s/l "right narrow fissure" on chest x-ray?
Posted By: abby on 2009-04-30
In Reply to:
Subject: s/l "right narrow fissure" on chest x-ray?
Chest x-ray showed a small amount of fluid in the right s/l "narrow fissure"???
Anyone know of this??
Thanks,
Abby
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could it be "right minor fissure"?
Subject: could it be "right minor fissure"?
I got it - narrow-based! nm
Subject: I got it - narrow-based! nm
x
I just wasn't sure if there was a "right" way..
Subject: I just wasn't sure if there was a "right" way..
nm
Does this sound "right" sm
Subject: Does this sound "right" sm
Will check BMP to recheck sodium. I think this was s/l falsely (or could be possibly) low due to her glucose of 280.
Is anyone familiar with this? Is it possible for sodium to be falsely low in the context of high glucose?
Thanks..
yep probably as in narrow complex tachycardia
Subject: yep probably as in narrow complex tachycardia
Can you give us a "sound like" to help narrow this?
Subject: Can you give us a "sound like" to help narrow this?
Hi, Carol; I am glad you got the "right" help....sm
Subject: Hi, Carol; I am glad you got the "right" help....sm
You know, I have been doing this since 1983, hospital, clinic, in-house, nationals,etc., and I was not trying to say that it was impossible, only that I had not personally heard it, I just thought if you could double-listen, because being an Operative MT especially these last few years, I had PERSONALLY never come across that, even in lower extremity surgery with elderly patients, but I was not saying you were wrong. I am really disappointed, because it seems like some MTs here are treating this board as a personal challenge or contest, who can get the best answer first, and I am the first to know my own limitations, I just share what I PERSONBALLY know. Some (minority) like to criticize other people's answers. If you know better, that is great because you can really help the questioning MT. Why be rude when someone posts and states that they are trying to be helpful? Wow, talk about egos.
maybe "right more than left" edema??
Subject: maybe "right more than left" edema??
right, narrow complex supraventricular tachycardia nm
Subject: right, narrow complex supraventricular tachycardia nm
,
hand examination s/l "circ and narrow"
Subject: hand examination s/l "circ and narrow"
This is a physical exam for a kid who sliced his hand open. The doc says "Extension and flexion of all joints normal. Circ and narrow have also been tested and appear normal." Any ideas??
do you hear narrow vessel by any chance?
Subject: do you hear narrow vessel by any chance?
QA ended up changing it to "right" in chief complaint
Subject: QA ended up changing it to "right" in chief complaint
posted wrong. I mean "right side" isn't close.
Subject: posted wrong. I mean "right side" isn't close.
again, could this be "isolated"???
Yes, I'm sure he's saying fissure..
Subject: Yes, I'm sure he's saying fissure..
I just don't understand the fissurectomy. He is a clear speaking doctor so there's really no trouble hearing what he says.
Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
Subject: Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
excurvatum. No sure of "free of dull suspence straight"
sylvian fissure
Subject: sylvian fissure
left posterior sylvian fissure?
palpebral fissure - nm
Subject: palpebral fissure - nm
xx
anal fissure help-
Subject: anal fissure help-
Does anyone know what is sprayed in the buttocks to reveal a posterior midline fissure? S/L gentle
Yes Fissure! I'm tired. Thanks!
Subject: Yes Fissure! I'm tired. Thanks!
Why didn't I remember that? Thanks so much. It's late and my brain is not working this evening. 
fissure or fistula
Subject: fissure or fistula
I'm a little confused, the doctor dictates "He is at a point where he is disabled by the anal fissure pain, and I have recommended surgery in terms of an anal fissurectomy and lateral internal sphincterotomy.
There is no such thing as an anal fissurectomy but I swear that is what he is saying, and I would think it would be a fistulectomy but through the whole dictation it sounds like he is saying fissure. I am a little confused with this. Any ideas or help would be greatly appreciated. Thanks.
fissure is correct. sm
Subject: fissure is correct. sm
FLASH]
File Format: Shockwave Flash Obstruction of right upper lobe bronchus is noted with the right upper lobe ... pleural calcifications, pleural thickening , and thickened minor fissure ...https://www.med.miami.edu/presentation/radiology_edu/Rad4.swf - Similar pages
commonly in the right minor fissure. (over 75% of reported cases) and less ... A notch is noted between the fluid collections in the major and minor ... thickened due to fluid collection. (c) Ultrasound demonstrates a large oval ...www.blackwell-synergy.com/doi/pdf/10.1111/j.1440-1673.1994.tb00143.x - Similar pagesby WFCVAN GELDEREN - 1994 - Related articles
The right minor fissure shows mild nodular thickening on the ... Multifocal pleural thickening was also noted in the remaining areas (not illustrated). ...www.kjronline.org/view_articletext.asp?year=2005&page=94 - 45k - Cached
"trans-sphincterotomy" for fissure?
The patient is scheduled for a lateral "trans" sphincterotomy for chronic fissure.
I cannot find any reference to "trans-" or "trans" infront of sphincterotomy. Help!!! TIA
Thanks so much! So that would be a posterior sylvian fissure?
Subject: Thanks so much! So that would be a posterior sylvian fissure?
x
CT angiogram - s/l "left poster silving fissure"
Subject: CT angiogram - s/l "left poster silving fissure"
x
Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy.
Subject: Plse see message. Stuck on one word (bold italic). Don't think its fissure.Driving me crazy. Tks
PET SCAN 03/08/08: Reveals intense hypermetabolism corresponding to the mass in the left mid lung field posteriorly, abutting in the left major fizure predominantly in the superior segment of the left lower lobe. This same type of metabolism corresponding to the right middle lobe pulmonary nodule previously noted activity in the lower neck anteriorly (06/28/06) has since resolved.
sounds more like band endoscope, there is a narrow-band illumination endoscope...sm
Subject: sounds more like band endoscope, there is a narrow-band illumination endoscope...sm
that is used to see the contrasts of the mouth and throat more clearly. Especially as this procedure started with a microlaryngoscope, which is used either in patients with narrow airways or to get a more clear picture, I would be more apt to say the doc said band endoscope.
orbital fascia? orbital fissure? nm
Subject: orbital fascia? orbital fissure? nm
Doing chest x-ray and this s/l
Subject: Doing chest x-ray and this s/l
Used in a sentence: I cannot exclude infiltrate or possible small (s/l) lymph-hyema.
chest x-ray
Subject: chest x-ray
Chest x-ray with some right s/l * basal rad-o-lexis-is , worse than from previous x-ray.
Any help appreciated!
chest x-ray help
Subject: chest x-ray help
The heart size and pulmonary vascularity are within normal limits.
Some linear densities are present in the lung bases, {*** s/l possibly of current} atelectasis. No pleural effusion or pneumothorax noted.
(He is very slurry sounding tonight - slurring everything together - any help greatly appreciated.)
chest x-ray help
Subject: chest x-ray help
"there is no s/l *sevil cephalozation*".
I don't know if *sevil* is really another word, or if the doctor started a word, got mixed up and then said it right. Please help!!
chest-- s/l
Subject: chest-- s/l
It s/l the dict is stating the chest is hyperesthenic, but clearly not stating hyperexpanded-- not sure.
chest x-ray
Subject: chest x-ray
Chest x-ray reveals increased s/l reticular/radicular/verticular?? findings at mid to low lung field areas with rales on auscultation, likely secondary to pulmonary edema with superimposed bilateral pneumonia.
Chest x-ray help please.
Subject: Chest x-ray help please.
I don't get these much and there is a new doctor dictating.
I question "Cardiac size and cardiovasculature" and also have a blank.
"Cardiac size and cardiovascular" are normal. No infiltrate or pleural fluid is seen ___________ trachea is midline. There is no hilar enlargement.
Chest
Subject: Chest
Chest CT
Subject: Chest CT
May be "lesions" suspicious of ...... Just check it out.
Chest x-ray
Subject: Chest x-ray
Chest x-ray showed showed small alveolar infiltrate.
chest x-ray please sm
Subject: chest x-ray please sm
...another x-ray in the *jakayir*?
any ideas?
Chest CT .......
Subject: Chest CT .......
CT scan of the chest showed no evidence of any s/l "P" or PEE? There was a 9-mm nodule in the right upper lobe with prominent mediastinal lymph nodes.
chest
Subject: chest
thudding?
chest
Subject: chest
ground-glass
chest x-ray
Subject: chest x-ray
chest x-ray showed right upper lobe mass, suspect lung s/l nee-av or lee-av???
sorry, chest
Subject: sorry, chest
chest x-ray
Subject: chest x-ray
Chest x-ray.
Marked elevation in the right hemidiaphragm with s/i savagies and atelectasis and/or scarring.
CT chest
Subject: CT chest
There is may be a trace of bronchiectasis within this region. s/l Upuvenier density is noted elsewhere.
Any idea what above term is? Thanks
I think this is the chest.
Subject: I think this is the chest.
CT chest
Subject: CT chest
Don't know what the CT of the chest is for, but I would bet money that you are hearing "protocol" as the second part of your s/l. Go back and listen for that.
CT of the chest
Subject: CT of the chest
Does this make sense?
There is a gastroesophageal reflux to the level of the aortic arch.
All I can think of when I say your s/l on a chest x-ray would be pneumothorax.
Subject: All I can think of when I say your s/l on a chest x-ray would be pneumothorax.
s/l kiflotic(?) chest for
Subject: s/l kiflotic(?) chest for
physical exam. Patient has COPD.
chest pain
Subject: chest pain
He is still complaining of some fatigue and some mild left-sided __________ s/l claritig chest pain
The patient was just hospitalized for a pulmonary embolism.
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