| NAME: ALSOBROOK,ALAN H | MR #: M175843 | ACCESSION #: 001739366 |
| DATE OF EXAM: 20100428 | PHYSICIAN: Muehrcke Derek MD | |
| CTA CHEST RO PE PER PROTOCOL AT 0837 HOURS | (Report) |
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Name: ALSOBROOK,ALAN H Phone#: (904)471-8797 Sex: M Acct#: F025717893 Att Phy: Muehrcke,Derek Status: ADM IN Loc: 2027 01 MR#: M175843 Ord Phy: Muehrcke,Derek DOB: 07/10/1961 Age: 48 Date: 04/28/2010 EXAM# TYPE/EXAM DATE RESULT 001739366 CT/CTA CHEST R/O PE PER PROTOCO 04/28/10 ********************************************************************** PLEASE CHECK REPORT CTA CHEST TECHNIQUE NOT GIVEN. ********************************************************************** CT ANGIOGRAM CHEST WITH AND WITHOUT CONTRAST INCLUDING POST PROCESSING: 4-28-10 CLINICAL HISTORY: Hypoxemia. Post heart surgery. TECHNIQUE: CT angiogram of the chest was obtained using high-resolution axial volumetric acquisition with a multidetector CT scanner following a timed injector injected intravenous bolus of ____ cc of ____ nonionic water soluble contrast material. Post processing of the dataset was obtained with three-dimensional coronal maximum intensity projection reconstructed images provided as well. Additionally, axial plane images were obtained prior to intravenous contrast administration. FINDINGS: Changes of median sternotomy. Postoperative changes of the mediastinum include some minimal substernal air, two mediastinal chest tubes. Small pneumomediastinum. No aortic aneurysm or dissection. No filling defects can be demonstrated in the pulmonary arteries that indicate acute pulmonary embolus. Small pleural effusions. Small right sided pneumothorax, measured anteriorly approximately 10mm. Dependent parenchymal opacities likely reflect atelectasis. IMPRESSION: 1. Postoperative changes. Pneumomediastinum, presumably postoperative. Clinical correlation. 2. Very small right pneumothorax can be detected on CT, appears undetectable on prior chest x-rays. PAGE 1 Radiology Draft Report (CONTINUED) FLAGLER HOSPITAL RADIOLOGY Name: ALSOBROOK,ALAN H Phone#: (904)471-8797 Sex: M Acct#: F025717893 Att Phy: Muehrcke,Derek Status: ADM IN Loc: 2027 01 MR#: M175843 Ord Phy: Muehrcke,Derek DOB: 07/10/1961 Age: 48 Date: 04/28/2010 EXAM# TYPE/EXAM DATE RESULT 001739366 CT/CTA CHEST R/O PE PER PROTOCO 04/28/10 3. Basilar parenchymal opacities, probable atelectasis. 4. Small bilateral pleural effusions. 5. No evidence of acute pulmonary embolus or dissection. NOTE: Report to Dr. Muehrcke by telephone 9:19 a.m. on 28 April 2010 including pneumothorax. 1298758 ------------------------------ Reported By: Builteman,James MD CC: Derek Muehrcke Location: 2027 01 Technologist: DANIEL A HARMON, RT Transcribed Date/Time: 04/28/2010 (1032) Transcriptionist: MR.LBB Dictated Date/Time: 04/28/10 (0928) Signed Date/Time: Printed Date/Time: 04/28/2010 (1032) Batch No: PAGE 2 Radiology Draft Report |
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Transcribed By: Kelly Lucinda B :
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Approved By: |
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| Radiologist: BUIJA Builteman James |