The information contained in this facsimile message is privileged and confidential information intended for the sole use of

the facility named below. If

the reader of this message is not the intended recipient, or the employee or agent responsible to deliver to the intended recipient,
you are hereby
notified that any dissemination, distribution or copying of this communication is strictly prohibited. If there are any problems
with this transmission,
please immediately notify the sending party at 281-363-4699.

Sample Hospital
Preliminary Radiology Report
Patient Name: Doe, John Gender: M
Birth Date: 12/13/1957 Age: 48
Study: CT 1:50 pm
Exams: HEAD : Without IV Contrast
MRN: 123456
Location: ER
Fax: 281-363-0352
Requested: 04/19/06 2:03 pm CDT Reported: 04/19/06 2:15 pm Image Received:
04/19/06 2:05 pm
Patient History/Special Notes: Altered mental status. R/O Bleed
Result:
The venticular system is patent and midline. There is no evidence of acute infartion, or
hydrocephalus. A 1.8 cm acute bleed is present in the right thalamus. No mass effect or
midline
shift is seen. The basal cisterns are patent. Brain stem structures are normal. Sinuses
and
mastoids are clear. The skull is intact.
IMPRESSION:
1. 1.8 cm right thalamus bleed
2. No mass effect
3. Otherwise negative examination
Notified: ER doctor on 04/19/2006 2:10 pm
Dr. Joe Nightforce
Do not discard.
Telephone results to ordering physician now.
Chart with radiology/x-ray reports.