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Morning Report

Thursday, October 29th


2015
Co-ass in charge:
Mayastuti Nur M.
Restu Hijriah
Cynthia Paramita
Supervisor:
dr. Indrastuti Normahayu, SpRad(K)

Radiology Laboratorium of dr. Saiful


Anwar Hospital
Medical Faculty of Brawijaya University

Resume of Patient
No.

Name

Age

Type of Imaging

Indication

Mrs. W

32 yo

Thorax PA

Ca mammae D/S

Mrs. M

62 yo

Thorax PA

Shortness of
breath

Ms. D

23 yo

Waters

Chronic sinusitis
maxillaris

Mr. AM

44 yo

IVU

Flank pain S

Mrs. P

63 yo

Genu D/S
AP/Lateral

Knee joint pain

Case Report 1

Name
Age
Type of Imaging
Indication
Contraindication

:
:
:
:
:

Mrs. W
32 yo
Thorax PA
Ca mammae
-

Soft tissue : Normal


Bone
: Normal, no visible osteolytic, osteoblastic and fracture.
Trachea : In the middle
Costophrenicus angle (D/S) : Sharp
Hemidiaphragm (D/S) : Dome shaped
Cor
: size normal, right border normal, left border less than
hemidiaphragm, and cardiac waist normal
Aorta : calcification (-), elongation (-), aorta sclerotic (-), dilatation (-)
Pulmonal :
Hilus D/S
: Normal
Vascular pattern D/S : Normal
Hemithorax D/S : Multiple nodules with varying sizes

Conclusion :
Metastatic process in pulmo

Case Report 2

Name
: Mr. AM
Age
: 44 yo
Type of Imaging
: IVU
Indication
: Flank pain S
Contraindication
:-

Preperitoneal fat line : normal


Psoas Line D/S : normal
Hepar contour : normal

BN
O

Kidney Contour : position, site, and size normal


Lien contour : normal
Bowel Air distribution : normal to the pelvic
cavity
There is radioopaque stone at hemiabdomen
dextra as high as V. Lumbal II-III
Skeleton : There is no lytic or blastic lession,
osteophyte (-)

IVU
Water soluble contrast inserted
intravenously, no allergic reaction
Renal dextra secretion and excretion function
: normal, nephrogram seen after 5 minutes.
Renal dextra drainage function seen after 15
minutes.
Pelvicocaliceal system D widening with the
clubbing-shaped end of calyx
Pelvicocaliceal system S widening with
flattening end of calyx

IVU
Ureter S : caliber narrowing with sharp tip as
high as vertebrae lumbal III-IV, with ureter
dilatation in proximal site. Irregular mucose in
1/3 proximal, no kinking ureter.
Ureter D : caliber widened in the 1/3 proximal
as high as vertebrae lumbal II-III, still appears
to contrast the distal side. Regular mucosa, no
kinking ureter.
VU : regular mucose, no indentation, filling
defect (-), additional shadow (-). In post-miction
seen minimal urine residual.

IVU
Conclusion :
Dextra hydronephrosis grade III ec
partial obstruction 1/3 proximal
ureter stone
Left hydronephrosis grade II ec
partial stenosis 1/3 proximal
Left ureteritis 1/3 proximal

Case Report 3

Name
: Mrs. P
Age
: 63 yo
Type of Imaging : Genu D/S AP/Lateral
Indication
: Knee joint pain
Contraindication : -

Description
Alignment : Normal
Soft Tissue : Normal
Bone
: Osteophyte (+) in condylus medialis
lateralis os.tibia D/S, margo
posterosuperior os patella D/S
Joint space
: Normal

Conclusion :
Osteoarthritis femorotibia D/S grade II
Osteoarthritis patelofemoral D/S

Thankyou

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