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DX Test 2
DX Test 2
DX Test 2
procedure or positioning
REPORT:
Scans of both hemithoraces shows bilateral small pleural fluid, more on the left.
Estimated fluid collection on the right hemothorax is about 300-330cc and about
350-370cc on the left.
Thick septations demonstrated on the left
The underlying lungs are partially collapsed with no definite pulmonary mass
lesions.
Diaphragm is high set
No other significant findings
IMPRESSION:
IMPRESSION:
Diffuse PTB
Opacified Hemothorax, suggesting left pleural effusion at the base . However,
parenchymal consolidation was noted at the left upper lobe suggestive for
consolidative pneumonia, left upper lobe.
Minimal pleural fluid , pleural thickening, right
CHEST ULTRASOUND
November 20. 2010 @ 3:30 pm
- Follow-up sonographic evaluation showed very small amount of right pleural fluid seen
at the posterior costophrenic, <500cc, with adjacent pleural thickening. This suggest
regression of the right pleural fluid.
- The left pleural space showed pleural fluid collection with thick septations and pleural
thickening with estimated total volume of 400cc. The largest fluid compartment seen at
the postero-basal area, measures 800cc. Very minimal progression of the located left
pleural effusion (from initial of 370cc to 400cc total volume of the compartments).
- The adjacent lower lung is heterogeneously atelectic but no parenchymal mass seen.
Suggestive consolidation of the upper lobe.
- Both hemodiaphragms are intact. The spleen is at the upper limits of normal size.
However, the liver was enlarged with increased parenchymal echogenecity, suggesting
difduse parenchymal disease. Presence of moderate amount of ascites.
ULTRASOUND (WHOLE ABDOMEN)
August 9, 2010 @ Northern Mindanao Medical Center, CDO
Requested by: Dr. Magsayo
Findings:
The liver is normal in size but with granular echogernic parenchyma. No mass or
calcification seen. The liver margin is smooth. Intrahepatic bile ducts and common bile
duct are non-dilated. Gallbladder is normal in size. Its wall is thickened to 4.0mm. no
intraluminal mass or lithiasis seen.
Pancreas and spleen are unremarkable. No focal mass lesion seen. Abdominal
aorta is unremarkable. No stone mass nor caliectasis noted. Urinary bladder empty
Right and left ovaries measure 3.1cmx 1.8cm and 2.6cmx2.0cm. atleast 4 follicles are
seen in the right and 2 follicles are seen in the left. The largest follicle in both ovaries
measure 1.0cmx1.0cm.
Small non-sepated fluid collections are seen in perihepatic parisplenic hepatorenal and
splenorenal spaces. Massive fluid c thin septations is seen in the lower abdomen and
pelvic cavity. Fluid seen in right basal hemithorax.
DIAGNOSIS:
• Diffuse liver parenchymal disease. Cannot rule out early liver cirrhosis.
• Massive ascites with thin septations at the lower abdomen and pelvic cavity
• Thickened gallbladder wall likely reactive cholecystitis
• Non-remarkable ultrasound findings in the pancreas, spleen, abdominal aorta,
kidneys, uterus and ovaries
• Empty urinary bladder
• Pleural effusion, right
NURSING CONSIDERATIONS
Preparation:
- Make sure the patient or SO has signed an appropriate consent form
- Note and report any allergies
-Let patient eat a light fat free meal at dinner
- Instruct patient to NPO after midnight
Patient Care:
- let patient resume his usual diet after the test
ULTRASOUND (PELVIC)
August 2, 2010 @ Amai Pakpak Medical Center, Marawi City
FINDINGS:
IMPRESSION:
NURSING CONSIDERATIONS
Preparation:
- Make sure the patient or SO has signed an appropriate consent form
- Note and report any allergies
- Instruct the patient to drink fluids and avoid urinating before the test because pelvic
sonography requires a full bladder as a landmark to define pelvic organs
Patient Care:
- Allow the patient to void right after the test