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There is evidence of previous caput costae, left thorax with good bony healings

Posted By: pc on 2008-11-20
In Reply to: radiology help - me

Subject: There is evidence of previous caput costae, left thorax with good bony healings




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Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only
Subject: Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only

thing that comes to my mind is phacoemulsification. The doc dictating this is so old and slurs so much that he should probably be retired. Any ideas anyone?
bony structures involving the left *sacroala*? at the level of S2.
Subject: bony structures involving the left *sacroala*? at the level of S2.


Ear exam...good bony light
Subject: Ear exam...good bony light

The next word is what I don't understand.   This is in the HEENT exam. The statement is:  TM's are flat with good bony light ___.  Is it  - bony light reflects or maybe bony light reflex.   Can anyone help with this.  THX
maybe *caput* as in caput medusae (just guessing)
Subject: maybe *caput* as in caput medusae (just guessing)

x
Bony spur? Bony protuberance? Bony spur formation?
Subject: Bony spur? Bony protuberance? Bony spur formation?


Good thinking but I just left a blank. nm
Subject: Good thinking but I just left a blank. nm

xx
A cementoma is a bony tumor. Cementophytes are pieces of bony tumor. NM
Subject: A cementoma is a bony tumor. Cementophytes are pieces of bony tumor. NM

:
focal bony activity or focal bony uptake?
Subject: focal bony activity or focal bony uptake?

dd
No, not L4 if they're talking about the thorax!! nm
Subject: No, not L4 if they're talking about the thorax!! nm

x
Pt has a "high junimo" thorax of the right chest.
Subject: Pt has a "high junimo" thorax of the right chest.


compress jacket ? (it is wrapped around the thorax and the abdomen)
Subject: compress jacket ? (it is wrapped around the thorax and the abdomen)


CT thorax:...new subsegmental [s/l collastro] in the lower lobe associated with bronchiectasis
Subject: CT thorax:...new subsegmental [s/l collastro] in the lower lobe associated with bronchiectasis


it's 4+/5 (out of 5) and I think it may be caput......nm
Subject: it's 4+/5 (out of 5) and I think it may be caput......nm


caput
Subject: caput


caput
Subject: caput

could it be caput?
caput medusa
Subject: caput medusa


caput cecum
Subject: caput cecum

Thanks for your help.
caput cecum
Subject: caput cecum

The doctor is dictating a colonoscopy and says "A biopsy was taken in the cap at cecum just below the ileocecal valve." Is it cap at cecum or caput cecum?  Or is it something else. He says it in almost every report. If anyone can help, I would greatly appreciate it.  Thanks!!!!


 


 


could it be caput medusa maybe
Subject: could it be caput medusa maybe


I believe caput cecum is correct
Subject: I believe caput cecum is correct

meaning head of the cecum.
Agree with caput medusa and also (SM)
Subject: Agree with caput medusa and also (SM)

you probably were just typing fast but change "indicated" to "indicating". Just wanted to point that out. :)
caput resection arthroplasty?
Subject: caput resection arthroplasty?


Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.

x
pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom

n
Bony nm
Subject: Bony nm

nm
bony
Subject: bony


probably means left anterior descending. Instead of saying LAD, just saying left AD.
Subject: probably means left anterior descending. Instead of saying LAD, just saying left AD.

x
bony kent
I found bony kent on google, but would leave a blank, refers to dental
This certainly s/l bony urination but that can't be, can it?
Subject: This certainly s/l bony urination but that can't be, can it?

The sentence is "minimal medial aspect of the acetabular joint space but otherwise no evidence for significant degenerative changes or subchondral bony (s/l urination) otherwise noted."
bony congestion?
Subject: bony congestion?

Has anyone ever heard of bony congestion?  Sentence is "The heart is upper normal in size without bony (?) congestion."  I cannot find "bony" congestion anywhere and wondered if there is such a thing. Thanks.
is it boney or bony?
Subject: is it boney or bony?

As in, all bony/boney prominences were well padded. 
bony avulsion
Subject: bony avulsion


bony resorption
Subject: bony resorption

What is bony resporption?  Is it the same thing as "bone resporption"?
bony anatomy?
Subject: bony anatomy?

could I be hearing this right, "Bony anatomy appears normal."
bony anatomy
Subject: bony anatomy

Yep, bony anatomy is correct.
Could use Thorax or Extremities. Axillary line is the horizontal line
Subject: Could use Thorax or Extremities. Axillary line is the horizontal line

s
No previous MI. Tx anyway! nm
Subject: No previous MI. Tx anyway! nm

xx
meds for bony metastasis
Subject: meds for bony metastasis

Bony metastasis treatment:


s/l dometa 4 mg IV piggyback every 4 weeks


No evidence of a DVT?
Subject: No evidence of a DVT?


You might not like this one, but I would go by what QA said on the previous report. This way you hav
Subject: You might not like this one, but I would go by what QA said on the previous report. This way you have verification in writing of why you chose to keep it this way in case you are questioned on your choice of interpretation. I know we are looking for common sense but we are transcriptions and as we know that is not even close to always being the case in MD dictations.


could it be part of previous ??
Subject: could it be part of previous ??

could it be the dosing of the med before and you think he is going to the next number in the list? The "million" part is making me question this. Otherwise I have no idea. I hope you find your answer!
a previous post
Subject: a previous post

had this same sentence and it was "early satiety"
thoraces; thorax singular, thoraces pleural
Subject: thoraces; thorax singular, thoraces pleural

QA is correct.
First one may be no essential bony abnormaly (elbow)
Subject: First one may be no essential bony abnormaly (elbow)


It's scintigraphic evidence of....
Subject: It's scintigraphic evidence of....


almost looks like evidence of ascites? WAG here.
Subject: almost looks like evidence of ascites? WAG here.


No evidence of HAVT?
Subject: No evidence of HAVT?

???
PS to clarify my previous post
Subject: PS to clarify my previous post

2 drugs:


s/l Cadawa NHCTC; I think it's for hypertension or hyperlipidemia.


s/l Rocethrin. For lesions? Could also be a pain med.


TIA!


 


I took this from a previous post about eponyms... sm
Subject: I took this from a previous post about eponyms... sm

According to BOS

eponyms

"While the use of the possessive form with eponyms remains acceptible, AAMT's preference is generally to drop the possessive form.

Apgar score, Babinski sign, Down syndrome, Gram stain, Hodgkin lymphoma.

Sometimes an awkward construction calls for use of the possessive form. This patient suffers from Hodgkin's."


just a thought..how about no change to previous?
Subject: just a thought..how about no change to previous?


Previous surgery for s/l lat pulley. TIA nm
Subject: Previous surgery for s/l lat pulley. TIA nm