바른본 병원 판독 form

바른본 병원 판독 form
표준 brain MRA
Reading]
(1) 판독소견
1 시간적 발생한 우측편마비로 뇌경색 의심되는 환자임.
Axial T1WI, sagittal T1WI, axial T2WI, axial FLAIR, axial T2* GRE image, axial DWI, intracranial TOF
MRA, neck TOF MRA 획득하였으며 조영증강은 시행하지 않았음.
Left precentral gyrus 에 확산강조영상에서 고신호강도가 보여 acute infarction 으로 생각함.
Both cerebral periventricular white matter, basal ganglia, thalamus, pons 에 small T2 high signal
lesions 들이 보여 small vessel disease 로 생각함.
Basal ganglia, thalamus, pons 에 미세 출혈이 보임.
뇌에 뚜렷한 위축 없음.
그외 뇌실질과 뇌실질외 공간에 종괴나 수두증 없음.
bone marrow signal 에 T1/T2 low SI T2 fat sat high SI lesion 보이지 않음.
Circle of Willis 의 주요 뇌동맥과 경동맥에 협착, 폐쇄, 동맥류 소견 없음.
[Conclusion]
(2) 결론
Acute infarct in left precentral gyrus.

Underlying small vessel disease
REC) clinical correlation
표준 brain MR
[Reading]
(1) 판독소견
4 주간의 만성 두통으로 MRI 시행함.
Axial T1WI, sagittal T1WI, axial T2WI, axial FLAIR, axial T2* GRE image 획득하였으며 조영증강은
시행하지 않았음.
대뇌, 소뇌, 뇌간, 뇌실, 뇌실질외 공간에 허혈성 병변, 출혈, 종괴, 수등증, 위축 등의 주요 이상 소견
없음.
bone marrow signal 에 T1/T2 low SI T2 fat sat high SI lesion 보이지 않음.
(2) 결론
Normal brain MRI
[Conclusion]
(2) 결론
Normal brain MRI
Wrist MR template
[Reading]
MR right wrist
Clinical information
Wrist pain.
Comparison
None.
Findings
Triangular fibrocartilage
No radial, central, or ulnar-sided triangular fibrocartilage perforation.
Interosseous ligaments
Scapholunate ligament:
Intact.
Lunotriquetral ligament:
Intact.
Carpal alignment:
Normal.
Bones
No fracture, stress reaction, or osseous lesion.
Articulations
Joint effusion:
None.
Cartilage:
No hyaline cartilage defects.
Synovium:
No synovial thickening.
Tendons
Flexor tendons:
Normal. No tear or tendon sheath effusion.
Extensor tendons:
Extensor carpi ulnaris:
Intact and normally situated in the ulnar groove.
Miscellaneous soft tissues
No volar or dorsal ganglion cysts.
[Conclusion]
Impression
1.
Intact triangular fibrocartilage and interosseous ligaments.
2.
No osseous or articular abnormalities.
3.
Intact flexor and extensor tendons.
4.
No ganglion cyst.
Wrist MR
[Reading]
Wrist MR
Class 1 - traumatic injury
? a: central perforation of the triangular fibrocartilage (TFC) disk proper
? b: ulnar avulsion with or without distal ulnar fracture?may involve the proximal or distal lamina
(foveal and styloid attachment, respectively), or both
? c: distal avulsion of the TFCC involving ulnotriquetral and ulnolunate ligaments
? d: radial avulsion of the TFC disk proper +/- sigmoid notch fracture
Class 2 - degenerative injury (ulnocarpal abutment syndrome)
? a: TFCC wear with thinning/fraying without perforation
? b: TFCC wear in 2a with lunate, triquetral and/or ulnar chondromalacia
? c: TFCC perforation +/- 2b chondromalacia
? d: lunotriquetral ligament perforation +/ features of 2a, 2b and/or 2c
? e: any or all of above with ulnocarpal arthritis
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, carpal bones, distal ulna and radius.
bone marrow 에 T1 low SI , T2 fat sat high SI lesion 보이는지 check
T2 low 일경우 bone marrow tumorous lesion 감별 반드시!
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]
Conclusion
Right TFCC injury (Palmer type 2C)

Temp wrist MR
[Reading]
wrist MR
Wrist pain.
Comparison
None.
Findings
Triangular fibrocartilage
No radial, central, or ulnar-sided triangular fibrocartilage perforation.
Interosseous ligaments
Scapholunate ligament:
Intact.
Lunotriquetral ligament:
Intact.
Carpal alignment:
Normal.
Bones
No fracture, stress reaction, or osseous lesion.
Articulations
Joint effusion:
None.
Cartilage:
No hyaline cartilage defects.
Synovium:
No synovial thickening.
Tendons
Flexor tendons:
Extensor tendons:
Extensor carpi ulnaris:
Intact and normally situated in the ulnar groove.
Miscellaneous soft tissues
No volar or dorsal ganglion cysts.
[Conclusion]
1.
Intact triangular fibrocartilage and interosseous ligaments.
2.
No osseous or articular abnormalities.
3.
Intact flexor and extensor tendons.
4.
No ganglion cyst.
Shoulder MR
[Reading]
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(subacromial and sundeltoid space):effusion(-)
4.Bony structure
curved acromion
5.OA change:
AC joint degeneration
glenohumeral joint degeneration
6.Bone marrow signal abnormality
7. subcuaneous layer and axilla area
AC, CC ligament check
8. lung, rib, chest wall 보기

[Conclusion]
Pelvis MR
[Reading]
Bony structures:
T2 low 일경우 bone marrow tumorous lesion(meta, myeloma, lymphoma)감별 반드시!
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
[Conclusion]
L spine MR
[Reading]
A. General overview & Spinal alignment :
- Multiple marginal bony spur change in thoracolumbar spine.
B. Disc & spinal canal
- L1/2 : HIVD - protrusion at central zone
protrusion at both subarticular to foraminal zone
neural foraminal stenosis
central canal stenosis
- 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 :
bone marrow 에 T1 low SI(disc 와 반드시 비교) , T2 fat sat high SI lesion 보이는지 check
T2 low 일경우 bone marrow tumorous lesion(meta, myeloma, lymphoma)감별 반드시!
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 , abdomen muscles : Unremarkable.
G. abdominal cavity, aorta, iliac artery, IVC, vein
[Conclusion]
1. HIVD and spinal stenosis at L3-4, L4-5, L5-S1(mentioned above)
Knee MR
[Reading]
[Knee pain.]
Findings and conclusions
1. No remarkable finding in meniscus.
OA change in PF, TF compartment
chondromalacia in
sag,cor, ax 에서 혈관, nerve muscle check
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. [Normal menisci.]
2. [No cruciate or collateral ligament tears.]
3. [No osseous or cartilaginous abnormality.]
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
Hand MR
[Reading]
1.Focal discontinuity and defect in triangularfibrocartilage on fat suppressed coronal T2WI

and fluid collection in distalradio-ulnar joint space is 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.
7.No abnormal finding is noted in musculotendinous structure
[Conclusion]
Right TFCC injury (Palmer type 2C)
Glomus MR
[Reading]
Findings
About cm size T2 fat sat bright and T1 low SI nodular lesion in subungal portion of distal
phalanx,
-> suggesting glomus tumor in subungal portion of distal phalanx,
ddx. epidermoid cyst or hemangioma
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.
7.No abnormal finding is noted in musculotendinous structure
[Conclusion]
suggesting glomus tumor in subungal portion of distal phalanx,
ddx. epidermoid cyst or hemangioma
Elbow epicondyle
[Reading]
Thickening and T2 fat sat increased SI in common flexor tendon at medial epicondyle
attachment portion
-> medial epicondylitis
Thickening and T2 fat sat increased SI in common extensor tendon at lateral epicondyle
attachment portion
-> lateral epicondylitis
No significant Joint effusion
No remarkable finding in medial, anterior and posterior compartment
No significant BM signal abnormality
[Conclusion]
medial epicondylitis
lateral epicondylitis
elbow MR
[Reading]
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

Lateral ulnar collateral ligament: [Normal | Mild thickening | Moderate thickening | Severe
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

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

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.]
[Conclusion]
De quervain
[Reading]
thickening of first dorsal compartment tendons of wrist (abductor pollicis longus and
extensor pollicis brevis) with increased fluid within tendon sheath.
-> De Quervain tenosynovitis
[Conclusion]
De Quervain tenosynovitis
C spine MR
[Reading]
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:
- bone marrow 에 T1 low SI , T2 fat sat high SI lesion 보이는지 check
T2 low 일경우 bone marrow tumorous lesion(metastasis, myeloma, lymphoma) 감별 반드시!
D.synovial, uncovertebral & fibrous joints:
Uncovertebral joint hypertrophy at
E. Spinal cord & nerve root and canal lesion (except disc):
-Unremarkable.
F. brain, brain stem
G. Neck muscles: Unremarkable.
H. larynx, pharaynx, thyroid, esophagus, paraspinal soft tissue
H.carotid cartery, ICA, vertebral artery
[Conclusion]
1. HIVD and spinal stenosis at C3/4, C4/5, C5/6, C6/7, C7/T1 (as described above)

Brain MR
[Reading]
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.
10. bone marrow 에 T1 low SI , T2 fat sat high SI lesion 보이는지 check
[Conclusion]
conclusion
1. Small vessel disease
2. No visible evidence of acute infarction
Ankle nonspecific arthritis MR
[Reading]
small amount of joint effusion with synovial proliferation in tibiotalar joint
no definite visible joint erosion
-> nonspecific finding, possible gout or rheumatoid arthritis or amyloid arthropathy or

infectious arthritis or PVNS.
[Conclusion]
nonspecific finding, possible gout or rheumatoid arthritis or amyloid arthropathy or
infectious arthritis or PVNS.
Ankle rad template MR
[Reading]
MR Ankle
Side:
Comparison
None.
Findings
Alignment:
Normal.
Medial compartment
Medial malleolus:
Normal.
Posterior tibial tendon:
Normal.
Flexor digitorum longus tendon:
Normal.
Deltoid ligament complex (superficial):

Normal.
Deltoid ligament complex (deep):
Normal.
Spring ligament:
Normal.
Lateral compartment
Lateral malleolus:
Normal.
Retromalleolar groove:
Peroneus longus tendon:
Normal.
Peroneus brevis tendon:
Normal.
Peroneal retinaculum:
Normal.
Peroneus quartus:
Absent.
Anterior inferior tibiofibular ligament:
Normal.
Posterior inferior tibiofibular ligament:
Normal.
Anterior talofibular ligament:
Normal.
Calcaneofibular ligament:
Normal.
Posterior talofibular ligament
Normal.
Posterior compartment
Posterior talus:
Normal.
Flexor hallucis longus:
Normal.
Intermalleolar ligament:
Normal.
Achilles tendon:
Normal.
Plantar fascia:
Normal.
Articulations
Tibiotalar joint:
Normal.
Subtalar joint:
Normal.
Tarsal joints:
Normal.
Anterior compartment
Anterior tibial tendon:
Normal.
Extensor hallucis longus:
Normal.
Extensor digitorum longus:
Normal.
Peroneus tertius:
Absent.
General findings
Bones:
Normal.
Muscles:
Normal.
Tarsal tunnel:
Normal.
Sinus tarsi:
Normal
[Conclusion]
Impression
Ankle MR
[Reading]
1. bone marrow 에 T1 low SI , T2 fat sat high SI lesion 보이는지 check
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
8. tarsal tunnel
sinus tarsi
9. plantar fascia
[Conclusion]
UE vein US
[Reading]
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.]
[Conclusion]
Negative examination. No thrombus in central veins of upper extremities.
REC) clinical correlation if cliniically warranted, upper extremity CT venography
LE vein US DVT
[Reading]
LE vein doppler US
No visible evidence of DVT in scanned portion of lower extremity.
But limited evaluation of calf level due to poor sonic window.
[Conclusion]
No visible evidence of DVT in scanned portion of lower extremity.
Cardiac echo
[Reading]
The EF is %
No abnormal flow or motion in MV, TV and AV.
No relaxation abnormality
No LA enlargement
[Conclusion]
The EF is %
No abnormal flow or motion in MV, TV and AV.
Carpal tunnel syndrome
[Reading]
Hypoechoic swelling of median nerve at carpal tunnel level
flattening of median nerve at hook of hamate level with proximal swelling

[Conclusion]
carpal tunnel syndrome
Carotid US
[Reading]
Carotid doppler
IMT(Intima-media thickness )
Rt mm
Lt mm
->WNL
Spectral wave form, PSV and EDV
WNL in both CCA, ECA and ICA
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
[Conclusion]
no significant abnormality
REC) clinical correlation and F/U

x-ray-----
척추 측만
[Reading]
No definite active lesion in the lung and pleura.
Normal size and shape of heart.
No pleural effusion
Thoracic scoliosis
[Conclusion]
No definite active lung lesion
Thoracic scoliosis
TKRA
[Reading]
S/P TKRA, Rt Lt
No other remarkable change
[Conclusion]
S/P TKRA, Rt Lt
No post op unusual finding
Sprain
[Reading]
Straightening of L spine curvature
No significant disc space narrowing
[Conclusion]
r/o L spine sprain
SPN
[Reading]
suspicious small nodular opacity in
-> artifact vs. true pathology
No cardiomegaly
No pleural effusion
[Conclusion]
suspicious small nodular opacity in
-> artifact vs. true pathology
REC) clinical correlation and 2-3 month f.u chest PA and Lat
Skull
[Reading]
1. No evidence of skull fracture.
2. No other remarkable findings.
[Conclusion]
No detectable evidence of skull fracture
REC) clinical correlation and if clinically warranted, brain CT
Shoulder reverse arthroplasty
[Reading]
s/p reverse total shoulder arthroplasty

No other change
[Conclusion]
s/p reverse total shoulder arthroplasty
Sesamoid
[Reading]
lateral displacement of hallux sesamoid bones, both
No definite bony fracture
[Conclusion]
lateral displacement of hallux sesamoid bones, both
Rib 이 있는
[Reading]
rib 이 있는 가장 lower VB 를 T12 로 count 하였음.
[Conclusion]
Rib series
[Reading]
No visible evidence of rib fracture on x-ray
[Conclusion]
No detectable rib fracture
REC) clinical correlation and F/U or if clinically needed, further w.u
Prominent hilum
[Reading]
prominent hilum, (G)
-> R/o vascular shadow
ddx. R/O space occupying lesion
[Conclusion]
REC) clinical correlation and 2-3 month f/u chest PA and Lat
Prominent aorta
[Reading]
No definite active lung disease.
Cardiomegaly.
Prominent aorta
Rt diaphragm eventration
[Conclusion]
Cardiomegaly.
Prominent aorta
REC) clinical correlation and regular F/U

Addendum: chest PA shows no definite active lung lesion, but cannot exclude of hidden
lesion at retrocardiac, both hilar, rib regions, bronchovascular bundle area and diaphragm
area
Post op
[Reading]
S/P
No significant post op unusual finding
[Conclusion]
No significant post op unusual finding
Pincer
[Reading]
overcorverage of femoral head by acetabulum
degenerative change in both femoroacetabular joint
[Conclusion]
r/o pincer type femoroacetabular impingement, both
REC) clinical correlation and consider further w.u
Pelvis x-ray
[Reading]
Degenerative change in both femoroacetabular joint
[Conclusion]
REC) cllinical correlation if clinically needed, consider pelvis MR with full cover of sacrum
Old tb
[Reading]
Multiple reticulonodular densities with small calcified nodules and fibrosis are noted in .
No Cardiomegaly
No Pleural thickening
[Conclusion]
R/o old Tbc in
OA
[Reading]
OA of both knees, KL grade
[Conclusion]
same as above.
No other
[Reading]
s/p
no other significant change
[Conclusion]
s/p
no fx
[Reading]
no definite evidence of acute bony fracture.
[Conclusion]
no definite evidence of fracture.
MS x-ray
[Reading]
There is no definite destructive lesions in visible bones.
Joint spaces are preserved.
Others are not remarkable.
all bony structure, soft tissue lung, abdomen, spine, check
[Conclusion]
No visible bony abnormality
REC) clinical correlation and F/U or if clinically warranted, consider CT or MR with full cover
on ax, cor, sag
MLD/ ULBD
[Reading]
unilateral laminectomy for bilateral decompression (ULBD)
Microdiscectomy(MLD)
no post op unusual finding

no other change
[Conclusion]
unilateral laminectomy for bilateral decompression (ULBD)
Microdiscectomy(MLD)
REC) clinical correlation and f/U
Knee hemiarthro
[Reading]
s/p hemiarthroplasty
no other change
[Conclusion]
s/p hemiarthroplasty
REC) clinical correlation and f/u
KL34
[Reading]
definite osteophytes on tibia patellar and femoral condyle. moderate severe joint space
narrowing
subchondral sclerosis
[Conclusion]
K-L grade 3 4 DJD, both
REC) clinical correlation, if clinically warranted, consider knee MR
KL1-2
[Reading]
Dountful joint space narrowing and possible osteophyte lipping
minute Osteophytes on tibia patella and femoral condyle. unimpaired joint spaces.
[Conclusion]
K-L grade 1 DJD, both
K-L grade 2 DJD, both
REC) clinical correlation and f/U
Intertrochanteric fx
[Reading]
s/p Intramedullary hip screw for intertrochanteric fracture
[Conclusion]
s/p Intramedullary hip screw for intertrochanteric fracture
Interbody
[Reading]
S/P interbody cage insertion at c4-5, c5-6
No other change
[Conclusion]
S/P interbody cage insertion at c4-5, c5-6
HTO
[Reading]
S/P HTO
No other significant change
[Conclusion]
S/P HTO
Hand OA
[Reading]
OA change in DIP joints of both 2,3,4,5th fingers and IP joint of both 1st fingers
NO definite bony fracture
[Conclusion]
OA change in DIP joints of both 2,3,4,5th fingers and IP joint of both 1st fingers
Hallux angle
[Reading]
hallux valgus angle(normal<15degree)
Rt: degree
Lt: degree
calcaneal inclination angle(normal 18 to 30 degree)
Rt: degree
Lt: degree
Bunionette deformity, 5th MTP joint
[Conclusion]
hallux valgus deformity, both 1st MTP joint
Bunionette deformity, 5th MTP joint
Post op
[Reading]
S/P arthroscopic surgery
No significant unusual postoperative finding.
[Conclusion]
No unusual postop. finding.
CPA hidden
[Reading]
[Conclusion]
Addendum: cannot exclude hidden lesion at retrocardiac, both hilar, rib regions and
diaphragm area
Chest PA template
[Reading]
lung:
air way:
hilum:
aorta:
heart:
CPA, pleura:
rib:
clavicle, scapula:
spine:
upper abdomen:
chest wall/neck portion:
No cardiomegaly
[Conclusion]
Cardiomegaly
[Reading]
CT ratio is increased.
No defininite active lung lesion.
[Conclusion]
Cardiomegaly
REC) clinical correlation and consider EKG and echocardiography.

Cam type FAI
[Reading]
Femoral bump at both head to neck junction of both proximal femur
[Conclusion]
[Conclusion]
r/o Cam type femoroacetabular impingement, both
Bunion op
[Reading]
s/p bunionectomy
No definite abnormal post op finding
[Conclusion]
s/p bunionectomy
REC)clinical correlation and F/U
Arthroscopy
[Reading]
air density in suprapatellar pouch
-> arthroscopy related finding
No other remarkable change
[Conclusion]
air density in suprapatellar pouch
-> arthroscopy related finding

Arthro
[Reading]
Arthroscopy op state
No other significant change
[Conclusion]
Arthroscopy op state
REC) clinical correlation and F/u
Ankle soft tissue
[Reading]
soft tissue swelling around ankle,
no definite gross bony abnormality
[Conclusion]
soft tissue swelling around ankle,
Acromioplasty
[Reading]
s/p acromioplasty,
No other change
[Conclusion]
s/p acromioplasty,

Acetabular dysplasia
[Reading]
Undercoverage of femoral head by acetabulum, both
[Conclusion]
mild acetabular dysplasia, both
No change
[Reading]
No significant interval change since last exam.
[Conclusion]
No significant change.
반전대조도,lytic, sclerotic, periosteal rx,
특히 fx 있는듯, 근데 pain 없으면 tumor 의심
vb anterior step defect
soft tissue mass
lung 있으면 꼭봐!! rib, clavicle frx 있는지!
free air!!
생길수 있는 최악의 상황은!
쪼금이라고 찝찝하면 다른사람한테 물어봐라!!
No gross bony abnormality
[Reading]
No gross bony abnormality.
[Conclusion]
No gross bony abnormality.
증상이랑 안맞으면 다른거의심, 특히 fx 인데 no pain
vb anterior step defect, sacrum
soft tissue mass
lung 있으면 꼭봐!!
rib, clavicle frx 있는지!
free air!!
[Reading]
No cardiomegaly.
[Conclusion]
checklist
lung base, lung apex with bone
trachea
rib(upper boder 안보이면 pathology)
aircrescent sign
foreign body
hilum, retrocardiac
pneumothorax, pneumomediastinum
free air
clavicle fracture
pedicle
paravertebra
REC) clinical correlation and regular F/U
Addendum: chest PA shows no definite active lung lesion, but cannot exclude of hidden
lesion at retrocardiac, both hilar, rib regions and diaphragm area, etc
C spine
[Reading]
ADI(atlantodental interval, normal<3mm):
OPLL:
Straightening of C spine curvature
-> r/o C sprain
prevertebral space
epiglottis
Degenerative spondylosis with disc space narrowing at c5-6
Diffuse uncovertebral joint hypertrophy
Suspected neural foraminal stenosis at Lt Rt
lung, rib, air way, soft tissue skull , lower face 확인
[Conclusion]
r/o C sprain
Degenerative spondylosis with disc space narrowing at c5-6
REC) clinical correlation consider C spine MR with T2 fat sat if clinically warranted.
L spine
[Reading]
Straightening of L spine curvature
Marginal osteophyte in spine.
Disc space narrowing at
T process, spinous proces, pedicle, pars, sacrum rib paraspinal and soft tissue check
Baastrup syndrome check(kissing spines)
[Conclusion]
r/o L spine sprain
Degenerative spondylosis with disc space narrowing at
REC) clinical correlation consider L spine MR with T2 fat sat if clinically warranted.
Shoulder
[Reading]
Shoulder x-ray
findings
No definite visible bony destruction
AC joint degeneration and glenohumeral joint degeneration
curved acromion
[Conclusion]
Degenerative change in shoulder joint, both
REC) clinical correlaton and F/U or if clinically needed, consider shoulder MR

Degenerative
[Reading]
degenerative change in
[Conclusion]
degenerative change in
REC) cllinical correlation and F/U or further w/u
Clinical correlation
[Reading]
[Conclusion]
병변이 찾았어도 다른 병변 놓치지 않게 꼼꼼열심히!!
증상이랑 안맞으면 다른거의심, 특히 fx 인데 no pain
vb anterior step defect, sacrum
pedicle 이 intact 한지
soft tissue mass
lung 있으면 꼭봐!! rib, clavicle frx 있는지!
free air!!

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1 시간적 발생한 우측편마비로 뇌경색 의심되는 환자임.

Left precentral gyrus 에 확산강조영상에서 고신호강도가 보여 acute infarction 으로 생각함.

Basal ganglia, thalamus, pons 에 미세 출혈이 보임.

그외 뇌실질과 뇌실질외 공간에 종괴나 수두증 없음.

Circle of Willis 의 주요 뇌동맥과 경동맥에 협착, 폐쇄, 동맥류 소견 없음.

Acute infarct in left precentral gyrus.

REC) clinical correlation

4 주간의 만성 두통으로 MRI 시행함.

Normal brain MRI

Normal brain MRI

No radial, central, or ulnar-sided triangular fibrocartilage perforation.

No fracture, stress reaction, or osseous lesion.

No hyaline cartilage defects.

Normal. No tear or tendon sheath effusion.

Normal. No tear or tendon sheath effusion.

Extensor carpi ulnaris:

Intact and normally situated in the ulnar groove.

Miscellaneous soft tissues

No volar or dorsal ganglion cysts.

Intact triangular fibrocartilage and interosseous ligaments.

No osseous or articular abnormalities.

Intact flexor and extensor tendons.

? a: central perforation of the triangular fibrocartilage (TFC) disk proper

? c: distal avulsion of the TFCC involving ulnotriquetral and ulnolunate ligaments

Class 2 - degenerative injury (ulnocarpal abutment syndrome)

? a: TFCC wear with thinning/fraying without perforation

? b: TFCC wear in 2a with lunate, triquetral and/or ulnar chondromalacia

? c: TFCC perforation +/- 2b chondromalacia

? d: lunotriquetral ligament perforation +/ features of 2a, 2b and/or 2c

? e: any or all of above with ulnocarpal arthritis

2.Positive ulnar variance of wrist joint is also noted.

bone marrow 에 T1 low SI , T2 fat sat high SI lesion 보이는지 check

T2 low 일경우 bone marrow tumorous lesion 감별 반드시!

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.

Right TFCC injury (Palmer type 2C)

REC) clinical correlation

No radial, central, or ulnar-sided triangular fibrocartilage perforation.

No fracture, stress reaction, or osseous lesion.

No hyaline cartilage defects.

Normal. No tear or tendon sheath effusion.

Normal. No tear or tendon sheath effusion.

Extensor carpi ulnaris:

Intact and normally situated in the ulnar groove.

Miscellaneous soft tissues

No volar or dorsal ganglion cysts.

Intact triangular fibrocartilage and interosseous ligaments.

No osseous or articular abnormalities.

Intact flexor and extensor tendons.

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(subacromial and sundeltoid space):effusion(-)

glenohumeral joint degeneration

6.Bone marrow signal abnormality

bone marrow 에 T1 low SI , T2 fat sat high SI lesion 보이는지 check

T2 low 일경우 bone marrow tumorous lesion 감별 반드시!

7. subcuaneous layer and axilla area

AC, CC ligament check

8. lung, rib, chest wall 보기