focal bony activity or focal bony uptake?
Posted By: Calif MT on 2008-05-26
In Reply to: osteonecrosis- pt had "a bone scan significant for area of intense focal [s/l bony labeling]"? - not sure...
Subject: focal bony activity or focal bony uptake?
dd
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osteonecrosis- pt had "a bone scan significant for area of intense focal [s/l bony labeling]"?
Subject: osteonecrosis- pt had "a bone scan significant for area of intense focal [s/l bony labeling]"?
The whole sentence reads thusly:
The patient also underwent bone scan, this being significant for an area of intense [s/l focal bony labeling] involving the lateral epicondyle of the right femur in an individual without history of trauma, and given his history of aseptic necrosis of the femoral head, it was felt that this might be reflective of osteonecrosis including "osteochondritis desiccans."
Thanks in advance for any help.
Bony spur? Bony protuberance? Bony spur formation?
Subject: Bony spur? Bony protuberance? Bony spur formation?
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?
a
Focal?
Subject: Focal?
Focal? nm
Subject: Focal? nm
x
focal
Subject: focal
nm
focal deficit?
Subject: focal deficit?
focal status
Subject: focal status
focal status as in Neuro
Focal bacterial nephritis maybe?
Subject: Focal bacterial nephritis maybe?
or early renal failure or early renal disease? 
Maybe free of focal infiltrate?
Subject: Maybe free of focal infiltrate?
No focal motor or neurological deficits
Subject: No focal motor or neurological deficits
nm
CXR: Negative for focal s/l of-the-note infiltrate.
Subject: CXR: Negative for focal s/l of-the-note infiltrate.
cerebellar or possibly focal deficit (?)
Subject: cerebellar or possibly focal deficit (?)
You guys are awesome yes it is focal deficit thank you
Subject: You guys are awesome yes it is focal deficit thank you
Do you hear focal weakness and paresthesias? nm
Subject: Do you hear focal weakness and paresthesias? nm
nm
Neurologically intact with no focal or (s/l other-lyzing) deficit.
Subject: Neurologically intact with no focal or (s/l other-lyzing) deficit.
Bony nm
Subject: Bony nm
nm
bony
Subject: bony
Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??
Subject: Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??
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.
This was a high-grade intraductal carcinoma of the breast with focal s/l chromenonecrosis.
Subject: This was a high-grade intraductal carcinoma of the breast with focal s/l chromenonecrosis.
meds for bony metastasis
Subject: meds for bony metastasis
Bony metastasis treatment:
s/l dometa 4 mg IV piggyback every 4 weeks
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
First one may be no essential bony abnormaly (elbow)
Subject: First one may be no essential bony abnormaly (elbow)
oops - meant to say bony light reflex
Subject: oops - meant to say bony light reflex
r
possibly *bony mottling* which can be found in osteonecrosis (nm)
Subject: possibly *bony mottling* which can be found in osteonecrosis (nm)
x
bony resorption is removal of osseous tissue
Subject: bony resorption is removal of osseous tissue
diagnosis: bony extosis, bilateral tibia or tibias?
Subject: diagnosis: bony extosis, bilateral tibia or tibias?
bony structures involving the left *sacroala*? at the level of S2.
Subject: bony structures involving the left *sacroala*? at the level of S2.
Bony-impacted s/l palatally position central incisors? nm
Subject: Bony-impacted s/l palatally position central incisors? nm
.
dorsal bony exostoses at the first s/l "MRC" "MFC"M-C" joint? sm
Subject: dorsal bony exostoses at the first s/l "MRC" "MFC"M-C" joint? sm
This is podiatry. He's not saying a P or J that I can hear. Definitely hear it starting with an M or N and ending with a C. Maybe I need to get to bed, but this one is making me cranky. 
Heberden’s nodes, bony growths on the terminal. interphalangeal joints of
Subject: Heberden’s nodes, bony growths on the terminal. interphalangeal joints of
cellulitis: skin irritated but not warm. Might be s/l 'broney' changes. Not hearing bony. nm
Subject: cellulitis: skin irritated but not warm. Might be s/l 'broney' changes. Not hearing bony. nm
,,
X-ray of right shoulder = shows bony spurring noted at the AC joint with s/l "sycustoid" mater
Subject: X-ray of right shoulder = shows bony spurring noted at the AC joint with s/l "sycustoid" material
;
There is evidence of previous caput costae, left thorax with good bony healings
Subject: There is evidence of previous caput costae, left thorax with good bony healings
Spot view (or compression mammogram, spot view, cone view, or focal compression view? sm
Subject: Spot view (or compression mammogram, spot view, cone view, or focal compression view? sm
Here is great mammogram link. Views are on page 2.
http://imaginis.com/breasthealth/mammogram_report.asp
I know there is a light reflex....not sure about bony light reflex though...nm..
Subject: I know there is a light reflex....not sure about bony light reflex though...nm..
s
s/l go-wan 2 3 uptake scans nm.
Subject: s/l go-wan 2 3 uptake scans nm.
d
He is probably referring to the uptake
Subject: He is probably referring to the uptake
of the scan. Can't remember if those first 2 letters are correct, though.
s/l floracid uptake
Subject: s/l floracid uptake
The patient was seen again still complaining of significant amounts of ocular pain and photophobia. On examination, the patient did demonstrate a decrease in the s/l floracid uptake and continued to show no evidence of a stromal infiltrate.
I was thinking maybe it could be fluorescent uptake? Any thoughts?
intense FDG uptake?
Subject: intense FDG uptake?
Sheesh, got it, slow on the uptake here this a.m....
Subject: Sheesh, got it, slow on the uptake here this a.m....
It is Behcet's syndrome...
Thanks anyway...
s/l increased skud uptake?
Subject: s/l increased skud uptake?
on stress test. Previous report says gut uptake, but not able to verify. Any suggestions or help would be greatly appreciated.
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