中英双语X线诊断模板

b****o

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1.头颅骨质未见异常

The shape and the size of the skull are normal。The inner and outer tables，and the diploe of the cranial vault are unremarkable，on the lateral view ，the sizes，the shape and the density of the sella turcica are nothing remarkable。

Impression：plain films of the head are normal.


2.头颅正常

AP and lateral views of the skull are submitted. The cavarium has normal configuration and appearance. There is no evidence of fracture. The soft tissues are normal.

Impression: Normal skull.                


3.鼻旁窦炎症

There is generalized haziness of the frontal, ethmoid and bilateral maxillary sinuses. Findings are consistent with sinusitis.

Impression: Frontal,（额窦）ethmoid（筛）and maxillary （上颌）sinusitis.         


4. 右膝关节正常

The bones and joints of the right knee are normal. There is no evidence  of  fracture or subluxation. The soft tissues are normal. There is no joint effusion.

Impression: Normal right knee.


5.右膝退变

The bones and joints of the right knee are normal. Mild degenerative changes of the knee joint is present. There is no evidence  of  fracture or subluxation. The soft tissues are normal. There is no joint effusion.

Impression: Mild DJD of knee joint。
6.左小腿蜂窝炎，（软组织肿胀，无骨髓炎）

There is mild degree of soft tissue swelling 10.9cm at the proximal anterior leg. There is no evidence of adjacent bone abnormality. There is no evidence of periosteal reaction. The fibular bone has normal configuration and appearance.

Impression: There is a focal 10.9cm length soft tissue swelling at the proximal anterior leg adjacent to the tibia. The tibial bone has normal configuration with no evidence of osteomyelitis. Findings are consistent with localized cellulitis. 
                
 
7.右侧胫骨石膏固定中，位置可，和老片比较相似

The right leg is in a plaster cast. There is oblique fracture of the right mid tibial shaft. There is mild callous formation across the fracture line. The bone fragnments are in proper alignment. Comparison with previous eximination of 4/19/2006 reveals no significant interval change.

Impression:  S/P fracture of the right mid tibial shaft. Callous formation is present across the fracture line.
            There is no interval change from previous study of 4/19/2006.         

8.右足正斜位正常

The bones and joints of the right forefoot are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.

Impression: Normal right forefoot.

9.正常左踝正侧位

AP and lateral views of the left ankle were obtained. The bones and joints of the ankle are normal. There is no fracture.

Impression: Normal left ankle.

10.右侧足背距骨和舟状骨之间退变

The bones and joints of the right fore foot are normal. Mild degenerative changes of the talo-navicular joint is present. There is no evidence  of  fracture or subluxation. The soft tissues are normal.
Impression: Normal right fore foot. Mild DJD of talo-naviculat joint.                

11.双侧足背斜位，拇外翻

There is mild degree of hallux valgus deformities of the both feet right and left. The bones and joints of the rest of the feet are unremarkable. Soft tissues are within normal limits.


Impression: 1. Mild right hallux valgus deformities.


12.双肘正常 

The bones and joints of bilateral elbows are normal. The soft tissues are normal. There is no evidence of fracture or subluxation.

Impression: Normal elbows. 



13.右侧拇指正常

The bones and joints of the right thumb are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.

Impression: Normal right thumb. 



14.右肩关节正位正常                    
       
The bones and joints of the right shoulder  are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.

Impression: Normal right shoulder. 



15.右腕正侧位正常
 
The bones and joints of the right wrist are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.

Impression: Normal right wrist.



16.双侧腕关节（右侧正常，左侧横行骨折，未移位）

There is a transverse non displaced fracture of the left distal radial metaphysis region. The left wrist is normal in configuration and appearance. The right distal forearm and right wrist are normal in appearance. Soft tissues are within normal limits.

Impression: Transverse non displaced fracture of the left distal radial metaphysis. Right distal forearm and wrist are normal.         


17.左手背正常

The bones and joints of the left hand are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.

Impression: Normal left hand.                


18.正常锁骨片（左）

The left clavicle has normal configuration and appearance. The soft tissues of the neck above the clavicle is normla in appearance. Scapular and left shoulder joint are within normal limits.

Impression: Normal left clavicle. No evidence of soft tissue mass is demonstrated.


19.左锁骨及肩胛骨

AP views of the left shoulder and scapula reveal normal bones and joints. There is no evidence of fracture or bone abnormality. The soft tissues are normal.


Impression: Normal left shoulder and scapula.          
     


20.腹部立卧位正常片
Supine and upright views of the abdomen are submitted. The bowel gas pattern is normal. There is no evidence of intestinal obstruction. There is no evidence of abnormal calcifications overlying the kidneys or the pelvis. The osseous structures are normal.

Impression: Normal abdomen. 

21.腹部立位正常：

The bowel gas pattern is normal. There is no evidence of abnormal calcifications. The osseous structures are normal.

Impression: Normal abdomen. 


22.腹部立位大便

AP erect view of the abdomen reveal feces filled colon. There is no evidence of abdominal mass or calcifications. The osseous structures are normal.

Impression: Feces impacted colon.
                
    
23.颈椎增生性改变
The alignment of cervical vertebra is normal. Curve of the cervical vertebra exist（disappear）. Narrowing of the intervertebal space between C？ and c？ is found. Slight osteophytes are revealed at the posterior/anterior of C？－c？. There is no fracture or dislocation.


24.胸椎增生性改变

The alignment of thoracic vertebra is normal. Curve of the cervical vertebra exist（disappear）. Narrowing of the intervertebal space between t？ and t？ is found. Slight osteophytes are revealed at the posterior/anterior of t？－t？. There is no fracture or dislocation.


Impression: Hyperplasy changes of the thoracic vertebra.

25.颈椎正常

The alignment of cervical vertebra is normal. Curve of the cervical vertebra exist. The intervertebal space between the cervical vertebra is normal. No osteophytes are revealed at the cervical vertebra bodies.

Impression: Normal of the cervical vertebra.

26.胸椎正常

The alignment of thoracic vertebrae is normal. Curve of the thoracic vertebrae exist. The intervertebal space between the thoracic vertebra is normal. No osteophytes are revealed at the thoracic vertebra bodies.

Impression: Normal of the thoracic vertebra.
  

27.腰椎正常

The alignment of lumbar vertebrae is normal. Curve of the lumbar vertebrae exist. The intervertebal space between the lumbar vertebra is normal. No osteophytes are revealed at the lumbar vertebra bodies.

Impression: Normal of the lumbar vertebra.


28.颈椎退行性变

The alignment of cervical vertebra is normal. Curve of the cervical vertebra disappear. Narrowing of the intervertebal space between C？ and c？斜位片有椎间孔狭窄时：＋These cause minimal narrowing of the intervertebral foramina. Severe osteophytes are revealed at the posterior/anterior of C？－c？There is no fracture or dislocation.

Impression: Degenerative of the cervical vertebra.


29.腰椎退行性变

The alignment of lumbar vertebra is normal. Curve of the lumbar vertebra disappear. Narrowing of the intervertebal space between l？ and l？斜位片有椎间孔狭窄时：＋These cause minimal narrowing of the intervertebral foramina. Severe osteophytes are revealed at the posterior/anterior of l？－l？There is no fracture or dislocation.

Impression: Degenerative of the lumbar vertebra.


30.胸片正侧位正常

PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.


Impression: Normal Chest 

31. 胸片正位正常    
PA view of the chest was obtained. Both lung fields are well expanded.
There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.

Impression: Normal Chest                         


32.胸片有钙化点无其它肺部疾病。

PA view of the chest was obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. A small calcified at the top of the right lung. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.

Impression: Small calcified at the top of the right lung. No acute lung disease.          


33.胸部小结节。

PA view of the chest was obtained. Both lung fields are well expanded.
There is a small lung nodule 3mm size at the right mid lung. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal. 


Impression: 3 mm nodule at right mid lung. Suggest comparison with old CXR to ensure stability,  otherwise suggest CT chest.         

34.两肺纹理增多，未见明显感染之征象。

AP view of the chest was obtained. Both lung fields are well expanded.
There is no evidence of lung mass or infiltrate. Mild increase of lung markings are present. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.

Impression: Mild increase of lung markings. No focal infiltrate is seen.                


35.胸片侧位，肋骨骨折

Bilateral lungs are normal. The heart has normal size and contour. The mediastinum is normal. There is a  fracture of right 7thaxillary rib.


Impression: 1. Lungs are normal.2. Fracture of the right 7th  axillary rib.                

36.胸部正侧位（右隔抬高，原因待查）

PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal.。There is elevation of right septum

Impression: There is elevation of right septum, suggest further
check up;


37.心影稍增大（胸片正位）


PA view of the chest was obtained. Both lung fields are well expanded.
There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. There is mild cardiomegaly.  The mediastinum and bilateral hila are normal.

Impression: Mild cardiomegaly. Lungs are clear.                

38.左上肺陈旧性肺结核


PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is fibro-calcific changes at left upper lobe. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.

Impression: LUL post TB inflmmatory residuals.

39．两肺门增大，建议ct检查

PA view of the chest was obtained. Both lung fields are well expanded. There is mild increase of interstitial lung markings with bilateral prominent hila. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.

Impression: There is mild increase of interstitial lung markings with bilateral prominent hila. Suggest CT chest.


40.两肺纹理增多，左侧胸腔积液，心影中度扩大。

PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is mild increase of interstitial lung markings and Kerley-B lines at right lower lung. There is increased haze at the LLL suggest pleural effusion. Bilateral apices are normal. There is moderate cardiomegaly with large right atrium.  The mediastinum and bilateral hila are normal.

Impression: Increased lung markings at lung bases.
             Left pleural effusion.
             Moderate cardiomegaly.         


41.肺感

PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is diffuse interstitial infiltrates at left lung/right lung/LUL?LLL/RUL/RLL.Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.

Impression: Pneumonia of left lung/right lung/LUL/LLL/RUL/RLL.


42.心包积液

PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac size is enlarged with " water bottle" appearance suggesting pericardial effusion. The mediastinum and bilateral hila are normal.

Impression: Enlarged heart with "water bottle" appearance suggestive of pericardial effusion. No lung infiltrate is seen.                

        
43.右上肺肉芽肿

PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal. A 3 mm granuloma is seen at RUL.

Impression: 3 mm granuloma at RUL. Suggest 6 month follow up CXR.    


44.正常骨盆及两侧髋部

The iliac bones are normal in configuration and appearance. Bilateral hip joints are normal in appearance. There is no evidence of hip joint dysplasia. Bilateral proximal femurs are normal in appearance. Soft tissues are normal.

Impression: Normal pelvis and bilateral hips.                


45.两侧髋部正常

Frog lateral views of the hips are submitted. Both acetabulum are normal in appearance. The femoral heads are normal. There is no subluxation.

Impression: Normal hips. 


46.右侧肋骨正常

The right ribs have normal configuration and appearance. There is no fracture. No pleural effusion of the ipsilateral.

Impression: Normal right ribs.                         
         
47.第一趾骨骨折
Right 1st toe:

AP and obliques of the right 1st toe are submitted. There is a small avulsion （撕脱）fracture at the medial base of the distal（远侧的）/ proximal(近侧的) phalange The IP joint（趾间关节） is normal. The soft tissues are normal.

Impression: Small avulsion fracture at the medial base of the distal phalange.                


48.左侧第五蹠骨基底部撕脱性骨折

There is a avulsion fracture at the base of the left 5th matatarsal bone with adjacent soft tissue swelling. The rest of the left foot is normal.

Impression: Avulsion fracture at base of the left 5th metatarsal bone.                

[ 本帖最后由 buongiorno 于 2008-7-4 22:25 编辑 ]

新**易

好东东，顶一下！！！！！

l****1

{MOD}

闪*星

顶

y****n

十分好的东西,当然要顶一下,感谢楼主的分享.

有**如

非常{MOD}

d****n

Goooooooooood!!!!! Thank you very much!!!:) :) :)