도 잘보자
neuro
IAC canal 병변
brain base 병변
venous sinus 병변
carotid cavernous fistula 병변
DWI/ADC 꼼꼼 확인
T1 에서 bone marrow signa
T1 sag 에서 oropharynx 병변
t2WI 에서 pharynx 병변,

대동맥 확장
Findings and conclusions
cardiomegaly

prominent aorta

No definite active lung lesion

con)
심비대(F)
대동맥 확장 의심(F)

REC) clinical correlation and 3 to 6 month f/u chest PA and LAt or if clinicallly sx(+), contrast chest
CT scan
심전도, 심초음파 check

대동맥 궁 확장
Small calcified granuloma in RLL zone
Prominent aortic arch
No cardiomegaly

con)
석회결절, 우하 (C)
대동맥궁 확장 의심(f)

REC) clinical correlation and 3 to 6 month f/u chest PA and Lat

미만성 세기관지 결절양 의심

suspicious diffuse peribronchial ill-defined small nodular densities in
-> r/o small air way disease

con)
미만성 세기관지 주위 결절양 병변 의심, (G)

REc) clinical correlation and HRCT scan

Findings and conclusions

불충분한 흡기 사진
심비대(F)

음영 증가 의심, 양하(g)
-> r/o hypoinflation related finding
REC) clinical correlation and short term f/u chest PA and LAt with full inspiration

Small calcified granuloma in .

No cardiomegaly

con)
석회결절, (C)

REC) clinical correlation and f/u

suspicious increased density,

-> r/o artifact vs. r/o true pathology

con)
음영 증가 의심, (G)

REC) clinical correlation and 1-2 weeks F/U chest PA and Lat or low dose chest CT scan

Suspicious small nodular density,

-> R/O artifact vs. R/O true nodule

con)
작은 결절 의심, (G)

REC) clinical correlation 2-3 month f.u chest PA and Lat or low dose chest CT scan

findings
prominent hilum, (G)
-> R/o vascular shadow
ddx. R/O space occupying lesion

con)
폐문 비후, (G)

REC) clinical correlation and 2-3 month f/u chest PA and LAt or contrast chest CT scan

Elderly brain CT
Limited evaluation of skull base due to beamhardening artifact from bone.
Brain CT
findings and conclusions

No definite visible intracranial hemorrhage or skull fracture

Diffuse brain atrophy

R/O Small vessel disease in both PVWM

REC) clinical correlation if clinically warranted, brain MR/MRA

Chest decubitus

1mm 당 20mL

Amount :
Rt, about mL
Lt, about mL

REC) clinical correlation and f/U

L spine 간단
L spine
Findings and conclusions
L sprain
Degenerative spondylosis with disc space narrowing at L4-5

rib, pelvis, abdomen. spinous/transverse process, soft tissue check

REC) clinical correlation consider L spine MR with T2 fat sat if clinically warranted.

Nipple x-ray
Suspicious small nodular density, LLL zone
-> R/O artifact related with nipple shadow
ddx. R/O true nodule

con)
작은 결절 의심, 좌하 (G)

REC) clinical correlation 1-2 month f.u chest PA and Lat with nipple marking

Pleural thickening,
No Cardiomegaly

con)
흉막 비후, 좌 우(C)

REC) clinical correlation and f/u

Shoulder x-ray 간단
Rt
Lt

findings and conclusions

No definite visible bony destruction

AC joint degeneration and glenohumeral joint degeneration

curved acromion

r/o subacromial impingement

REC) clinical correlaton and shoulder MR