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MRI of brain results - ventricle, s/l sulkine and basal cisterns. TIA

Posted By: mt12 on 2008-05-02
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Subject: MRI of brain results - ventricle, s/l sulkine and basal cisterns. TIA




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Having a discrepancy, it is basal cisterns or basilar cisterns in the brain?
Subject: Having a discrepancy, it is basal cisterns or basilar cisterns in the brain?


My opinion: basal cisterns in the brain
Subject: My opinion: basal cisterns in the brain

so don't really know if this helps.
basal cisterns?
Subject: basal cisterns?

Dr. is probably mumbling, eating lunch, who knows?
in the brain- the s/l bosic cisterns are patent
Subject: in the brain- the s/l bosic cisterns are patent


atrial wire seen in the right ventricle
Subject: atrial wire seen in the right ventricle


subarachnoid cisterns? nm
Subject: subarachnoid cisterns? nm

.
s/l Respirations 16, chest spans ventricle
Subject: s/l Respirations 16, chest spans ventricle

Respirations 16, "chest spans ventricle", lungs sounds were clear??? or "chest transventricle"????
ventricle is globally hypokinetic and dilated NM
Subject: ventricle is globally hypokinetic and dilated NM

xx
Cardiology - increased s/l trabiculation in the left ventricle.
Subject: Cardiology - increased s/l trabiculation in the left ventricle.

I looked up trabiculation and I cannot find any reference to the heart.
Head CT: some s/l ex vack E O dilatation of the posterior aspect of the right lateral ventricle
Subject: Head CT: some s/l ex vack E O dilatation of the posterior aspect of the right lateral ventricle


basal nm
Subject: basal nm

x
basal......NM
Subject: basal......NM

xx
basal doneness?
Subject: basal doneness?

I'm not sure if they are saying right-sided basal doneness or basal numbness?  This is in a person with end-stage CHF.  Any suggestions?  Thanks!
basal dullness
Subject: basal dullness

That makes more sense.  Thanks!!!


basal ganglia
Subject: basal ganglia

even though it sounds like the doctor says basal ganglionic..
the correct wording would be:

Linear branching echoes noted in the right basal ganglia region consistent with ..

?
basal metabolic temperature - nm
Subject: basal metabolic temperature - nm


Bilateral basal sl dyzostomy
Subject: Bilateral basal sl dyzostomy


There is the *basal lamella* in the sinuses (nm)
Subject: There is the *basal lamella* in the sinuses (nm)

xx
Sulci, intervals, or cisterns....sulcal intervals prominent???? nm
Subject: Sulci, intervals, or cisterns....sulcal intervals prominent???? nm

nm
Is there a receivable basal cell carcinoma
Subject: Is there a receivable basal cell carcinoma

Here is the whole sentence.


The patient recently had excision of the neck by her dermatologist and this was basal cell carcinoma.  The margins were reported on pathology for that lesion to be positive for receivable basal cell carcinoma. 


Same MRA, same ESL: "s/l Cephala segment of the basal artery"
Subject: Same MRA, same ESL: "s/l Cephala segment of the basal artery"


basal cell "in vivo" carcinoma ???
Subject: basal cell "in vivo" carcinoma ???

nm
basal rate? If so, you've missed the drug name. sm.
Subject: basal rate? If so, you've missed the drug name. sm.

Could it be the basal rate of the previous drug in the list?
could it be MOHS surgery?? they use it for basal cell carcinoma.
Subject: could it be MOHS surgery?? they use it for basal cell carcinoma.


status post s/l fatebral basal stroke??
Subject: status post s/l fatebral basal stroke??


Removal of basal cell carcinoma from the nose. Please s/m.
Subject: Removal of basal cell carcinoma from the nose. Please s/m.

 After all margins were read as negative, including the s/l "view" margin - -???  Thank you! 
brain freeze. Is it mass effect or mass affect (CT of brain) THANKS
Subject: brain freeze. Is it mass effect or mass affect (CT of brain) THANKS


Hi poodle lady, this one would be "cephalad segment" of the basal artery...sm
Subject: Hi poodle lady, this one would be "cephalad segment" of the basal artery...sm

just orienting the direction.  Used to working in Diagnostic Imaging and Nuclear Medicine in-hospital, so I am trying to figure out your other posting, ok? 
He is undergoing s/l Moore's procedure for basal cell carcinoma on the nose. thank u
Subject: He is undergoing s/l Moore's procedure for basal cell carcinoma on the nose. thank u


Left thumb basal joint s/l pinch s/l pesio arthritis.
Subject: Left thumb basal joint s/l pinch s/l pesio arthritis.

This is a diagnosis.  any ideas?  Thanks so much!!!
I thought it sounded more like basal rate too. Doc lists immediately above Novolog 1 unit for every
Subject: I thought it sounded more like basal rate too. Doc lists immediately above Novolog 1 unit for every 17 grams of carbohydrates.

What do you think?
ANA results
Subject: ANA results

ANA was markedly positive at one to twenty-five sixty


any ideas on this one. 1:25 60


Help on CT results
Subject: Help on CT results

This is a woman with Stage IV malignant mesothelioma.  I'm a little lost on the CT results here.  For part of it I got the words I think, but since I don't totally understand it I'm not sure exactly where commas go, etc.  Then there's the part where I'm not getting the words.  I'll put that part in brackets.  So here goes if anyone can help. 


"On the CT, the impression is chronic occlusion of the central left internal jugular and brachiocephalic (actually sounds more like bronchocephalic but that doesn't seem to be a word so does brachiocephalic make sense here?) right subclavian [vena porous SVC with compression against noticed?] and tracheal deviation."


Help with MRI results
Subject: Help with MRI results

Doctor is saying, "...central disc herniation at the C3-C4 level impressing the ventral cord and a central disc protrusion at C6-C7, which s/l bifaces the ventral subarachnoid cord."


It sounds like he's saying bifaces.  Could that be correct?  If not, any suggestions?


Please help with BMP results
Subject: Please help with BMP results

Wondering how the results below should be transcribed.


Yesterday in the ER he had blood work, which showed normal renal function and electrolytes and an INR of 2.0.  His BMP was beneath the threshold for his age at 1-3-8-8.  (dictated "one, three, eight, eight") 


TIA!!!


ENG results
Subject: ENG results

There was no s/l gaitous position nor spontaneous nystagmus.  I know I should know this but am drawing a blank.
Lab results.
Subject: Lab results.

Her ionized calcium was 1.10 with ??____________ 1.12 to 1.32.


s/l *acility


MRI results
Subject: MRI results

Hey all!  My doc just dictated what sounds like "MRI showed some frying in the white matter."  I'm sure frying is not the correct word.  Any ideas?  THANKS!!
MRI results
Subject: MRI results

Right-sided weakness; rule out for MS
help with MRI results
Subject: help with MRI results

I think doc has cutoff the beginning of word:

2) s/l "..frain/frame" of the posterior horn and medial meniscus and changes consistent with previous partial meniscectomy

Thanks for any help
results are established ?
Subject: results are established ?

...before arterial blood gas results are established
QA results on help from yesterday
Subject: QA results on help from yesterday

Sure enough, the sentence read "somewhat flattened affect" You guys are the best! Thank you so much for the help.
help on MRI of the head results
Subject: help on MRI of the head results

The patient had an MRI with gadolinium of the head.  I'm having some trouble understanding the results because this is unfamiliar to me.  She is a cancer patient with metastatic melanoma and the MRI was ordered due to severe vomiting and blurry vision.  He says the MRI "revealed no definite metastatic disease, significant [s/l hypotense? maybe hypodense or hypertensive?] [s/l mara signal?] of the cervical spine of unclear significance, heterogeneous [s/l coabnormality?], for which in matter of fact these cannot be excluded."  That last phrase sounds a little weird too, but I'm pretty sure that's what he says.  Any ideas?
Mammogram results help
Subject: Mammogram results help

This is from someone who mumbles and stumbles over words all the time, so I'm not sure how helpful my sounds likes are going to be, but I'll give it a try.


"Mammograms were performed and compared to previous studies available.  There was no [s/l change breaths or chains breast] or heterogeneous [s/l stem cell?].  There is a rectangular density in the superior portion of the right oblique view, which may represent a residual from a previous [s/l porta or porter] drain."


Would heterogenous stem cell fit there?  I think that's possible she's saying that, but not sure if that would be from a mammogram result.  I haven't heard that one before.


anemia results?
Subject: anemia results?


Last visit she had some mild anemia as well at 12.7 and 37.6.


Any clues on the 12.7 and 37.6? rbc or hemoglobin?


I tried that, and just tried again, but I google gives me 0 results.sm
Subject: I tried that, and just tried again, but I google gives me 0 results.sm

I'm sure I know the word, because it sounds very familiar, but I just can't quite get it.


Urinalysis results...
Subject: Urinalysis results...

Dictated:  UA shows some ketones, large occult blood, many white cells, some moderate red cells, and *10 to 50* bacteria.


Should that be 10:50 bacteria or 10-50? 


Thanks!


trouble with ESL and lab results...
Subject: trouble with ESL and lab results...

I can't really understand this one, very fast speaking ESL and any help is greatly appreciated.


S/l *Laboratory results show white blood cell count of *2.1*, hematocrit of 36.2, and *___* at 217. 


Thanks!


Foot x-ray results
Subject: Foot x-ray results

Doc is giving foot x-ray results as follows.


 



IMPRESSION:  Oblique fracture, which is postoperative at the level of the first metatarsal.  S/L "Os-like" displacement at the fracture site is noted.


Anyone ever hear of something like that?  Thanks


laboratory results
Subject: laboratory results

the laboratory results s/l CEO ??                                                                       and is there a lab result spelled alpha feta-protein or is it alpha beta-protein?
culture results
Subject: culture results

when referring to culture results - is the lower or upper case form of "pseudomonas" "lactobacillus" and "enterococcus" used?