英文版影像报告书写

1.头颅骨质未见异常

Theshapeandthesizeoftheskullarenormal。Theinnerandoutertables，andthediploeofthecranialvaultareunremarkable，onthelateralview，thesizes，theshapeandthedensityofthesellaturcicaarenothingremarkable。

Impression：plainfilmsoftheheadarenormal.

2.头颅正常

APandlateralviewsoftheskullaresubmitted.Thecavariumhasnormalconfigurationandappearance.Thereisnoevidenceoffracture.Thesofttissuesarenormal.

Impression:Normalskull.

3.鼻旁窦炎症

Thereisgeneralizedhazinessofthefrontal,ethmoidandbilateralmaxillarysinuses.Findingsareconsistentwithsinusitis.

Impression:Frontal,（额窦）ethmoid（筛）andmaxillary（上颌）sinusitis.

4.右膝关节正常

Thebonesandjointsoftherightkneearenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Thereisnojointeffusion.

Impression:Normalrightknee.

5.右膝退变

Thebonesandjointsoftherightkneearenormal.Milddegenerativechangesofthekneejointispresent.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Thereisnojointeffusion.

Impression:MildDJDofkneejoint。

6.左小腿蜂窝炎，（软组织肿胀，无骨髓炎）

Thereismilddegreeofsofttissueswelling10.9cmattheproximalanteriorleg.Thereisnoevidenceofadjacentboneabnormality.Thereisnoevidenceofperiostealreaction.Thefibularbonehasnormalconfigurationandappearance.

Impression:Thereisafocal10.9cmlengthsofttissueswellingattheproximalanteriorlegadjacenttothetibia.Thetibialbonehasnormalconfigurationwithnoevidenceofosteomyelitis.Findingsareconsistentwithlocalizedcellulitis.

Impression:Normalelbows.

13.右侧拇指正常

Thebonesandjointsoftherightthumbarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.

Impression:Normalrightthumb.

14.右肩关节正位正常

Thebonesandjointsoftherightshoulderarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.

Impression:Normalrightshoulder.

15.右腕正侧位正常

Thebonesandjointsoftherightwristarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.

Impression:Normalrightwrist.

16.双侧腕关节（右侧正常，左侧横行骨折，未移位）

Thereisatransversenondisplacedfractureoftheleftdistalradialmetaphysisregion.Theleftwristisnormalinconfigurationandappearance.Therightdistalforearmandrightwristarenormalinappearance.Softtissuesarewithinnormallimits.

Impression:Transversenondisplacedfractureoftheleftdistalradialmetaphysis.Rightdistalforearmandwristarenormal.

Thebonesandjointsofthelefthandarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.

Impression:Normallefthand.

18.正常锁骨片（左）

Theleftclaviclehasnormalconfigurationandappearance.Thesofttissuesoftheneckabovetheclavicleisnormlainappearance.Scapularandleftshoulderjointarewithinnormallimits.

Noevidenceofsofttissuemassisdemonstrated.Impression:Normalleftclavicle.

19.左锁骨及肩胛骨

APviewsoftheleftshoulderandscapularevealnormalbonesandjoints.Thereisnoevidenceoffractureorboneabnormality.Thesofttissuesarenormal.

Impression:Normalleftshoulderandscapula.

20.腹部立卧位正常片

Supineanduprightviewsoftheabdomenaresubmitted.Thebowelgaspatternisnormal.Thereisnoevidenceofintestinalobstruction.Thereisnoevidenceofabnormalcalcificationsoverlyingthekidneysorthepelvis.Theosseousstructuresarenormal.

Impression:Normalabdomen.

21.腹部立位正常：

Thebowelgaspatternisnormal.Thereisnoevidenceofabnormalcalcifications.Theosseousstructuresarenormal.

Impression:Normalabdomen.

22.腹部立位大便

APerectviewoftheabdomenrevealfecesfilledcolon.Thereisnoevidenceofabdominalmassorcalcifications.Theosseousstructuresarenormal.

Impression:Fecesimpactedcolon.

23.颈椎增生性改变

Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebraexist（disappear）.NarrowingoftheintervertebalspacebetweenC？andc？isfound.Slightosteophytesarerevealedattheposterior/anteriorofC？－c？.Thereisnofractureordislocation.

24.胸椎增生性改变

Thealignmentofthoracicvertebraisnormal.Curveofthecervicalvertebraexist（disappear）.Narrowingoftheintervertebalspacebetweent？andt？isfound.Slightosteophytesarerevealedattheposterior/anterioroft？－t？.Thereisnofractureordislocation.

Impression:Hyperplasychangesofthethoracicvertebra.

25.颈椎正常

Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebraexist.Theintervertebalspacebetweenthecervicalvertebraisnormal.Noosteophytesarerevealedatthecervicalvertebrabodies.

Impression:Normalofthecervicalvertebra.

26.胸椎正常

Thealignmentofthoracicvertebraeisnormal.Curveofthethoracicvertebraeexist.Theintervertebalspacebetweenthethoracicvertebraisnormal.Noosteophytesarerevealedatthethoracicvertebrabodies.

Impression:Normalofthethoracicvertebra.

27.腰椎正常

Thealignmentoflumbarvertebraeisnormal.Curveofthelumbarvertebraeexist.Theintervertebalspacebetweenthelumbarvertebraisnormal.Noosteophytesarerevealedatthelumbarvertebrabodies.

Impression:Normalofthelumbarvertebra.

28.颈椎退行性变

Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebradisappear.NarrowingoftheintervertebalspacebetweenC？andc？斜位片有椎间孔狭窄时：＋Thesecauseminimalnarrowingoftheintervertebralforamina.Severeosteophytesarerevealedattheposterior/anteriorofC？－c？Thereisnofractureordislocation.

Impression:Degenerativeofthecervicalvertebra.

29.腰椎退行性变

Thealignmentoflumbarvertebraisnormal.Curveofthelumbarvertebradisappear.Narrowingoftheintervertebalspacebetweenl？andl？斜位片有椎间孔狭窄时：＋Thesecauseminimalnarrowingoftheintervertebralforamina.Severeosteophytesarerevealedattheposterior/anteriorofl？－l？Thereisnofractureordislocation.

Impression:Degenerativeofthelumbarvertebra.

30.胸片正侧位正常

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:NormalChest

31.胸片正位正常

PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.

Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:NormalChest

32.胸片有钙化点无其它肺部疾病。

PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Asmallcalcifiedatthetopoftherightlung.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:Smallcalcifiedatthetopoftherightlung.Noacutelungdisease.

33.胸部小结节。

PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.

Thereisasmalllungnodule3mmsizeattherightmidlung.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:3mmnoduleatrightmidlung.SuggestcomparisonwitholdCXRtoensurestability,otherwisesuggestCTchest.

34.两肺纹理增多，未见明显感染之征象。

APviewofthechestwasobtained.Bothlungfieldsarewellexpanded.

Thereisnoevidenceoflungmassorinfiltrate.Mildincreaseoflungmarkingsarepresent.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:Mildincreaseoflungmarkings.Nofocalinfiltrateisseen.

35.胸片侧位，肋骨骨折

Bilaterallungsarenormal.Thehearthasnormalsizeandcontour.Themediastinumisnormal.Thereisafractureofright7thaxillaryrib.

Impression:1.Lungsarenormal.2.Fractureoftheright7thaxillaryrib.

36.胸部正侧位（右隔抬高，原因待查）

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.。Thereiselevationofrightseptum

Impression:Thereiselevationofrightseptum,suggestfurther

checkup;

37.心影稍增大（胸片正位）

PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.

Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thereismildcardiomegaly.Themediastinumandbilateralhilaarenormal.

Impression:Mildcardiomegaly.Lungsareclear.

38.左上肺陈旧性肺结核

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisfibro-calcificchangesatleftupperlobe.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:LULpostTBinflmmatoryresiduals.

39．两肺门增大，建议ct检查

PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereismildincreaseofinterstitiallungmarkingswithbilateralprominenthila.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:Thereismildincreaseofinterstitiallungmarkingswithbilateralprominenthila.SuggestCTchest.

40.两肺纹理增多，左侧胸腔积液，心影中度扩大。

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.ThereismildincreaseofinterstitiallungmarkingsandKerley-Blinesatrightlowerlung.ThereisincreasedhazeattheLLLsuggestpleuraleffusion.Bilateralapicesarenormal.Thereismoderatecardiomegalywithlargerightatrium.Themediastinumandbilateralhilaarenormal.

Impression:Increasedlungmarkingsatlungbases.

Leftpleuraleffusion.

Moderatecardiomegaly.

41.肺感

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisdiffuseinterstitialinfiltratesatleftlung/rightlung/LUL?LLL/RUL/RLL.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:Pneumoniaofleftlung/rightlung/LUL/LLL/RUL/RLL.

42.心包积液

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiacsizeisenlargedwith"waterbottle"appearancesuggestingpericardialeffusion.Themediastinumandbilateralhilaarenormal.

Impression:Enlargedheartwith"waterbottle"appearancesuggestiveofpericardialeffusion.Nolunginfiltrateisseen.

43.右上肺肉芽肿

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.A3mmgranulomaisseenat