mr radiologi 29 oktober 2015

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  • 7/25/2019 MR Radiologi 29 Oktober 2015

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    Morning ReportThursday, October 29th2015

    Co-ass in charge:

    Mayastuti Nur M.Restu HijriahCynthia Paramita

    Superisor: dr. Indrastuti Normahayu, SpRad(K)

    Radio!ogy "aboratoriu# o$ dr% Sai$u!&n'ar (ospita!

    Medica! )acu!t o$ *ra'i a a niersit

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    Resu#e o$ atient

    .o% .a#e &ge Type o$ /#aging /ndication

    1 Mrs. W ! yo "hora# P$ Ca mammae %&S

    ! Mrs. M '! yo "hora# P$ Shortness oreath

    Ms. % ! yo Waters Chroni* sinusitisma#i++aris

    Mr. $M yo I- /+an0 pain S

    Mrs. P ' yo 2enu %&S$P&3atera+

    Knee joint pain

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    Case Report 1

    Name 4 Mrs. W

    $5e 4 ! yo

    "ype o Ima5in5 4 "hora# P$

    Indi*ation 4 Ca mammae Contraindi*ation 4 6

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    Soft tissue : Normal

    Bone : Normal, no visible osteolytic, osteoblastic and fracture.

    Trachea : In the middle

    Costophrenicus angle (D/S) : Sharp

    Hemidiaphragm (D/S) : Dome shaped

    Cor : sie normal, ri!ht border normal, left border less than "

    hemidiaphra!m, and cardiac #aist normal

    Aorta : calcification ($), elon!ation ($), aorta sclerotic ($), dilatation ($)

    Pulmonal :

    %ilus D/S : Normal&ascular pattern D/S : Normal

    %emithora' D/S : ultiple nodules #ith varyin! sies

    Conclusion:

    etastatic process in pulmo

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    Case Report 2

    Name 4 Mr. $M

    $5e 4 yo

    "ype o Ima5in5 4 I-

    Indi*ation 4 /+an0 pain S

    Contraindi*ation 4 6

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    reperitonea! $at !ine 4 norma+

    soas "ine S 4 norma+

    (epar contour 4 norma+ idney Contour 4 position, site, and si7e norma+

    "ien contour 4 norma+

    *o'e! &ir distribution 4 norma+ to the pe+8i**a8ity

    "here is radioopa9ue stone at hemiadomen

    de#tra as hi5h as -. 3uma+ II6III S3e!eton :"here is no +yti* or +asti* +ession,

    osteophyte (6)

    :N

    ;

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    Water < so+u+e *ontrast insertedintra8enous+y, no a++er5i* rea*tion

    Rena+ de#tra se*retion and e#*retion un*tion

    4 norma+, nephro5ram seen ater minutes.Rena+ de#tra draina5e un*tion seen ater 1minutes.

    Pe+8i*o*a+i*ea+ system % =idenin5 =ith the*+uin56shaped end o *a+y#

    Pe+8i*o*a+i*ea+ system S =idenin5 =ith>attenin5 end o *a+y#

    I-

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    reter S 4 *a+ier narro=in5 =ith sharp tip ashi5h as 8erterae +uma+ III6I-, =ith ureterdi+atation in pro#ima+ site. Irre5u+ar mu*ose in1& pro#ima+, no 0in0in5 ureter.

    reter % 4 *a+ier =idened in the 1& pro#ima+as hi5h as 8erterae +uma+ II6III, sti++ appearsto *ontrast the dista+ side. Re5u+ar mu*osa, no0in0in5 ureter.

    - 4 re5u+ar mu*ose, no indentation, ?++in5dee*t (6), additiona+ shado= (6). In post6mi*tionseen minima+ urine residua+.

    I-

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    Con*+usion 4 e4tra hydronephrosis grade /// ec

    partia! obstruction 1 pro4i#a!

    ureter stone "e$t hydronephrosis grade // ec

    partia! stenosis 1 pro4i#a!

    "e$t ureteritis 1 pro4i#a!

    I-

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    Case Report

    Name 4 Mrs. P

    $5e 4 ' yo

    "ype o Ima5in5 4 2enu %&S $P&3atera+

    Indi*ation 4 Knee joint pain

    Contraindi*ation 4 6

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    %es*ription

    $+i5nment 4 Norma+Sot "issue 4 Norma+

    :one 4 ;steophyte (@) in *ondy+us media+is

    +atera+is os.tiia %&S, mar5o

    posterosuperior os pate++a %&SAoint spa*e 4 Norma+

    Con*+usion 4Osteoarthritis $e#orotibia S grade //

    Osteoarthritis pate!o$e#ora! S

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    Than3you