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1、1.头颅骨质未见异常Theshapeandthesizeoftheskullarenormal。Theinnerandoutertables，andthediploeofthecranialvaultareunremarkable，onthelateralview，thesizes，theshapeandthedensityofthesellaturcicaarenothingremarkable。Impression：plainfilmsoftheheadarenormal.2.头颅正常APandlateralviewsoftheskullaresubmitted.Thecavariumha
2、snormalconfigurationandappearance.Thereisnoevidenceoffracture.Thesofttissuesarenormal.Impression:Normalskull.3.鼻旁窦炎症Thereisgeneralizedhazinessofthefrontal,ethmoidandbilateralmaxillarysinuses.Findingsareconsistentwithsinusitis.Impression:Frontal,（额窦）ethmoid（筛）andmaxillary（上颌）sinusitis.4.右膝关节正常Thebone
3、sandjointsoftherightkneearenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Thereisnojointeffusion.Impression:Normalrightknee.5.右膝退变Thebonesandjointsoftherightkneearenormal.Milddegenerativechangesofthekneejointispresent.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesar
4、enormal.Thereisnojointeffusion.Impression:MildDJDofkneejoint。6.左小腿蜂窝炎，（软组织肿胀，无骨髓炎）Thereismilddegreeofsofttissueswelling10.9cmattheproximalanteriorleg.Thereisnoevidenceofadjacentboneabnormality.Thereisnoevidenceofperiostealreaction.Thefibularbonehasnormalconfigurationandappearance.Impression:Thereisa
5、focal10.9cmlengthsofttissueswellingattheproximalanteriorlegadjacenttothetibia.Thetibialbonehasnormalconfigurationwithnoevidenceofosteomyelitis.Findingsareconsistentwithlocalizedcellulitis.7.右侧胫骨石膏固定中，位置可，和老片比较相似Therightlegisinaplastercast.Thereisobliquefractureoftherightmidtibialshaft.Thereismildcal
6、lousformationacrossthefractureline.Thebonefragnmentsareinproperalignment.Comparisonwithpreviouseximinationof4/19/2006revealsnosignificantintervalchange.Impression:S/Pfractureoftherightmidtibialshaft.Callousformationispresentacrossthefractureline.Thereisnointervalchangefrompreviousstudyof4/19/2006.8.
7、右足正斜位正常Thebonesandjointsoftherightforefootarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightforefoot.9.正常左踝正侧位APandlateralviewsoftheleftanklewereobtained.Thebonesandjointsoftheanklearenormal.Thereisnofracture.Impression:Normalleftankle.10.右侧足背距骨和舟状骨之间退变
8、Thebonesandjointsoftherightforefootarenormal.Milddegenerativechangesofthetalo-navicularjointispresent.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightforefoot.MildDJDoftalo-naviculatjoint.11.双侧足背斜位，拇外翻Thereismilddegreeofhalluxvalgusdeformitiesofthebothfeetright
9、andleft.Thebonesandjointsoftherestofthefeetareunremarkable.Softtissuesarewithinnormallimits.Impression:1.Mildrighthalluxvalgusdeformities.Thebonesandjointsofbilateralelbowsarenormal.Thesofttissuesarenormal.Thereisnoevidenceoffractureorsubluxation.Impression:Normalelbows.13.右侧拇指正常Thebonesandjointsoft
10、herightthumbarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightthumb.14.右肩关节正位正常Thebonesandjointsoftherightshoulderarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightshoulder.15.右腕正侧位正常Thebonesandjointsofther
11、ightwristarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normalrightwrist.16.双侧腕关节（右侧正常，左侧横行骨折，未移位）Thereisatransversenondisplacedfractureoftheleftdistalradialmetaphysisregion.Theleftwristisnormalinconfigurationandappearance.Therightdistalforearmandrightwristaren
12、ormalinappearance.Softtissuesarewithinnormallimits.Impression:Transversenondisplacedfractureoftheleftdistalradialmetaphysis.Rightdistalforearmandwristarenormal.Thebonesandjointsofthelefthandarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Impression:Normallefthand.18.正常锁骨片（
13、左）Theleftclaviclehasnormalconfigurationandappearance.Thesofttissuesoftheneckabovetheclavicleisnormlainappearance.Scapularandleftshoulderjointarewithinnormallimits.Noevidenceofsofttissuemassisdemonstrated.Impression:Normalleftclavicle.19.左锁骨及肩胛骨APviewsoftheleftshoulderandscapularevealnormalbonesandjo
14、ints.Thereisnoevidenceoffractureorboneabnormality.Thesofttissuesarenormal.Impression:Normalleftshoulderandscapula.20.腹部立卧位正常片Supineanduprightviewsoftheabdomenaresubmitted.Thebowelgaspatternisnormal.Thereisnoevidenceofintestinalobstruction.Thereisnoevidenceofabnormalcalcificationsoverlyingthekidneyso
15、rthepelvis.Theosseousstructuresarenormal.Impression:Normalabdomen.21.腹部立位正常：Thebowelgaspatternisnormal.Thereisnoevidenceofabnormalcalcifications.Theosseousstructuresarenormal.Impression:Normalabdomen.22.腹部立位大便APerectviewoftheabdomenrevealfecesfilledcolon.Thereisnoevidenceofabdominalmassorcalcificati
16、ons.Theosseousstructuresarenormal.Impression:Fecesimpactedcolon.23.颈椎增生性改变Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebraexist（disappear）.NarrowingoftheintervertebalspacebetweenC？andc？isfound.Slightosteophytesarerevealedattheposterior/anteriorofC？c？.Thereisnofractureordislocation.2
17、4.胸椎增生性改变Thealignmentofthoracicvertebraisnormal.Curveofthecervicalvertebraexist（disappear）.Narrowingoftheintervertebalspacebetweent？andt？isfound.Slightosteophytesarerevealedattheposterior/anterioroft？t？.Thereisnofractureordislocation.Impression:Hyperplasychangesofthethoracicvertebra.25.颈椎正常Thealignm
18、entofcervicalvertebraisnormal.Curveofthecervicalvertebraexist.Theintervertebalspacebetweenthecervicalvertebraisnormal.Noosteophytesarerevealedatthecervicalvertebrabodies.Impression:Normalofthecervicalvertebra.26.胸椎正常Thealignmentofthoracicvertebraeisnormal.Curveofthethoracicvertebraeexist.Theinterver
19、tebalspacebetweenthethoracicvertebraisnormal.Noosteophytesarerevealedatthethoracicvertebrabodies.Impression:Normalofthethoracicvertebra.27.腰椎正常Thealignmentoflumbarvertebraeisnormal.Curveofthelumbarvertebraeexist.Theintervertebalspacebetweenthelumbarvertebraisnormal.Noosteophytesarerevealedatthelumba
20、rvertebrabodies.Impression:Normalofthelumbarvertebra.28.颈椎退行性变Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebradisappear.NarrowingoftheintervertebalspacebetweenC？andc？斜位片有椎间孔狭窄时：Thesecauseminimalnarrowingoftheintervertebralforamina.Severeosteophytesarerevealedattheposterior/anterioro
21、fC？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：Thesecauseminimalnarrowingoftheintervertebralforamina.Severeosteophytesarerevealed
22、attheposterior/anteriorofl？l？Thereisnofractureordislocation.Impression:Degenerativeofthelumbarvertebra.30.胸片正侧位正常PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisn
23、ormal.Themediastinumandbilateralhilaarenormal.Impression:NormalChest31.胸片正位正常PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Im
24、pression:NormalChest32.胸片有钙化点无其它肺部疾病。PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Asmallcalcifiedatthetopoftherightlung.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impr
25、ession:Smallcalcifiedatthetopoftherightlung.Noacutelungdisease.33.胸部小结节。PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisasmalllungnodule3mmsizeattherightmidlung.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal
26、.Impression:3mmnoduleatrightmidlung.SuggestcomparisonwitholdCXRtoensurestability,otherwisesuggestCTchest.34.两肺纹理增多，未见明显感染之征象。APviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Mildincreaseoflungmarkingsarepresent.Bilateralapicesarenormal.Bilateralpleura
27、lspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:Mildincreaseoflungmarkings.Nofocalinfiltrateisseen.35.胸片侧位，肋骨骨折Bilaterallungsarenormal.Thehearthasnormalsizeandcontour.Themediastinumisnormal.Thereisafractureofright7thaxillaryrib.Impression:1.Lungsarenorma
28、l.2.Fractureoftheright7thaxillaryrib.36.胸部正侧位（右隔抬高，原因待查）PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.。ThereiselevationofrightseptumImpression:Thereisele
29、vationofrightseptum,suggestfurthercheckup;37.心影稍增大（胸片正位）PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thereismildcardiomegaly.Themediastinumandbilateralhilaarenormal.Impression:Mildcardiomega
30、ly.Lungsareclear.38.左上肺陈旧性肺结核PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisfibro-calcificchangesatleftupperlobe.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:LULpostTBinflmmatoryres
31、iduals.39两肺门增大，建议ct检查PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereismildincreaseofinterstitiallungmarkingswithbilateralprominenthila.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:Thereismildincr
32、easeofinterstitiallungmarkingswithbilateralprominenthila.SuggestCTchest.40.两肺纹理增多，左侧胸腔积液，心影中度扩大。PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.ThereismildincreaseofinterstitiallungmarkingsandKerley-Blinesatrightlowerlung.ThereisincreasedhazeattheLLLsuggestpleuraleffusion.Bilat
33、eralapicesarenormal.Thereismoderatecardiomegalywithlargerightatrium.Themediastinumandbilateralhilaarenormal.Impression:Increasedlungmarkingsatlungbases.Leftpleuraleffusion.Moderatecardiomegaly.41.肺感PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisdiffuseinterstitialinfilt
34、ratesatleftlung/rightlung/LUL?LLL/RUL/RLL.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.Impression:Pneumoniaofleftlung/rightlung/LUL/LLL/RUL/RLL.42.心包积液PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.T
35、hereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiacsizeisenlargedwithwaterbottleappearancesuggestingpericardialeffusion.Themediastinumandbilateralhilaarenormal.Impression:Enlargedheartwithwaterbottleappearancesuggestiveofpericardialeffusion.Nolu
36、nginfiltrateisseen.43.右上肺肉芽肿PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.A3mmgranulomaisseenatRUL.CXR.Impression
37、:3mmgranulomaatRUL.Suggest6monthfollowup44.正常骨盆及两侧髋部Theiliacbonesarenormalinconfigurationandappearance.Bilateralhipjointsarenormalinappearance.Thereisnoevidenceofhipjointdysplasia.Bilateralproximalfemursarenormalinappearance.Softtissuesarenormal.Impression:Normalpelvisandbilateralhips.45.两侧髋部正常Frogl
38、ateralviewsofthehipsaresubmitted.Bothacetabulumarenormalinappearance.Thefemoralheadsarenormal.Thereisnosubluxation.Impression:Normalhips.46.右侧肋骨正常Therightribshavenormalconfigurationandappearance.Thereisnofracture.Nopleuraleffusionoftheipsilateral.Impression:Normalrightribs.47.第一趾骨骨折Right1sttoe:APand
39、obliquesoftheright1sttoearesubmitted.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.