This is a radiology report. Patient has hist. of multiple myeloma.......
Posted By: kjlange on 2007-10-31  
In Reply to: could it be degenerative changes? nm - Just started with Onc also
  
Subject: This is a radiology report. Patient has hist. of multiple myeloma....... 
  Some carotid artery calcifications in the left carotid area are apparent.  Degenerative changes in the thoracic spine and lumbar spine.  There is disk space narrowing involving the L2-L3, L3-L4, L4-L5, L5-S1 levels.  I do not appreciate any obvious s/l levique changes in the cervical, thoracic or lumbar spine. 
 
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Lab test help for patient with multiple myeloma. 
Subject: Lab test help for patient with multiple myeloma. 
  Peripheral smear with s/l "rulo" formation and plasma cells.  TIA
	 
	
The patient has multiple myeloma status post treatmetn with Velcade and s/l lipothermal per Dr. __ 
Subject: The patient has multiple myeloma status post treatmetn with Velcade and s/l lipothermal per Dr. __ 
  
	 
	
Pt with multiple myeloma - sm 
Subject: Pt with multiple myeloma - sm 
  Will have chemo and then will be on prednisone and prochlorperazine as well as s/l alkana. 
 
Thanks for helping!
	 
	
for multiple myeloma 
Subject: for multiple myeloma 
  sounds like "melfim", any clues?  Tx!
	 
	
Pt w/multiple myeloma on s/l hulamid 
Subject: Pt w/multiple myeloma on s/l hulamid 
  
	 
	
staging classification for multiple myeloma? (sm) 
Subject: staging classification for multiple myeloma? (sm) 
  Sounds like "Dewey-Salmon" 3A??
  Thanks.
	 
	
This is bone survey for pat. w/history of multiple myeloma.  Need help with this sentence.... 
Subject: This is bone survey for pat. w/history of multiple myeloma.  Need help with this sentence.... 
  In the spine, there are scattered degenerative changes apparent.  s/l Rarely prominent of said degenerative changes on the right at L5.  Cannot tell if he is saying Verily, Rarely, Barely?  Can anyone help with what would be normally used in this case?  Thanks.
	 
	
multiple myeloma with possible early renal ?cast formation? 
Subject: multiple myeloma with possible early renal ?cast formation? 
  NM
	 
	
Velcade (bortezomib) and Thalomid (thalidomide) are both given for multiple myeloma. nm 
Subject: Velcade (bortezomib) and Thalomid (thalidomide) are both given for multiple myeloma. nm 
  nm
	 
	
Pt with multiple myeloma, have a "coronoscopy" performed prior to stem cell transplantation, 
Subject: Pt with multiple myeloma, have a "coronoscopy" performed prior to stem cell transplantation, 
  score was 100%.  
	 
	
dr. says clearly multiple times throughout the report that it is cryptococcal meningitis 
Subject: dr. says clearly multiple times throughout the report that it is cryptococcal meningitis 
  
	 
	
Help w/ Radiology report 
Subject: Help w/ Radiology report 
 
 This guy needs to speak English!!  
He is talking about "frontal and lateral chest radiographs.  
Can't tell if this heading is "IMPRESSION" or "DEPRESSION" (would there even be a heading of DEPRESSION?  
Under whatever the heading is he says "Mildly increased perihilar (then sounds like he says LONG markings)"  Would that be LONG or LUNG markings? 
	 
	
Is this a radiology report being 
Subject: Is this a radiology report being  
  referenced?   
 
We can't see the rest of the report and what might be dozens of clues.  Does the patient have cancer?   
 
If people take time to read and try to help, please take the time to provide some clues.  When we can't understand a word in our own reports, it's the whole report we draw from.  
	 
	
Radiology report 
Subject: Radiology report 
 
 Sounds like "truffle configuration to the thecal sac" Is truffle correct? 
	 
	
Doing a radiology simulation report (sm) 
Subject: Doing a radiology simulation report (sm) 
  New word for me.  "The patient returns for treatment plan verification on the ?? zematron ??."  TIA
	 
	
What kind of report?  Radiology? 
Subject: What kind of report?  Radiology? 
  What is the sentence?  
	 
	
a type of fracture on a radiology report 
Subject: a type of fracture on a radiology report 
  (Am new to radiology)  Pertaining to right elbow fracture:  S/L "desalergeeze" fracture. I have been trying to hear "distal ........ fracture" but it sounds like the above. Thanks so much.
	 
	
Any chance you can access the radiology report and 
Subject: Any chance you can access the radiology report and  
  s
	 
	
Decoding radiology report, flipped bucket handle? 
I am reading a report for my mother and I am new to radiology and this is what I have:
  
"There is a large flipped bucket handle tear of the medial meniscus, anterior horn body and posterior horn with a large flipped component sitting in the anterior intercondylar notch"   
What in the world does this mean in layman's terms? Is anybody willing to help? We are nervous because her MRI was yesterday and the surgeon called to get her in tomarrow morning already. I hope somebody knows what in the world this means. Thanks! 
	 
	
Has the patient had multiple falls? nm 
Subject: Has the patient had multiple falls? nm 
  x
	 
	
Patient with multiple s/l colmanitity health issues.  TIA 
Subject: Patient with multiple s/l colmanitity health issues.  TIA 
  
	 
	
Psych report - said patient was 302'd...sm 
Subject: Psych report - said patient was 302'd...sm 
 
 Should that be recast, such as patient was admitted as a 302?  I've had this doctor about a million times and he has never said 302'd before. 
	 
	
How about "..with report of normal per patient"? nm 
Subject: How about "..with report of normal per patient"? nm 
  nm
	 
	
Two questions on lung cancer patient report 
Subject: Two questions on lung cancer patient report 
 
 My questions are in two sentences one after the other.  Sometimes he says period but then really continues on with the same sentence, so I'm not sure if the first sentence is really a complete sentence or not, so the sentence before basically said a PET scan revealed an increase in the size of the hypermetabolic subcarinal lymph node, consistent with subcarinal metastases.   
1.  "Stable [s/l lock laid right] pleural fluid thickening, but the associated hypermetabolism has resolved."  This could maybe be "stable likely right pleural," but I'm not sure if that makes sense and I think I'm hearing a "d" at the end.  
2.  "There was a small right level 2 node that has become [s/l non rye valk] consistent with an evolving inflammatory process."   
	 
	
Anywhere in the report does it state that the patient had an "implant" instead of the sound of 
Subject: Anywhere in the report does it state that the patient had an "implant" instead of the sound of  "pack"? 
  
	 
	
Hi - thanks for trying.  I was lucky and found a previous report for patient and it is TBSO. 
Subject: Hi - thanks for trying.  I was lucky and found a previous report for patient and it is TBSO. 
   nm
	 
	
RX help.  s/l cyclo-vin-supreen 10 mg t.i.d. sm for past. hist. 
Subject: RX help.  s/l cyclo-vin-supreen 10 mg t.i.d. sm for past. hist. 
  Patient has osteoporosis and chronic pain syndrome and has had gastric bypass surgery if this helps at all.  
	 
	
Thanks for the help:)  Sorry I could not be more specific I only had pt. hist. of sinus problems. 
Subject: Thanks for the help:)  Sorry I could not be more specific I only had pt. hist. of sinus problems. 
 
 No ear exam was specified. But you found the answer I needed and I appreicate it, thanks again.    
I don't get all the drama anyways?!! Don't the ear,nose  and throat go together?  
	 
	
Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi 
Subject: Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi 
  
	 
	
thanks, good to know...I am very unfamiliar with cardio and have only heard that used in family hist 
Subject: thanks, good to know...I am very unfamiliar with cardio and have only heard that used in family history  NM 
  
	 
	
s/l canacoia myeloma 
Subject: s/l canacoia myeloma 
  Doctor is saying, ... screen for nephrotoxic paraproteins like s/l canacoia myeloma.  TIA.
	 
	
could doc be saying giant cell myeloma? 
Subject: could doc be saying giant cell myeloma? 
  xx
	 
	
Is it s/l "ITT level" for myeloma? 
Subject: Is it s/l "ITT level" for myeloma? 
 
 She keeps saying that and I cannot find it?  
Thanks. 
	 
	
no speciality.  final diagnosis was uti. these meds were admit meds, only hist was hypertension 
Subject: no speciality.  final diagnosis was uti. these meds were admit meds, only hist was hypertension 
  
	 
	
sorry, it's not the leukemia clinic.  It's the lymphoma/myeloma clinic.  I'm still stumped! 
Subject: sorry, it's not the leukemia clinic.  It's the lymphoma/myeloma clinic.  I'm still stumped! 
  
	 
	
multiple? 
Subject: multiple? 
  
	 
	
multiple criteria for LVH? 
Subject: multiple criteria for LVH? 
 
  
	 
	
Pt with multiple sclerosis. sm 
Subject: Pt with multiple sclerosis. sm 
  Motor strength - right over left - Deltoid 5/4, biceps 5/4, triceps 5/4, grip 5/4, s/l "AOSL" 5/4
	 
	
multiple vitamin D? 
Subject: multiple vitamin D? 
 
 Is there such a thing as a multiple vitamin D?  I'm not sure if he is saying just multiple vitamin, which would make sense...but then it sounds like he sticks in the word "D"  Has anyone ever had that dictated?  
Thanks..... 
	 
	
in regards to multiple sclerosis 
Subject: in regards to multiple sclerosis 
  s
	 
	
Rhymes with multiple 
Subject: Rhymes with multiple 
  No, it rhymes with multiple. But thanks for the suggestion. 
	 
	
multiple cystomatrophy?   
Subject: multiple cystomatrophy?   
  This is in regards to a neurologic assessment and sounds like multiple cystomatrophy.  Any ideas?  
	 
	
maybe multiple "bone" ...?? 
Subject: maybe multiple "bone" ...?? 
  
	 
	
Multiple "flexions or reflections" of 
Subject: Multiple "flexions or reflections" of 
 
 intraluminal air within the gastrointestinal tract that has the appearance of an ileus.  
Flexions???? Anyone?  
   
Thanx 
	 
	
multiple groups of blisters?  nm 
Subject: multiple groups of blisters?  nm 
  
	 
	
Format for multiple problems 
Subject: Format for multiple problems 
   Can someone show me an example of how to type a report that has multiple problems. The doctor does one problem completely, then goes onto the next one. 
 
It doesn't look right typing HISTORY OF PRESENT ILLNESS, PHYSICAL EXAMINATION twice throughout the report. 
 
Thanks
	 
	
Maybe there were multiple tests done, and one was over a million. 
Subject: Maybe there were multiple tests done, and one was over a million.  
  Just an idea. 
	 
	
woman having multiple babies s/l 
Subject: woman having multiple babies s/l 
 
 high prematurity rates and (sounds like "manano" compromise of the fetus.    
   
thank you for your help :)  
  
	 
	
Not a problem, I have them multiple times a day :-) 
Subject: Not a problem, I have them multiple times a day :-) 
  
	 
	
multiple pulmonary opacities....nm 
Subject: multiple pulmonary opacities....nm 
 
  
	 
	
multiple atypical cocci? 
Subject: multiple atypical cocci? 
  
	 
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