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Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm

Posted By: tracy on 2009-04-22
In Reply to:

Subject: Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm

She has a pleural-based lesion in the right lower lobe that appears to be either an algomized effusion or soft tissue. She also has multiple pulmonary nodules bilaterally suggestive of either a metastatic neoplastic disease or granulomatis changes.


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soft tissue
Subject: soft tissue

It is "soft tissue signal"
It was soft-tissue (she sneezed)
Subject: It was soft-tissue (she sneezed)

thats what threw me, haha!
Zo-Med soft tissue shaver (sp Zo-Med?) nm
Subject: Zo-Med soft tissue shaver (sp Zo-Med?) nm


soft tissue s/l signal
Subject: soft tissue s/l signal

Pain clinic doc discussing post laminectomy says,
There is a soft tissue **signal** surrounding the S1 nerve root.

The word is clear as a bell, but this term does not show up in any of my references or online. Anyone have an idea??
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s/l soft tissue signal
Subject: s/l soft tissue signal

thanks! Now if I just knew what it meant......
Soft tissue balance??
Subject: Soft tissue balance??


Soft tissue mass
Subject: Soft tissue mass

Doctor dictates "multiple soft tissue masses in the soft tissue of the neck and in the mediastinum in ___________.   Sounds like hylem.  Any ideas? 


Thanks.          


HELP WITH CT SOFT TISSUE NECK
Subject: HELP WITH CT SOFT TISSUE NECK

Doc says "The lesion appears to s/l indaginate?? the parotid.  The findings are most compatible with branchial clef cyst.  Differential diagnosis would include lymphoproliferative cyst...."


 


Thanks in advance!!!


Help with soft tissue neck
Subject: Help with soft tissue neck

It is a branchial cleft cyst.
maybe something like after the soft tissue was moved into position?...nm
Subject: maybe something like after the soft tissue was moved into position?...nm

x


soft tissue ?s/l slevance? and cuff function.
Subject: soft tissue ?s/l slevance? and cuff function.

The shoulder joint remains subluxed superiorly, as has always been the case, given her complete absence of soft tissue ______ (s/l swevance or slevance) and cuff function.

I'm tired and cannot think....any suggestions??
soft tissue swelling and cuff function? sm
Subject: soft tissue swelling and cuff function? sm

Here is a good article about that. Hope it helps.

 

 

http://www.emedicine.com/med/topic3562.htm

sometimes hear soft tissue and bone windows? sm
Subject: sometimes hear soft tissue and bone windows? sm

Found this link which tells a lot of this lingo.


 


http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=522142


Ortho: Soft tissue s/l --position fracture hematoma
Subject: Ortho: Soft tissue s/l --position fracture hematoma


After the soft tissue s/l (muffled)position, fracture hematoma, and comminution were removed, reduction maneuver was performed using a large periarticular clamp. 


 


I am not sure if this is supposed to be part of soft tissue or what...Thanks.


pt hurt ankle....lateral soft tissue proximal to the symphis-mosis. nm
Subject: pt hurt ankle....lateral soft tissue proximal to the symphis-mosis. nm

thanks
radiology bone scan lesion nm tx!
Subject: radiology bone scan lesion nm tx!


Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Subject: Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.


pituatary microadenoma..CT scan of the brain without constrast showed a 14 mm lesion in the s/l
Subject: pituatary microadenoma..CT scan of the brain without constrast showed a 14 mm lesion in the s/l

cellar-ter-suka bulging floor, most likely a pituatary microadenoma.  It was also projecting into the suprasellar system. 
Doc atually says "an" before so don't think it would "an a ptotic gait". sm
Subject: Doc atually says "an" before so don't think it would "an a ptotic gait". sm

Speech and motor were normal, although his gait, he has an "____" gait, although he has no stiffness or dystonia or other movement disorders when sitting and speaking with us or on exam when sitting.
scarification? or serous effusion, cloudy effusion?
Subject: scarification? or serous effusion, cloudy effusion?


Sorry, meant to say "an MI"...same with "an MRI" though...nm
Subject: Sorry, meant to say "an MI"...same with "an MRI" though...nm

nm
Also reviewed were bone scan, white cell scan and s/l solfar coag scan. Thanks
Subject: Also reviewed were bone scan, white cell scan and s/l solfar coag scan. Thanks


CT SCAN cannt figure out part of scan Pls see message

Reveals abnormal hypermetabolism in the lymph nodes in the neck, more right than left including ?factitious learning of the thyroid?, in the anterior mediastinum as well large expansile right rib lesion.  Bone scan reveals uptake in the right lateral 7th and 8th ribs. 


It is "an MRI." M is an ih sound...see above...nm
Subject: It is "an MRI." M is an ih sound...see above...nm

nm
"An" is not always used with a vowel...sm
Subject: "An" is not always used with a vowel...sm

It is used with a vowel "sound."   People really misunderstand the use of "a" and "an."  Just remember, it's the sound, not the vowel.  Ah, uh, eh....
The "an" before the vowel
Subject: The "an" before the vowel

works with other words but here it just does not. Some docs even say "an MI" and the M is not a vowel. Go figure.
...or liver-spleen scan or radionuclide scan. nm
,
could it be, "an avulsion" fracture?
Subject: could it be, "an avulsion" fracture?


Yep, "an echogenic density" (nm)
Subject: Yep, "an echogenic density" (nm)

...
sure they're not saying "an exostosis" ? sm
Subject: sure they're not saying "an exostosis" ? sm

perhaps something like, "an exostosis off the radial and distal wrist?"
"An additional" port was placed.....
Subject: "An additional" port was placed.....


Per AAMT BOS ... "an" (see message)
Subject: Per AAMT BOS ... "an" (see message)

a, an
The indefinite articles are a and an, and the definite article is the.

a chair (may be any chair)
the chair (a specific, or definite, chair)

See: articles
before consonants, h's, u sounds, vowels
Use a before a consonant, a sounded (aspirate) h, or a long u sound. Use an before a vowel or an unsounded h.

a patient
a hemorrhoid
a unit
an indication
an hour
a 1-mile run
a CMT
an 8-hour delay
an MT

HINT: Pronunciation determines whether a word is preceded by a or an; this is most useful with abbreviations and numerals.

how about "an element" of Parkinson.... nm
Subject: how about "an element" of Parkinson.... nm

no m
just a guess, but maybe "an herbal oil" ??
Subject: just a guess, but maybe "an herbal oil" ??


An 8-mm lesion is noted. The lesion is 8 mm.
Subject: An 8-mm lesion is noted. The lesion is 8 mm.

Is the hypen in mm and cm placed when the structure or fluid being measured is mentioned after the size?  For instance


an 8-cm lesion


the lesion measures 8 cm.


the lesion measured 3 x 3 x 3 cm


a 3- x 3- x 3-cm mass is noted


Thanks! 


Is it a 2-cm lesion or 2 cm lesion, according to AAMT?
Subject: Is it a 2-cm lesion or 2 cm lesion, according to AAMT?

x
Cam lesion or cam lesion? please ASAP
Subject: Cam lesion or cam lesion? please ASAP

or is it CAM lesion- feeling very tired and out of sorts- thanks for the help though, I appreciate it!
It appears that the (sm)
Subject: It appears that the (sm)

measurement for lamotrigine level is mcg/mL.  There is such a measurement as mg%, but I am not sure if that is how lamotrigine is measured.
It appears to be a (sm)
Subject: It appears to be a (sm)

term most often used with laparoscopic procedures.  I found several sites mentioning an intraumbilical incision.  Here is an excerpt from a sample report from another MT site: 


OPERATIVE PROCEDURE: LAPAROSCOPIC BLADDER NECK SUSPENSION

Trocar placement may vary according to the preference of the surgeon. Usually, a 10-mm trocar is placed through an intraumbilical incision and another 10-mm trocar is placed suprapubically, followed by two 5-mm trocars placed laterally. Laparoscopes with different viewing angles are available. The selection of a straight or angled optic is the surgeon's personal choice. We prefer the straight, forward optic.


"an adrenergic type of sweating" ??? nm
Subject: "an adrenergic type of sweating" ??? nm


Found it. He was saying "an OpSite" applied...nm
Subject: Found it. He was saying "an OpSite" applied...nm


could he just be stumbling over "an arthritic knee" ?
Subject: could he just be stumbling over "an arthritic knee" ?


That appears to be a company...
Subject: That appears to be a company...


Had that one wrong it appears (nm)
Subject: Had that one wrong it appears (nm)

x
Currently appears stable?
Subject: Currently appears stable?

  Where there are no other instructions after that sentence, i.e. ordering a test or medication, the word "stable" comes to my mind.
Sorry, appears to be hemoglobin...nm
Subject: Sorry, appears to be hemoglobin...nm

x
It appears that the has now ___ s/l defervesced....Is this right?
Subject: It appears that the has now ___ s/l defervesced....Is this right?

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WAG at maybe..."an exudative patina" or shiny appearance? nm
Subject: WAG at maybe..."an exudative patina" or shiny appearance? nm

s
liver scan s/l betascab scan
his last s/l betascab scan showe that his liver lesion has decreased in size.
the patient has what appears to be a "vertig"
Subject: the patient has what appears to be a "vertig"

fracture of the right eighth rib.
Metabolic: Currently appears _________ -sm
Subject: Metabolic: Currently appears _________ -sm

Listed in the impression of consult by nephrology doctor. Here is what is before and after:

4. DIABETES MELLITUS. Continue insulin.
5. METABOLIC: Currently appears s/l "sensible" or "extensible."
6. ANEMIA MANAGEMENT. We will add Epogen. The patient’s hemoglobin and hematocrit are below goal.