6/15/2024
CT Abdomen with Contrast - CURRENT Patient: Dorris Jones, DOB 2/12/1965 Date of Scan: 2023-04-15 Exam: CT Abdomen and Pelvis with IV Contrast Findings: The CT scan of the abdomen and pelvis demonstrates a distended gallbladder containing multiple gallstones of varying sizes. The largest stone measures approximately 1.5 cm. The gallbladder wall is thickened and edematous, suggestive of cholecystitis. No significant biliary ductal dilatation or evidence of choledocholithiasis is seen. The liver and pancreas appear unremarkable. Impression: Cholelithiasis with acute cholecystitis. No evidence of biliary ductal obstruction or choledocholithiasis. Recommendations: Consultation with a surgeon for consideration of cholecystectomy. Additional Notes: The patient's medical history and clinical presentation should be considered in conjunction with these imaging findings. If symptoms persist or worsen, further imaging evaluation may be warranted. Radiologist: Dr. John Doe Date: 2023-04-15 Please note: This is a sample report and may not be applicable to all cases. The specific findings and recommendations will vary depending on the individual patient's clinical presentation and imaging results.
6/10/2024
Abdominal Ultrasound Impression: Multiple gallstones: The ultrasound image reveals the presence of multiple gallstones within the gallbladder. These appear as echogenic foci with posterior acoustic shadowing. Thickened gallbladder wall: The gallbladder wall appears thickened, suggesting inflammation (cholecystitis). No biliary ductal dilatation: The common bile duct is not dilated, indicating no evidence of obstruction. Recommendations: Clinical correlation: The ultrasound findings should be correlated with the patient's clinical presentation and symptoms. Consideration of cholecystectomy: Given the presence of multiple gallstones and thickened gallbladder wall, cholecystectomy may be considered to prevent future complications. Additional Notes: The ultrasound findings are consistent with cholelithiasis with cholecystitis. The patient's medical history and clinical presentation should be considered in conjunction with these imaging findings. Date: 2023-04-10 Sonographer: Chaqueita Blackthorn Please note: This is a sample report and may not be applicable to all cases. The specific findings and recommendations will vary depending on the individual patient's clinical presentation and imaging results.
5/23/2024
Echocardiogram Impression: Cardiac Structure: Normal-sized heart with normal biventricular function. Normal left ventricular wall thickness and ejection fraction. No regional wall motion abnormalities. Normal right ventricular size and function. Normal pericardial effusion. Valves: Normal aortic valve function. Normal mitral valve function. Normal tricuspid valve function. Normal pulmonary valve function. Other: Normal cardiac rhythm. No evidence of pericardial effusion or tamponade. Conclusion: Normal echocardiogram. No evidence of valvular heart disease, cardiomyopathy, or other significant cardiac abnormalities. Sonographer: Sarah Jones Date: 2022-04-15 Please note: This is a sample report and may not be applicable to all cases. The specific findings and recommendations will vary depending on the individual patient's clinical presentation and imaging results.
5/20/2024
Chest X-ray Impression: Normal cardiac silhouette. Lungs are clear with no evidence of infiltrates, nodules, or masses. No pneumothorax or pleural effusion. The costophrenic angles are sharp. The diaphragm is well-defined. The mediastinum is normal in width. Conclusion: Normal chest radiograph. Radiologist: John Doe Date: 2023-04-12 Please note: This is a sample report and may not be applicable to all cases. The specific findings and recommendations will vary depending on the individual patient's clinical presentation and imaging results.