Rezultate Raze

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loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Consult
Gastroenterologie/ Chirurgie.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
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normala.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfe1033 \langfenp1033 \cf1 Esofag normal pozitionat, cu distensie normala si
contururi fine, fara imagini lacunare esofagiene; contractii tertiare in 1/3 medie
si inferioara;}{\fs22 \dbch \af2 \hich \af6 \loch \f6 \lang1033 \langnp1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 Fara reflux gastro-esofagian (spontan si
la manevrele de provocare).}{\fs22 \dbch \af2 \hich \af6 \loch \f6 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s36 \li0 \ri0 \
langfenp1033 Mica hernie hiatala prin alunecare, reductibila.}{\fs24 \kerning1 \
}\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \itap0 \fs24 \dbch \
langfenp1033 \cf1 Stomacorizontalizat, hiperton, hiperkinetic, cu lichid de
hipersecretie in cantitate mica.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Pliuri suple, fete si
curburi libere.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 Pilor permeabil, central. }{\fs24 \dbch \
af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \
langfenp1033 \cf1 Bulb cu opacifiere neomogena, fara imagine de nisa. }{\fs24 \
langfenp1033 \cf1 Cadru duodenal normal configurat. }{\fs24 \dbch \af2 \hich \af0 \
langfenp1033 \cf1 Concluzii:}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Tulburari de
motilitate esofagiana.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cf1 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \
widctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Mica hernie hiatala.}{\fs24 \
langfenp1033 \cf1 Modificari functionale gastrice.}{\fs24 \dbch \af2 \hich \af0 \
Gastroenterologie.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
\lin0 \rin0 \itap0 \outlinelevel0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \
pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \fs24 \dbch \
langfenp1033 \cf1 a. Stomac dilatat, mult alungit, cu polul inferior in micul
bazin, hipoton, hipokinetic (unde ample ce tind sa fragmenteze organul), avand
lichid de hipersecretie in cantitate mare, ce ocupa aproape in totalitate corpul
gastric (aspect de "fulgi de zapada"). }{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \li0 \ri0 \
lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af2 \hich \af0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Absenta vizualizarii
substantei de contrast la nivelul pilorului si cadrului duodenal. }{\fs22 \dbch \
langfe1033 \langfenp1033 \cf1 Concluzii:}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 \line }{\fs22 \dbch \af2 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Aspect
radiologic de }{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 \cf3 stenoza pilorica}{\fs22
cf1 .}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langfenp1033 \cf0 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \
af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \
s36 \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \
outlinelevel0 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 {\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Stomac cu fornix basculat
postero-inferior. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \cf3 Volvulus gastric- cardio-spleno-axial.}{\
langfenp1033 Examinare dificila datorita tolerantei reduse la ingestia substantei
de contrast, asociata cu un grad crescut de disconfort al pacientului, motiv pentru
care se sisteaza administrarea sa integrala.}{\fs22 \kerning1 \dbch \af2 \hich \af0
\loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \s36 \
li0 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \kerning1 \
dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\
langfenp1033 Examinare dificila datorita tolerantei reduse la ingestia substantei
de contrast.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082
\langfe1033 \langfenp1033 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \lisa0 \
nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \kerning1 \dbch \af2 \hich \af0 \
langfe1033 \langfenp1033 {\b1 \fs22 \kerning22 \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 Examinarea radioscopica gastro-
jejuno-ileala cu substanta de contrast hidrosolubila (Iomeron) evidentiaza:}{\b1 \
langfenp1033 Pneumoperitoneu bilateral in cantitate mica .}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 Esofag pozitionat central, cu pasaj normal al
substantei de contrast; }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036
dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Stomac normoton, normokinetic, cu lichid de hipersecretie in cantitate mica.}{\fs22
\kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Pliuri suple, fete si curburi
libere.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Pilor
permeabil, central. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \
dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Bulb
cu opacifiere omogena. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036
dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Timp
de umplere intestinal scurtat (20 min) - intestin subtire cu peristaltica
accelerata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Valvule conivente simetrice, paralele, fara a putea pune in evidenta o eventuala
perforatie sau stenoza.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Nu se evidentiaza zone cu anse aglutinate sau dislocate.}{\fs22 \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 NB: nu se evidentiaza ecografic
lichid in spatiul Douglas, la 60 minute de la administrarea substantei de
contrast.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Examinarea radioscopica eso-gastro-
duodenala cu substanta de contrast evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Deglutitie normala.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Esofag normal pozitionat, cu distensie normala si
contururi fine, fara imagini lacunare esofagiene;contractii tertiare in 1/3 medie
si inferioara, cu reflux gastro-esofagian.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \s36 \
langfenp1033 Mica
hernie hiatala prin alunecare, reductibila. }{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Status post-rezectie gastrica cu anastomoza gastro-
jejunala de tip termino-lateral, permeabila. }{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Stomac restant normoton, normokinetic, cu lichid de
hipersecretie in cantitate mica. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Concluzii: }{\fs22 \kerning1 \
Tulburari de motilitate esofagiana.Reflux gastro-esofagian.Hernie hiatala.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Esofag normal pozitionat, cu
distensie normala si contururi fine, fara imagini lacunare esofagiene;contractii
tertiare in 1/3 medie si inferioara, cu reflux gastro-esofagian.}{\fs22 \kerning1 \
af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs22 \kerning1
cf15 hernie hiatala prin alunecare (spontan si la manevrele de provocare),
reductibila in ortostatism, asociata cu reflux gastro-esofagian important.}{\
langfenp1033 Status post-rezectie gastrica cu anastomoza gastro-jejunala de tip
termino-lateral/ termino-terminal/ latero-lateral.}{\fs22 \kerning1 \dbch \af2 \
loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs22 \kerning1 \
Examinarea radiologica cu substanta de contrast (pasta baritata) a esofagului
evidentiaza:}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
}\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \fs24 \dbch \
af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\b1
\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langfenp1033 \cf1 Examinarea radiologica cu substanta de contrast hidrosolubila
(Iomeron ) a esofagului evidentiaza:}{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 \par }\pard \plain \s36 \li0 \
langfenp1033 - esofag pozitionat central, cu pasaj normal al substantei de
contrast ;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 -
motilitate esofagiana normala, cu distensie normala a tuturor segmentelor
esofagiene ;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - fara
imagini lacunare esofagiene ;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 - mucoasa esofagiana fin conturata, cu aspect rugos longitudinal ;}
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - pasaj
eso-gastric normal ;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 -
fara hernie hiatala sau reflux gastro-esofagian ;}{\fs22 \kerning1 \dbch \af2 \hich
\af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \
\langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \
lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
langnp3082 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica cu substanta de
contrast (pasta baritata) faringo-esofagiana evidentiaza:}{\fs22 \dbch \af2 \hich \
af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 \par }\pard \
plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \
dbch
langfenp1033 \cf1 Deglutitie normala.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
lisb0 \lisa0 \widctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Valecule epiglotice
si sinusuri piriforme simetrice, normal opacifiate.}{\fs22 \dbch \af2 \hich \af0 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Esofag
pozitionat central, cu pasaj normal al substantei de contrast ;}{\fs22 \dbch \af2 \
langfenp1033 \cf1 Motilitate esofagiana normala, cu distensie normala a tuturor
segmentelor esofagiene;}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Fara imagini lacunare
esofagiene;}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langnp1033 \langfe1033 \langfenp1033 \cf1 Pasaj eso-gastric normal;}{\fs22 \dbch \
langfenp1033 \cf1 Fara hernie hiatala sau reflux gastro-esofagian.}{\fs22 \dbch \
\langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \
nowidctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 {\b1 \fs22 \dbch \af2 \hich \af0 \loch \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \li0 \
ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch
\af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\b1 \fs22 \dbch \af2 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Examinarea
radiologica cu substanta de contrast (pasta baritata) a esofagului evidentiaza:}{\
langfe1033 \langfenp1033 \cf0 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - deglutitie normala;}{\fs22 \
\par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \fs24 \
langfenp1033 \cf1 - tranzitul esofagian cu pasta moale baritata se efectueaza lent
in 1/3 inferioara a esofagului unde se evidentiaza o zona de ingustare axiala pe o
lungime de 4,5 cm, asociind dilatatia lumenului esofagian supraiacenta;}{\fs22 \
\line }{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langfenp1033 \cf1 - mucoasa esofagiana cu aspect rugos longitudinal; }{\fs22 \
langfenp1033 \cf1 - examinare intrerupta datorita tolerantei reduse la ingestia
substantei de contrast, asociata cu un grad crescut de disconfort al pacientului
(aparitia varsaturilor), motiv pentru care se sisteaza administrarea sa integrala.}
{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \
langfenp1033 \cf0 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \
rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
lisa0 \nowidctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Concluzii:}{\fs22 \
langfenp1033 \cf3 Stenoza esofag toracic in observatie etiologica.}{\fs22 \dbch \
par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \fs24 \
cf1 {\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langfe1033 \langfenp1033 \cf1 {\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\b1 \fs22 \dbch \af2 \hich \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Examinarea
radiologica cu substanta de contrast (pasta baritata) a esofagului evidentiaza:}{\
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - deglutitie normala;}{\fs22 \
langfenp1033 \cf1 - tranzitul esofagian cu pasta moale baritata se efectueaza lent
in 1/3 superioara a esofagului, unde se evidentiaza o zona de dilatatie
tranzitorie, ce asociaza contractii tertiare ample, ce tind sa fragmenteze lumenul
esofagian in 1/3 medie si distala;}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036
\langnp1036 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \li0 \ri0 \lisb0 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 - mucoasa esofagiana
cu aspect rugos longitudinal; }{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf0 - pasaj filiform al
pastei baritate la nivelul cardiei;}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
li0 \ri0 \lisb0
\lisa0 \nowidctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \
li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \
af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \
af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1
Concluzii:}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \cf1 \line }{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf3 In observatie achalazie.}{\fs22 \dbch \
langfenp1033 {\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Examinarea radioscopica eso-gastro-duodenala
cu substanta de contrast evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \line }{\fs22 \kerning1 \
dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \
line }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 Status post-coloesofagoplastie retrosternala cu anastomoza
cologastric\uc1 \u227 ?.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082
\langnp3082 \langfe1033 \langfenp1033 \line }{\fs22 \kerning1 \dbch \af2 \hich \af0
\loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Guri de anastomoza
permeabile.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \line }{\fs22 \kerning1 \dbch \af2 \hich \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Fara procese
infiltrative sau protruzive la nivelul segmentelor examinate.}{\fs22 \kerning1 \
langfe1033 \langfenp1033 Dilatatie pseudodiverticulara la aproximativ 1,5 cm
distanta de gura de anastomoza proximala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
Stomac normoton, cu fete si curburi libere.}{\fs22 \kerning1 \dbch \af2 \hich \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \line }{\fs22 \
langfenp1033 Bulb duodenal neomogen opacifiat, fara imagine de nisa.}{\fs22 \
langfenp1033 \cf3 Status post-coloesofagoplastie retrosternala.}{\b1 \fs22 \
langfenp1033 \cf3 \line }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Pseudo-diverticul
neoesofagian.}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
lisa0 \nowidctlpar \hyphpar0 \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \
af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\b1 \fs22 \dbch \af2 \
pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \hyphpar0 \lin0 \rin0 \itap0 \fs24
\dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
contrast iodata evidentiaza:}{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af2 \hich \
plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \hyphpar0 \lin0 \rin0 \itap0 \fs24 \dbch
langfenp1033 \cf1 Deglutitie normala.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
lisb0 \lisa0 \nowidctlpar \hyphpar0 \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \
af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\b1 \fs22 \
Status post-endoprotezare esofagiana -stent metalic prezent}{\fs22 \dbch \af2 \hich
\af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 in 1/3 medie
si inferioara a esofagului.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Pasaj esofagian
dificil, fililiform, prin ingustarea neregulata a lumenului esofagian la nivelul
extremitatii proximale si distale a stentului, pe o distanta de\uc1 \u8230 ?.de-a
lungul esofagului toracic de la nivel }{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 infracarinar pana in apropierea
hiatusului esofagian al diafragmului.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Paraesofagian dreapta
se evidentiaza fin traiect linear radioopac, cu extravazarea substantei de contrast
\uc1 \u238 ?n arborele traheobronsic drept.}{\fs22 \dbch \af2 \hich \af0 \loch \
ri0 \lisb0 \lisa0 \nowidctlpar \hyphpar0 \lin0 \rin0 \itap0 \fs24 \dbch \af2 \
\par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \hyphpar0 \lin0 \rin0 \
itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
nowidctlpar \hyphpar0 \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Concluzii: }{\fs22 \
\par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \hyphpar0 \lin0 \rin0 \
langfe1033 \langfenp1033 \cf3 Stent esofag toracic}{\fs22 \dbch \af2 \hich \af0 \
li0 \ri0 \lisb0 \lisa0 \widctlpar \hyphpar0 \lin0 \rin0 \itap0 \fs24 \dbch \af2 \
Proces stenozant esofag toracic in observatie etiologica.}{\fs22 \dbch \af2 \hich \
plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \hyphpar0 \lin0 \rin0 \itap0 \fs24 \dbch
langfenp1033 \cf1 traiect fistulos eso-bronsic drept.}{\fs22 \dbch \af2 \hich \
fs24 \kerning1 \dbch \af2 \hich \af0
\loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \kerning1 \
lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \outlinelevel0 \fs24 \kerning1 \
b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 Examinarea radiologica cu substanta de contrast a
esofagului evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - esofag pozitionat central,
cu pasaj normal al substantei de contrast ;}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 - motilitate esofagiana normala, cu distensie normala
a tuturor segmentelor esofagiene;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
\lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \s36 \li0 \ri0 \
langfenp1033 - fara imagini lacunare esofagiene ;}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 - mucoasa esofagiana fin conturata, cu aspect rugos
longitudinal ;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
pasaj eso-gastric normal ;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 - fara hernie hiatala sau reflux gastro-esofagian ;}{\fs22 \
langfenp1033 Esofag normal pozitionat; portiunea toracica prezinta o zona lacunara
pe versantul drept, intinsa pe o distanta de aprox. 10 cm, cu contururi neregulate
si imagini de semiton,cu distorsionarea pliurilor de mucoasa la acest nivel; fara
hernie hiatala sau reflux gastro-esofagian (spontan si la manevrele de provocare).}
itap0 \outlinelevel0 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 In observatie }{\b1 \fs22 \
langfenp1033 \cf3 proces proliferativ esofag toracic.}{\fs22 \kerning1 \dbch \af2 \
Esofag normal pozitionat, pasaj eso-gastric normal, motilitate esofagiana normala;
la nivelul esofagului cervical se evidentiaza un defect de umplere transversal, cu
margini nete, perpendicular pe peretele anterior esofagian; in observatie }{\b1 \
langfenp1033 \cf15 inel esofagian.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Tumora esofagiana maligna mixta
(stenoza excentrica cu margini neregulate, imprecise continuata spre lumenul
esofagian prin imagini lacunare si semitonuri marginale).}{\fs22 \kerning1 \dbch \
cancerul vegetant }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \uc1 \u8211 ? se manifesta radiologic prin
aparitia lacunelor, unice sau multiple, cu aspect policiclic, neregulat, imprecis
conturate, continuate deseori spre periferie cu imagini de semiton. La marginea
imaginii lacunare se pot observa \uc1 \u8220 ?pinteni maligni\uc1 \u8221 ?, produsi
de insinuarea contrastului intre baza tumorii si peretele esofagian. In proiectie
marginala, formatiunea produce o ingustare excentrica a lumenului, care evolueaza
spre stenoza. Uneori, lacuna are un aspect neomogen prin prezenta unor imagini
opace neregulate care traduc ulceratii ale tumorii. Pliurile mucoasei esofagiene
sunt intrerupte in zona afectata. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Esofag normal pozitionat.In
portiunea cervico-toracica prezinta o zona de stenoza intinsa pe o distanta de
aprox. 4 cm, cu contururi neregulate si imagini de semiton, ce asociaza dilatatia
lumenului esofagian in amonte; distorsionarea si intreruperea pliurilor de mucoasa
la acest nivel. }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082
\langfe1033 \langfenp1033 \cf15 In observatie proces expansiv stenozant esofag
cervico-toracic.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang3082 \
Tranzitul esofagian cu pasta moale baritata se efectueaza lent in 1/3 inferioara a
esofagului}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 \line }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 unde se evidentiaza o zona de
ingustare axiala avand lungimea de 4,5 cm cu dilatatia supraiacenta a esofagului.}
lang3082 \langnp3082 \langfe1033 \langfenp1033 Stomac hiperton hiperkinetic
proiectat anterior cu pliuri ingrosate ,lichid de hipersecretie in cantitate
mare ,curburi suple.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Pilor permeabil.}{\
langfenp1033 \line }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Bulb de forma normala,stazic ,neomogen
opacifiat.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 Cadru duodenal normal.}{\fs22 \
langnp1036 \langfe1033 \langfenp1033 Duoden cu pliuri ingrosate si tranzit normal}
lang1036 \langnp1036 \langfe1033 \langfenp1033 Fornix liber in trendelenburg fara
imagine de reflux gastro esofagian. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 Gastro-duodenita cronica}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \line }{\b1 \fs22 \
langfenp1033 \cf3 Suspect cariochineza esofag. }{\fs22 \kerning1 \dbch \af2 \hich \
\langnp3082 \langfe1033 \langfenp1033 \cf1 Esofag normal pozitionat, prezinta in
1/3 medie o imagine de aditie, omogena, contur regulat si baza larga de implantare,
de aprox. 3 cm,ce se evacueaza fara dificultate in timpul examinarii.}{\fs22 \
\lin0 \rin0 \itap0 \outlinelevel0 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \
af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs22 \kerning1 \dbch \af2
\hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf15
Diverticul de pulsiune esofagian.}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 la
nivelul duodenului descendent (DII) se evidentiaza o imagine de aditie pediculata,
omogena, avand contur regulat, de aprox.10 mm. }{\b1 \fs22 \kerning0 \dbch \af2 \
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Diverticul
duodenal.}{\b1 \fs22 \kerning0 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Esofag normal pozitionat, cu distensie normala si contururi fine; }{\b1 \fs22 \
langfenp1033 \cf1 contractii tertiare }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
\f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 in 1/3 medie si
inferioara, cu pasaj usor intarziat al substantei de contrast la nivelul jonctiunii
eso-gastrice; fara hernie hiatala (spontan si la manevrele de provocare); reflux
gastro-esofagian.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Tulburari de motilitate esofagiana}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 Proba Pansdorf: }{\
langfenp1033 \cf1 timp de umplere prelungit/ scurtat (30 min)/ 3 ore...fara
aglutinari sau dislocari de anse intestinale.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 \cf1 Timp de umplere intestinal mult
scurtat (40-45 min).}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Nu se evidentiaza zone cu anse aglutinate sau dislocate.}{\fs22 \kerning1 \dbch \
langfenp1033 Stomac cu cascada postero-superioara persistenta, hipoton si
hipochinetic}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang3082 \langnp3082
\langfe1033 \langfenp1033 .}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Pe mica curbura se evidentiaza o
imagine de aditie, cu edem perilezional si pliuri convergente (}{\fs22 \kerning1 \
nisa}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 ).}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \
\langfe1033 \langfenp1033 Bulb deformat, cu aspect "in trifoi", neomogen opacifiat.
\langfenp1033 \cf1 Aspect radiologic de }{\b1 \fs22 \kerning0 \dbch \af2 \hich \af0
\loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 ulcer bulbar
cronic.}{\b1 \fs22 \kerning0 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs22 \
langnp1036 \langfe1033 \langfenp1033 \cf0 La nivel bulbar se evidentiaza un defect
de umplere, cu contur neregulat, avand forma de "palarie de ciuperca" (in
observatie prolaps de mucoasa antrala ).}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 1. Esofag normal pozitionat, cu
distensie normala si contururi fine; mica hernie hiatala reductibila cu reflux
Stomac hiperton, cu cantitate mica de lichid de hipersecretie.}{\fs22 \kerning1 \
\langnp3082 \langfe1033 \langfenp1033 Pliuri si curburi suple, libere.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Pilor permeabil.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Bulb intolerant, neomogen
opacifiat. Cadrul duodenal normal configurat, hiperton, cu tranzit incetinit.}{\
ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \outlinelevel0 \fs24 \
\langfe1033 \langfenp1033 \cf3 Hernia hiatala reductibila}{\fs22 \kerning1 \dbch \
\langnp3082 \langfe1033 \langfenp1033 Gastro- duodenita}{\fs22 \kerning1 \dbch \af2
\hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\pard \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 2. Esofag
normal pozitionat, cu distensie normala si contururi fine; pasaj eso-gastric
normal, fara hernie hiatala sau reflux gastro-esofagian.}{\fs22 \kerning1 \dbch \
\langnp3082 \langfe1033 \langfenp1033 Stomac normoton, fara lichid de
hipersecretie.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Stenoza moderata in ax a regiunii antrale, cu pliuri ingrosate neregulat si lizereu
de siguranta disparut pe versantul superior.}{\fs22 \kerning1 \dbch \af2 \hich \af0
langfenp1033 Pilor beant, permite evacuarea accelerata a substantei de contrast.}{\
fs22 \kerning1
\langnp3082 \langfe1033 \langfenp1033 Bulb omogen opacifiat. Cadrul duodenal normal
configurat.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langfe1033 \langfenp1033 \cf3 In observatie proces cariochinetic antral.}{\fs22 \
langfenp1033 \cf1 Pliuri ingrosate pe marea curbura; regiune antro-pilorica
ingustata,neomogen opacifiata, lipsita de peristaltism, avand contururi neregulate
si imagini de semiton, ce realizeaza un aspect alungit al pilorului; }{\b1 \fs22 \
langfenp1033 \cf3 Stenoza antro-pilorica in observatie etiologica (maligna?).}{\
langfenp1033 \cf1 3.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Pe versantul inferior al portiunii orizontale se evidentiaza o imagine lacunara
intinsa cu contur polilobat relativ bine trasat.}{\fs22 \kerning1 \dbch \af2 \
langfenp1033 \cf3 Tumora gastrica (Schwanom gastric ?)}{\fs22 \kerning1 \dbch \
4. Examinarea radioscopica eso-gastro-duodenala cu substanta de contrast
evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langnp3082 \langfe1033 \langfenp1033 \cf1 Deglutitie normala.}{\fs22 \kerning1 \
\langnp3082 \langfe1033 \langfenp1033 \cf1 Esofag normal pozitionat, cu distensie
normala si contururi fine; pasaj eso-gastric normal, fara hernie hiatala sau reflux
Status post-rezectie gastrica cu anastomoza gastro-jejunala.}{\fs22 \kerning1 \dbch
\af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\
\langnp3082 \langfe1033 \langfenp1033 \cf1 La nivelul gurii de anastomoza se
evidentiaza o}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \cf3 imagine lacunara, cu contur neregulat si
imagini de semiton, pe o lungime de aprox. 3 cm.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 \cf1 Cadru duodenal normal configurat. }{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 Stenoza gurii de anastomoza
cu posibil substrat inflamator/ cariochinetic?}{\fs22 \kerning1 \dbch \af2 \hich \
Status post-rezectie gastrica - gastro-entero-anastomoza termino-laterala.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Stomac restant mult
dilatat, hipoton, hipokinetic, cu lichid de hipersecretie in cantitate mare.}{\fs22
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Gura de anastomoza cu zone
de edem si pliuri ingrosate, permeabila, dar cu pasaj dificil, intarziat al
substantei de contrast.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf3 In observatie
stenoza gurii de anastomoza.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\b1 \
contrast evidentiaza:}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Deglutitie
normala.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \
langfe1033 \langfenp1033 \cf1 Esofag normal pozitionat, cu distensie normala si
contururi fine; pasaj eso-gastric normal, fara hernie hiatala sau reflux gastro-
esofagian.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033
\langfenp1033 \cf1 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Status post-rezectie gastrica
cu anastomoza gastro-jejunala de tip termino-lateral.}{\b1 \fs22 \dbch \af2 \hich \
Gura de anastomoza permeabila, cu pasaj normal al substantei de contrast.}{\fs22 \
langfenp1033 \cf1 Stomac restant normoton, normokinetic, cu lichid de hipersecretie
in cantitate mica.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Pliuri suple, fete si curburi
libere.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Anse jejunale cu aspect normal. }{\fs22 \
langfenp1033 \cf1 Fara extravazarea substantei de contrast in cavitatea
peritoneala.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 Status post-hemicolectomie
dreapta cu ileo-transverso-anastomoza latero-laterala. }{\fs22 \kerning1 \dbch \af2
Examinarea radioscopica eso-gastro-duodenala cu substanta de contrast (cantitate
redusa) evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Deglutitie normala. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Esofag normal pozitionat, cu distensie normala si contururi fine; pasaj eso-gastric
normal, fara hernie hiatala sau reflux gastro-esofagian (spontan si la manevrele de
provocare). }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
langfenp1033 \cf3 Status post-rezectie gastrica (sleeve gastric). }{\fs22 \kerning1
\langnp3082 \langfe1033 \langfenp1033 \cf1 Stomac restant alungit, hipoton, cu
lichid de hipersecretie in cantitate moderata.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 \cf1 Cadrul duodenal normal configurat.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Fara extravazarea
substantei de contrast in cavitatea peritoneala.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033
\par }\pard \plain \s36 \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0
\itap0 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Examinarea radioscopica eso-
gastro-duodenala cu substanta de contrast evidentiaza:}{\fs22 \kerning1 \dbch \
Deglutitie normala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Esofag normal pozitionat, pasaj eso-gastric normal,motilitate esofagiana normala,
cu distensie normala a tuturor segmentelor esofagiene; fara imagini lacunare
esofagiene; mica hernie hiatala prin alunecare, reductibila spontan, asociata cu
minim reflux gastro-esofagian. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \outlinelevel0 \fs24 \
langnp3082 \langfe1033 \langfenp1033 \cf15 Status postinterventie gastrica
bariatrica (inel mediogastric).}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 Stomac restant cu umplere treptata, cu aspect de cascada,hipoton,
cu lichid de hipersecretie in cantitate moderata.}{\fs22 \kerning1 \dbch \af2 \hich
\langfe1033 \langfenp1033 \cf1 Pilor permeabil.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 \cf1 Bulb neomogen opacifiat, fara imagine de nisa;
reflux bulbo-antral.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Cadru duodenal normal configurat. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
peritoneala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
\dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 2.
Examinarea radiologica a colonului cu substanta de contrast si post-insuflatie
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Colon in
repletie completa, cu haustre simetrice, bine trasate, fara modificari de diametre
si motilitate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Unghiuri colice libere.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Spatiul recto-sacrat pastrat in limite normale.}{\fs22 \kerning1 \dbch
\langnp3082 \langfe1033 \langfenp1033 Lizereu de siguranta pastrat (la examinarea
in dublu contrast).}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Reflux ileal prezent.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\langnp1036 \langfe1033 \langfenp1033 1. Examinare partial tolerata de pacient
datorita incontinentei, cu introducerea unei cantitati reduse de suspensie de
bariu.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Din acest
motiv se obtine opacifierea segmentului distal al colonului( rect, sigmoid si 1/3
distala a colonului descendent).}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Pe peretele anterior al rectului se evidentiaza o imagine lacunara
intinsa ce determina o stenoza excentrica , cu contur neregulat imprecis trasat ,
fara lizereu de siguranta la acest nivel.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 \par
\langnp1036 \langfe1033 \langfenp1033 2. Zona intinsa de stenoza stransa, in axul
colonului, sub nivelul unghiului hepatic; zona de stenoza este neomogen
opacifiata, cu contururi neregulate si pinteni marginali. Lizereu de siguranta
intrerupt la nivelul stenozei.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 In rest, colonul prezinta haustre simetrice, bine trasate, fara
modificari de motilitate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Cateva imagini de plus de
umplere rotunjite, net conturate, cu opacifiere omogena, ce se mentin opacifiate
dupa evacuare, la nivelul colonului descendent (diverticuli).}{\fs22 \kerning1 \
3.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 Colon in repletie completa, fara modificari de diametre.}
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 La nivelul
colonului descendent si sigmoidului prezinta foarte multe imagini de aditie de
diferite dimensiuni de la 2 la 15 mm, bine conturate, unele omogen iar altele
neomogen opacifiate. La nivelul colonului transvers se evidentiaza imagini similare
dar mult mai rare.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Dupa
evacuare raman putine imagini dintre imaginile descrise neevacuate complet.}{\
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 La nivelul unghiului hepatic
prezinta o zona de stenoza stransa, axiala pe o distanta de aproximativ 8 cm, cu
contururi anfractuoase si usoara dilatatie poststenotica.}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 Spatiul recto-sacrat pastrat in limite
normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Reflux
ileal prezent.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Diverticuloza
colonica, fara semne evidente de diverticulita}{\fs22 \kerning1 \dbch \af2 \hich \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 In observatie proces
cariochinetic la nivelul unghiului hepatic}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\trowd \trql \
trgaph0 \trrh4721 \trleft-70 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \
trpaddl70 \trpaddr70 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalc \
clbrdrl \brdrs \brdrw15 \brdrcf12 \clbrdrr \brdrs \brdrw15 \brdrcf12 \clbrdrt \
brdrs \brdrw15 \brdrcf12 \clbrdrb \brdrs \brdrw15 \brdrcf12 \cltxlrtb \cellx9485 \
intbl \itap1 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Examinarea radiologica a colonului
cu substanta de contrast si post-insuflatie evidentiaza:}{\b1 \fs22 \kerning1 \dbch
\langfe1033 \langfenp1033 {\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \intbl \itap1 \fs24 \kerning1 \dbch
\af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \
langfenp1033 Zona intinsa de stenoza, in axul colonului,dispusa la nivelul
jonctiunii unghiului hepatic cu colonul transvers,intinsa pe o distanta de
aproximativ 7- 8 cm, neomogen opacifiata, cu contururi anfractuoase si pinteni
marginali. Lizereu de siguranta intrerupt la acest nivel.}{\fs22 \kerning1 \dbch \
lang1036 \langnp1036 \langfe1033 \langfenp1033 In rest, colonul prezinta haustre
simetrice, bine trasate, fara modificari de motilitate}{\b1 \fs22 \kerning1 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Spatiul recto-sacrat pastrat in
limite normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \intbl \itap1 \fs24 \kerning1 \dbch \af2 \
langfenp1033 Reflux ileal prezent.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \intbl \itap1 \fs24 \kerning1 \dbch
\af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \
langfenp1033 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \lisa0 \nowidctlpar
\aspalpha \lin0 \rin0 \intbl \itap1 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \
\hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cell }\pard \
plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \intbl \itap1 \fs24 \dbch \af2
\hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\
trowd \trql \trgaph0 \trrh4721 \trleft-70 \trautofit \trftsWidth1 \trftsWidthB3 \
trftsWidthA3 \trpaddl70 \trpaddr70 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \
clvertalc \clbrdrl \brdrs \brdrw15 \brdrcf12 \clbrdrr \brdrs \brdrw15 \brdrcf12 \
clbrdrt \brdrs \brdrw15 \brdrcf12 \clbrdrb \brdrs \brdrw15 \brdrcf12 \cltxlrtb \
cellx9485 \row }\trowd \trql \trgaph0 \trrh416 \trleft-70 \trautofit \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl70 \trpaddr70 \trpaddfl3 \trpaddft3 \trpaddfb3 \
trpaddfr3 \clvertalc \clbrdrl \brdrs \brdrw15 \brdrcf12 \clbrdrr \brdrs \brdrw15 \
brdrcf12 \clbrdrt \brdrs \brdrw15 \brdrcf12 \clbrdrb \brdrs \brdrw15 \brdrcf12 \
cltxlrtb \cellx9485 \pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \
intbl \itap1 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
lang1034 \langnp1034 \langfe1033 \langfenp1033 \cf1 Concluzii:}{\b1 \fs22 \dbch \
par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \intbl \itap1 \
fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 {\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1034 \
langnp1034 \langfe1033 \langfenp1033 \cf1 Proces stenozant-proliferativ colon
drept}{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1034 \langnp1034 \
langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \lisa0 \
nowidctlpar \aspalpha \lin0 \rin0 \intbl \itap1 \fs24 \kerning1 \dbch \af2 \hich \
cell }\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \intbl \itap1 \
langfenp1033 \cf1 {\trowd \trql \trgaph0 \trrh416 \trleft-70 \trautofit \
trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl70 \trpaddr70 \trpaddfl3 \trpaddft3
\trpaddfb3 \trpaddfr3 \clvertalc \clbrdrl \brdrs \brdrw15 \brdrcf12 \clbrdrr \brdrs
\brdrw15 \brdrcf12 \clbrdrt \brdrs \brdrw15 \brdrcf12 \clbrdrb \brdrs \brdrw15 \
brdrcf12 \cltxlrtb \cellx9485 \row }\pard \plain \s36 \li0 \ri0 \lisb0 \lisa0 \
langfenp1033 \cf1 Examinarea radiologica a colonului cu substanta de contrast si
post-insuflatie evidentiaza:}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Colon
in repletie completa, cu haustre simetrice, bine trasate, de lungime si calibru
crescute, in special la nivelul colonului descendent si sigmoidului.}{\fs22 \dbch \
langfenp1033 \cf1 Unghiuri colice libere.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Spatiul recto-sacrat
pastrat in limite normale.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Lizereu de siguranta
pastrat (la examinarea in dublu contrast).}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1
langnp1036 \langfe1033 \langfenp1033 \cf3 Megadolicocolon.}{\fs22 \dbch \af2 \
langfenp1033 PEDI}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 La
injectarea substantei de contrast prin colostoma se evidentiaza segmentul superior
al colonului descendent, colonul transvers si ascendent.}{\fs22 \kerning1 \dbch \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \line }{\
langfenp1033 Haustre normale, contur net.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 3. NORMAL:}{\fs22 \kerning1 \dbch \
\dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033
Examinarea radiologica a tractului reno-urinar inainte si dupa administrarea de
contrast i.v. evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 - absenta imaginilor suspecte de calculi radioopaci reno-urinari;}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - arii renale cu forma,
dimensiuni si topografie normale;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
af2 \hich \af0 \loch
\af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - secretie
prezenta bilateral in mod egal la 5\uc1 \u8217 ? de la administrarea contrastului;}
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - excretie
normala, simetrica;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
sistem pielo-caliceal de aspect normal, omogen opacifiat, cu forma si calibru
normale;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - uretere
cu traiect si calibru normale, cu pasaj normal al substantei de contrast;}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - vezica urinara cu forma si
configuratie normale, contururi nete, omogen opacifiata.}{\fs22 \kerning1 \dbch \
pard \plain \s36 \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \tql \
tx5298 \itap0 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \tab }{\fs22 \kerning1 \dbch \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf10 IOMERON: Urographie
intraveineuse}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langfe1033 \langfenp1033 \cf10 Adultes: 50 - 150 mL}{\fs22 \kerning1 \dbch \af2 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf10 Nouveaux -n\uc1 \
u233 ?s 3,0 - 4,8 mL/kg }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036
langfe1033 \langfenp1033 \cf10 Nourrissons 2,5 - 4,0 mL/kg = 1 an}{\fs22 \
\hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf10 Enfants
1,0 - 2,5 mL/kg > 1 an}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 Urografie i.v.:}{\fs22 \kerning1 \
langfe1033 \langfenp1033 \ul1 La 5 minute de la injectare:}{\fs22 \kerning1 \dbch \
langfenp1033 - rinichi stang cu :-nefrograma si secretie prezenta, omogen
opacifiat;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \uc1 \u160 ? \uc1 \u160 ? \uc1 \
u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \
uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \
u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \
uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \
u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? -concentratie, excretie
normala;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 -sistem pielo-caliceal stang cu
aspect normal, omogen opacifiat, cu forma si calibru normale;}{\fs22 \kerning1 \
langfe1033 \langfenp1033 -ureter stang cu traiect si calibru normal, cu pasaj
normal al substantei de contrast;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \line }{\fs22 \kerning1 \dbch \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 -rinichi
drept cu nefrograma absenta.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \line }{\fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \ul1 La 15
minute de la injectare:}{\i1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 -vezica urinara
cu forma si configuratie normale, contururi nete, omogen opacifiata.}{\fs22 \
langnp1036 \langfe1033 \langfenp1033 -rinichi drept mut urografic.}{\fs22 \kerning1
langfe1033 \langfenp1033 \ul1 La 25 de minute de la injectare:}{\i1 \fs22 \kerning1
langfe1033 \langfenp1033 -rinichi drept mut urografic. }{\fs22 \kerning1 \dbch \af2
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Concluzii:}{\fs22 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf11 Litiaza renala
dreapta.}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082
\langfe1033 \langfenp1033 \cf11 \line }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf11 Rinichi drept mut
urografic.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
langfe1033 \langfenp1033 \cf3 Sindrom Wolf-Hirschhorn : }{\fs22 \kerning1 \dbch \
lang3082 \langnp3082 \langfe1033 \langfenp1033 1.Examinarea radiologica a tractului
reno-urinar inainte si dupa administrarea de contrast i.v. evidentiaza:}{\fs22 \
langnp3082 \langfe1033 \langfenp1033 - absenta imaginilor suspecte de calculi
radioopaci reno-urinari;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082
\loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - arii renale cu forma,
dimensiuni si topografie normale;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - secretie
lang3082 \langnp3082 \langfe1033 \langfenp1033 - excretie normala pe partea stanga
si usor intarziata pe partea dreapta;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
sistemul pielo-caliceal stang si ureterul stang cu aspect morfo-functional normal;}
lang3082 \langnp3082 \langfe1033 \langfenp1033 - dilatatie a caii de excretie
renale drepte, moderata a arborelui pielo-caliceal si extrem de importanta a
ureterului lombar si presacrat, cu diametrul maxim de cca 18 mm; ureterul pelvin
drept cu calibru normal pe o lungime de cca 45 mm pana la nivelul jonctiunii
uretero-vezicale;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - vezica urinara
omogen opacifiata, cu continut omogen si contur bine trasat. }{\fs22 \kerning1 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf15 Megaureter
(obstructiv) drept cu hidronefroza dreapta. }{\fs22 \kerning1 \dbch \af2 \hich \af0
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 2}{\fs22 \kerning1 \dbch \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 . Sistem
pielo-caliceal drept de aspect normal, omogen opacifiat si bine conturat.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Dilatatie importanta pielo-
caliceala stanga, cu inversarea concavitatilor caliceale, omogena, fara modificari
de contur, fara imagini lacunare.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 Ureterul stang se vizualizeaza intermitent in decubit ventral
( urmarit la examenul scopic), aparent fara modificari de calibru si traiect.}{\
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf10 Hidronefroza stanga
stadiul III/IV, posibil pe un sindrom de jonctiune bazineto-ureterala}{\fs22 \
langfenp1033 3.Examinarea radiologica a tractului reno-urinar inainte si dupa
administrarea de contrast i.v. evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - imagine
radioopaca, ovalara, bine delimitata, de aproximativ 17/10 mm, in aria de proiectie
a rinichiului drept, in adiacenta corpului vertebral L1;}{\fs22 \kerning1 \dbch \
\langnp3082 \langfe1033 \langfenp1033 - arii renale cu forma, dimensiuni si
topografie normale;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
secretie prezenta bilateral in mod egal la 5\uc1 \u8217 ? de la administrarea
contrastului;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
excretie normala, simetrica.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 - sistemul pielo-caliceal stang si ureterul stang cu aspect morfo-
functional normal;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
dbch \af2 \hich \af0 \loch \f6
\lang3082 \langnp3082 \langfe1033 \langfenp1033 - moderata dilatatie a caii de
excretie renale drepte,fara modificari de contur, fara imagini lacunare;ureter
lombar cu diametrul maxim de cca 7 mm;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
\f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \s36 \li0 \
langfenp1033 - vezica urinara omogen opacifiata, cu continut omogen si contur bine
trasat.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
\langfe1033 \langfenp1033 Concluzii}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 : Litiaza renala
dreapta neobstructiva, cu hidronefroza grad I-II.}{\b1 \fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 - imagine
lacunara proiectata la nivelul bazinetului stang (corespunzatoare imaginii
radioopace anterior descrise); in rest, sistem caliceal stang de aspect normal,
omogen opacifiat, cu forma si calibru normale;}{\fs22 \dbch \af2 \hich \af0 \loch \
f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf0 \par }\pard \plain \s36 \
li0 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \outlinelevel0 \
\langnp3082 \langfe1033 \langfenp1033 \cf1 - de partea dreapta se evidentiaza
prezenta a doua sisteme pielo-caliceale si doua uretere, omogen opacifiate, cu
traiect si calibru normale, cu pasaj normal al substantei de contrast;}{\fs22 \
f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Rinichi drept cu duplicatie
pielo-ureterala (}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \cf3 rinichi duplex}{\fs22 \kerning1 \dbch \
af2 \hich \af0 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 ).}{\
langfenp1033 \cf1 4. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \cf1 Radiografie reno-vezicala simpla de
aspect normal, fara imagini sugestive de calculi.}{\fs22 \kerning1 \dbch \af2 \hich
\langfe1033 \langfenp1033 \cf1 Ambii rinichi cu nefrograma prezenta, omogen
opacifiati.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Excretie prezenta, simetrica.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 Sistem pielo-caliceal drept de aspect normal, omogen opacifiat si
bine conturat.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Dilatatie importanta bazineto-pielo-caliceala stanga, cu inversarea concavitatilor
caliceale, omogena, fara modificari de contur, fara imagini lacunare.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Ureter drept fara
modificari ale formei si calibrului, cu pasaj normal al substantei de contrast.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Ureterul stang se
vizualizeaza intermitent in decubit ventral ( urmarit la examenul scopic), aparent
fara modificari de calibru si traiect.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 \cf1 Vezica urinara cu configuratie normala, contururi nete, omogen
opacifiata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\langnp3082 \langfe1033 \langfenp1033 \cf1 Concluzii: Hidronefroza stanga stadiul
III/IV, posibil pe un }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 sindrom de jonctiune bazineto-
ureterala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
5.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
Radiografie
reno-vezicala simpla evidentiaza doua imagini sugestive de calculi pe marginea
inferioara a apofizei transversale drepte a vertebrei L4; in timpul examinarii apar
mai jos de pozitia initiala , spre apofiza transversa a vertebrei L5.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Secretie si excretie
vizibile paravertebral drept dupa cum urmeaza:}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 \cf1 -un sistem pielocaliceal cu aspect de duplicitate
dispus supero-lateral dreapta cu bazinetul orientat cranio-caudal ( rinichi drept)}
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 -un
sistem pielocaliceal situat infero-intern fata de cel descris, cu duplicitate
pielo- caliceala; grupurile calicele superioare se mentin moderat dilatate, omogen
opacifiate. Dificil de apreciat daca sunt doua uretere proximale ce se unesc la
nivelul corpului vertebral L5 ( foarte probabil).}{\fs22 \kerning1 \dbch \af2 \hich
\langfe1033 \langfenp1033 \cf1 Ureter drept fara modificari ale formei si
calibrului, cu pasaj normal al substantei de contrast.}{\fs22 \kerning1 \dbch \
\langnp3082 \langfe1033 \langfenp1033 \cf1 Ureter stang unic vizibil de la L5 unde
deviaza spre stanga luind traiectul normal, fara modificari de calibru.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Vezica urinara cu
configuratie normala, contururi nete, omogen opacifiata.}{\fs22 \kerning1 \dbch \
\langnp3082 \langfe1033 \langfenp1033 \cf1 }{\fs22 \kerning1 \dbch \af2 \hich \af0
\langfe1033 \langfenp1033 \cf1 Concluzii: Rinichi cu duplicitate pielocaliceala}{\
af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \kerning1 \dbch \af2 \
}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 \cf3 Rinichi stang ectopic, situat paravertebral drept}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 }{\fs22 \kerning1 \dbch \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 6}{\fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 . }{\b1 \
langfenp1033 \cf1 Examinarea radiologica cu substanta de contrast a aparatului
reno-urinar evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036
Radiografie renovezicala simpla - opacitate calcara neomogena, cu dimensiuni de 8/6
mm (aspect de conglomerat de microcalcului) la nivelul grupului caliceal inferior
drept; opacitate calcara neomogena, cu dimensiuni de 11/5 mm, la nivelul jonctiunii
ureterovezicale stangi.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 Ambii rinichi cu nefrograma prezenta, omogen opacifiati.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Rinichi normali ca forma,
dimensiuni, pozitie si orientare.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 \cf1 Parenchim renal normal conformat, fara imagini lacunare
intraparenchimatoase.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Excretie prezenta bilateral la 5 minute de la injectare.}{\fs22 \kerning1 \dbch \
\langnp3082 \langfe1033 \langfenp1033 \cf1 Sistem pielo-caliceal drept cu forma si
calibru normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Sistem pielocaliceal stang dilatat.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 \cf1 Ureter drept cudat la nivelul jonctiunii pieloureterale, calibru
normal, cu pasaj normal al substantei de contrast.}{\fs22 \kerning1 \dbch \af2 \
fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033
lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Ureterul stang neopacifiat la
25 min de la injectare, se opacifiaza in secventa tardiva (la 1 ora 30 min), cu
calibru crescut.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Vezica urinara cu forma si configuratie normale, contururi nete, omogen
opacifiata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\langnp3082 \langfe1033 \langfenp1033 \cf1 Concluzii: Litiaza neobstructiva
renocaliceala dreapta.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Anomalie de jonctiune pieloureterala dreapta.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 \cf1 Litiaza partial obstructiva
ureterovezicala stanga.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 Ureterohidronefroza stanga gradul III.}{\fs22 \
langfenp1033 7. Examinarea radiologica a tractului reno-urinar inainte si dupa
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 -}{\b1 \
langfenp1033 }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 absenta imaginilor suspecte de calculi
radioopaci reno-urinari;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang3082
rinichi malrotati, verticalizati, mai jos situati, uniti la nivelul polilor
inferiori ( la inaltimea corpului vertebral L4) printr-o bandeleta preaortico-cava
de parenchim renal fara sistem colector propriu prezent; Anomalie de forma si
fuziune renala cu aspect sugestiv pentru }{\b1 \fs22 \kerning1 \dbch \af2 \hich \
af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 rinichi in
potcoava}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 .}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 - rinichi malrotati, cu ax longitudinal inversat, uniti la nivelul
polilor inferiori (la inaltimea corpului vertebral L)}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 - arii renale cu forma, dimensiuni si topografie
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - secretie
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - excretie
normala, simetrica;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
sistem pielo-caliceal de aspect normal, omogen opacifiat, cu forma si calibru
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - uretere
cu traiect si calibru normale, cu pasaj normal al substantei de contrast;}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - vezica urinara cu forma si
configuratie normale, contururi nete, omogen opacifiata.}{\fs22 \kerning1 \dbch \
8. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 Radiografia reno-vezicala simpla evidentiaza o imagine
sugestiva de calcul de 24/11mm, cu axul lung dispus vertical, in 1/3 medie a ariei
renale drepte si o imagine de calcul de 15/10mm, cu axul lung dispus orizontal, in
1/3 inferioara a ariei renale stangi.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
dbch \af2 \hich \af0 \loch \af0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
\f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Nefrograma prezenta bilateral,
usor diminuata de partea stanga, omogen.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Sistem bazineto-pielo-caliceal mult dilatat bilateral, omogen
opacifiat, cu contururi bine trasate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Din primele secvente se evidentiaza la polul superior al ariei renale
stangi, un alt sistem pielo-caliceal usor dilatat, cu concavitate caliceala
pastrata, omogen opacifiat, bine conturat.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Dupa secventa de 15 minute se opacifiaza treptat o plaja rotund-
ovalara, de aproximativ 35mm, relativ bine conturata suprapusa pe corpurile
vertebrale L3si L4.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Uretere vizibile bilateral, de la polii inferiori ai celor doua opacitati renale,
fara modificari de calibru, cu pasaj normal al substantei de contrast.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Vezica urinara cu configuratie
normala, contururi nete, omogen opacifiata.}{\fs22 \kerning1 \dbch \af2 \hich \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033
Concluzii:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langfenp1033 In observatie }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 rinichi in potcoava cu
duplicitate pielo-caliceala stanga}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
\langfe1033 \langfenp1033 Litiaza renala bilaterala}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Hidronefroza bilaterala, foarte probabil pe un sindrom de
jonctiune pielo-ureterala bilaterala}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 8. }{\b1 \fs22 \
langfenp1033 \cf1 Examinarea radiologica a tractului reno-urinar inainte si dupa
- aerocolie marcata;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
cf1 - }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 \cf1 absenta imaginilor suspecte de calculi radioopaci
reno-urinari;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
- secretie prezenta la 5\uc1 \u8217 ? de la administrarea contrastului doar de
partea dreapta;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
- rinichi stang cu nefrograma absenta;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 \cf1 - excretie normala de partea dreapta;}{\fs22 \kerning1 \dbch \af2
\langfe1033 \langfenp1033 \cf1 - sistem pielo-caliceal drept de aspect normal,
omogen opacifiat, cu forma si calibru normale;}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 \cf1 - ureter drept cu traiect si calibru normal, cu
pasaj normal al substantei de contrast;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 \cf1 - vezica urinara cu forma si configuratie normale, contururi
nete, omogen opacifiata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036
\langnp3082 \langfe1033 \langfenp1033 \cf1 Concluzii:}{\fs22 \kerning1 \dbch \af2 \
loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \cf3 Rinichi stang mut
urografic.}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1048 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 - vezica urinara inomogen
opacifiata prin prezenta unei imagini lacunare, imprecis conturata, cu semitonuri
marginale, dezvoltata la nivelul peretelui antero-lateral stang; }{\b1 \fs22 \
langfenp1033 \cf1 Formatiune vegetativa vezicala.}{\fs22 \kerning1 \dbch \af2 \hich
9}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 \cf1 . }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica a
tractului reno-urinar inainte si dupa administrarea de contrast i.v. evidentiaza:}
\langnp3082 \langfe1033 \langfenp1033 \cf1 - imagine ovalara radioopaca de aprox.
15/ 10 mm proiectata}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082
\langnp3082 \langfe1033 \langfenp1033 \cf1 }{\fs22 \kerning1 \dbch \af2 \hich \af0
\loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 la nivelul
jonctiunii uretero-vezicale drepte;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 \cf1 - cateva imagini radioopace milimetrice in aria de proiectie a
rinichiului stang;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
- arii renale cu forma, dimensiuni si topografie normale;}{\fs22 \kerning1 \dbch \
\langnp3082 \langfe1033 \langfenp1033 \cf1 - secretie prezenta bilateral in mod
egal la 5\uc1 \u8217 ? de la administrarea contrastului;}{\fs22 \kerning1 \dbch \
\langnp3082 \langfe1033 \langfenp1033 \cf1 - excretie normala de partea stanga;}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 - sistem pielo-caliceal
stang de aspect normal, omogen opacifiat, cu forma si calibru normale;}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 - ureter stang cu traiect
si calibru normale, cu pasaj normal al substantei de contrast;}{\fs22 \kerning1 \
\langnp3082 \langfe1033 \langfenp1033 \cf1 - importanta dilatatie pielo-caliceala
dreapta, cu inversarea concavitatilor caliceale, omogena, fara modificari de
contur, fara imagini lacunare;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 - ureter drept opacifiat in secventa tardiva (60'), cudat la
nivelul jonctiunii bazineto-ureterale avand calibru crescut, cu diametrul maxim de
cca 24 mm la nivel presacrat;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 Litiaza ureterala
dreapta partial obstructiva, cu ureterohidronefroza gradul III.}{\fs22 \kerning1 \
loch \f6 \lang3082 \langnp3082
\langfe1033 \langfenp1033 \cf3 Microlitiaza renala stanga.}{\fs22 \kerning1 \
cf3 10. }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036
\langfe1033 \langfenp1033 \cf1 Examinarea radiologica a tractului reno-urinar
inainte si dupa administrarea de contrast i.v. evidentiaza:}{\fs22 \kerning1 \
- imagine radioopaca, neregulata,dezvoltata de la nivelul bazinetului si extinsa
de-a lungul tijelor si cupelor caliceale, realizand un mulaj al cailor de excretie
renale drepte; imagine radioopaca bazinetala stanga extinsa la nivelul grupului
caliceal inferior;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
- arii renale cu forma, dimensiuni si topografie normale;}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 \cf1 - secretie prezenta bilateral in mod
egal la 5\uc1 \u8217 ? de la administrarea contrastului;}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 \cf1 - excretie normala, simetrica;}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - sistem caliceal drept
dilatat, predominant superior, fara ectazie asociata bazinetala;}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 \cf1 - sistem pielo-caliceal stang de aspect
normal, omogen opacifiat, cu forma si calibru normale;}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 \cf1 - uretere cu traiect si calibru normale,
cu pasaj normal al substantei de contrast;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 Litiaza coraliforma
renala bilaterala}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \cf1 , partial obstructiva de partea dreapta.}
\par }\pard \plain \s36 \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \
rin0 \itap0 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 11}{\b1 \fs22 \
langfenp1033 \cf1 . }{\b1 \fs22 \kerning0 \dbch \af2 \hich \af0 \loch \f6 \lang1036
\langnp1036 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica a tractului reno-
urinar inainte si dupa administrarea de contrast i.v. evidentiaza:}{\fs22 \kerning0
langfe1033 \langfenp1033 \cf1 - imagine radioopaca, neregulata, dezvoltata de la
nivelul bazinetului si extinsa de-a lungul tijelor si cupelor caliceale, realizand
un mulaj al cailor de excretie renale drepte; }{\fs22 \dbch \af2 \hich \af0 \loch \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - arii renale cu
forma, dimensiuni si topografie normale;}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 - rinichi drept cu
nefrograma absenta;}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langnp1036 \langfe1033 \langfenp1033 \cf1 - sistem uretero-pielo-caliceal drept
neopacifiat chiar si la 1h de la injectare;}{\fs22 \dbch \af2 \hich \af0 \loch \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - secretie si
excretie prezente la 5\uc1 \u8217 ? de la administrarea contrastului doar de partea
stanga;}{\fs22 \dbch
\af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 \
langfenp1033 \cf1 - sistem pielo-caliceal stang de aspect normal, omogen opacifiat,
cu forma si calibru normale;}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - ureter stang cu
traiect si calibru normale, cu pasaj normal al substantei de contrast;}{\fs22 \dbch
\af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 \par
nete, omogen opacifiata.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\langfenp1033 \cf0 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \
rin0 \itap0 \outlinelevel0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Litiaza coraliforma renala
dreapta.}{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
\lin0 \rin0 \itap0 \outlinelevel0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\b1 \fs22 \dbch \af2 \hich \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Rinichi drept
mut urografic.}{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
\langnp1036 \langfe1033 \langfenp1033 12. }{\b1 \fs22 \kerning0 \dbch \af2 \hich \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Examinarea
radiologica a tractului reno-urinar inainte si dupa administrarea de contrast i.v.
\langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - aerocolie marcata;}
langnp1036 \langfe1033 \langfenp1033 \cf1 - absenta imaginilor suspecte de calculi
radioopaci reno-urinari;}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - arie renala dreapta
cu forma, dimensiuni si topografie normale;}{\fs22 \dbch \af2 \hich \af0 \loch \
\af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af2 \hich \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - sistem pielo-
caliceal si ureter stang nevizualizabile (status post-nefrectomie stanga);}{\fs22 \
langfenp1033 \cf1 - secretie prezenta la 5\uc1 \u8217 ? de la administrarea
contrastului;}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - excretie normala;}{\fs22 \
langfenp1033 \cf1 - sistem pielo-caliceal drept de aspect normal, omogen opacifiat,
cu forma si calibru normale;}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - ureter drept cu
nete, omogen opacifiata.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Status normal post-nefrectomie stanga.}{\
\langfe1033 \langfenp1033 13. }{\b1 \fs22 \kerning0 \dbch \af2 \hich \af0 \loch \f6
\lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica a
tractului reno-urinar inainte si dupa administrarea de contrast i.v. evidentiaza:}
langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \
langnp1036 \langfe1033 \langfenp1033 \cf0 \par }\pard \plain \li0
\ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - sonda reno-
vezicala dreapta prezenta, normal pozitionata;}{\fs22 \dbch \af2 \hich \af0 \loch \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - imagini
radioopace, ovalare, bine delimitate, prima cu diametre de 17/13 mm, proiectata
paravertebral L2 dreapta (la nivelul pielonului), respectiv de 8/4 mm,
paravertebral L3 dreapta (grup caliceal inferior); o alta imagine similara, de cca
4/5 mm proiectata in adiacenta apofizei transverse drepte a corpului vertebral L4;}
langnp1036 \langfe1033 \langfenp1033 \cf1 -imagine radioopaca, ovalara, bine
delimitata, cu axul lung de aproximativ 10 mm, in aria de proiectie a rinichiului
stang, in adiacenta corpului vertebral L2 (grup caliceal inferior);}{\fs22 \dbch \
langfenp1033 \cf1 - arii renale cu forma, dimensiuni si topografie normale;}{\
langfe1033 \langfenp1033 \cf1 - secretie prezenta bilateral in mod egal la 5\uc1 \
u8217 ? de la administrarea contrastului;}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - excretie normala,
simetrica;}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033
langnp1036 \langfe1033 \langfenp1033 \cf1 - dilatatie bazineto-pielo-caliceala
dreapta, omogena, fara modificari de contur;}{\fs22 \dbch \af2 \hich \af0 \loch \f6
\lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \li0 \ri0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - sistem pielo-
caliceal stang de aspect normal, omogen opacifiat, cu forma si calibru normale;}{\
langfe1033 \langfenp1033 \cf1 - ureter stang cu traiect si calibru normale, cu
pasaj normal al substantei de contrast;}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - vezica urinara cu
forma si configuratie normale, contururi nete.}{\fs22 \dbch \af2 \hich \af0 \loch \
plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \
langnp1033 \langfe1033 \langfenp1033 \cf1 Litiaza reno-caliceala dreapta, cu
hidronefroza dreapta gradul III. }{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Litiaza ureterala
dreapta.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \
langnp1033 \langfe1033 \langfenp1033 \cf3 Sonda Cook dreapta prezenta.}{\b1 \fs22 \
langfenp1033 \cf1 Litiaza reno-caliceala stanga neobstructiva. }{\fs22 \dbch \
dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \ul1
Urografie i.v: pedi}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Ambii rinichi cu
nefrograma si secretie prezenta.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Concentratie,
excretie normala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Sistem pielo-caliceal
drept cu aspect normal, omogen opacifiat, cu forma si calibru normale.}{\fs22 \
langnp1036 \langfe1033 \langfenp1033 Ureter drept cu traiect si calibru normale, cu
pasaj normal al substantei de contrast.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \line }{\b1 \fs22 \
langfenp1033 Duplicatie pielo-ureterala stanga.}{\fs22 \kerning1 \dbch \af2 \hich \
af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \line }{\fs22 \
langfenp1033 Vezica urinara cu forma si configuratie normale, contururi nete,
omogen opacifiata. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
}\pard \plain \s36 \li0 \ri0
\lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \kerning1 \dbch \af2
\hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs22 \
langfenp1033 4.Examinarea radiologica cu substanta de contrast a aparatului genital
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Aspect
normal al micului bazin, fara imagini patologice.}{\fs22 \kerning1 \dbch \af2 \hich
\langfe1033 \langfenp1033 Canal cervical cu contururi nete, de lungime si calibru
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Cavitate
uterina normal pozitionata/dextrodeviata, omogen opacifiata, cu contururi nete,
forma si distensibilitate normale, fara defecte de umplere.}{\fs22 \kerning1 \
\langnp3082 \langfe1033 \langfenp1033 Trompele uterine normal calibrate, omogen
opacifiate, cu difuzie normala a substantei de contrast \uc1 \u238 ?n cavitatea
peritoneala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Aspect
radiologic in limite normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Salpinge dispuse simetric, cu
diametre si opacifiere normale. / trompa uterina dreapta dilatata, cu aspect
moniliform in 1/2 sa distala, greu permeabila;}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 - difuzie \uc1 \u238 ?n cavitatea peritoneala a
substantei de contrast prezenta bilateral, pe partea stanga asociind acumulare
circumscrisa peritubara (aderente peritubare).}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Concluzii: Anomalie de pozitie uterina.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Proba Cotte pozitiva bilateral.}
lang3082 \langnp3082 \langfe1033 \langfenp1033 5.Colangiografia retrograda pe tub
Kehr evidentiaza :}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - }
langfe1033 \langfenp1033 ductul hepatic comun, canalele hepatice principale si
caile biliare intrahepatice cu opacifiere omogena;}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 - canalul coledoc cu contururi nete, omogen opacifiat,
fara defecte de umplere;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036
portiunea vizibila a duodenului fara anomalii radiografice.}{\fs22 \kerning1 \dbch
langfe1033 \langfenp1033 \cf3 Colangiografie pe tub Kehr (tehnica):}{\fs22 \
\langfe1033 \langfenp1033 Se penseaza tubul}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 - se introduc 10ml si se face o expunere}{\fs22 \kerning1
\langnp1036 \langfe1033 \langfenp1033 - se introduc alti 10ml si se expune iar.}{\
af2 \hich \af0 \loch \af0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Substanta de
contrast introdusa pe tub Kehr opacifiaza partial caile biliare intrahepatice,
calea biliara principala si duodenul.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Fara
imagini lacunare in aria caii biliare principale.}{\fs22 \kerning1 \dbch \af2 \hich
\af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \line }{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - canalul coledoc cu contururi
nete, omogen opacifiat, fara defecte de umplere;}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 - decalibrare lina coledoco-ampulara ce asociaza minima
dilatatie in amonte a caii biliare principale, al carei diametru maxim este de cca
7- 8 mm;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - ductul
hepatic comun, canalele hepatice principale si caile biliare intrahepatice cu
opacifiere normala;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
moderata dilatatie a canalului hepatic stang imediat in amonte fata de extremitatea
distala a tubului de drenaj biliar;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 - reflux prezent al substantei de contrast in segmentul cefalic al
canalului Wirsung, omogen opacifiat si normal calibrat;}{\fs22 \kerning1 \dbch \af2
\langfe1033 \langfenp1033 - portiunea vizibila a duodenului fara anomalii
radiografice.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Leziuni stenozante (fibro- cicatriciale) ampulara coledociana si ductala hepatica
stanga.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Colangiografia pe tub Kehr
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Coledoc
mult dilatat; portiunea terminala se ingusteaza treptat, cu contururi neregulate si
opacifiere neomogena la acest nivel.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 Median de portiunea terminala a coledocului se evidentiaza un traiect
paralel, filiform, bine conturat.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 Lipsa opacifierii cailor biliare primitive si a CBIH.}{\fs22 \kerning1
\langnp1036 \langfe1033 \langfenp1033 Opacifierea duodenului pana la unghiul Treitz
si a primei anse jejunale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Concluzii:
Sechele fibrotice la nivelul coledocului terminal ?}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Reflux redus pe ductul pancreatic}{\fs22
langnp1036 \langfe1033 \langfenp1033 \cf3 B. RAZE}{\fs22 \kerning1 \dbch \af2 \hich
Examinarea radiologica a craniului in proiectie speciala (incidenta Shuller)
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Canal auditiv cu
contur fin si pneumatizare normala, fara mase intraluminale.}{\fs22 \kerning1 \dbch
\af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \line }{\
langfenp1033 Pneumatizare mastoidiana absenta/ normala.}{\fs22 \kerning1 \dbch \af2
\hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \line
}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 Stanca temporala cu contururi nete.}{\fs22 \kerning1 \dbch
\af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \line }{\
langfenp1033 Sinus sfenoidal normal pneumatizat.}{\fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \line }{\fs22 \
langfenp1033 Articulatie temporo-mandibulara de aspect normal. }{\fs22 \kerning1 \
craniului in proiectie speciala (incidenta Shuller- comparativ) evidentiaza:}{\b1 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Canale
auditive cu contur fin si pneumatizare normala, fara mase intraluminale.}{\fs22 \
langfenp1033 \cf1 Pneumatizare mastoidiana normala bilateral.}{\fs22 \dbch \af2 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 \line }{\
langfenp1033 \cf1 Stanca temporala cu contururi nete.}{\fs22 \dbch \af2 \hich \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 \line }{\fs22 \
Sinus sfenoidal normal pneumatizat.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
Articulatii temporo-mandibulare de aspect normal. }{\fs22 \dbch \af2 \hich \af0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Examinarea radiologica a
craniului \uc1 \u238 ?n 2 incidente evidentiaza:}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Cutie craniana cu forma, grosime si dimensiuni normale;
fara anomalii de structura sau mineralizare a osului}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Baza craniului cu configuratie anatomica normala, margini
fine, aspect normal al planului sfenoidal, seii turce si al fosei craniene
posterioare.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Portiunile
vizibile ale scheletului facial fara leziuni decelabile.}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 Fara anomalii la nivelul partilor moi
vizibile.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
fosei hipofizare evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Sa turca cu forma si dimensiuni normale.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Pereti cu structura si grosime normale.}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Fara opacitati patologice sau
calcificari in aria fosei hipofizare.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Sinus sfenoidal cu pneumatizare normala.}{\fs22 \kerning1 \dbch \af2 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Sa de
aproximativ 10/6mm, cu contur net si punte interclinoidiana.}{\fs22 \kerning1 \dbch
\langnp1036 \langfe1033 \langfenp1033 \cf3 Fara modificari de structura osoasa
periselar.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
piramidei nazale evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Oasele nazale cu
forma normala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Sutura frontonazala cu aspect normal radiologic.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Fara anomalii de structura sau mineralizare.}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Sept nazal cu pozitie normala.}
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Tesuturile
moi perinazale fara semne de tumefactie sau corpi straini radioopaci.}{\fs22 \
langnp1033 \langfe1033 \langfenp1033 Examinarea radiologica a sinusurilor
anterioare ale fetei evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 Sinusuri paranazale si cavitati nazale cu configuratie si pneumatizare
normale, bine delimitate, simetric dispuse.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Sept nazal cu pozitie normala.}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 Fara corpi straini radioopaci.}{\fs22 \
langnp1033 \langfe1033 \langfenp1033 {\fs22 \kerning22 \dbch \af2 \hich \af0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Ingrosarea mucoasei
sinusurilor maxilare.}{\fs22 \kerning22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
Voalarea sinusului maxilar stang.}{\fs22 \kerning22 \dbch \af2 \hich \af0 \loch \f6
langfenp1033 \cf1 Absenta pneumatizarii celulelor mastoidiene. }{\fs22 \kerning22 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Reducerea
pneumatizarii sinusurilor frontale Hipoplazie sino-frontala}{\fs22 \kerning22 \
sinusurilor anterioare si posterioare ale fetei evidentiaza:}{\fs22 \dbch \af2 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Sinusuri paranazale si cavitati nazale cu
configuratie si pneumatizare normale, bine delimitate, simetric dispuse.}{\fs22 \
langfenp1033 \cf1 Sept nazal cu pozitie normala.}{\fs22 \dbch \af2 \hich \af0 \loch
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Sinusuri
sfenoidale cu pneumatizare normala.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Celule mastoidiene
normal pneumatizate. }{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Fara corpi straini
radioopaci.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
pard \plain \s36 \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin0
\rin0 \itap0 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \s36 \qj \li0
\ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \kerning1 \
langfe1033 \langfenp1033 \cf3 Copii}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Mastoida. }{\fs22 \
langfenp1033 Antrul mastoidian este prezent la na}{\fs22 \kerning1 \dbch \af2 \hich
\af0 \loch \f8 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \uc1 \u351 ?tere.
Celule mastoidiene se dezvolt\uc1 \u259 ? din celulele epiteliale antrale \uc1 \
u238 ?n 4-6 luni. Cele din v\uc1 \u238 ?rf se dezvolt\uc1 \u259 ? p\uc1 \u226 ?n\
uc1 \u259 ? la pubertate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \s36 \qj \li0 \
langfenp1033 Sinusuri }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 - Sinusurile maxilare }{\fs22 \kerning1 \
dbch \af2 \hich \af0 \loch \f8 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \uc1
\u351 ?i celulele etmoidale sunt prezente la na\uc1 \u351 ?}{\fs22 \kerning1 \
dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 tere
dar sunt vizibile radiologic de la 2-3 luni respectiv 3-6 luni, sinusul sfenoidal
de la 2-3 ani, sinusurile frontale de la 6-7 ani}{\fs22 \kerning1 \dbch \af2 \
orbitelor \uc1 \u238 ?n 2 incidente evidentiaza:}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Portiunile vizibile ale scheletului facial cu contururi
fine, bine delimitate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
langfenp1033 Portiunile evaluabile ale sinusurilor paranazale cu aspect normal.}{\
mandibulei evidentiaza:}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Arie
hipertransparenta periradiculara 37.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
craniului in proiectie speciala (mandibula defilata) evidentiaza:}{\fs22 \
langfenp1033 Segmente osoase cuprinse in campul de examinare normal configurate.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Fara modificari de structura
osoasa.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Fara
calcificari heterotope.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Examinarea radiologica toraco-pulmonara in incidenta postero-
anterioara evidentiaza:}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Cord cu dimensiuni in limite
af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Ambii
plam\uc1 \u226 ?ni cu transparenta normala, \uc1 \u238 ?n contact cu peretele
toracic.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
anomalii de structura sau vascularizatie pulmonara.}{\fs22 \kerning1 \dbch \af2 \
langfenp1033 {\fs22 \kerning1 \dbch \af2
\hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Sinusuri
costodiafragmatice libere. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Diafragm normal pozitionat, simetric, cu configuratie normala. }{\fs22
langfenp1033 Concluzii:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Fara leziuni evolutive pleuro-pulmonare decelabile radiologic.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Ingrosare interstitiala cu
aspect reticulat si micronodular perihilar bilateral.}{\fs22 \kerning1 \dbch \af2 \
Aspect radiologic de pneumonie interstitiala.}{\fs22 \dbch \af2 \hich \af0 \loch \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Fara determinari
secundare pleuro-pulmonare dceelabile radiologic.}{\fs22 \dbch \af2 \hich \af0 \
langfenp1033 \cf0 Examinarea radiologica toraco-pulmonara in incidenta antero-
posterioara evidentiaza:}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Cord cu arc inferior
stang largit.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Cord cu dimensiuni in
limite normale.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Opacitate de intensitate medie,
neomogena, cu forma aproximativ triungiulara, avand baza la periferie si varful la
hil, net delimitata inferior, dispusa in campul pulmonar superior drept. }{\fs22 \
langfenp1033 \cf0 Sinusuri costodiafragmatice libere.}{\fs22 \dbch \af2 \hich \
Diafragm normal pozitionat, simetric, cu configuratie normala.}{\fs22 \dbch \af2 \
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Proces de condensare
LSD.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf0 Examinarea
radiologica toraco-pulmonara in incidenta antero-posterioara evidentiaza:}{\fs22 \
langnp1036 \langfe1033 \langfenp1033 \cf0 Cord cu dimensiuni in limite normale.}{\
langnp1036 \langfe1033 \langfenp1033
\cf0 Ambii plam\uc1 \u226 ?ni cu transparenta normala, \uc1 \u238 ?n contact cu
peretele toracic.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Opacitate de intensitate medie,
neomogena, imprecis delimitata, de cca 15/20mm, dispusa parahilar dreapta.}{\fs22 \
langfenp1033 \cf0 Sinusuri costodiafragmatice libere.}{\fs22 \dbch \af2 \hich \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf0 In observatie proces
de condensare parahilar drept+/- adenopatii hilare.}{\fs22 \dbch \af2 \hich \af0 \
\langfe1033 \langfenp1033 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \sa120 \lisa0 \
Examinarea radiologica toraco-pulmonara in incidenta postero-anterioara
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Cord cu
dimensiuni in limite normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 Diametru transvers marit.}{\fs22 \
langfenp1033 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \sa120 \lisa0 \nowidctlpar \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Ambii plam\uc1 \
u226 ?ni cu transparenta normala, \uc1 \u238 ?n contact cu peretele toracic pe \uc1
\u238 ?ntreaga suprafata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Fara anomalii
de structura sau vascularizatie pulmonara.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
Sinusuri costodiafragmatice libere. Simfiza sinusului costodiafragmatic}{\fs22 \
langnp1036 \langfe1033 \langfenp1033 Diafragm normal pozitionat, simetric, cu
configuratie normala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Fara leziuni evolutive pleuro-
pulmonare.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Cateter
venos central situat in aria de proiectie a venei cave superioare.}{\fs22 \kerning1
\dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 }
\langnp1033 \langfe1033 \langfenp1033 Examinarea radiografica mediastino-cardio-
pulmonara in incidenta postero-anterioara evidentiaza:}{\fs22 \kerning1 \dbch \
opacitati lineare interstitiale peribronhovasculare perihilar si hilobazal
dreapta;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
sinusurile costodiafragmatice libere;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 - diafragm normal pozitionat, simetric;}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 - mediastin pozitionat central, cu dimensiuni normale;}{\
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - trahee situata central, fara
anomalii de pozitie sau dimensiuni, fara ingrosari ale liniilor paratraheale;}{\
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - cordul si vasele mari cu
configuratie in limite normale}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lang1036 \langnp1036
\langfe1033 \langfenp1033 ;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 - cutie toracica simetrica, fara anomalii ale elementelor osoase
vizibile;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
tesuturile moi fara anomalii.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Desen interstitial de
tip reticulo-micronodular accentuat, pe ambele campuri pulmonare. Concluzii:}{\fs24
cf0 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \itap0 \
langfe1033 \langfenp1033 \cf1 Aspect radiologic de pneumonie interstitiala.}{\
langnp1033 \langfe1033 \langfenp1033 \cf1 Hipertransparenta campurilor pulmonare
inferioare, cu aparenta largire a spatiilor intercostale. - In observatie astm
bronsic.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 Isis }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
\langnp1036 \langfe1033 \langfenp1033 Opacifiere difuza a ambelor campuri pulmonare
cu prezenta desenului vascular pulmonar.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Opacitate triunghiulara, de
intensitate medie, bine delimitata inferior, in rest cu contur imprecis delimitat,
cu dimensiuni de cca 25/30 mm, situata in 1/3 superioara a campului pulmonar
drept.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Hil drept
cu arie de proiectie crescuta.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Sinusuri costodiafragmatice libere.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Diafragm normal pozitionat, simetric, cu configuratie
normala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Cord cu
dimensiuni in limite normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Concluzii:}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 Proces de condensare pulmonar (lob superior
drept).}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Control }
af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Examinare
radiologica toraco-pulmonara, comparativ cu investigatia din 08.01.2018:}{\fs22 \
langfenp1033 Aspect radiologic
ameliorat prin reducerea dimensionala a procesului de condensare de la nivelul
LSD, in prezent de cca 15/18 mm, cu aceleasi caractere radiologice.}{\fs22 \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Reducere dimensionala a hilului
pulmonar drept.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
\langnp1033 \langfe1033 \langfenp1033 Examinarea radiologica toraco-pulmonara in
decubit dorsal evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Cord cu dimensiuni in limite
af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Ambii
plam\uc1 \u226 ?ni cu transparenta normala, \uc1 \u238 ?n contact cu peretele
toracic pe \uc1 \u238 ?ntreaga suprafata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Opacitate intinsa, nesistematizata, de intensitate medie, neomogena,
contur sters superior si bine delimitata inferior de catre scizura oblica,
proiectata parahilar dreapta.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Sinusuri costodiafragmatice libere.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Diafragm normal pozitionat, simetric, cu configuratie
normala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
\langnp1033 \langfe1033 \langfenp1033 Concluzii:}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Proces de condensare pulmon drept.}{\fs22 \kerning1 \dbch
cf1 Examinarea radiologica toraco-pulmonara in incidenta postero-anterioara
\langnp1036 \langfe1033 \langfenp1033 \cf1 Cord cu diametrul transvers mult marit.}
af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Buton
aortic cu arie de proiectie redusa.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 \cf1 Opacitate intinsa, triunghiulara, cu varful spre hil si baza la
peretele toracic, de intensitate medie, neomogena, imprecis conturata, cu
bronhograma aerica inclusa.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 Multiple opacitati nodulare, de intensitate slaba, neomogene,
imprecis conturate, diseminate bilateral, pe fondul scaderii transparentei
pulmonare.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
Sinusuri costodiafragmatice libere.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 \cf1 Diafragm normal pozitionat, simetric, cu configuratie normala.}{\
ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha
langfenp1033 \cf1 Concluzii:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 Boala mitrala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 Proces de condensare LSS.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 \cf1 In observatie diseminare bronhogena.}{\fs22 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Modificari
fibrointerstitiale nespecifice bazal bilateral, cu posibil substrat infectios
viral.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \
langnp1036 \langfe1033 \langfenp1033 \cf1 Opacitate ovalara, de intensitate mare,
omogena, cu racord in panta lina la peretele toracic, de cca 3 cm,proiectata
latero-toracic in 1/3 inferioara a campului pulmonar drept. }{\fs22 \dbch \af2 \
hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 In
observatie }{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf3 pleurezie inchistata}{\fs22 \dbch \af2 \hich \af0 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 latero-bazal
dreapta.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \
\langnp1033 \langfe1033 \langfenp1033 Arc mediastinal superior drept largit.}{\fs22
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Arc mediastinal stang mult
largit, cu aspect policiclic, contur net.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 \cf1 In observatie }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf3 adenopatie mediastino-hilara
stanga.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
\langnp1033 \langfe1033 \langfenp1033 \cf1 Hipertransparenta dispusa periferic
apico-latero-bazal dreapta, cu lipsa desenului vascular, delimitata de fin lizereu
opac (pleura viscerala); pulmon stang colabat spre hil. }{\b1 \fs22 \kerning1 \dbch
\af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3
Pneumotorax masiv.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\langnp1036 \langfe1033 \langfenp1033 \cf1 Imagine hipertransparenta circumscrisa
de fin lizereu opac, cu dimensiuni de aprox. 95 mm, situata bazal stanga. }{\b1 \
langfenp1033 \cf3 }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 bula giganta de emfizem LIS}{\
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Opacitate macronodulara, de
intensitate medie, neomogena, imprecis delimitata, situata hilar dreapta.}{\fs22 \
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 In observatie }{\fs22 \
langfenp1033 \cf3 formatiune expansiva hilara dreapta}{\fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 .}{\fs22 \
langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \
langfe1033 \langfenp1033 \cf1 Opacitate macronodulara, de intensitate medie,
neomogena,relativ bine conturata, proiectata hilar si subclavicular dreapta
paramediastinal, cu efect retractil asupra mediastinului. }{\fs22 \dbch \af2 \
hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \cf1 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \
\langfe1033 \langfenp1033 \cf1 Opacitate liniara de intensitate mare, bine
delimitata, de aprox. 23 mm situata in 1/3 medie a hemitoracelui stang.- In
observatie }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 \cf1 atelectazie lamelara }{\fs22 \kerning1 \
pulmon stang.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langfe1033 \langfenp1033 \cf3 Status post-lobectomie superioara stanga.}{\fs22 \
langfenp1033 \cf1 Opacitati in banda, de intensitate mare, bine delimitate, situate
in 1/3 inferioare a hemitoracelui drept (status post-lobectomie inferioara dreapta-
anamnestic).}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
\langnp1033 \langfe1033 \langfenp1033 \cf1 Hipertransparenta dobandita a campului
pulmonar drept (status post-mastectomie dreapta).}{\fs22 \kerning1 \dbch \af2 \hich
af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\b1 \fs22 \
langfenp1033 \cf1 Examinarea radiologica toraco-pulmonara in incidenta postero-
anterioara evidentiaza:}{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Torace
rotat.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Cord cu dimensiuni in limite normale.}{\
langnp1036 \langfe1033 \langfenp1033 \cf1 Reducere volumetrica a campului pulmonar
stang si a transparentei sale globale prin prezenta unei opacitati macronodulare,
de intensitate medie-mare, neomogena, imprecis conturata, de cca 5/7 cm, proiectata
hilar stanga, asociata cu focare de condensare neomogene in adiacenta si
ascensionarea hemidiafragmului stang. }{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Ingrosare pleurala
apicala stanga.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Cateva opacitati micronodulare, de
intensitate mare, bine conturate, proiectate in 1/3 medie a campului pulmonar
drept.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langfe1033 \langfenp1033 \cf1 Simfiza sinusului costo-diafragmatic stang.}{\fs22 \
langfenp1033 \cf1 Sinus costodiafragmatic drept liber.}{\fs22 \dbch \af2 \hich \af0
\loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \
lisa0 \widctlpar \lin0 \rin0 \itap0 \outlinelevel0 \fs24 \dbch \af2 \hich \af0 \
loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\b1 \fs22 \dbch \
Formatiune expansiva hilio-pulmonara stanga. }{\b1 \fs22 \dbch \af2 \hich \af0 \
li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \itap0 \outlinelevel0 \fs24 \dbch \
langfenp1033 \cf1 Modificari de fibroza LSS (posibil post-radice).}{\fs22 \dbch \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica toraco-
pulmonara in incidenta postero-anterioara evidentiaza:}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033
\langnp1036 \langfe1033 \langfenp1033 \cf1 Torace rotat.}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 \cf1 Cord cu dimensiuni in limite normale.}{\
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Reducere difuza a
transparentei campului pulmonar drept.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 \cf1 Ingrosare cu contur neregulat a pleurei apico-latero-bazale
drepte.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
predominant dreapta}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Simfiza sinusului costo-diafragmatic stang.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 \cf1 Hemidiafragm drept ascensionat.}{\fs22 \kerning1 \
Ingrosare difuz neregulata pleurala apico-latero-bazala dreapta (}{\b1 \fs22 \
langfenp1033 \cf3 mezoteliom malign}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 ).}{\fs22 \kerning1 \dbch \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Leziuni nodulare
pulmonar bilateral, cu posibil caracter oncologic secundar.}{\fs22 \kerning1 \
Interstitiu peribronhovascular accentuat peri- si infrahilar bilateral.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Modificari fibrointerstitiale
nespecifice.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Hiluri cu
arie de proiectie marita.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Calcificari parietale ale butonului aortic. Ateromatoza aortica.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Opacitate de intensitate mare,
omogena, cu concavitate superioara, ce ocupa 1/3 inferioara a hemitoracelui drept,
asociata cu modificari compresiv-atelectatice ale parenchimului pulmonar
subiacent;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Epansament
pleural.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
Opacifierea sinusului costodiafragmatic stang.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Opacitate in banda, de intensitate mare, apical dreapta.
Pahipleurita apicala dreapta. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Desen interstitial de tip reticular infrahilar bilateral; opacitati
areolare, infracentimetrice, grupate bazal stang (in observatie bronsiectazii).}{\
langfenp1033 \cf1 Interstitiu peribronhovascular accentuat infrahilar bilateral,
predominant dreapta,
pe fondul hipertransparentei campurilor pulmonare superioare. Modificari de
bronsita cronica.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
Opacitati nodulare, de intensitate medie, imprecis delimitate, cu dimensiuni de
pana la aprox. 14 mm, diseminate bilateral, predominant stanga.}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 \cf1 Opacitati lineare interstitiale
peribronhovasculare perihilar si hilobazal bilateral }{\fs22 \kerning1 \dbch \af2 \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Opacitati
lineare si micronodulare de intensitate mare, relativ bine delimitate,situate
intercleidohilar dreapta.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Leziuni subclaviculare drepte cu posibil substrat bacilar sechelar.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Leziuni fibronodulare LSS,
cu posibil substrat sechelar.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Leziuni alveolo-interstitiale cel mai probabil cu substrat bacilar cu
activitate nedeterminata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Ambii plam\uc1 \u226 ?ni \uc1 \
u238 ?n contact cu peretele toracic pe \uc1 \u238 ?ntreaga suprafata.}{\fs22 \
f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Opacitate arciforma dispusa
subclavicular stang (in observatie leziune fibrotica, cu caracter sechelar).}{\fs22
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Sinusuri costodiafragmatice
libere.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Diafragm
normal pozitionat, simetric, cu configuratie normala.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Cord cu dimensiuni in limite normale.}{\fs22 \kerning1 \
leziuni evolutive pleuro-pulmonare decelabile radiologic.}{\fs22 \kerning1 \dbch \
dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Cord
cu dimensiuni in limite normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Ambii plam\uc1 \u226 ?ni cu transparenta normala, \uc1 \u238 ?n
contact cu peretele toracic pe \uc1 \u238 ?ntreaga suprafata.}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 Opacitati de tip alveolo-interstitial,
neomogene, nesistematizate, de intensitate medie, contur neregulat, dispersate
difuz in ambele campuri pulmonare, predominant apical dreapta.}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 Apical stanga imagine hipertransparenta,
delimitata de lizereu opac,cu contur neregulat, ce asociaza benzi opace, cu aspect
fibrotic.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Sinusuri
costodiafragmatice libere.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
kerning1
Diafragm normal pozitionat, simetric, cu configuratie normala.}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 \cf3 Suspiciune TBC secundar, cu imagini
cavitare. }{\fs22 \kerning0 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
\langnp1036 \langfe1033 \langfenp1033 Imagine hipertransparenta, delimitata de un
perete gros opac, neregulat, cu diametre de cca 45/45 mm, proiectata bazal
dreapta, ce asociaza perilezional opacitate intinsa, de intensitate medie,
neomogena. }{\fs22 \kerning0 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036
\langfe1033 \langfenp1033 \cf3 Proces de condensare abcedat LID.}{\fs22 \kerning0 \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Opacitate
triunghiulara, sitematizata, cu baza la peretele toracic si varful spre hil, de
intensitate medie,neomogena, cu bronhograma aerica prezenta, situata in 1/2
hemitorace stang.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs22 \kerning24 \dbch \
Examinarea radiologica toraco-pulmonara in incidenta postero-anterioara
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Silueta cardiaca global marita.}
Calcificari parietale ale butonului aortic.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Ambii plam\uc1 \u226 ?ni cu transparenta normala, \uc1 \
u238 ?n contact cu peretele toracic pe \uc1 \u238 ?ntreaga suprafata.}{\fs22 \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Opacitate nesistematizata, de
intensitate mare, neomogena, contur inferior sters, cu bronhograma aerica inclusa,
avand efect retractil asupra hilului drept, ce ocupa 1/3 superioara a campului
pulmonar drept.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Ingrosare interstitiala cu aspect reticulat hiliobazal bilateral, predominant
dreapta.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Ingrosare
pleurala apico-latero-bazal dreapta.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 Simfiza sinusului costodiafragmatic drept.}{\fs22 \kerning1 \dbch \af2
\langfe1033 \langfenp1033 Sinus costodiafragmatic stang liber.}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 Diafragm normal pozitionat, simetric, cu
langfe1033 \langfenp1033 {\fs22 \kerning24 \dbch \af2 \hich \af0 \loch \f0 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Concluzii:}{\fs22 \kerning24 \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Cardiomegalie. Ateromatoza
aortica.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
Proces de condensare LSD (cu posibil substrat oncologic}{\fs22 \kerning1 \dbch \af2
\hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 ).}{\fs22 \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Pahipleurita dreapta.}{\fs22 \
langfenp1033 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \lisa0
\nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \kerning1 \dbch \af2 \hich \af0 \
af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Modificari
interstitiale nespecifice.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Chest X-Ray in PA
projection shows:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 The heart and
great vessels of normal configuration.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 \cf1 Both lungs with normal transparency, in contact with the thoracic
wall on their entire surface.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 No pulmonary vascular or structural anomalies.}{\fs22 \kerning1 \
\langnp3082 \langfe1033 \langfenp1033 \cf1 Free costodiaphragmatic recesses.}{\fs22
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Normally positioned
diaphragm, symmetrical and normally configured;}{\fs22 \kerning1 \dbch \af2 \hich \
Conclusions:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Without pleuro-pulmonary lesions evolving.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
\hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Examinarea
radiologica a hemitoracelui osos evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Coaste normale ca forma, numar si pozitie.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Spatii intercostale de
dimensiuni normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Structura si mineralizare osoasa normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Fara pneumotorax.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Fara revarsat lichidian pleural.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Fara anomalii pulmonare vizibile.}{\fs22 \kerning1 \
langfe1033 \langfenp1033 \cf3 Examinarea radiologica toraco-pulmonara in decubit
dorsal evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
\langnp3082 \langfe1033 \langfenp1033 \cf1 Torace rotat.}{\fs22 \kerning1 \dbch \
\langnp3082 \langfe1033 \langfenp1033 \cf1 Cord etalat; mediastin superior largit
ce nu permite aprecierea corecta a campului pulmonar superior stang.}{\fs22 \
kerning1
\langnp3082 \langfe1033 \langfenp1033 \cf1 Ambii plam\uc1 \u226 ?ni cu transparenta
normala, \uc1 \u238 ?n contact cu peretele toracic pe \uc1 \u238 ?ntreaga
suprafata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Desen
pulmonar accentuat hiliobazal dreapta.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 \cf1 Sinusuri costodiafragmatice libere.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 \cf1 Diafragm normal pozitionat, simetric, cu
Examinarea radiologica a coloanei cervicale/ dorsale/ lombare in doua incidente
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Corpuri
vertebrale normal aliniate, fara modificari de ax.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Vertebre normale ca numar, forma si marime.}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Contururi exterioare si platouri
vertebrale cu margini fine.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Fara modificari de structura osoasa.}{\fs22 \kerning1 \dbch \af2 \hich
\langfe1033 \langfenp1033 Spatii intervertebrale pastrate in limite normale.}{\fs22
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Fara calcificari heterotope.}{\
langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \
itap0 \outlinelevel0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Fara leziuni degenerative vertebro-
discale vizibile radiologic.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \outlinelevel0 \
langnp1033 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica a coloanei
cervicale in doua incidente evidentiaza:}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
Corpuri vertebrale normal aliniate, fara modificari de ax.}{\fs22 \dbch \af2 \
langfenp1033 \cf1 Vertebre normale ca numar, forma si marime.}{\fs22 \dbch \af2 \
langfenp1033 \cf1 Contururi exterioare si platouri vertebrale cu margini fine.}{\
langnp1036 \langfe1033 \langfenp1033 \cf1 Fara modificari de structura osoasa.}{\
langnp1036 \langfe1033 \langfenp1033 \cf1 Spatii intervertebrale pastrate in limite
normale.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Fara calcificari heterotope.}{\fs22 \dbch
}\pard \plain \li0 \ri0 \lisb0 \lisa0
\nowidctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \outlinelevel0 \fs24 \dbch \af2 \
langfenp1033 \cf1 Examinarea radiologica a coloanei dorsale in doua incidente
evidentiaza:}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Corpuri vertebrale
normal aliniate, fara modificari de ax.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Vertebre normale ca
numar, forma si marime.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Contururi exterioare
si platouri vertebrale cu margini fine.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Fara modificari de
structura osoasa.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Spatii intervertebrale pastrate
in limite normale.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Fara calcificari heterotope.}{\
lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \outlinelevel0 \fs24 \dbch \af2 \
langfenp1033 \cf1 Examinarea radiologica a coloanei lombare in doua incidente
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Corpuri vertebrale
normal aliniate, fara modificari de ax.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Vertebre normale ca
numar, forma si marime.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Contururi exterioare
si platouri vertebrale cu margini fine.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Fara modificari de
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Spatii intervertebrale pastrate
in limite normale.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Fara calcificari heterotope.}{\
langfenp1033 \cf1 }{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Stergerea lordozei
fiziologice cervicale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
mici fragmente osoase la nivelul colturilor antero-superioare vertebre L1-L4-
Limbus vertebra.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Modificari degenerative
coloana }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Ingustarea
spatiilor i-v C5-C6 , cu discreta scleroza a suprafetelor discale si mici osteofite
marginale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
de artroza interapofizara posterioara L3-L4, L4-L5, L5-S1.}{\fs22 \kerning1 \dbch \
pard \plain \s36 \li0 \ri0 \lisb0 \lisa0
\nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \kerning1 \dbch \af2 \hich \af0 \
Rectitudinea coloanei cervicale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Fara modificari degenerative vertebro-discale.}{\fs22 \kerning1 \
\langnp3082 \langfe1033 \langfenp1033 \cf1 Status post-operator la nivel C6-C7-
implant radioopac. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\langnp3082 \langfe1033 \langfenp1033 Scolioza lombara dextro-convexa.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Demineralizare osoasa
accentuata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
Reducere difuza a intensitatii structurii osoase a pieselor vertebrale lombare.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Ingustarea spatiului i-v. L5-
S1.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
Spondilolistezis L5/S1.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 M}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \cf1 odificari sclerotice heterogene la
nivelul colturilor vertebrale anterioare T12- L1.}{\fs22 \kerning1 \dbch \af2 \hich
\langfe1033 \langfenp1033 Osteofite marginale anterioare si laterale etajate.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Calcificari pe traiectul vaselor
abdominale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Osteoscleroza platourilor vertebrale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Spatii intervertebrale ingustate in 1/3 superioara.}{\fs22 \kerning1 \
\langnp3082 \langfe1033 \langfenp1033 Osteofite marginale anterioare etajate si
laterale cu formare de punti i-v. T7-T10.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Osteofite
marginale anterioare si laterale etajate.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Scolioza dorsala dextroconcava cu varf la T9-T10 si unghi Cobb de 12
grade.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Fenomen de
vacuum discal L1-L2.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Crestere difuza a intensitatii structurii osoase a pieselor vertebrale lombare.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Arie osteosclerotica
nodulara, de aprox. 9 mm la nivelul corpului vertebral L2.}{\fs22 \kerning1 \dbch \
\langnp3082 \langfe1033 \langfenp1033 \cf1 Osteoscleroza corpului vertebral L5- }{\
langfenp1033 \cf3 Leziuni osteosclerotice difuze, cu posibil substrat oncologic
secundar.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
\langnp3082 \langfe1033 \langfenp1033 \cf3 Status post-artrodeza chirurgicala L3-
L5.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 \par
\langnp3082 \langfe1033 \langfenp1033 Consult Recuperare Medicala.}{\fs22 \kerning1
\langnp3082 \langfe1033 \langfenp1033 Modificari de spondiloza\uc1 \u160 ?
cervicala. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 S.A}{\fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 .: }{\fs22 \
langfenp1033 Calcificarea ligamentului longitudinal anterior.}{\fs22 \kerning1 \
dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 }{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Rectitudinea coloanei
cervicale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Ingustarea spatiilor i-v. C5-C6.}{\
langnp3082 \langfe1033 \langfenp1033 Uncartroza.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Modificari de uncartroza si artroza interapofizara
posterioara.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
accentuate de statica vertebrala cu accentuata cifoza dorsala.}{\fs22 \kerning1 \
langfe1033 \langfenp1033 Ingustarea spatiilor i-v. toracale, cu sindesmofite si
formare de punti intervertebrale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
Examinarea radiologica a coloanei lombare in doua incidente evidentiaza:}{\fs22 \
langfenp1033 \cf1 Stergerea lordozei fiziologice lombare.}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 \cf1 Vertebre lombare patrate.}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Ingustarea spatiilor i-v.
lombare, cu sindesmofite si formare de punti intervertebrale (aspect de "coloana de
bambus").}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
Calcificarea ligamentului longitudinal anterior.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 \cf1 Osificarea ligamentului posterior interspinos.}{\
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Calcificari pe traiectul
probabil al vaselor abdominale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Concluzii:}{\fs22 \kerning1
\langnp1036 \langfe1033 \langfenp1033 \cf1 In observatie }{\fs22 \kerning1 \dbch \
spondilita anchilopoietica.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Recomandari:}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Consult Reumatologie.}{\
langfenp1033
\cf1 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \
lin0 \rin0 \itap0 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \outlinelevel0 \fs24 \dbch \af2 \
langfenp1033 \cf1 Examinarea radiologica a coloanei lombare in doua incidente
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Reducerea lordozei
fiziologice lombare.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Reducere anterioara a inaltimii
corpului vertebral L2.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Reducere peste 50% a inaltimii
corpului vertebral L4, cu aparenta largire a spatiului i-v. }{\fs22 \dbch \af2 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 L4-L5..}{\
langfe1033 \langfenp1033 \cf1 Osteoscleroza platourilor vertebrale.}{\fs22 \dbch \
langfe1033 \langfenp1033 \cf1 Concluzii:}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Tasare L2, L4.}{\fs22
langnp1036 \langfe1033 \langfenp1033 \cf1 Recomandari:}{\fs22 \dbch \af2 \hich \af0
\loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 \line }{\fs22 \
Consult Neurochirurgie.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
radiologica a coloanei cervicale in doua incidente evidentiaza:}{\fs22 \dbch \af2 \
langfe1033 \langfenp1033 \cf1 Stergerea lordozei fiziologice cervicale.}{\fs22 \
langfenp1033 \cf1 Vertebra C5 asimetrica, avand structura osoasa usor neomogena, ce
asociaza reducerea inaltimii corpului vertebral la nivel median si ingustarea
spatiului i-v C5-C6.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Ingustarea spatiului
i-v C4-C5.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033
langfe1033 \langfenp1033 \cf1 Recomandari:}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
Neurochirurgie.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
langnp1036 \langfe1033 \langfenp1033 \cf1 IRM coloana cervicala.}{\fs22 \dbch \
radiologica a coloanei cervicale in doua incidente evidentiaza:}{\b1 \fs22 \
s36 \li0 \ri0 \lisb0 \lisa0 \nowidctlpar
\aspalpha \lin0 \rin0 \itap0 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \
af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Stergerea
lordozei fiziologice cervicale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 Spina bifida C6, C7.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 \cf1 Fara modificari de structura osoasa.}{\fs22 \kerning1 \dbch \
\langnp3082 \langfe1033 \langfenp1033 \cf1 Fuziune partiala a corpurilor vertebrale
C3-C4 si totala la nivel C6-C7. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
Examinarea radiologica a coloanei dorso-lombare in doua incidente evidentiaza:}{\
langfenp1033 \cf1 Scolioza dorso-lombara cu vertebre de varf la nivel T11 si L3. }
Stergerea cifozei fiziologice dorsale si a lordozei lombare.}{\fs22 \kerning1 \dbch
\langnp3082 \langfe1033 \langfenp1033 \cf1 Fuziune partiala la nivelul corpurilor
vertebrale T3-T4-T5 si L2-L3-L4-L5.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 -}{\b1 \fs22 \kerning1 \
blocuri congenitale}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 \cf1 .}{\fs22 \kerning1 \dbch \af2 \hich \
f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 In observatie }{\b1 \fs22 \
langfenp1033 \cf3 hemivertebra T5.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
\langfe1033 \langfenp1033 \cf1 Fara modificari de structura osoasa.}{\fs22 \
langfenp1033 \cf1 Examinarea radiologica sacro-coccigiana in doua incidente
langnp3082 \langfe1033 \langfenp1033 \cf1 \line }{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 \cf1 Segmente osoase normal configurate si articulate.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Fara modificari de
structura osoasa.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Fara calcificari heterotope.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
\langfe1033 \langfenp1033 \cf1 Tesuturi moi fara anomalii radiologice.}{\b1 \fs22 \
langfenp1033 }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
\langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \s36 \qr \li0 \ri0 \
langfenp1033 Tesuturi moi fara anomalii radiologice.}{\fs22 \kerning1 \dbch \af2 \
langfenp1033 Examinarea radiologica a articulatiei umarului evidentiaza:}{\fs22 \
\lin0 \rin0 \itap0 \fs24 \kerning1
\dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
langfe1033 \langfenp1033 Elemente osoase componente de forma normala, cu
articularea adecvata a capului humeral in cavitatea glenoida a scapulei.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Structura si mineralizare osoasa
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Suprafete
articulare cu contururi normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Spatiu articular de dimensiune normala.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Tesuturi moi fara anomalii radiologice.}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Leziune ovalara
hipertransparenta, bine delimitata,situata la nivelul epifizei proximale a
humerusului stang.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Calcificare in adiacenta marelui tubercul, cel mai probabil cu apartenenta la
tendonul muschiului supraspinos.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf3 Tendinita calcica supraspinos in observatie.}{\fs22 \kerning1 \
Features of acromioclavicular joint injury include:}{\fs22 \kerning1 \dbch \af2 \
af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf3 }
langfe1033 \langfenp1033 \cf1 * soft tissue swelling/stranding}{\fs22 \kerning1 \
\langnp1033 \langfe1033 \langfenp1033 \cf1 may be the only finding in grade
I injuries.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
* widening of the AC joint }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 -normal: 5-8 mm (narrower in the elderly)}{\fs22 \
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 - greater than 2-4
mm asymmetry (compared to radiographs of the contralateral side)}{\fs22 \kerning1 \
\langnp1033 \langfe1033 \langfenp1033 \cf1 * increased coracoclavicular (CC)
distance}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
- normal: 10-13 mm}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
- greater than 5 mm asymmetry (compared to radiographs of the contralateral side)}
af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 *
superior displacement of the distal clavicle}{\fs22 \kerning1 \dbch \af2 \hich \af0
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf3 Y scapula}{\fs22 \
langfenp1033 \cf1 This projection is useful in the evaluation of suspected
shoulder dislocations. In a }{\fs22
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 normal shoulder, this
projection shows the humeral head directly superimposed over }{\fs22 \kerning1 \
\langnp1033 \langfe1033 \langfenp1033 \cf1 the junction of the Y. In anterior
dislocations, the humeral head is beneath the coracoid }{\fs22 \kerning1 \dbch \af2
\langfe1033 \langfenp1033 \cf1 process; in posterior dislocations, it is projected
beneath the acromion process.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langnp3082 \langfe1033 \langfenp1033 Examinarea radiologica a articulatiei cotului
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Portiunea
distala a humerusului, radius si ulna cu forma si pozitie normale.}{\fs22 \kerning1
\langnp3082 \langfe1033 \langfenp1033 Structura si mineralizare osoasa adecvate.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Corticala cu grosime normala,
fara discontinuitati.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Suprafete articulare normal conturate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 Spatiu articular cu dimensiuni normale.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Fara calcificari intra- si periarticulare.}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Tesuturi moi fara calcificari
sau corpi straini radioopaci.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Calcificare ovalara, de aprox.
14 mm, in partile moi adiacente epicondilului lateral humeral.}{\fs22 \kerning1 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 In observatie }{\b1 \fs22 \
langfenp1033 \cf3 tendinita calcica extensor comun}{\fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 .}{\fs22 \
langfenp1033 Fina linie transparenta la nivelul epicondilului lateral.}{\fs22 \
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Semn "fat pad" pozitiv.}{\fs22 \
langfenp1033 Examinarea radiologica a articulatiei pumnului drept in doua incidente
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Segmente
osoase normal configurate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Fara modificari de structura osoasa.}{\fs22 \kerning1 \dbch \af2 \hich
langfenp1033 {\fs22 \kerning1 \dbch \af2 \hich \af0
\loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Spatii articulare in
limite normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Fara
langfenp1033 Tesuturi moi fara anomalii radiologice.}{\fs22 \kerning1 \dbch \af2 \
langfenp1033 Examinarea radiologica a articulatiei cotului evidentiaza:}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Portiunea distala a humerusului,
radius si ulna cu forma si pozitie normale.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Structura si mineralizare osoasa adecvate.}{\fs22 \
fara discontinuitati.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Suprafete articulare normal conturate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 Spatiu articular cu dimensiuni normale.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Fara calcificari intra- si periarticulare.}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Tesuturi moi fara calcificari
sau corpi straini radioopaci.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Examinarea radiologica a articulatiei cotului stang evidentiaza:}{\
langfenp1033 Portiunea distala a humerusului, radius si ulna cu forma si pozitie
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Imagine
liniare de osteocondensare la nivelul 1/3 proximale a radiusului stang, in rest
structura si mineralizare osoasa adecvate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Suprafete articulare normal conturate.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Spatiu articular cu dimensiuni normale.}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Fara calcificari intra- si
periarticulare.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
Tesuturi moi fara calcificari sau corpi straini radioopaci.}{\fs22 \kerning1 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 In
observatie sechele posttraumatice la nivelul radiusului stang (de coroborat cu
datele anamnestice).}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
langnp1036 \langfe1033
\langnp1036 \langfe1033 \langfenp1033 \cf1 Mic fragment osos proiectat posterior de
oasele carpiene vizibil in incidenta de profil.}{\fs22 \kerning1 \dbch \af2 \hich \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 In observatie}{\b1 \fs22 \
langfenp1033 \cf10 fractura prin avulsie os piramidal }{\fs22 \kerning1 \dbch \af2
\hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 .}{\
Fractura subperiostala ("in lemn verde") epifiza distala radius drept.}{\fs22 \dbch
langfe1033 \langfenp1033 Examinarea radiologica a mainii in doua incidente
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Segmente osoase normal
configurate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
modificari de structura osoasa.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Spatii articulare in limite normale.}{\fs22 \kerning1 \dbch \af2 \hich
\langfe1033 \langfenp1033 Fara calcificari heterotope.}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 Tesuturi moi fara anomalii radiologice.}{\
Demineralizare osoasa difuza /accentuata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
Ingustarea pronuntata a spatiilor radiocarpiene bilateral.}{\fs22 \kerning1 \dbch \
langfenp1033 Ingustare marcata a spatiilor carpo-metacarpiene bilateral, cu
anchiloza partiala, cu eroziuni marginale si microgeode.}{\fs22 \kerning1 \dbch \
langfenp1033 Usoara ingustare a spatiilor metacarpo-falangiene si interfalangiene
bilateral, cu osteofite marginale laterale.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Modificari sugestive de }{\b1 \fs22 \kerning1 \dbch \
poliartrita reumatoida}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 . }{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langnp2057 \langfe1033 \langfenp1033 \cf1 }{\fs22 \dbch \af2 \hich \af0 \loch \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \line }{\fs22 \dbch \af2 \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Control
Ortopedie.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
langfenp1033 Examinarea radiologica a bazinului evidentiaza:}{\fs22 \kerning1 \dbch
langfe1033 \langfenp1033 {\fs22 \kerning1
Bazin simetric.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
Marginile superioare ale crestelor iliace simetric pozitionate.}{\fs22 \kerning1 \
\langnp3082 \langfe1033 \langfenp1033 Fara modificari de structura osoasa.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Sacrul si portiunile vizibile
ale coloanei lombare cu aspect normal.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 Spatii articulare coxo-femurale si sacro-iliace in limite normale.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Fara calcificari heterotope.}{\
\langfe1033 \langfenp1033 Pensarea spatiilor coxo-femurale bilateral, cu usoara
scleroza a sprancenelor cotiloide. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
Pensarea spatiului coxo-femural stang, cu usoara scleroza a sprancenei cotiloide. }
\langfe1033 \langfenp1033 \cf1 Ingustarea marcata pana la anchiloza a spatiului
articular coxo-femural stang, cu osteoscleroza adiacenta si eroziuni subcondrale.}
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Cap
femural stang turtit, deformat.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Modificari
sugestive de coxartroza bilaterala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Artroplastie totala de sold
Componentele protezei normal situate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Cap femural stang cu sfericitate pastrata.}{\fs22 \kerning1 \dbch \af2
\langfe1033 \langfenp1033 \cf1 Geode subcondrale dezvoltate in portiunea superioara
a regiunii cefalice femurale drepte.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 \cf1 Leziuni degenerative coxo-femurale bilateral.}{\fs22 \kerning1 \
rin0 \itap0 \outlinelevel0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
bazinului evidentiaza:}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Bazin simetric.}{\
langnp1033 \langfe1033 \langfenp1033 \cf1 Marginile superioare ale crestelor iliace
simetric pozitionate.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af2 \hich \af0
\loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Fara modificari de
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Sacrul cu aspect normal.}{\fs22
cf0 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \
langfe1033 \langfenp1033 \cf1 Spatii articulare coxo-femurale in limite normale.}{\
langfe1033 \langfenp1033 \cf1 Capete femurale cu sfericitate pastrata.}{\fs22 \dbch
langfenp1033 \cf1 Discreta osteoscleroza a sprancenelor cotiloide.}{\fs22 \dbch \
langfenp1033 \cf1 Fara calcificari heterotope.}{\fs22 \dbch \af2 \hich \af0 \loch \
langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica a
bazinului si articulatiei soldului bilateral (in incidenta de profil) evidentiaza:}
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Bazin asimetric.}{\
langnp1033 \langfe1033 \langfenp1033 \cf1 Sacrul cu aspect normal.}{\fs22 \dbch \
langfenp1033 \cf1 Ingustarea marcata a spatiului articular coxo-femural drept, cu
osteoscleroza adiacenta si eroziuni subcondrale.}{\fs22 \dbch \af2 \hich \af0 \loch
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Cap femural
drept turtit, deformat.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
sa283 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Artroplastie totala
de sold stang.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 \cf1 \line }{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Componentele protezei normal
situate.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 plaje
de intensitate crescuta, neomogene, imprecis delimitate, izolate si confluente la
nivelul osului coxal stang, cu extensie catre regiunea cefalica femurala stanga; }
langfe1033 \langfenp1033 \cf3 Leziuni osteocondensante coxo-vertebrale cu posibil
substrat secundar.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
radiologica a bazinului evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Bazin usor asimetric.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Plaje nesistematizate de
osteocondensare, neomogene, imprecis delimitate, la nivelul osului coxal drept, cu
extensie catre epifiza proximala femurala dreapta; leziuni similare prezente si la
nivelul epifizei proximale femurale stangi.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 \cf1 Arii circumscrise de scadere a intensitatii osoase
proiectate la nivelul aripii iliace drepte, regiunilor cefalice femurale bilateral.
marelui trohanter drept si colului femural stang.}{\fs22 \kerning1 \dbch \af2 \hich
\langfe1033 \langfenp1033 \cf1 Capete femurale cu sfericitate pastrata.}{\fs22 \
langnp1033 \langfe1033 \langfenp1033
{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033
\langfenp1033 \cf1 Sacrul si portiunile vizibile ale coloanei lombare cu aspect
normal.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
Spatii articulare coxo-femurale in limite normale.}{\fs22 \kerning1 \dbch \af2 \
Concuzii:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 \cf1 Leziuni osteocondensante asociate cu arii de scadere
a transparentei osoase la nivelul aripii iliace drepte si extremitatilor proximale
femurale, ce ar putea avea semnificatia unei }{\b1 \fs22 \kerning1 \dbch \af2 \hich
\af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 boli Paget}{\
langfenp1033 \cf1 .}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\line }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \
langfe1033 \langfenp1033 \cf1 Hemibazin stang cu structura osoasa intens neomogena;
osteocondensare intinsa, imprecis delimitata, la baza osului iliac stang; multiple
arii de reducere a intensitatii osoase, juxtacentimetrice, unele cu lizereu
osteosclerotic; leziuni similare prezente si la nivelul capului femural stang. }{\
langfe1033 \langfenp1033 \cf3 Boala Paget.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 1. Examinarea radiologica
a articulatiei soldului evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Elemente osoase componente de
forma normala, cu articularea adecvata a capului femural in cavitatea cotiloida.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Structura si mineralizare osoasa
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Suprafete
articulare cu contururi normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Spatiu articular coxo-femural de dimensiune normala.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Tesuturi moi fara anomalii
radiologice.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
\langnp3082 \langfe1033 \langfenp1033 Calcificare neomogena proiectata supero-
lateral de articulatia soldului. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 tendinita calcica drept
femural}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
\langnp3082 \langfe1033 \langfenp1033 Ingrosarea cartilajului de crestere a capului
femural, cu deplasarea epifizei proximale fata de metafiza.}{\fs22 \kerning1 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf15 Epifizioliza cap femural }{\
langfenp1033 in observatie.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s36 \qj \fi-
270 \li270 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin270 \rin0 \itap0 \fs24 \
\langfe1033 \langfenp1033 \par }\pard \plain \s36 \qj \fi-270 \li270 \ri0 \lisb0 \
langfe1033 \langfenp1033 \cf15 EPIFIZIOLIZA CAPULUI FEMURAL}{\fs22 \kerning1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 Radiologic: }{\fs22 \kerning1 \
alunecare posteroinferioar}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f8 \
lang1048 \langnp1048 \langfe1033 \langfenp1033 \uc1 \u259 ? }{\fs22 \kerning1 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1 \
u8594 ?}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f8 \lang1048 \langnp1048 \
langfe1033 \langfenp1033 fractur\uc1 \u259 ? Salter-Harris I, linia lui Klein nu
mai intersecteaz\uc1 \u259 ? epifiza (normal 1/4-1/5). Fiza l\uc1 \u259 ?rgit\uc1 \
u259 ?, contur flu, \uc1 \u238 ?ncurbat\uc1 \u259 ?. Sc\uc1 \u259 ?derea \uc1 \u238
?n \uc1 \u238 ?n\uc1 \u259 ?l\uc1 \u355 ?ime a epifizelor care se proiecteaz\uc1 \
u259 ? par\uc1 \u355 ?ial peste metafiz\uc1 \u259 ?, ce apare largit\uc1 \u259 ?.
Deplasarea supero-extern\uc1 \u259 ? a colului femura}{\fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f0 \lang1048 \langnp1048 \langfe1033 \langfenp1033 l. }{\fs22 \
langnp3082 \langfe1033 \langfenp1033 Examinarea radiologica a articulatiei soldului
si femurului drept evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Fractura cominutiva cu deplasare
1/3 superioara diafiza femurala dreapta, operata.}{\fs22 \kerning1 \dbch \af2 \hich
\langfe1033 \langfenp1033 Material de osteosinteza- tija centromedulara.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Spatiu articular coxo-femural
drept ingustat.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1048 \
Tesuturi moi fara anomalii radiologice.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
\hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 NACF }{\
langnp3082 \langfe1033 \langfenp1033 \cf3 Examinarea radiologica a articulatiei
coxo-femurale bilateral evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 Spatiul articular
coxo-femural stang aparent largit, cu scleroza sprancenei acetabulare.}{\fs22 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 Spatiul articular
coxo-femural drept in limite normale, cu scleroza sprancenei acetabulare.}{\fs22 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 Capete femurale cu
structura inomogena, prin prezenta de zone de demineralizare rotund-ovalare,
asociate cu zone de osteoscleroza.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
langnp3082 \langfe1033 \langfenp1033 \cf3 Cap femural drept cu sfericitate
pastrata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langfenp1033 \cf3 Cap femural stang turtit, deformat.}{\fs22 \kerning1 \dbch \af2 \
\langnp3082 \langfe1033 \langfenp1033 Spatiu articular coxo-femural stang in limite
normale, cu scleroza sprancenei acetabulare.}{\fs22 \kerning1 \dbch \af2 \hich \af0
langfenp1033 Spatiul coxo-femural drept ingustat, cu scleroza suprafetelor
articulare.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Zone
de demineralizare rotund-ovalare, cu contur sters la nivelul capului femural drept
si acetabulului.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Cap
femural drept cu sfericitate pastrata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 1. Multiple leziuni
de pierdere a substantei osoase, confluente, neomogene, ce intrerup corticala
osoasa,localizate la nivelul ramului pubian inferior si ischionului stang.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Concluzii: Leziuni osteolitice
ischio-pubiene cel mai probabil cu substrat oncologic secundar.}{\fs22 \kerning1 \
Bazin cu aspect radiologic normal,cu extremitatile proximale ale oaselor femurale
normal situate,fara modificari ale oblicitatii tavanului cotiloidian (unghi de
aproximativ 22 grade),cu arcuri cervico-obturatorii integre}{\fs22 \kerning1 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Nuclei de crestere
femurali proximali prezenti.}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \
plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \itap0 \outlinelevel0 \fs24 \
langfenp1033 \cf3 Examinarea radiologica a bazinului evidentiaza:}{\fs22 \dbch \af2
\hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 \par }\
langfe1033 \langfenp1033 \cf3 Extremitatile proximale ale oaselor femurale normal
situate,fara modificari ale oblicitatii tavanului cotiloidian.}{\fs22 \dbch \af2 \
langfenp1033 \cf3 Arcuri cervico-obturatorii integre.}{\fs22 \dbch \af2 \hich \
Nuclei de crestere femurali proximali prezenti.}{\fs22 \dbch \af2 \hich \af0 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 Luxatie congenitala sold}{\
langnp3082 \langfe1033 \langfenp1033 Bazin asimetric.}{\fs22 \kerning1 \dbch \af2 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Articulatia coxo-femurala
stanga in limite normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langnp3082 \langfe1033 \langfenp1033 La nivelul articulatiei coxo-femurale drepte
se evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 -
nucleul capului femural de dimensiuni si intensitate scazute, proiectat in cadranul
supero-extern;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
planul cavitatii cotiloide aplatizat cu unghi de inclinatie de 35o;}{\fs22 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 -linie cervico-obturatorie
intrerupta;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
col femural drept deplasat latero-extern la 30 mm de acetabul.}{\fs22 \kerning1 \
langfe1033 \langfenp1033 Bazin asimetric.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
fs24 \kerning1 \dbch
langfenp1033 Articulatia coxo-femurala stanga in limite normale.}{\fs22 \kerning1 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Nuclei de crestere cap
femural prezenti bilateral.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langnp3082 \langfe1033 \langfenp1033 Nucleul capului femural drept proiectat
partial in cadranul supero-extern.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
langnp3082 \langfe1033 \langfenp1033 Unghi acetabular drept de 30 o}{\fs22 \
\hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Asimetrie
sincondroza ischio-pubiana, cu usoara intarziere de partea dreapta.}{\fs22 \
langfenp1033 2. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 Bazin asimetric}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Coxal stang hipoplazic.}{\fs22 \kerning1 \dbch \af2 \hich
\langfe1033 \langfenp1033 Spatiu articular coxo-femural drept aparent largit, prin
aplatizarea nucleului capului femural drept.}{\fs22 \kerning1 \dbch \af2 \hich \af0
langfenp1033 Nucleu de crestere neomogen, cu zone de osteoscleroza.}{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Col femural drept scurtat.}{\
langnp1033 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica a bazinului
\langnp1033 \langfe1033 \langfenp1033 \cf1 Bazin simetric.}{\fs22 \kerning1 \dbch \
\langnp1033 \langfe1033 \langfenp1033 \cf1 Marginile superioare ale crestelor
iliace simetric pozitionate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 Sacrul si portiunile vizibile ale coloanei lombare cu aspect
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Cap
femural drept usor turtit, cu structura osoasa inomogena prin prezenta de zone de
osteocondensare, asociind aparenta largire a spatiului articular coxo-femural
af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Col
femural drept scurtat.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
Spatiu articular coxo-femural stang in limite normale.}{\fs22 \kerning1 \dbch \
\langnp1033 \langfe1033 \langfenp1033 \cf1 Cap femural stang cu sfericitate
pastrata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Fara
\hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 CONCLUZII: }{\
b1 \fs22 \kerning1 \dbch \af2 \hich \af0
\loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 Osteocondrita cap
femural (boala Legg-Calve-Perthes)}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
\hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Examinarea
radiologica a articulatiilor sacroiliace evidentiaza:}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Suprafete articulare cu contururi normale.}{\fs22 \
fina, bine delimitata, fara discontinuitati.}{\fs22 \kerning1 \dbch \af2 \hich \af0
langfenp1033 Spatii articulare cu dimensiuni normale.}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Tesuturi moi fara calcificari sau corpi straini
radioopaci.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
}\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \itap0 \
outlinelevel0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 Stergerea interliniului articular sacro-
iliac bilateral, cu osteoscleroza versantilor articulari.}{\fs22 \dbch \af2 \hich \
langfenp1033 Sacroileitis grading}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Sacroiliitis grading can be
achieved using plain films according to the New York criteria 4.}{\fs22 \kerning1 \
grade 0: normal}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
grade I: some blurring of the joint margins - suspicious}{\fs22 \kerning1 \dbch \
\langnp1033 \langfe1033 \langfenp1033 grade II: minimal sclerosis with some
erosion}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 grade
III:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
definite sclerosis on both sides of joint 5}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 severe erosions with widening of joint space with
or without ankylosis}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 grade IV: complete ankylosis}{\fs22 \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \par }\pard \plain \s36 \qj \
fi720 \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \
langnp1036 \langfe1033 \langfenp1033 \cf3 SA}{\fs22 \kerning1 \dbch \af2 \hich \af0
\loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - \uc1 \u206 ?n cazul
artritei sacroiliace modific}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f8 \
lang1048 \langnp1048 \langfe1033 \langfenp1033 \uc1 \u259 ?rile radiologice apar
simetrice \uc1 \u351 ?i sunt grupate \uc1 \u238 ?n mai multe stadii: }{\fs22 \
langfenp1033 \par }\pard \plain \s36 \qj \li1080 \ri0 \lisb0 \lisa0 \nowidctlpar \
aspalpha \lin1080 \rin0 \tql \tx1080 \itap0 \ls1 \fs24 \kerning1 \dbch \af2 \hich \
af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \
plain \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \f0 5\tab }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 stadiul 0: aspect radiologic
normal;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \par }\pard
\plain \s36 \qj \li1080 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin1080 \rin0 \
tql \tx1080 \itap0 \ls2 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs24 \
langfenp1033 \f0 6\tab }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 stadiul I: aspect radiologic posibil
anormal; }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \par }\pard \plain \s36 \qj \li1080 \ri0 \lisb0 \lisa0 \
nowidctlpar \aspalpha \lin1080 \rin0 \tql \tx1080 \itap0 \ls3 \fs24 \kerning1 \dbch
\af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\
listtext \pard \plain \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \f0 7\tab }{\fs22 \kerning1 \dbch \af2 \hich \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 stadiul II: scleroz}
langfe1033 \langfenp1033 \uc1 \u259 ? marginal\uc1 \u259 ?; }{\fs22 \kerning1 \dbch
pard \plain \s36 \qj \li1080 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin1080 \
rin0 \tql \tx1080 \itap0 \ls4 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs24 \
langfenp1033 \f0 8\tab }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 stadiul III: scleroz}{\fs22 \
langfenp1033 \uc1 \u259 ? marginal\uc1 \u259 ? \uc1 \u351 ?i eroziuni; }{\fs22 \
langfenp1033 \par }\pard \plain \s36 \qj \li1080 \ri0 \lisb0 \lisa0 \nowidctlpar \
aspalpha \lin1080 \rin0 \tql \tx1080 \itap0 \ls5 \fs24 \kerning1 \dbch \af2 \hich \
af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \
plain \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \f0 9\tab }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 stadiul IV: dispari}{\fs22 \
langfenp1033 \uc1 \u355 ?ia spa\uc1 \u355 ?iului articular. }{\fs22 \kerning1 \dbch
langfe1033 \langfenp1033 Osteoarthritis hip - grading}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 grade 0: normal}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 grade 1: possible joint space narrowing and subtle
osteophytes}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
grade 2: definite joint space narrowing, defined osteophytes and some sclerosis,
especially in acetabular region}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 grade 3: marked joint space narrowing, small osteophytes, some
sclerosis and cyst formation and deformity of femoral head and acetabulum}{\fs22 \
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 grade 4: gross loss of joint
space with above features plus large osteophytes and increased deformity of the
femoral head and acetabulum}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
radiologica a articulatiei genunchiului in doua incidente (in ortostatism)
langnp1033 \langfe1033 \langfenp1033 \cf1 \line }{\b1 \fs22 \kerning1 \dbch \af2 \
langfenp1033 \cf1 Articulatia genunchiului \uc1 \u238 ?n pozitie normala.}{\fs22 \
langfenp1033 \cf1 \line }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cf1 Fara anomalii de structura osoasa. }{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Spatii articulare in limite
Rotula cu forma normala, suprafete articulare nete. }{\fs22 \kerning1 \dbch \af2 \
langfenp1033 \cf1 Fara corpi straini sau calcificari peri sau intraarticulare.}{\
ri0 \lisb0 \sa283 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \
\langfe1033 \langfenp1033 Artroplastie totala de genunchi bilateral.}{\fs22 \
langnp1036 \langfe1033 \langfenp1033 Componentele protezei normal situate.}{\fs22 \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Pensarea/ Ingustarea
spatiului femuro-tibial in compartimentul intern, cu scleroza osoasa a platoului
tibial la acelasi nivel.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036
\loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\cf1 Ingustarea spatiului femuro-patelar.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \line }{\fs22 \
langfenp1033 Spine tibiale hipertrofiate}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
Demineralizare osoasa difuza.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lisb0 \sa283 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \kerning1 \dbch
\af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \
langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha \
aspnum \adjustright \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \
loch \f4 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf0 \uc1 \u61623 ?}{\fs24
cf0 }{\field \fldedit {\*\fldinst {\fs22 \dbch \af2 \hich \af0 \loch \af6 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf0 }{\fs22 \dbch \af2 \hich \af0 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf0 HYPERLINK
"https://radiopaedia.org/articles/missing?article%5Btitle%5D=genu-varum" }}{\
fldrslt {\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \
langfe1033 \langfenp1033 \cf14 \ul1 genu varum}}}{\fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf14 \ul1 }{\fs22 \dbch \
and }{\field \fldedit {\*\fldinst {\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cf0 }{\fs22 \dbch \af2 \hich \af0 \loch \
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf0 HYPERLINK
"https://radiopaedia.org/articles/missing?article%5Btitle%5D=genu-valgum" }}{\
fldrslt {\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \
langfe1033 \langfenp1033 \cf14 \ul1 genu valgum}}}{\fs22 \dbch \af2 \hich \af0 \
loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf14 \ul1 }{\fs22 \
:}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf0 \par }\pard \plain \fi-360 \li720 \ri0 \sb100 \lisb0 \sa100 \
lisa0 \sbauto1 \saauto1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \
tql \tx720 \itap0 \ls6 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cf1 {\listtext \pard \plain \fs24 \dbch \af2 \hich \
af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \f4 \'b7\'00\
tab }{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf0 depends on the direction of distal part of the tibia (which is
the distal component of the knee joint)}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf0 \par }\pard \plain \fi-360 \
li720 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \widctlpar \aspalpha \
aspnum \adjustright \lin720 \rin0 \tql \tx720 \itap0 \ls6 \fs24 \dbch \af2 \hich \
af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\listtext \
pard \plain \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 \f4 \'b7\'00\tab }{\fs22 \dbch \af2 \hich \af0 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf0 genu valgum:\uc1 \
u160 ?distal part pointing laterally}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
li720 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \widctlpar \aspalpha \
aspnum \adjustright \lin720 \rin0 \tql \tx720 \itap0 \ls6 \fs24 \dbch \af2 \hich \
af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\listtext \
pard \plain \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 \f4 \'b7\'00\tab }{\fs22 \dbch \af2 \hich \af0 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 genu varum:\uc1 \u160
?distal part pointing medially\uc1 \u160 ?}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
ri0 \lisb0 \sa283 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \
Examinarea radiologica a articulatiei genunchiului in doua incidente (in
ortostatism) evidentiaza:}{\b1 \fs22 \kerning22 \dbch \af2 \hich \af0 \loch \f6 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \line }{\b1 \fs22 \kerning22 \dbch \
langfenp1033 Articulatia genunchiului \uc1 \u238 ?n pozitie normala.}{\fs22 \
langnp1033 \langfe1033 \langfenp1033 Fara anomalii de structura osoasa. }{\fs22 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Pensarea/ Ingustarea
spatiului femuro-tibial in compartimentul intern, cu scleroza osoasa a platoului
tibial la acelasi nivel.}{\fs22 \kerning22 \dbch \af2 \hich \af0 \loch \f6 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \line }{\fs22 \kerning22 \dbch \
af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Ingustarea
spatiului femuro-patelar.}{\fs22 \kerning22 \dbch \af2 \hich \af0 \loch \f6 \
af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Spine
tibiale hipertrofiate.}{\fs22 \kerning22 \dbch \af2 \hich \af0 \loch \f6 \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Spatii
articulare in limite normale.}{\fs22 \kerning22 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Rotula cu forma normala, suprafete articulare nete.}{\fs22 \
langnp1033 \langfe1033 \langfenp1033 Osteofitoza platou tibial, epicondili femurali
si osteofite rotuliene bilateral.}{\fs22 \kerning22 \dbch \af2 \hich \af0 \loch \f6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s36 \fi709 \li0
\ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \kerning1 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Concluzii\uc1 \u160 ?:}{\
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Modificari radiologice de
gonartroza}{\fs22 \kerning22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Reducere difuza a
intensitatii osoase a pieselor scheletice radiografiate.}{\fs22 \kerning1 \dbch \
af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \
s36 \li0 \ri0 \lisb0 \sa283 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \
\langfe1033 \langfenp1033 Modificari radiologice de gonartroza.}{\fs22 \kerning1 \
}\pard \plain \s36 \li0 \ri0 \lisb0 \sa283 \lisa0 \nowidctlpar \aspalpha \lin0 \
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Calcificare ovalara de aprox. }
langfe1033 \langfenp1033 2 cm proiectata in adiacenta epicondilului lateral femural
drept.-Tendinita calcica }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lisb0 \sa283 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \kerning1 \dbch
langfenp1033 \cf1 Arie cu transparenta crescuta, bine delimitata, cu aspect lobulat
in incidenta de fata, marginita de fin lizereu opac, ce respecta corticala, cu
diametre de 34/20 mm, localizata la nivelul epifizei proximale tibiale drepte.}{\b1
\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langfenp1033 \cf3 }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Concluzii:}{\b1 \fs22 \kerning1
cf3 fibrom non-osifiant/ fibrom condromixoid.}{\fs22 \kerning1 \dbch \af2 \hich \
s36 \li0 \ri0 \lisb0 \sa283 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Arie de scadere a intensitatii osoase,
bine delimitata, partial marginita de fin lizereu opac, ce respecta corticala, cu
diametre de aprox 10/14 mm, localizata la nivelul epifizei proximale humerale
drepte, in adiacenta cartilajului de crestere. }{\b1 \fs22 \kerning1 \dbch \af2 \
condroblastom}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langfenp1033 \cf1 Exostoza neomogena, relativ bine delimitata, ce respecta
corticala, fara reactie periostala, cu dimensiuni de aproximativ 25/30 mm,
localizata la nivelul metafizei distale tibiale stangi, cu efect compresiv asupra
diafizei peroniere. Concluzii: }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 osteocondrom.}{\fs22 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 La nivelul
1/3 distale a diafizei femurale stangi se vizualizeaza o zona de osteocondensare,
imprecis delimitata, contur neregulat, neomogena, pe o distanta de aproximativ 45
mm, ce nu asociaza deformari osoase, reactie periostala sau intreruperea
corticalei- }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 \cf3 infarct osos/ encondrom}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 La nivelul 1/3 distale a
diafizei femurale stangi se vizualizeaza o arie de osteocondensare, imprecis
delimitata, contur neregulat, neomogena prin prezenta unei leziuni ovalare de
scadere a intensitatii osoase, marginita de fin lizereu opac, cu diametre de
10/13mm; leziunea descrisa se intinde pe o distanta de aproximativ 72 mm, nu
intrerupe corticala osoasa, nu deformeaza osul si nu asociaza reactie periostala.-
Formatiune expansiva diafizara femurala stanga, ce ar putea avea semnificatia
unui }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 \cf3 encondrom/ low grade condrosarcom}{\fs22 \kerning1 \
.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Arie de scadere
a intensitatii osoase, bine delimitata, nemarginita de lizereu opac, cu aspect
lobulat, ce subtiaza pe alocuri corticala si nu asociaza reactie periostala, cu
diametre de cca. 6/8 cm, dezvoltata la nivel epifizo-diafizar proximal tibial
stanga. }{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Formatiune expansiva 1/3
proximala tibie stanga, ce ar putea avea semnificatia unei tumori cu celule
gigante.}{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 \cf3 }{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf3 GCT }{\b1 \fs22 \dbch \af2 \
langfenp1033 \cf1 \line }{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica a articulatiei
genunchiului bilateral in doua incidente (in ortostatism) evidentiaza}{\fs24 \
:}{\fs24 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 Articulatia genunchiului \uc1 \u238 ?n pozitie normala.}{\fs22 \
langnp1036 \langfe1033 \langfenp1033 Fara anomalii de structura osoasa. }{\fs22 \
langfe1033 \langfenp1033 \cf1 Ingustarea marcata a spatiilor femuro-tibiale,
predominant in compartimentul intern,cu scleroza osoasa a platourilor tibiale, mai
accentuat de partea stanga.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 \cf1 \line }{\fs22 \dbch \af2 \hich \af0 \loch
\f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Ingustarea spatiilor
femuro-patelare bilateral.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
\f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Spine tibiale
hipertrofiate bilateral.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
\f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Osteofitoza platou tibial,
epicondili femurali si osteofite rotuliene bilateral.}{\fs22 \dbch \af2 \hich \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033
\cf1 \line }{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 \cf1 Fara corpi straini sau calcificari peri sau
ire.ntraarticula}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
langfenp1033 \cf1 Examinarea radiologica a articulatiei genunchiului stang in doua
incidente (in ortostatism) evidentiaza}{\fs24 \dbch \af2 \hich \af0 \loch \f6 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 :}{\fs24 \dbch \af2 \hich \
langfenp1033 \cf1 Articulatia genunchiului \uc1 \u238 ?n pozitie normala.}{\fs22 \
langfenp1033 \cf1 Demineralizare osoasa difuza.}{\fs22 \dbch \af2 \hich \af0 \
hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Ingustarea
spatiului femuro-tibial in compartimentul intern,cu scleroza osoasa a platoului
tibial.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 \line }{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 Ingustarea spatiului femuro-patelar. }{\
langnp1036 \langfe1033 \langfenp1033 \cf1 Spine tibiale hipertrofiate.}{\fs22 \dbch
\af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 \
line }{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langfenp1033 \cf1 Osteofitoza platou tibial, epicondili femurali si osteofite
rotuliene.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033
langnp1036 \langfe1033 \langfenp1033 \cf1 Calcificari pe traiectul probabil al
vaselor.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langfe1033 \langfenp1033 \cf0 \par }\pard \plain \li0 \ri0 \lisb0 \sa283 \lisa0 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Concluzii:}{\fs22 \dbch \af2 \
langfenp1033 \cf1 Modificari radiologice de gonartroza stanga. }{\fs22 \dbch \af2 \
\f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Consult Ortopedie}{\fs22 \
langfenp1033 \cf0 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \sa283 \lisa0 \
pard \plain \s36 \li0 \ri0 \lisb0 \sa283 \lisa0 \nowidctlpar \aspalpha \lin0 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Zone de osteocondensare si
radiotransparenta la nivelui apofizei tibiale anterioare- apofizita tibiala-maladie
Osgood-Schlatter-structura osoasa neomogena si fragmentarea tuberculului tibial
tubercle.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \sa283 \lisa0 \
Epicondil medial femural cu o zona neomogena de fragmentare si pierdere a
substantei osoase, bine delimitata de restul osului printr-o linie transparenta
inelara. - }{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 \cf3 Osteocondrita disecanta.}{\fs22 \kerning1
par }\pard \plain \s36 \li0 \ri0 \lisb0 \sa283 \lisa0 \nowidctlpar \aspalpha \
lin0 \rin0 \itap0 \outlinelevel0 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Examinarea
radiologica a patelei bilateral, in incidenta axiala (30o) evidentiaza:}{\fs22 \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Fara anomalii de
structura osoasa.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Spatii articulare
femuro-patelare cu dimensiuni normale bilateral.}{\fs22 \kerning1 \dbch \af2 \
langfenp1033 Rotula cu forma normala, suprafete articulare nete bilateral.}{\fs22 \
langnp1036 \langfe1033 \langfenp1033 Fara corpi straini sau calcificari peri sau
intraarticulare.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langfenp1033 GAMBA}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 : Zona intinsa de resorbtie osoasa de
aproximativ 8,5 cm cu alterarea structurii osoase si pinteni ososi perilezionali,
cu reactie periostala de insotire la nivelul diafizei si epifizei proximale tibie
dreapta.- }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf3 OSTEOSARCOM!}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
li0 \ri0 \lisb0 \sa283 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \
langnp1033 \langfe1033 \langfenp1033 Examinarea radiologica a articulatiei tibio-
tarsiene bilateral in doua incidente evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich
\af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs22 \kerning1 \
}\pard \plain \s36 \li0 \ri0 \lisb0 \sa283 \lisa0 \nowidctlpar
\aspalpha \lin0 \rin0 \itap0 \fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Articulatia gleznei \
uc1 \u238 ?n pozitie normala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Fara anomalii
de structura osoasa. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Spatiu articular
tibio-tarsian cu dimensiuni normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Tesuturi moi
fara anomalii radiologice.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
plain \s36 \li0 \ri0 \lisb0 \sa283 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0
\fs24 \kerning1 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
\langnp3082 \langfe1033 \langfenp1033 Fara leziuni osoase post-traumatice.}{\fs22 \
picioarelor bilateral evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6
\lang3082 \langnp3082 \langfe1033 \langfenp1033 \line }{\fs22 \kerning1 \dbch \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Halux
valgus bilateral.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \
langnp3082 \langfe1033 \langfenp1033 \cf1 Modificari de ax in valg metatarso-
falangian I }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang3082 \langnp3082
\langfe1033 \langfenp1033 \line }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lang3082 \langnp3082 \langfe1033 \langfenp1033 Demineralizare accentuata.}{\fs22 \
langnp3082 \langfe1033 \langfenp1033 Moderata ingustare a spatiilor
metatarsofalangiene si interfalangiene bilateral. }{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Subluxatie cu deviatie.}{\fs22 \kerning1 \dbch \af2 \hich
\langfe1033 \langfenp1033 \cf1 Status post-operator halux valgus stang.}{\fs22 \
langnp1033 \langfe1033 \langfenp1033 Examinarea radiologica a antepiciorului in
doua incidente evidentiaza:}{\b1 \fs22 \kerning24 \dbch \af2 \hich \af0 \loch \f6 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Segmente
osoase normal configurate.}{\fs22 \kerning24 \dbch \af2 \hich \af0 \loch \f6 \
langfenp1033 Fara modificari de structura osoasa.}{\fs22 \kerning24 \dbch \af2 \
langfenp1033 {\fs22 \kerning24 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 Spatii articulare in limite normale.}{\fs22 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Fara calcificari
heterotope.}{\fs22 \kerning24 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Tesuturi
moi fara anomalii radiologice. }{\fs22 \kerning24 \dbch \af2 \hich \af0 \loch \f6 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Fara leziuni osoase post-
traumatice.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\langnp3082 \langfe1033 \langfenp1033 1. Extremitate proximala metatars V bilateral
cu structura usor neomogena, cu zone de osteoscleroza asociate cu zone de pierdere
a substantei osoase (cu traiect serpiginos la nivelul metatarsului V stang).- }{\
langfenp1033 \cf3 Osteocondroza.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf1 Modificari
de ax in valg metatarso-falangian I (halux valgus)}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033
lang3082 \langnp3082 \langfe1033 \langfenp1033 Examinarea radiologica a
antepiciorului bilateral in incidentele dorsoplantara si de profil in sarcina si
axiala pentru sesamoide evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 Halux valgus bilateral cu unghi MT-F haluce drept de 0 si haluce stang
de 0.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Subluxatie
MT-F haluce bilateral.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Subluxatie laterala a sesamoidelor bilateral.}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Ascensionarea MT I fata de MT II cu mm bilateral.}{\fs22
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 In rest structura osoasa si
spatii articulare in limite normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Deformare in flexie
dorsala a primei falange, in flexie plantara a celei de a doua iar falanga distala
ramane in pozitie normala fata de a doua. }{\fs22 \kerning24 \dbch \af2 \hich \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Deget in ciocan}
calcaneului drept evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Segmente osoase radiografiate normal configurate si articulate, fara
modificari de structura osoasa.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Apozitie osoasa triunghiulara de aproximativ 6-7mm pe fata plantara a
calcaneului.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Osteofite
calcaneene stangi- plantar si achilean.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica a
calcaneului bilateral evidentiaza:}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036
\langnp1036 \langfe1033 \langfenp1033 \cf0 \par }\pard \plain \li0 \ri0 \lisb0 \
Segmente osoase radiografiate normal configurate si articulate.}{\fs22 \dbch \af2 \
langfenp1033 \cf1 Fara modificari de structura osoasa}{\fs22 \dbch \af2 \hich \
af0 \loch \f6 \lang2057 \langnp2057 \langfe1033 \langfenp1033 \cf1 .}{\fs22 \dbch \
par }\pard \plain \li0 \ri0 \lisb0 \sa283 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \
langfe1033 \langfenp1033 \cf1 Fara calcificari heterotope.}{\fs22 \dbch \af2 \
langfenp1033 \cf1 Tesuturi moi fara anomalii radiologice.}{\fs22 \dbch \af2 \hich \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 \line }{\fs22 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Apofize calcaneene cu structura
osoasa neomogena, cu zone de osteoscleroza, fragmentate-}{\fs22 \kerning1 \dbch \
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 \cf3 boala
Sever}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Examinarea radiologica
abdominala simpla evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
kerning1 \dbch \af2 \hich \af0 \loch
\f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Diafragm normal pozitionat,
simetric, cu configuratie normala. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 Fara pneumoperitoneu.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
langfenp1033 Portiunile aerate ale tractului gastrointestinal cu aspect normal.}{\
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Fara nivele hidroaerice.}{\
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Fara calcificari sau corpi
straini radioopaci pe aria de proiectie a abdomenului.}{\fs22 \kerning1 \dbch \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica
abdominala simpla (pentru timpul II- la 24 de ore post-ingestie substanta de
contrast baritata ), evidentiaza:}{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \
langfenp1033 \cf1 Fara pneumoperitoneu.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Fara nivele
hidroaerice.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Resturi de bariu pe intreg
cadrul colic (cu exceptia unghiului splenic), ce apare normal configurat.}{\fs22 \
peritoneala.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \
Calcificari!}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
lang1033 \langnp1033 \langfe1033 \langfenp1033 Right upper quadrant: liver,
biliary tract including gallbladder, kidney and adrenal gland.}{\fs22 \kerning1 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Left upper quadrant:
spleen, kidney, adrenal and splenic artery.}{\fs22 \kerning1 \dbch \af2 \hich \
langnp1033 \langfe1033 \langfenp1033 Left lower quadrant: phleboliths,
mesenteric lymph nodes, ovary, renal ureters, iliac artery.}{\fs22 \kerning1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 Right lower quadrant: appendix,
phleboliths, mesenteric lymph nodes, ovary, ureters, iliac artery.}{\fs22 \kerning1
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Lower abdomen median:
aorta, uterus, bladder and prostate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 Upper abdomen median and paramedian: pancreas.}{\b1 \fs22 \
dbch \af2 \hich \af0 \loch \af0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \
reno-vezicala simpla evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
langfenp1033 Opacitati renale cu pozitie si dimensiuni normale.}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 Fara imagini de calculi radioopaci in ariile
de proiectie reno-ureterale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Aerocolie marcata.}{\fs22 \
langnp1036 \langfe1033 \langfenp1033 Imagine radioopaca de aproximativ 15/10 mm
situata la nivel L2 dreapta.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Sonda reno-vezicala stanga prezenta.}{\fs22 \kerning1 \dbch \af2 \hich
Imagini radioopace rotund-ovalare de aprox. 5 mm, respectiv 20 mm in axul lung
(aspect de conglomerat de calculi) proiectate paravertebral L2 stanga.}{\fs22 \
langfenp1033 \cf3 prematuri}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
Examinarea radiologica toraco-abdominala in decubit dorsal evidentiaza:}{\fs22 \
af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Ambii plam\uc1 \
u226 ?ni cu transparenta normala, \uc1 \u238 ?n contact cu peretele toracic pe \uc1
\u238 ?ntreaga suprafata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 Fara revarsat pleural aeric sau lichidian.}{\fs22 \kerning1 \dbch
\langnp1033 \langfe1033 \langfenp1033 \cf1 Sinusuri costodiafragmatice libere.}{\
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Diafragm normal pozitionat,
simetric, cu configuratie normala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
langfenp1033 \cf1 Portiunile aerate ale tractului gastrointestinal cu aspect
Cateter ombilical prezent.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
\hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf3 Varsta
osoasa:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
pard \plain \s36 \li0 \ri0 \lisb0 \sa120 \lisa0 \nowidctlpar \aspalpha \lin0 \
articulatiilor radio-carpiene bilateral evidentiaza:}{\fs22 \kerning1 \dbch \af2 \
langfenp1033 Segmente osoase normal configurate.}{\fs22 \kerning1 \dbch \af2 \
langfenp1033 Fara modificari de structura osoasa.}{\fs22
langnp1036 \langfe1033 \langfenp1033 Spatii articulare in limite normale.}{\fs22 \
langnp1036 \langfe1033 \langfenp1033 Fara calcificari heterotope.}{\fs22 \
langnp1036 \langfe1033 \langfenp1033 Tesuturi moi fara anomalii radiologice.}{\fs22
langnp1036 \langfe1033 \langfenp1033 Prezente 7 oase carpiene.}{\fs22 \kerning1 \
\langnp1033 \langfe1033 \langfenp1033 Varsta osoasa corespunzatoare varstei
biologice. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
mainii si regiunii pumnului stang evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Se vizualizeaza 7 nuclei carpieni (nu se evidentiaza
nucleul pisiform) - normal pentru varsta 8 nuclei carpieni.}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 Metacarpiene si falange cu forma, dimensiuni
si pozitie normale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Structura osoasa si mineralizare adecvata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Nuclei epifizari si cartilaje de crestere in limite normale.}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Tesuturi moi fara anomalii
radiografice.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\langnp1036 \langfe1033 \langfenp1033 Usoara intarziere de crestere osoasa.}{\
f9 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \cf1 Varsta osoasa
corespunzatoare varstei biologice.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0
\lisa0 \nowidctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica a mainii si
regiunii pumnului stang evidentiaza:}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Se
vizualizeaza 8 nuclei carpieni (aparitia pisiformului la varsta de 11 ani). }{\fs22
langfe1033 \langfenp1033 \cf1 Fuziune aproape completa a falangelor distale (13
ani).}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langfe1033 \langfenp1033 \cf1 Os sesamoid metacarpo-falangian deget I prezent (13
ani).}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Metacarpiene si falange cu forma,
dimensiuni si pozitie normale.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Structura osoasa si
mineralizare adecvata.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Nuclei epifizari si cartilaje
de crestere in limite normale.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Tesuturi moi fara
anomalii radiografice.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033
\cf1 Concluzii:}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Varsta osoasa corespunzatoare
varstei biologice de cca 13 ani.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Deget
supranumerar, cu rudiment osos in adiacenta metacarpului I stang.}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Polidactilie radiala
(preaxiala).}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036
\langfe1033 \langfenp1033 \cf3 \par }\pard \plain \s36 \li0 \ri0 \lisb0 \lisa0 \
af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Deget
supranumerar, cu rudiment osos in adiacenta metacarpului V stang}{\fs22 \kerning1 \
. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \
Polidactilie ulnara (postaxiala).}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Duplicatia
falangelor distale deget V.}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langnp1033 \langfe1033 \langfenp1033 \cf1 Examinarea radiologica a antepiciorului
bilateral in doua incidente evidentiaza:}{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6
af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Deget
supranumerar in adiacenta metatarsianului IV drept.}{\fs22 \dbch \af2 \hich \af0 \
Duplicatia falangelor deget V picior stang.}{\fs22 \dbch \af2 \hich \af0 \loch \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Fara modificari
de structura osoasa.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Spatii articulare in limite
normale.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langfenp1033 \cf1 Tesuturi moi fara anomalii radiologice.}{\fs22 \dbch \af2 \hich \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Polidactilie centrala
picior drept.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Polidactilie post-axiala si sindactilie
picior stang.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
lang1048 \langnp1048 \langfe1033 \langfenp1033 \cf3 The Wassel classification }{\
langfenp1033 is used to categorise radial polydactyly, based upon the most proximal
level of skeletal duplication.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Classification}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Type }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1048 \
langnp1048 \langfe1033 \langfenp1033 \tab }{\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 Level of duplication}{\
fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 I }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1048 \
loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 Distal phalanx}{\fs22 \
f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 II }{\fs22 \kerning1 \dbch \
langfenp1033 Interphalangeal joint}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
langfenp1033 III }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1048 \
loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 Proximal phalanx}{\fs22 \
f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 IV }{\fs22 \kerning1 \dbch \
langfenp1033 Metacarpophalangeal joint}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 V }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1048 \
loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 Metacarpal}{\fs22 \
f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 VI }{\fs22 \kerning1 \dbch \
langfenp1033 Carpometacarpal joint}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
langfenp1033 VII }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1048 \
loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 Triphalangia}{\fs22 \
lisb0 \lisa0 \widctlpar \lin0 \rin0 \itap0 \outlinelevel0 \fs24 \dbch \af2 \hich \
af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Venn-
Watson Classification of Polydactyly\uc1 \u160 ?}{\field \fldedit {\*\fldinst {\
langfe1033 \langfenp1033 \cf1 HYPERLINK
"http://upload.orthobullets.com/topic/4078/images/poly.jpg" }}{\fldrslt {\fs22 \
cf1 }{\field {\*\fldinst {\fs22 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf14 INCLUDEPICTURE
"http://www.orthobullets.com/images/pencil.jpg" \'5c* MERGEFORMATINET }}{\fldrslt
{\fs22 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf14 }{\fs22 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf14 {\*\shppict {\pict {\*\picprop \shplid1025 {\sp {\sn
shapeType}{\sv 75}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn
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wzName}{\sv Picture 1}}{\sp {\sn fIsButton}{\sv 1}}{\sp {\sn posrelh}{\sv 1}}{\sp
{\sn posrelv}{\sv 1}}{\sp {\sn fLayoutInCell}{\sv 1}}}\piccropl0 \piccropr0 \
piccropt0 \piccropb0 \picscalex100 \picscaley100 \picw15 \pich13 \picwgoal239 \
pichgoal209 \pngblip {\*\blipuid
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523c3415c2af610000000049454e44ae426082}}}}}{\fs22 \dbch \af2 \hich \af0 \loch \
af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf14 }}}{\fs22 \dbch \af2 \
hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf14 }{\
langfe1033 \langfenp1033 \cf1 \par }\pard \plain \fi-360 \li720 \ri0 \sb100 \
lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \widctlpar \lin720 \rin0 \tql \tx720 \itap0 \
ls7 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 {\listtext \pard \plain \fs24 \dbch \af2 \hich \af0 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \f4 \'b7\'00\tab }{\fs22 \
post-axial (lateral side of the foot)}{\fs22
cf1 \par }\pard \plain \fi-360 \li1440 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \
saauto1 \widctlpar \lin1440 \rin0 \tql \tx1440 \itap0 \ls7 \ilvl1 \fs24 \dbch \
listtext \pard \plain \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 \f0 {\uc1 \u111 ?}\tab }{\fs22 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 'Y'
metatarsal}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \cf1 \par }\pard \plain \fi-360 \li1440 \ri0 \sb100 \lisb0 \sa100 \
lisa0 \sbauto1 \saauto1 \widctlpar \lin1440 \rin0 \tql \tx1440 \itap0 \ls7 \ilvl1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \f0 {\uc1 \u111 ?}\tab }{\
langfenp1033 \cf1 'T' metatarsal}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \fi-360 \li1440 \ri0 \
sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \widctlpar \lin1440 \rin0 \tql \tx1440
\itap0 \ls7 \ilvl1 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 {\listtext \pard \plain \fs24 \dbch \af2 \hich \af0 \
loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \f0 {\uc1 \u111 ?}\
tab }{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 wide metatarsal head}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
li1440 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \widctlpar \lin1440 \rin0
\tql \tx1440 \itap0 \ls7 \ilvl1 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 {\listtext \pard \plain \fs24 \dbch \
af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \f0
{\uc1 \u111 ?}\tab }{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 complete duplication}{\fs22 \dbch \af2 \hich \af0 \
fi-360 \li720 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \widctlpar \lin720
\rin0 \tql \tx720 \itap0 \ls7 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 {\listtext \pard \plain \fs24 \dbch \
af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \
f4 \'b7\'00\tab }{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 central (not part of the original classification)}{\
langfenp1033 \cf1 duplication of the second, third or fourth toe}{\fs22 \dbch \
par }\pard \plain \fi-360 \li720 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1
\widctlpar \lin720 \rin0 \tql \tx720 \itap0 \ls7 \fs24 \dbch \af2 \hich \af0 \
loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\listtext \pard \
plain \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 \f4 \'b7\'00\tab }{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 pre-axial (medial side of the
foot)}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 short block first metatarsal }{\fs22 \dbch \af2 \hich \af0 \
fi-360 \li1440 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \widctlpar \
lin1440 \rin0 \tql \tx1440 \itap0 \ls7 \ilvl1 \fs24 \dbch \af2 \hich \af0 \loch \
af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\listtext \pard \plain \
langfenp1033 \cf1 \f0 {\uc1 \u111 ?}\tab }{\fs22 \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 wide metatarsal head}{\fs22 \
\hich \af0 \loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \cf3 HISTERO-
REZULTATE}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
\langnp3082 \langfe1033 \langfenp1033 Examinarea radiologica cu substanta de
contrast a aparatului genital evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - aspect normal al micului
bazin, fara calcificari anormale sau corpi straini radioopaci;}{\fs22 \kerning1 \
\langnp3082 \langfe1033 \langfenp1033 - canal cervical avand contururi nete, de
lungime si calibru normale;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 - uterul normal situat, avand contururi nete, forma si
distensibilitate normale, fara defecte de umplere;}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 - trompele uterine normal calibrate, omogen opacifiate,
cu difuzie normala a substantei de contrast \uc1 \u238 ?n cavitatea peritoneala.}{\
langfenp1033 Concluzii:}{\fs22 \kerning1 \dbch
\langnp3082 \langfe1033 \langfenp1033 Proba Cotte pozitiva bilateral.}{\fs22 \
langfenp1033 1.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Examinarea radiologica cu substanta de contrast a aparatului genital evidentiaza:}
af2 \hich \af0 \loch \f6 \lang3082 \langnp3082 \langfe1033 \langfenp1033 - aspect
normal al micului bazin, fara calcificari anormale sau corpi straini radioopaci;}{\
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - canal cervical unic cu
contururi nete, de lungime si calibru normale;}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 - uterul bicorn, cu contururi nete, distensibilitate
redusa si umplere neomogena, mai important la nivelul cornului stang;}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - trompele uterine normal
calibrate, omogen opacifiate, dar cu difuzia substantei de contrast \uc1 \u238 ?n
cavitatea peritoneala doar in partea dreapta ( absenta in stanga).}{\fs22 \kerning1
Concluzii: }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 }{\
langfenp1033 \cf3 Anomalie congenitala de uter - uter bicorn}{\fs22 \kerning1 \dbch
\langnp1036 \langfe1033 \langfenp1033 \cf3 Uter fibromatos}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 Proba Cotte pozitiva de partea dreapta}{\
langfenp1033 Examinarea radiologica cu substanta de contrast a aparatului genital
\langnp1036 \langfe1033 \langfenp1033 - aspect normal al micului bazin, fara
calcificari anormale sau corpi straini radioopaci;}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 - doua canale cervicale prezente continuate cu cate o
cavitate uterina, omogen opacifiate, cu contururi nete;}{\fs22 \kerning1 \dbch \af2
\langfe1033 \langfenp1033 -doua trompe uterine, cate una corespunzatoare fiecarei
cavitati uterine, ambele normal calibrate, omogen opacifiate, cu difuzie normala a
substantei de contrast \uc1 \u238 ?n cavitatea peritoneala.}{\fs22 \kerning1 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Uter dublu
( bicorporal-bicervical-biorificial).}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Proba Cotte pozitiva bilateral.}{\fs22 \kerning1 \dbch \af2 \hich \af0
dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \
langfe1033 \langfenp1033 \cf1 Examinarea radiologica cu substanta de contrast a
aparatului genital evidentiaza:}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 -
aspect normal al micului bazin, fara calcificari anormale sau corpi straini
radioopaci;}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - canal cervical avand
contururi nete, de lungime si calibru normale;}{\fs22 \dbch \af2 \hich \af0 \loch \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - uterul normal
situat, avand contururi nete, forma si distensibilitate normale, fara defecte de
umplere;}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \
langnp1036 \langfe1033 \langfenp1033 \cf1 -trompa uterina dreapta vizibila pe un
scurt traiect proximal, avand calibru filiform;}{\fs22 \dbch \af2 \hich \af0 \
absenta vizualizarii trompei uterine stangi;}{\fs22 \dbch \af2 \hich \af0 \loch \f0
langnp1036 \langfe1033 \langfenp1033 \cf1 Proba Cotte negativa bilateral.}{\fs22 \
langfenp1033 Examinarea radiologica cu substanta de contrast a aparatului genital
\langfe1033 \langfenp1033 - canal cervical unic, contururi nete, de lungime si
calibru normale;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
uter bicorporal cu contururi nete, forma si distensibilitate normale, prezinta
cateva defecte de umplere mobile (bule de gaz);}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 Anomalie congenitala de uter -}{\b1 \fs22 \kerning1 \dbch
\af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3
uter didelf}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 .}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 2.Examinarea radiologica cu
substanta de contrast a aparatului genital evidentiaza:}{\fs22 \kerning1 \dbch \af2
\langfe1033 \langfenp1033 - aspect normal al micului bazin, fara calcificari
anormale sau corpi straini radioopaci;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036
\langfe1033 \langfenp1033 - canal cervical cu contururi nete, de lungime si
uterul cu contururi nete, forma si distensibilitate normale, fara defecte de
umplere;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - trompa
uterina dreapta cu dilatatie moderata, moniliforma, in 1/2 distala, cu difuzia
substantei in cavitatea peritoneala absenta;}{\fs22 \kerning1 \dbch \af2 \hich \af0
langfenp1033 - trompa uterina stanga cu dilatatie importanta in 1/2 distala , cu
difuzia substantei de contrast \uc1 \u238 ?n cavitatea peritoneala dificila,
redusa.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 }{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Concluzii:}{\fs22 \kerning1 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Hidrosalpinx bilateral}{\
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 Proba Cotte negativa
dreapta si slab pozitiva stanga}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 3. Examinarea radiologica cu
substanta de contrast a aparatului genital evidentiaza:}{\fs22 \kerning1 \dbch \af2
\langfe1033 \langfenp1033 - aspect normal al micului bazin, fara calcificari
anormale sau corpi straini radioopaci;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 - canal cervical balonizat, cu contur neregulat, dintat;}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - uterul laterodeviat stanga, cu
contururi nete, forma si distensibilitate normale, fara defecte de umplere;}{\
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - trompa uterina stanga normal
calibrata, omogen opacifiata, cu difuzie normala a substantei de contrast \uc1 \
u238 ?n cavitatea peritoneala.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 - trompa uterina dreapta normal calibrata, omogen opacifiata, cu
difuzie prezenta a substantei de contrast \uc1 \u238 ?n cavitatea peritoneala, dar
cloazonata in jurul ostiumului tubar}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Concuzii:}{\fs22 \kerning1 \dbch
\langnp1036 \langfe1033 \langfenp1033 Posibil proces inflamator la nivelul
canalului cervical}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Proba Cotte pozitiva stanga si }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \tab }{\fs22 \kerning1 \dbch \af2 \
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 "blocata"
dreapta posibil prin proces inflamator/ aderential.}{\fs22 \kerning1 \dbch \af2 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 4.
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - aspect
normal al micului bazin, fara calcificari anormale sau corpi straini radioopaci;}{\
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - canal cervical cu
contururi nete, de lungime si calibru normale;}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 - uterul latero-deviat stanga , bicorn, cu cornul uterin
drept hipoplazic;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
trompele uterine normal calibrate, omogen opacifiate, cu difuzie rapida a
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Uter
bicorn}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Proba
Cotte pozitiva bilateral}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036
\langnp1036 \langfe1033 \langfenp1033 5. Examinarea radiologica cu substanta de
contrast a aparatului genital evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 - aspect normal al micului bazin, fara calcificari anormale sau corpi
straini radioopaci;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
canal cervical cu contururi nete, de lungime si calibru normale;}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 - uterul cu contururi nete, forma si
distensibilitate normale, prezinta in zona infundibulara o imagine lacunara rotund-
ovalara persistenta pe tot parcursul examinarii;}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 Concluzii: Fibrom/Polip uterin}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 Proba Cotte pozitiva bilateral}{\fs22 \
langfenp1033 \cf3 6. Examinarea radiologica cu substanta de contrast a aparatului
genital evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
radioopaci;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
canal cervical cu contururi neregulate, de lungime si calibru normale;}{\fs22 \
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 - uterul arcuat, cu contururi
neregulate, distensibilitate redusa, neomogen opacifiat predominant in regiunea
fundica;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 - trompele
uterine normal calibrate, neomogen opacifiate, fara difuzia substantei de
contrast \uc1 \u238 ?n cavitatea peritoneala;}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 - in primele momente ale investigatiei se evidentiaza
traiecte serpiginoase parauterin bilateral, predominant dreapta, cu opacifierea
consecutiva a venelor ovariene, cea stanga paravertebral stang pana la nivelul L2
si cea dreapta spre promontoriu, paramedian dreapta.}{\fs22 \kerning1 \dbch \af2 \
fs24 \kerning1
\dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
langfenp1033 Concluzii: Proba Cotte negativa bilateral}{\fs22 \kerning1 \dbch \
\langnp1033 \langfe1033 \langfenp1033 \cf3 In observatie fistule
veno-tubare bilateral }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
\langfenp1033 Uter fibromatos}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \tab }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf3 In observatie fistule veno-tubare
bilateral, pe fondul unor procese inflamatorii cronice.}{\fs22 \kerning1 \dbch \af2
\langnp1033 \langfe1033 \langfenp1033 \cf3 \par }\pard \plain \s36 \li0 \ri0 \lisb0
\lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \itap0 \fs24 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 - canal cervical avand contururi nete, de lungime si
uterul retrovers, avand contururi nete, forma si distensibilitate normale, fara
defecte de umplere;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
permeabilizare crescuta endometriala cu intravazare venoasa sub forma unui pattern
reticular in aria de proiectie a nodulului fibromatos, cu drenaj subsecvent in
venele pelvine la prima injectare; absenta vizualizarii intravazarii venoase la
injectarea ulterioara;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
trompele uterine normal calibrate, omogen opacifiate, cu difuzie prezenta a
substantei de contrast \uc1 \u238 ?n cavitatea peritoneala la a doua injectare;}{\
langfenp1033 Concluzii:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Proba Cotte pozitiva bilateral.}{\fs22 \kerning1 \dbch \af2 \hich \af0
langfenp1033 7. Examinarea radiologica cu substanta de contrast a aparatului
radioopaci;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
canal cervical cu contururi neregulate, de lungime si calibru normale;}{\fs22 \
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 - uterul anteversat, cu
contururi neregulate, neomogen opacifiat predominant in regiunea fundica;}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - lipsa opacifierii trompelor si
a difuziei substantei de contrast in cavitatea peritoneala;}{\fs22 \kerning1 \
itap0 \fs24 \kerning1 \dbch
\af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\
langfenp1033 - in primele momente ale investigatiei se evidentiaza traiecte
serpiginoase parauterine, cu opacifierea consecutiva a venei ovariene drepte.}{\
\langfe1033 \langfenp1033 Concluzii: Proba Cotte negativa bilateral}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 In observatie
fistula veno-tubara dreapta}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Uter fibromatos}{\fs22 \kerning1 \dbch \af2 \hich \af0
langfenp1033 8. Examinarea radiologica cu substanta de contrast a aparatului
\langfe1033 \langfenp1033 - canal cervical cu contururi nete, de lungime si calibru
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - uterul
normal situat, cu contururi nete, forma si distensibilitate normale, prezinta la
nivel istmic doua defecte de umplere, ce au contur neregulat, persistente pe toata
durata examinarii;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
trompele uterine normal calibrate, omogen opacifiate, cu difuzie normala a
Concluzii: Proba Cotte pozitiva bilateral.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 In observatie }{\fs22 \kerning1 \dbch \af2 \hich \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf3 sinechii
uterine.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 9. }
reflux important al substantei de contrast, fapt ce face imposibila aprecierea
aspectului radiologic al cavitatii uterine si a permeabilitatii trompelor uterine.}
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Concluzii: In observatie }{\fs22
langfenp1033 \cf3 stenoza de canal cervical}{\fs22 \kerning1 \dbch \af2 \hich \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 . (status post-
conizatie).}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\langnp1036 \langfe1033 \langfenp1033 10. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \
radiologica cu substanta de contrast a aparatului genital evidentiaza:}{\fs22 \
langfenp1033 \cf1 - aspect normal al micului bazin, fara corpi straini radioopaci;}
canal cervical cu contururi nete, de lungime si calibru normale; reflux important
al substantei de contrast;}{\fs22 \kerning1 \dbch \af2
\langfe1033 \langfenp1033 \cf1 - uter de dimensiuni mult reduse, contur neregulat,
neomogen opacifiat, cu mici imagini de aditie la nivelul cornului drept (}{\b1 \
langfenp1033 \cf3 focare de adenomioza}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
\f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 ?);}{\fs22 \kerning1 \dbch
\langnp1036 \langfe1033 \langfenp1033 \cf1 - trompa uterina stanga normal
calibrata, omogen opacifiata, cu difuzie prezenta a substantei de contrast \uc1 \
u238 ?n cavitatea peritoneala;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf1 -trompa uterina dreapta neopacifiata.}{\fs22 \kerning1 \dbch \af2
Hipoplazie uterina.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
Proba Cotte pozitiva stanga.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
toraco-abdominala in incidenta antero-posterioara evidentiaza:}{\fs22 \kerning1 \
Esofag cervical si toracal superior aparent dilatat ( terminat "in fund de sac"),
cu blocajul sondei de intubatie la acest nivel.}{\fs22 \kerning1 \dbch \af2 \hich \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Trahee laterodeviata
dreapta.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
Ambii plam\uc1 \u226 ?ni cu transparenta normala, \uc1 \u238 ?n contact cu peretele
toracic pe \uc1 \u238 ?ntreaga suprafata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langnp1036 \langfe1033 \langfenp1033 Fara anomalii de structura sau vascularizatie
pulmonara.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langfenp1033 Cord cu dimensiuni in limitele varstei.}{\fs22 \kerning1 \dbch \af2 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Distributie normala a
aerului la nivelul organelor abdominale ale tubului digestiv.}{\fs22 \kerning1 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Concluzii: }{\b1 \fs22 \
langfenp1033 \cf3 Suspiciune atrezie de esofag cu fistula eso-traheala?}{\fs22 \
langnp1033 \langfe1033 \langfenp1033 Examinarea radiologica a soldului drept si
stang evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
\dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - }
langfe1033 \langfenp1033 capete femurale si acetabule cu forma si dimensiuni
corticala osoasa cu grosime neuniforma,
predominant de partea stanga;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 - geodica milimetrica subcondrala dezvoltata in portiunea superioara a
regiunii cefalice femurale stangi;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
langfenp1033 - mic osteofit cotiloidian stang;}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 - spatiul articular coxo-femural stang discret pensat;}{\
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - aspect normal al partilor moi
juxtaarticulare.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
coloanei lombare \uc1 \u238 ?n 2 incidente evidentiaza:}{\fs22 \kerning1 \dbch \af2
langnp1036 \langfe1033 \langfenp1033 - }{\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 accentuarea lordozei
fiziologice si usoara scolioza lombara levoconvexa cu punct maxim la L4;}{\fs22 \
f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 - reducere difuza a intensitatii
structurii osoase a pieselor vertebrale lombare;}{\fs22 \kerning1 \dbch \af2 \
\langfe1033 \langfenp1033 - corpuri vertebrale lombare normale ca numar, forma,
marime si interrelatie;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 - mici osteofite laterale drepte L2, L4 si L5;}{\fs22 \kerning1 \dbch
\langnp1036 \langfe1033 \langfenp1033 - modificari sclerotice heterogene la nivelul
colturilor vertebrale anterioare L1-L3;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 - pensare posterioara a spatiilor discale L4-L5 si L5-S1;}{\fs22 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 - procesele spinoase si
transverse normal configurate;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 - modificari de artroza interapofizara posterioara L5-S1 cu
hipertrofie fatetara si osteoscleroza a suprafetelor articulare;}{\fs22 \kerning1 \
\langnp1036 \langfe1033 \langfenp1033 - calcificari parietale dezvoltate de-a
lungul aortei abdominale si arterelor iliace;}{\fs22 \kerning1 \dbch \af2 \hich \
\langfe1033 \langfenp1033 - tesuturile moi expuse fara corpi straini sau
calcificari.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
lang1036 \langnp1036 \langfe1033 \langfenp1033 Concluzii:}{\fs22 \kerning1 \dbch \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Leziuni
degenerative minore coxo-femurale stangi.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Demineralizare difuza vertebrala lombara.}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 Modificari degenerative vertebrale lombare.}
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Examinarea ecografica
abdomino-pelvina evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
hich \af0 \loch \af0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
langfenp1033 Ficat cu dimensiuni normale - lob stang diametru AP = cm, lob drept
diametru prerenal =cm; ecogenitate normala, ecostructura omogena, fara procese
focalizate decelabile ecografic; CBIH nedilatate.}{\fs22 \kerning1 \dbch \af2 \hich
\langfe1033 \langfenp1033 Colecist normal conformat, cu pereti supli, continut
omogen, alitiazic.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 VP,
CBP, VS normal calibrate.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Splina cu ecostructura omogena, ax bipolar- cm fara dilatatii
vasculare in hil.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
Pancreas cu dimensiuni si ecogenitate normale, omogen, fara dilatatii de canal
Wirsung.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Rinichi cu
dimensiuni normale, fara dilatatii pielo-caliceale, fara imagini de calculi
vizibili ecografic.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Vase
abdominale in limite normale ecografic.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Fara lichid liber in cavitatea peritoneala.}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 Vezica urinara cu pereti supli, continut
transonic, omogen.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 Uter
cu diametre normale, ecostructura omogena.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
langfenp1033 Anexe fara modificari decelabile ecografic.}{\fs22 \kerning1 \dbch \
\langnp1036 \langfe1033 \langfenp1033 Prostata cu structura si diametre normale ( /
cm). }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
cf3 LUXA}{\b1 \fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f10 \lang1048 \
langnp1048 \langfe1033 \langfenp1033 \cf3 \uc1 \u354 ?IA CONGENITALA A }{\b1 \
langfenp1033 \cf3 SOLDULUI }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f6 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 apare \uc1 \u238 ?n cursul vietii
intrauterine sau \uc1 \u238 ?n primele luni de viata, mai ales la fetitele
nascute \uc1 \u238 ?n prezentatie pelviana.}{\fs22 \kerning1 \dbch \af2 \hich \
langfenp1033 La copilul care nu a umblat}{\fs22 \kerning1 \dbch \af2 \
langfenp1033 \uc1 \u216 ? Femurul de partea luxata este mai subtire si mai
osteoporotic;}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \uc1 \u216 ? Diafiza femurala
este departata de oasele bazinului}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
hich \af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \uc1 \u216 ? \
uc1 \u206 ?n luxatia unilaterala este o asimetrie
\uc1 \u238 ?ntre cele doua extremitati superioare}{\fs22 \kerning1 \dbch \af2 \
langfenp1033 \uc1 \u216 ? Cavitatea cotiloida este aplatizata (aspect de farfurie \
uc1 \u238 ?ntinsa)}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
\langnp1036 \langfe1033 \langfenp1033 \uc1 \u216 ? Unghiul de \uc1 \u238 ?nclinatie
al acetabulului este sub 30\uc1 \u176 ?. \uc1 \u206 ?n luxatia congenitala de sold
acest unghi este marit.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 La copilul care a
umblat \uc1 \u238 ?n afara de semnele radiologice descrise, se mai constata
urmatoarele:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
\langnp1036 \langfe1033 \langfenp1033 \uc1 \u216 ? Nucleul osos al capului femural
apare mai t\uc1 \u226 ?rziu, chiar la doi ani (\uc1 \u238 ?n mod normal la 8-10
luni);}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \uc1 \u216 ? Nucleul epifizar
de partea luxata este mai mic dec\uc1 \u226 ?t \uc1 \u238 ?n partea sanatoasa;}{\
langfenp1033 \uc1 \u216 ? Cavitatea cotiloida de partea luxata are forma unei
farfurii \uc1 \u238 ?ntinse, este alungita si foarte putin ad\uc1 \u226 ?nca;}{\
\langfe1033 \langfenp1033 \uc1 \u216 ? Arcul cervico-obturator este \uc1 \u238 ?
ntrerupt de partea luxata. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \uc1 \u206 ?n mod normal,
osificarea ramurilor ischiopubiene se face la 5 - 6 ani; \uc1 \u238 ?n caz de
luxatie se produce tardiv dupa v\uc1 \u226 ?rsta de 7-8 ani. }{\fs22 \kerning1 \
brdrt \brdrs \brdrw20 \brdrcf12 \brdrb \brdrs \brdrw20 \brdrcf12 \brdrl \brdrs \
brdrw20 \brdrcf12 \brdrr \brdrs \brdrw20 \brdrcf12 \tql \tx360 \tql \tx720 \tql \
tx1080 \tql \tx1440 \tql \tx1800 \tql \tx2160 \tql \tx2520 \tql \tx2880 \tql \
tx9720 \tql \tx10080 \tql \tx10440 \tql \tx10800 \itap0 \fs24 \kerning1 \dbch \
langfenp1033 \cf1 Flebografia retrograda a membrului inferior drept, dupa blocarea
circulatiei superficiale si injectarea, intr-o vena a dosului piciorului, a 60 mm
contrast iodat evidentiaza:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \brdrt \brdrs \brdrw20 \brdrcf12 \
brdrb \brdrs \brdrw20 \brdrcf12 \brdrl \brdrs \brdrw20 \brdrcf12 \brdrr \brdrs \
brdrw20 \brdrcf12 \tql \tx360 \tql \tx720 \tql \tx1080 \tql \tx1440 \tql \tx1800 \
tql \tx2160 \tql \tx2520 \tql \tx2880 \tql \tx3240 \tql \tx3600 \tql \tx3960 \tql \
f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - dilatatii varicoase ale
venelor superficiale din jurul articulatiei gleznei drepte;}{\fs22 \kerning1 \
brdrt \brdrs \brdrw20 \brdrcf12 \brdrb \brdrs \brdrw20 \brdrcf12 \brdrl \brdrs \
brdrw20 \brdrcf12 \brdrr \brdrs \brdrw20 \brdrcf12 \tql \tx360 \tql \tx720 \tql \
tx9720 \tql \tx10080 \tql \tx10440 \tql \tx10800 \itap0 \fs24 \kerning1 \dbch \
kerning1 \dbch \af0 \hich \af7
\loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - venele profunde
ale gambei gracile, fara defecte de umplere decelabile;}{\fs22 \kerning1 \dbch \af2
plain \s36 \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \brdrt \brdrs
\brdrw20 \brdrcf12 \brdrb \brdrs \brdrw20 \brdrcf12 \brdrl \brdrs \brdrw20 \
brdrcf12 \brdrr \brdrs \brdrw20 \brdrcf12 \tql \tx360 \tql \tx720 \tql \tx1080 \tql
\tx1440 \tql \tx1800 \tql \tx2160 \tql \tx2520 \tql \tx2880 \tql \tx3240 \tql \
tx10080 \tql \tx10440 \tql \tx10800 \itap0 \fs24 \kerning1 \dbch \af2 \hich \af0 \
venele poplitee, femurala si iliace permeabile, cu calibru normal}{\fs22 \
langfenp1033 \cf1 .}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f7 \lang1036 \
lisb0 \lisa0 \nowidctlpar \aspalpha \lin0 \rin0 \brdrt \brdrs \brdrw20 \brdrcf12 \
brdrb \brdrs \brdrw20 \brdrcf12 \brdrl \brdrs \brdrw20 \brdrcf12 \brdrr \brdrs \
brdrw20 \brdrcf12 \tql \tx360 \tql \tx720 \tql \tx1080 \tql \tx1440 \tql \tx1800 \
langnp1033 \langfe1033 \langfenp1033 \cf1 Examinarea ecografica a glandei tiroide
evidentiaza:}{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \
af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 LTD =39/13/13 mm
(longitudinal/ antero-posterior/ transvers), ecostructura omogena, fara leziuni
focale.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 LTS = 37/13/14mm (longitudinal/ antero-
posterior/ transvers), ecostructura omogena, fara leziuni focale.}{\fs22 \dbch \af2
langfenp1033 \cf1 Istm = 2 mm ( diametru antero-posterior), aspect normal.}{\fs22 \
langfenp1033 \cf1 La examenul Doppler, vascularizatie normala.}{\fs22 \dbch \af2 \
langfenp1033 \cf1 {\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \kerning1 \dbch \af2 \
cs27 \b1 \fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 Examinarea
radiologica a femurului drept in doua incidente evidentiaza:}{\fs22 \dbch \af2 \
langnp1036 \langfe1033 \langfenp1033 \cf1 La nivelul 2/3 distale a diafizei
femurale drepte se vizualizeaza o plaja intinsa, nesistematizata, neomogena, prin
prezenta de zone de osteocondensare si osteoliza, imprecis delimitata, contur
neregulat,\uc1 \u160 ? ce asociaza usoara balonizare a osului in 1/3 medie; fara
reactie periostala sau intreruperea corticalei.}{\fs22 \kerning1 \dbch \af2 \hich \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Examinarea cistografica
anterograda dupa administrarea de contrast i.v. evidentiaza:}{\fs24 \dbch \af2 \
langfenp1033 \cf1 - radiografie reno-vezicala pe gol de aspect normal, fara calculi
radioopaci vizibili;}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - excretie normala, simetrica;}
langnp1036 \langfe1033 \langfenp1033 \cf1 - sistem pielo-caliceal de aspect normal,
omogen opacifiat, cu forma si calibru normale;}{\fs24 \dbch \af2 \hich \af0 \loch \
af0 \loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - uretere cu
nete, omogen opacifiata;}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - absenta refluxului
vezico-ureteral in timp mictional;}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036
\langnp1036 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \li0 \ri0 \lisb0
\lisa0 \widctlpar \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \
loch \f6 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - absenta reziduului
vezical postmictional;}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \langnp1036
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 - uretra normal configurata si
calibrata, avand contur net.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Aspect radiologic normal cistografic
anterograd si in timp mictonal.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langfenp1033 \cf3 DEXA}{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1036 \
langfenp1033 \cf1 Score T}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Intre 0 si
-1 se incadreaza in limite normale.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Intre -1 si -2.5 se
incadreaza in zona de osteopenie}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Peste -2.5 se
incadreaza in zona de osteoporoza}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
pard \plain \s33 \li0 \ri0 \sb100 \lisb0 \sa0 \lisa0 \sbauto1 \widctlpar \
aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \
osteodensitometrica a coloanei lombare si a colului femural bilateral evidentiaza:}
langfenp1033 \cf1 \par }\pard \plain \s33 \li0 \ri0 \sb100 \lisb0 \sa0 \lisa0 \
sbauto1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs24 \dbch \
langfenp1033 \cf1 Valorile BMD () si ale scorului T () de la nivelul coloanei
lombare se incadreaza in zona de osteopenie. Risc de fractura moderat,}{\fs24 \dbch
}\pard \plain \s33 \li0 \ri0 \sb100 \lisb0 \sa0 \lisa0 \sbauto1 \widctlpar \
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Valorile
BMD () si ale scorului T () de la nivelul colului femural drept se incadreaza in
zona de osteoporoza. Risc de fractura crescut.}{\fs24 \dbch \af2 \hich \af0 \loch \
li0 \ri0 \sb100 \lisb0 \sa0 \lisa0 \sbauto1 \widctlpar \aspalpha \aspnum \
adjustright \lin0 \rin0 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Valorile BMD () si ale scorului
T () de la nivelul colului femural stang se incadreaza in limite normale. Risc de
fractura scazut.}{\fs32 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s33 \li0 \ri0 \sb100 \lisb0 \
sa0 \lisa0 \sbauto1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \
langfe1033 \langfenp1033 \cf1 Recomandari:}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
ri0 \sb100 \lisb0 \sa0 \lisa0 \sbauto1 \widctlpar \aspalpha \aspnum \adjustright \
langnp1036 \langfe1033 \langfenp1033 \cf1 Consult de specialitate;}{\fs24 \dbch \
par }\pard \plain \s33 \li0 \ri0 \sb100 \lisb0 \sa0 \lisa0 \sbauto1 \widctlpar \
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Reevaluare
peste un an.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Recomandari\uc1 \u160 ?:}{\fs24 \dbch \
af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033
langnp1036 \langfe1033 \langfenp1033 \cf1 Pentru normal \uc1 \u8211 ?reevaluare
peste doi ani}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
Recomandari\uc1 \u160 ?:}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf1 Pentru osteopenie si
osteoporoza}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langnp1036 \langfe1033 \langfenp1033 \cf1 Consult de specialitate.}{\fs24 \dbch \
langfenp1033 \cf1 Reevaluare peste un an .}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
langnp1033 \langfe1033 \langfenp1033 \cf8 Radiological examination of right foot in
two views shows:}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf8 Normally configured
bone segments. }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf8 No changes in bone structure. }
langnp1033 \langfe1033 \langfenp1033 \cf8 Joint spaces within normal limits.}{\fs24
cf0 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \nowidctlpar \lin0 \rin0 \itap0 \
langfe1033 \langfenp1033 \cf8 No heterotopic calcifications. }{\fs24 \dbch \af2 \
langfenp1033 \cf8 Soft tissues without radiological abnormalities.}{\fs22 \dbch \
af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 }{\
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Conclusions\uc1 \u160
? :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfe1033 \langfenp1033 \cf8 Without elementary bone lesions.}{\fs24 \dbch \af2 \
lisa0 \widctlpar \lin0 \rin0 \tql \tx916 \tql \tx1832 \tql \tx2748 \tql \tx3664 \
tx10076 \tql \tx11908 \tql \tx12824 \tql \tx13740 \tql \tx14656 \itap0 \fs24 \
langfenp1033 \cf1 Radiological examination of the lumbar spine in two views
reveals:}{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \
\lin0 \rin0 \tql \tx916 \tql \tx1832 \tql \tx2748 \tql \tx3664 \tql \tx4580 \tql \
tx11908 \tql \tx12824 \tql \tx13740 \tql \tx14656 \itap0 \fs24 \dbch \af2 \hich \
par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \tql \tx916 \tql \
tx13740 \tql \tx14656 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Normally aligned vertebral
bodies without axial changes.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \
lisa0 \widctlpar \lin0 \rin0 \tql \tx916 \tql \tx1832 \tql \tx2748 \tql \tx3664 \
tx10076 \tql \tx11908 \tql \tx12824 \tql \tx13740 \tql \tx14656 \itap0 \fs24 \
langfenp1033 \cf1 Normal vertebrae as number, shape and size.}{\fs22 \dbch \af2 \
pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \tql \tx916 \tql \tx1832
\tql \tx2748 \tql \tx3664 \tql \tx4580 \tql \tx5496 \tql \tx6412 \tql \tx7328 \tql
\tx8244 \tql \tx9160 \tql \tx10076 \tql \tx11908 \tql \tx12824 \tql \tx13740 \
tql \tx14656 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 Outline contours and fins with fine
edges.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \
\tql \tx916 \tql \tx1832 \tql \tx2748 \tql \tx3664 \tql \tx4580 \tql \tx5496 \tql \
tx12824 \tql \tx13740 \tql \tx14656 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \af0 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 No changes in bone
structure.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1033
rin0 \tql \tx916 \tql \tx1832 \tql \tx2748 \tql \tx3664 \tql \tx4580 \tql \tx5496 \
tql \tx6412 \tql \tx7328 \tql \tx8244 \tql \tx9160 \tql \tx10076 \tql \tx11908 \tql
\tx12824 \tql \tx13740 \tql \tx14656 \itap0 \fs24 \dbch \af2 \hich \af0 \loch \
af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Intervertebral
spaces kept within normal limits.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 No heterotopic
calcifications.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \langnp1033 \
af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf8 Radiological
examination of right hip joint in two views reveals:}{\fs24 \dbch \af2 \hich \af0 \
langfenp1033 \cf8 Normally configured bone segments. }{\fs24 \dbch \af2 \hich \
No changes in bone structure. }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf8 Joint spaces within
normal limits.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf8 No heterotopic
calcifications. }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf8 Soft tissues without
radiological abnormalities.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \
Conclusions:}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langnp1033 \langfe1033 \langfenp1033 \cf8 Without elementary bone lesions.}{\fs24 \
cf1 {\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf8 Radiological
examination of left hand in two views shows:}{\fs24 \dbch \af2 \hich \af0 \loch \f0
Normally configured bone segments. }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Healing spiroid
fracture proximal phalanx fifth left finger. }{\fs24 \dbch \af2 \hich \af0 \loch \
af0 \loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf8 Joint spaces
within normal limits.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf8 No heterotopic
calcifications. }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf8 Soft tissues without
radiological abnormalities.}{\fs22 \dbch \af2 \hich \af0 \loch \f6 \lang1033 \
Conclusions:}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langnp1033 \langfe1033
\langfenp1033 \cf1 Fifth left finger proximal phalanx healing fracture. }{\fs22 \
langfe1033 \langfenp1033 \cf0 Apendice}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Fara ingrosari
parietale sau colectii vizibile ecografic in fosa iliaca dreapta.}{\fs24 \dbch \af2
langfenp1033 \cf1 {\b1 \fs22 \kerning22 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langnp1036 \langfe1033 \langfenp1033 \cf0 ECOGRAFIE PARTI MOI:}{\b1 \fs22 \
langnp1036 \langfe1033 \langfenp1033 \cf0 Ex ultrasonografic perete abdominal
(paraombilical):}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Tegument,
grosime normala, omogen structural}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Tesut
subcutanat hipoecogen, septat, fara semne inflamatorii, fara proces inlocuitor de
spatiu}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
langfe1033 \langfenp1033 \cf1 {\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Linia alba fara solutii de
continuitate}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Tesut muscular (m.
drept abdominal), structura fibrilara regulata fara distorsiuni arhitecturale, sau
colectie}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Fara adenopatii satelite}{\fs22
langnp1036 \langfe1033 \langfenp1033 \cf0 La nivelul cicatricii postoperatorii,
tegument ingrosat fara alte modificari ultrasonografic}{\fs22 \kerning1 \dbch \
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 HEMANGIOM
CAVERNOS\uc1 \u160 ??}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Ficat,
diametre normale, omogen structural, reflectogen difuz, prezinta la nivelul seg.
VII, subdiafragmatic, o formatiune de aprox. 38/22mm,contur estompat-difuz,
hipodensa, heterogena structural, fara semnal vascular detectabil.}{\fs22 \kerning1
langnp1033 \langfe1033 \langfenp1033 \cf0 Venele suprahepatice nedilatate}{\fs22 \
langnp1033 \langfe1033 \langfenp1033 \cf0 Caile bilare (intra, extrahepatic) \uc1 \
u8211 ? Ax spleno-portal, normal calibrate}{\fs22 \kerning1 \dbch \af2 \hich \af0 \
loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \kerning1 \
Colecist, fara ingrosare parietala, continut endoluminal omogen, alitiazic.}{\fs22
langnp1033 \langfe1033 \langfenp1033 \cf0 Pancreas diametre normale, fara ectazie
ductala, calcifieri sau proces inlocuitor de spatiu }{\fs22 \kerning1 \dbch \af2 \
langfenp1033 \cf0 Splina diametre normale, contur regulat, omogena structural, fara
proces inlocuitor de spatiu.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf0 Rinichi
stg,diametre normale, contur regulat, parenchim omogen, prezinta intracortical,
polar superior, o formatiune de 37/37mm, bine conturata, omogena structural,
transonica, avasculara. }{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036
\langnp1036 \langfe1033 \langfenp1033 \cf0 Fara ectazie de cai urinare superioare,
fara imagine concludenta de calculi.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \
af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \kerning1 \dbch \
Rinichi contralateral cu morfologie normala}{\fs22 \kerning1 \dbch \af2 \hich \
plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \lin0 \rin0 \itap0
\fs24 \dbch \af2 \hich \af0 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langnp1036 \langfe1033 \langfenp1033 \cf0 Lojele suprarenale fara proces inlocuitor
de spatiu}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf0 Nu se evidentiaza lichid liber
intraperitoneal.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Fara
adenopatii vizibile ultrasonografic retroperitoneal, fara modificari de calibru sau
parietale ale vaselor mari abdominale.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch
af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \kerning1 \dbch \
Vezica urinara in repletie contur regulat simetric, fara modificari parietale, fara
corpi straini intravezical.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Uter
retroversat, diametrul ant-post.69mm, contur boselat, miometru heterogen
structural prin prezenta de multiple formatiuni nodulare, dimensiuni variabile,
hipodense, heterogene structural, vascularizate.}{\fs22 \kerning1 \dbch \af2 \
langfenp1033 \cf0 Lojele anexiale fara proces inlocuitor de spatiu vizualizabil
transabdominal.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
langfenp1033 \cf0 Concluzii:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Proces
inlocuitor de spatiu seg. VII hepatic, sugestiv, hemangiom cavernos}{\fs22 \
langnp1036 \langfe1033 \langfenp1033 \cf0 Chist cortical rinichi stg, Bosniak 1}{\
langnp1036 \langfe1033 \langfenp1033 \cf0 Uter fibromatos polinodular}{\fs22 \
Recomandari:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Monitorizare}{\fs22 \
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Nodul
fibromatos uterin}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \
hich \af0 \loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Uter
retroversat, contur regulat, miometrul heterogen structural, prezinta intramural,
o formatiune de aprox. 62/56/73mm, relayiv bine conturata, hipodensa, heterogena
structural, vascularizata.}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
Recomandari:}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \lang1036 \langnp1036
loch \f0 \lang1036 \langnp1036 \langfe1033 \langfenp1033 \cf0 Completare
investigatii, monitorizare}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 \cf0 sinus cu fine elemente ecogene, fara imagini concludente de
calculi sau distensii SPC}{\fs22 \kerning1 \dbch \af2 \hich \af0 \loch \f0 \
lang2057 \langnp2057 \langfe1033 \langfenp1033 \cf0 - microlitiaza renala}{\fs22 \
langfenp1033 \cf0 \par }}

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deflangfe2057 {\fonttbl {\f0 \froman \fcharset238 \fprq0 {\*\panose

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