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1、Evaluation Warning: The document was created with Spire.Doc for .NET.1.头颅骨质未见异常Theshapeandthesizeoftheskullarenormal。Theinnerandoutertables，andthediploeofthecranialvaultareunremarkable，onthelateralview，thesizes，theshapeandthedensityofthesellaturcicaarenothingremarkable。Impression：plainfilmsofthehead
2、arenormal.2.头颅正常APandlateralviewsoftheskullaresubmitted.Thecavariumhasnormalconfigurationandappearance.Thereisnoevidenceoffracture.Thesofttissuesarenormal.Impression:Normalskull.3.鼻旁窦炎症Thereisgeneralizedhazinessofthefrontal,ethmoidandbilateralmaxillarysinuses.Findingsareconsistentwithsinusitis.Impre
3、ssion:Frontal,（额窦）ethmoid（筛）andmaxillary（上颌）sinusitis.4.右膝关节正常Thebonesandjointsoftherightkneearenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Thereisnojointeffusion.Impression:Normalrightknee.5.右膝退变Thebonesandjointsoftherightkneearenormal.Milddegenerativechangesofthekneejoi
4、ntispresent.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Thereisnojointeffusion.Impression:MildDJDofkneejoint。6.左小腿蜂窝炎，（软组织肿胀，无骨髓炎）Thereismilddegreeofsofttissueswelling10.9cmattheproximalanteriorleg.Thereisnoevidenceofadjacentboneabnormality.Thereisnoevidenceofperiostealreaction.
5、Thefibularbonehasnormalconfigurationandappearance.Impression:Thereisafocal10.9cmlengthsofttissueswellingattheproximalanteriorlegadjacenttothetibia.Thetibialbonehasnormalconfigurationwithnoevidenceofosteomyelitis.Findingsareconsistentwithlocalizedcellulitis.7.右侧胫骨石膏固定中，位置可，和老片比较相似Therightlegisinaplas
6、tercast.Thereisobliquefractureoftherightmidtibialshaft.Thereismildcallousformationacrossthefractureline.Thebonefragnmentsareinproperalignment.Comparisonwithpreviouseximinationof4/19/2006revealsnosignificantintervalchange.Impression:S/Pfractureoftherightmidtibialshaft.Callousformationispresentacrosst
7、hefractureline.Thereisnointervalchangefrompreviousstudyof4/19/2006.8.右足正斜位正常Thebonesandjointsoftherightforefootarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightforefoot.9.正常左踝正侧位APandlateralviewsoftheleftanklewereobtained.Thebonesandjointsoftheankleare
8、normal.Thereisnofracture.Impression:Normalleftankle.10.右侧足背距骨和舟状骨之间退变Thebonesandjointsoftherightforefootarenormal.Milddegenerativechangesofthetalo-navicularjointispresent.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightforefoot.MildDJDoftalo-naviculatjoint.11.双
9、侧足背斜位，拇外翻Thereismilddegreeofhalluxvalgusdeformitiesofthebothfeetrightandleft.Thebonesandjointsoftherestofthefeetareunremarkable.Softtissuesarewithinnormallimits.Impression:1.Mildrighthalluxvalgusdeformities.Thebonesandjointsofbilateralelbowsarenormal.Thesofttissuesarenormal.Thereisnoevidenceoffractu
10、reorsubluxation.Impression:Normalelbows.13.右侧拇指正常Thebonesandjointsoftherightthumbarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightthumb.14.右肩关节正位正常Thebonesandjointsoftherightshoulderarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesareno
11、rmal.Impression:Normalrightshoulder.15.右腕正侧位正常Thebonesandjointsoftherightwristarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightwrist.16.双侧腕关节（右侧正常，左侧横行骨折，未移位）Thereisatransversenondisplacedfractureoftheleftdistalradialmetaphysisregion.Theleftwristisnorm
12、alinconfigurationandappearance.Therightdistalforearmandrightwristarenormalinappearance.Softtissuesarewithinnormallimits.Impression:Transversenondisplacedfractureoftheleftdistalradialmetaphysis.Rightdistalforearmandwristarenormal.Thebonesandjointsofthelefthandarenormal.Thereisnoevidenceoffractureorsu
13、bluxation.Thesofttissuesarenormal.Impression:Normallefthand.18.正常锁骨片（左）Theleftclaviclehasnormalconfigurationandappearance.Thesofttissuesoftheneckabovetheclavicleisnormlainappearance.Scapularandleftshoulderjointarewithinnormallimits.Noevidenceofsofttissuemassisdemonstrated.Impression:Normalleftclavic
14、le.19.左锁骨及肩胛骨APviewsoftheleftshoulderandscapularevealnormalbonesandjoints.Thereisnoevidenceoffractureorboneabnormality.Thesofttissuesarenormal.Impression:Normalleftshoulderandscapula.20.腹部立卧位正常片Supineanduprightviewsoftheabdomenaresubmitted.Thebowelgaspatternisnormal.Thereisnoevidenceofintestinalobst
15、ruction.Thereisnoevidenceofabnormalcalcificationsoverlyingthekidneysorthepelvis.Theosseousstructuresarenormal.Impression:Normalabdomen.21.腹部立位正常：Thebowelgaspatternisnormal.Thereisnoevidenceofabnormalcalcifications.Theosseousstructuresarenormal.Impression:Normalabdomen.22.腹部立位大便APerectviewoftheabdome
16、nrevealfecesfilledcolon.Thereisnoevidenceofabdominalmassorcalcifications.Theosseousstructuresarenormal.Impression:Fecesimpactedcolon.23.颈椎增生性改变Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebraexist（disappear）.NarrowingoftheintervertebalspacebetweenC？andc？isfound.Slightosteophytesarer
17、evealedattheposterior/anteriorofC？c？.Thereisnofractureordislocation.24.胸椎增生性改变Thealignmentofthoracicvertebraisnormal.Curveofthecervicalvertebraexist（disappear）.Narrowingoftheintervertebalspacebetweent？andt？isfound.Slightosteophytesarerevealedattheposterior/anterioroft？t？.Thereisnofractureordislocati
18、on.Impression:Hyperplasychangesofthethoracicvertebra.25.颈椎正常Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebraexist.Theintervertebalspacebetweenthecervicalvertebraisnormal.Noosteophytesarerevealedatthecervicalvertebrabodies.Impression:Normalofthecervicalvertebra.26.胸椎正常Thealignmentoft
19、horacicvertebraeisnormal.Curveofthethoracicvertebraeexist.Theintervertebalspacebetweenthethoracicvertebraisnormal.Noosteophytesarerevealedatthethoracicvertebrabodies.Impression:Normalofthethoracicvertebra.27.腰椎正常Thealignmentoflumbarvertebraeisnormal.Curveofthelumbarvertebraeexist.Theintervertebalspa
20、cebetweenthelumbarvertebraisnormal.Noosteophytesarerevealedatthelumbarvertebrabodies.Impression:Normalofthelumbarvertebra.28.颈椎退行性变Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebradisappear.NarrowingoftheintervertebalspacebetweenC？andc？斜位片有椎间孔狭窄时：Thesecauseminimalnarrowingoftheinterv
21、ertebralforamina.Severeosteophytesarerevealedattheposterior/anteriorofC？c？Thereisnofractureordislocation.Impression:Degenerativeofthecervicalvertebra.29.腰椎退行性变Thealignmentoflumbarvertebraisnormal.Curveofthelumbarvertebradisappear.Narrowingoftheintervertebalspacebetweenl？andl？斜位片有椎间孔狭窄时：Thesecausemin
22、imalnarrowingoftheintervertebralforamina.Severeosteophytesarerevealedattheposterior/anteriorofl？l？Thereisnofractureordislocation.Impression:Degenerativeofthelumbarvertebra.30.胸片正侧位正常PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilatera
23、lapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:NormalChest31.胸片正位正常PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal
24、.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:NormalChest32.胸片有钙化点无其它肺部疾病。PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Asmallcalcifiedatthetopoftherightlung.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.T
25、hecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:Smallcalcifiedatthetopoftherightlung.Noacutelungdisease.33.胸部小结节。PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisasmalllungnodule3mmsizeattherightmidlung.Bilateralapicesarenormal.Bilateralpleuralspacesarenor
26、mal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:3mmnoduleatrightmidlung.SuggestcomparisonwitholdCXRtoensurestability,otherwisesuggestCTchest.34.两肺纹理增多，未见明显感染之征象。APviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Mildincr
27、easeoflungmarkingsarepresent.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:Mildincreaseoflungmarkings.Nofocalinfiltrateisseen.35.胸片侧位，肋骨骨折Bilaterallungsarenormal.Thehearthasnormalsizeandcontour.Themediastinumisno
28、rmal.Thereisafractureofright7thaxillaryrib.Impression:1.Lungsarenormal.2.Fractureoftheright7thaxillaryrib.36.胸部正侧位（右隔抬高，原因待查）PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardi
29、accontourisnormal.。ThereiselevationofrightseptumImpression:Thereiselevationofrightseptum,suggestfurthercheckup;37.心影稍增大（胸片正位）PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thereismildcardiomeg
30、aly.Themediastinumandbilateralhilaarenormal.Impression:Mildcardiomegaly.Lungsareclear.38.左上肺陈旧性肺结核PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisfibro-calcificchangesatleftupperlobe.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Theme
31、diastinumandbilateralhilaarenormal.Impression:LULpostTBinflmmatoryresiduals.39两肺门增大，建议ct检查PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereismildincreaseofinterstitiallungmarkingswithbilateralprominenthila.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnorm
32、al.Themediastinumandbilateralhilaarenormal.Impression:Thereismildincreaseofinterstitiallungmarkingswithbilateralprominenthila.SuggestCTchest.40.两肺纹理增多，左侧胸腔积液，心影中度扩大。PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.ThereismildincreaseofinterstitiallungmarkingsandKerley-Blinesatri
33、ghtlowerlung.ThereisincreasedhazeattheLLLsuggestpleuraleffusion.Bilateralapicesarenormal.Thereismoderatecardiomegalywithlargerightatrium.Themediastinumandbilateralhilaarenormal.Impression:Increasedlungmarkingsatlungbases.Leftpleuraleffusion.Moderatecardiomegaly.41.肺感PAandlateralviewsofthechestwereob
34、tained.Bothlungfieldsarewellexpanded.Thereisdiffuseinterstitialinfiltratesatleftlung/rightlung/LUL?LLL/RUL/RLL.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:Pneumoniaofleftlung/rightlung/LUL/LLL/RUL/RLL.42.心包积液PA
35、andlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiacsizeisenlargedwithwaterbottleappearancesuggestingpericardialeffusion.Themediastinumandbilateralhilaarenormal.Impression:Enlar
36、gedheartwithwaterbottleappearancesuggestiveofpericardialeffusion.Nolunginfiltrateisseen.43.右上肺肉芽肿PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediast
37、inumandbilateralhilaarenormal.A3mmgranulomaisseenatRUL.CXR.Impression:3mmgranulomaatRUL.Suggest6monthfollowup44.正常骨盆及两侧髋部Theiliacbonesarenormalinconfigurationandappearance.Bilateralhipjointsarenormalinappearance.Thereisnoevidenceofhipjointdysplasia.Bilateralproximalfemursarenormalinappearance.Softti
38、ssuesarenormal.Impression:Normalpelvisandbilateralhips.45.两侧髋部正常Froglateralviewsofthehipsaresubmitted.Bothacetabulumarenormalinappearance.Thefemoralheadsarenormal.Thereisnosubluxation.Impression:Normalhips.46.右侧肋骨正常Therightribshavenormalconfigurationandappearance.Thereisnofracture.Nopleuraleffusiono
39、ftheipsilateral.Impression:Normalrightribs.47.第一趾骨骨折Right1sttoe:APandobliquesoftheright1sttoearesubmitted.Thereisasmallavulsion（撕脱）fractureatthemedialbaseofthedistal（远侧的）/proximal(近侧的)phalangeTheIPjoint（趾间关节）isnormal.Thesofttissuesarenormal.Impression:Smallavulsionfractureatthemedialbaseofthedistalphalange.48.左侧第五蹠骨基底部撕脱性骨折Thereisaavulsionfractureatthebaseoftheleft5thmatatarsalbonewithadjacentsofttissueswelling.Therestoftheleftfootisnormal.Impression:Avulsionfractureatbaseoftheleft5thmetatarsalbone.