Chapter 17 Practical Application (Case 6-10)2023/2024 verified to pass

Chapter 17 Practical Application (Case 6-10) CASE 6 Location: Regional Hospital Fluoro Hysterosalpingogram EXAMINATION: HYSTEROSALPINGOGRAM (PROCEDURE PERFORMED 8Y RADIOLOGIST) INDICATION: Infertility for 15 years. Patient had one child 15 years ago. Last menstrual period was 1/13/20XX. No history of pelvic infection or surgery COMPARISON: None PROCEDURE: The examination and anticipated discomfort was discussed with the patient. A plastic vaginal speculum was introduced with the patient's legs in the stirrups following preliminary vaginal examination and lubrication. The posterior vaginal fornix and outer cervical os were prepped with a cleansing solution. A 5F hysterosalpingogram catheter was used. The catheter balloon was inflated in the lower uterine segment. Fluoroscopic and radiographic assessments were done. The patient tolerated the procedure well. FINDINGS: Contrast was administered through the catheter and multiple images were taken. There is a possibl - correct answer 58340, 74740-26, N97.9 CASE 7 Location: Regional Hospital CT THORAX W/CONTRAST,CT ABDOMEN W/CONTRAST,CT PELVIS W/CONTRAST,Low Osmolar Contrast EXAM: CT Chest with Contrast; CT Abdomen with Contrast; CT Pelvis with Contrast August 5, 20XX. COMPARISON: CT chest Regional Hospital 7/8/20XX. HISTORY: Non-small-cell lung cancer. TECHNIQUE: Axial images of the chest, abdomen pelvis with oral and 125 cc Omnipaque-300 intravenous contrast. FINDINGS: Chest CT shows left upper lobe and pulmonary mass which appear centrally necrotic abutting the posterior pleural surface and mediastinum without definitive invasion, 83 x 64 mm, prior 76 x 56 mm, image 15. Stable lingular and left basilar, right middle lobe and right lower lobe superior segment pleural-parenchymal opacity suggesting scarring. New mild subsegmental infiltrate left upper lobe. No pneumothorax or pleural fluid. No thoracic adenopathy. Heart size normal, no pericardial effusion. Left corona - correct answer 74177-26, 71260-26, C34.12, I25.10 CASE 8 Location: Regional Hospital EXAM: Renal and bladder ultrasound dated 10/01/20XX Renal artery Doppler evaluation dated 10/01/20XX COMPARISON: Renal MRA dated 04/01/20XX HISTORY: 80-year-old with renal artery stenosis. Diagnostic ultrasound of the kidneys was ordered to see if there was kidney damage due to the renal stenosis or other kidney issues. This was followed after review with a renal Doppler study. FINDINGS: Multiple grayscale sonographic and color Doppler images of the kidneys and renal vasculature were submitted for interpretation. The right kidney measures 10.1 cm without evidence of pelvic caliectasis. There is a small 8mm cyst noted within the lower pole of the right kidney. There is relatively normal internal architecture and echogenicity. The left kidney measures 10.4 cm with no evidence of pelvicaliectasis. There are at least 3 renal cysts identified, the largest measuring 2 cm in diameter. Ther - correct answer 93976-26, , I70.1 CASE 9