Radiology Report 放射學報告
| Patient Name: 患者姓名： | Hu, Michael M 胡，邁克爾 M |
| Patient ID: 患者 ID： | UM4171363 |
| Patient Birth Date: 患者出生日期： | |
| Referring Physician: 轉診醫師： | Jack Rubin Md 傑克·魯賓 |
9/25/2024 8:30:00 AM
F
CT OF THE ABDOMEN WITH CONTRAST
腹部增強 CT 檢查
Philips Incisive 128 飛利浦 Incisive 128
RADIATION DOSE: CTDI:
輻射劑量： CTDI：
CLINICAL HISTORY: Acute pancreatitis without necrosis or infection.
臨床病史：無壞死或感染的急性胰臟炎。
PROCEDURE: Oral contrast is given and helical scanning performed from the domes of the hemidiaphragms through the pubic symphysis during the arterial, venous, and delayed phases of IV infusion 100 cc Omnipaque 300 Axial and reformatted sagittal and coronal images are reviewed.
程序：給予口服造影劑，並在靜脈輸注 100 cc Omnipaque 300 的動脈、靜脈和延遲階段從半膈肌頂部通過恥骨聯合進行螺旋掃描，並檢查軸向和重新格式化的矢狀面和冠狀面圖像。
RADIATION DOSE: CTDI:
輻射劑量： CTDI：
CLINICAL HISTORY: Acute pancreatitis without necrosis or infection.
臨床病史：無壞死或感染的急性胰臟炎。
PROCEDURE: Oral contrast is given and helical scanning performed from the domes of the hemidiaphragms through the pubic symphysis during the arterial, venous, and delayed phases of IV infusion 100 cc Omnipaque 300 Axial and reformatted sagittal and coronal images are reviewed.
程序：給予口服造影劑，並在靜脈輸注 100 cc Omnipaque 300 的動脈、靜脈和延遲階段從半膈肌頂部通過恥骨聯合進行螺旋掃描，並檢查軸向和重新格式化的矢狀面和冠狀面圖像。
COMPARISON: None available.
比較：無可用。
FINDINGS: Dependent atelectasis is present in the lung bases. No basilar pleural fluid is seen. There is dense coronary artery calcification. Pacemaker leads are noted in the right heart chambers. The aorta measures 4 cm in diameter at the root.
發現：肺底存在依賴性肺不張。未見肺底胸膜積液。冠狀動脈可見緻密鈣化。右心腔內可見起搏器導線。主動脈根部直徑4公分。
比較：無可用。
FINDINGS: Dependent atelectasis is present in the lung bases. No basilar pleural fluid is seen. There is dense coronary artery calcification. Pacemaker leads are noted in the right heart chambers. The aorta measures 4 cm in diameter at the root.
發現：肺底存在依賴性肺不張。未見肺底胸膜積液。冠狀動脈可見緻密鈣化。右心腔內可見起搏器導線。主動脈根部直徑4公分。
A biliary stent extends from the right lobe of the liver to the duodenum. Intrahepatic biliary dilatation and extensive pneumobilia are present. There are multiple radiodensities along the course of the mass or other focal abnormality is seen in the liver.
膽道支架從肝右葉延伸至十二指腸。肝內膽管擴張，廣泛積氣。肝臟腫塊沿線可見多處放射性密度影，或可見其他局部異常。
膽道支架從肝右葉延伸至十二指腸。肝內膽管擴張，廣泛積氣。肝臟腫塊沿線可見多處放射性密度影，或可見其他局部異常。
The main pancreatic duct is dilated, measuring approximately 7 mm maximally. Gas is seen in the main pancreatic duct. No mass is seen in the pancreas and the peripancreatic fat appears normal.
主胰管擴張，最大直徑約 7mm。主胰管內可見氣體。胰臟內未見腫塊，胰週脂肪正常。
主胰管擴張，最大直徑約 7mm。主胰管內可見氣體。胰臟內未見腫塊，胰週脂肪正常。
There are simple renal cysts measuring up to 1.5 cm . No solid renal mass, hydronephrosis, or other renal abnormality is seen.
腎囊腫最大直徑 1.5cm，為單純性囊腫，未見腎實質腫塊、腎積水及其他腎臟異常。
The spleen and adrenal glands are normal in appearance.
脾臟和腎上腺外觀正常。
The abdominal aorta is tortuous and calcified with no definite aneurysm is seen.
腹主動脈曲折、鈣化，未見明確動脈瘤。
There is a prominent amount of colonic stool. There is no bowel wall thickening, pneumatosis, pneumoperitoneum, adenopathy, or ascites. No ureteral stone or dilatation is seen.
結腸糞便量明顯。無腸壁增厚、積氣、氣腹、淋巴結腫大、腹水。未見輸尿管結石或擴張。
腎囊腫最大直徑 1.5cm，為單純性囊腫，未見腎實質腫塊、腎積水及其他腎臟異常。
The spleen and adrenal glands are normal in appearance.
脾臟和腎上腺外觀正常。
The abdominal aorta is tortuous and calcified with no definite aneurysm is seen.
腹主動脈曲折、鈣化，未見明確動脈瘤。
There is a prominent amount of colonic stool. There is no bowel wall thickening, pneumatosis, pneumoperitoneum, adenopathy, or ascites. No ureteral stone or dilatation is seen.
結腸糞便量明顯。無腸壁增厚、積氣、氣腹、淋巴結腫大、腹水。未見輸尿管結石或擴張。
The abdominal wall appears intact.
腹壁看起來完好無損。
-No acute osseous lesion is seen. Degenerative disc changes are seen at multiple levels,
-未見急性骨性病變。可見多個層面的退化性椎間盤病變。
腹壁看起來完好無損。
-No acute osseous lesion is seen. Degenerative disc changes are seen at multiple levels,
-未見急性骨性病變。可見多個層面的退化性椎間盤病變。
IMPRESSION: 印象：
- Intra-and extrahepatic biliary dilatation and pneumobilia. Biliary stent extends from the right lobe to the duodenum with radiodensities seen along its course, potentially device related and/or sludge/stones/masses.
肝內外膽道擴張和膽道積氣。膽道支架從右葉延伸至十二指腸，沿途可見放射性陰影，可能與裝置相關，和/或由淤泥/結石/腫塊引起。 - Pancreatic duct dilatation with intraluminal gas.
胰管擴張，管腔內有氣體。 - No finding suggestive of acute pancreatitis.
沒有發現提示急性胰臟炎的跡象。 - Simple renal cyst. 單純性腎囊腫。
- Prominent amount of colonic stool.
結腸糞便量顯著。
6 Пoncornmnan, artani ralrifirating
6 Пoncornmnan，artani ralrrifirating
7. Pacemaker. 7.心臟起搏器。
8. 4 cm aortic diameter at the root.
主動脈根部直徑8.4公分。
6 Пoncornmnan，artani ralrrifirating
7. Pacemaker. 7.心臟起搏器。
8. 4 cm aortic diameter at the root.
主動脈根部直徑8.4公分。
Electronically Signed by Michael R Brand, MD RADIOLOGIST
電子簽名：Michael R Brand，醫學博士，放射科醫生
D: \T: by \S: 10/06/2024
D:\T: 由\S: 10/06/2024
電子簽名：Michael R Brand，醫學博士，放射科醫生
D: \T: by \S: 10/06/2024
D:\T: 由\S: 10/06/2024
10230 Artesia Blvd #100 * Bellflower, CA 90706
10230 Artesia Blvd #100 * 貝爾弗勞爾，加州 90706
Tel: (562) 461-3400 - Fax: (562) 216-7207
電話：(562) 461-3400 - 傳真：(562) 216-7207
10230 Artesia Blvd #100 * 貝爾弗勞爾，加州 90706
Tel: (562) 461-3400 - Fax: (562) 216-7207
電話：(562) 461-3400 - 傳真：(562) 216-7207