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Morning Report

Monday, June, 22nd 2015


Coass in charge:
Kartika Ayu W
Githa Putri Puspita S

SUPERVISOR:
DR. INDRASTUTI NORMAHAYU, SP.RAD (K)

Radiology Laboratorium of dr. Saiful Anwar Hospital


Medical Faculty of Brawijaya University

Resume
No.

Name

Age

Type of Imaging

Indication

By. D

28
days

Thorax AP

Susp pneumoniae

Mrs. Y

82 yo

Thorax AP

Susp pleural
effusion

Mr. T

81 yo

Thorax AP

SOB + Cough

By. K

2 mo

Thorax AP

Respiratory distress

Mrs. N

34 yo

Skull Waters

Cold + history of
sinusitis

Mrs. W

48 yo

Thorax AP

ADHF

Mr. M

52 yo

BNO/APG (S)

Post PNS (S)

Case Report 1
Name
Age
Photo
Indication
Contraindication

: Mrs W
: 43 yo
: Thorax AP (asimetris position)
: ADHF
:-

Soft tissue: Normal


Bone: Normal, no visible
osteolitic, osteoblastic and
fracture.
Trachea: in the middle
Costophrenicus angle (D) :
hard to evaluate because
covered by opacity ; (S) :
sharp
Hemidiaphragm (D) : hard
to evaluate because covered
by opacity; (S) : domeshape
Cor
:
CTR
65%,
enlargement to dextra and
sinistra
Aorta :
dilatation (-),
elongation
(-),
aorta
sclerotic (-)
Pulmonal : vascular pattern
increase,
fibrosis
(-),
infiltrat (-), cavity (-)
Hilus
(D)
:
hard
to
evaluate ; (S) : thickening
There is homogen opacity at

Case Report 2
Name

: Mrs. N
Age
: 34 yo
Photo
: Skull Waters
Indication
: cold, history of sinusitis
Contraindication
:-

Sinus Frontalis D/S : Normal


Sinus Ethmoidalis D/S

: Normal

Sinus Maxillaris D/S

: Air Fluid Level (+)

Sinus Sphenoidalis D/S

: Normal

Cavum Nasi

: Mucosa Thickening

Septum Nasi : Normal, deviation (-)


Fascia Bone (orbita, zygomaticus, maxillaris)
Normal, Fracture (-),
destruction (-), deformity (-)

Kesimpulan:
Sinusitis maxillaris acute bilateral, and rhinitis

Case Report 3
Name

: Mr. M
Age
: 52 yo
Photo
: BNO, and APG (S)
Indication
: Post PNS (S)
Contraindication
:-

Preperitoneal fat line


D/S : hard to evaluate

Psoas line : normal


Bone : normal, no
osteoblastic, no osteolitic,
no fracture

Hepatic contour : normal


Splenic contour : normal
Intestine air distribution :
normal

Kidney contour : Normal,


covered by air distribution

There are multiple


radioopaque stone at
paravertebrae L II-IV
sinistra, radioopaque
stone at hemi... Between L
II-III and there is stone
radioopaque at cavum
pelvic

Contrast:
Iodine water soluble non ionic
injected to nephrostomy sinistra,
Contrast diluted in WFI 1:1
Contrast filled pelviocalyceal system
ren sinistra until urether 1/3 proximal.
After 45 minutes, contrast didnt filled urether
medial and distal.
There is dilatation pelviocalyceal system ren
sinistra with calyx clubbing.
Conclusion:
Total obstruction urether sinistra ec
uretherolitiasis sinistra 1/3 proximal which
caused dilatation urether 1/3 sinistra proximal.
Nefrolithiasis (S)
Radioopaque stone in cavum pelvic, susp
uretherolitiasis

TERIMA KASIH
Radiology Laboratorium of dr. Saiful Anwar Hospital
Medical Faculty of Brawijaya University