1.頭顱骨質(zhì)未見異常

Theshapeandthesizeoftheskullarenormal。Theinnerandoutertables，andthediploeofthecranialvaultareunremarkable，onthelateralview，thesizes，theshapeandthedensityofthesellaturcicaarenothingremarkable。

Impression：plainfilmsoftheheadarenormal.

2.頭顱正常

APandlateralviewsoftheskullaresubmitted.Thecavariumhasnormalconfigurationandappearance.Thereisnoevidenceoffracture.Thesofttissuesarenormal.

Impression:Normalskull.

3.鼻旁竇炎癥

Thereisgeneralizedhazinessofthefrontal,ethmoidandbilateralmaxillarysinuses.Findingsareconsistentwithsinusitis.

Impression:Frontal,（額竇）ethmoid（篩）andmaxillary（上頜）sinusitis.

4.右膝關(guān)節(jié)正常

Thebonesandjointsoftherightkneearenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Thereisnojointeffusion.

Impression:Normalrightknee.

5.右膝退變

Thebonesandjointsoftherightkneearenormal.Milddegenerativechangesofthekneejointispresent.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.Thereisnojointeffusion.

Impression:MildDJDofkneejoint。

6.左小腿蜂窩炎，（軟組織腫脹，無骨髓炎）

Thereismilddegreeofsofttissueswelling10.9cmattheproximalanteriorleg.Thereisnoevidenceofadjacentboneabnormality.Thereisnoevidenceofperiostealreaction.Thefibularbonehasnormalconfigurationandappearance.

Impression:Thereisafocal10.9cmlengthsofttissueswellingattheproximalanteriorlegadjacenttothetibia.Thetibialbonehasnormalconfigurationwithnoevidenceofosteomyelitis.Findingsareconsistentwithlocalizedcellulitis.

Impression:Normalelbows.

13.右側(cè)拇指正常

Thebonesandjointsoftherightthumbarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.

Impression:Normalrightthumb.

14.右肩關(guān)節(jié)正位正常

Thebonesandjointsoftherightshoulderarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.

Impression:Normalrightshoulder.

15.右腕正側(cè)位正常

Thebonesandjointsoftherightwristarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.

Impression:Normalrightwrist.

16.雙側(cè)腕關(guān)節(jié)（右側(cè)正常，左側(cè)橫行骨折，未移位）

Thereisatransversenondisplacedfractureoftheleftdistalradialmetaphysisregion.Theleftwristisnormalinconfigurationandappearance.Therightdistalforearmandrightwristarenormalinappearance.Softtissuesarewithinnormallimits.

Impression:Transversenondisplacedfractureoftheleftdistalradialmetaphysis.Rightdistalforearmandwristarenormal.

Thebonesandjointsofthelefthandarenormal.Thereisnoevidenceoffractureorsubluxation.Thesofttissuesarenormal.

Impression:Normallefthand.

18.正常鎖骨片（左）

Theleftclaviclehasnormalconfigurationandappearance.Thesofttissuesoftheneckabovetheclavicleisnormlainappearance.Scapularandleftshoulderjointarewithinnormallimits.

Noevidenceofsofttissuemassisdemonstrated.Impression:Normalleftclavicle.

19.左鎖骨及肩胛骨

APviewsoftheleftshoulderandscapularevealnormalbonesandjoints.Thereisnoevidenceoffractureorboneabnormality.Thesofttissuesarenormal.

Impression:Normalleftshoulderandscapula.

20.腹部立臥位正常片

Supineanduprightviewsoftheabdomenaresubmitted.Thebowelgaspatternisnormal.Thereisnoevidenceofintestinalobstruction.Thereisnoevidenceofabnormalcalcificationsoverlyingthekidneysorthepelvis.Theosseousstructuresarenormal.

Impression:Normalabdomen.

21.腹部立位正常：

Thebowelgaspatternisnormal.Thereisnoevidenceofabnormalcalcifications.Theosseousstructuresarenormal.

Impression:Normalabdomen.

22.腹部立位大便

APerectviewoftheabdomenrevealfecesfilledcolon.Thereisnoevidenceofabdominalmassorcalcifications.Theosseousstructuresarenormal.

Impression:Fecesimpactedcolon.

23.頸椎增生性改變

Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebraexist（disappear）.NarrowingoftheintervertebalspacebetweenC？andc？isfound.Slightosteophytesarerevealedattheposterior/anteriorofC？－c？.Thereisnofractureordislocation.

24.胸椎增生性改變

Thealignmentofthoracicvertebraisnormal.Curveofthecervicalvertebraexist（disappear）.Narrowingoftheintervertebalspacebetweent？andt？isfound.Slightosteophytesarerevealedattheposterior/anterioroft？－t？.Thereisnofractureordislocation.

Impression:Hyperplasychangesofthethoracicvertebra.

25.頸椎正常

Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebraexist.Theintervertebalspacebetweenthecervicalvertebraisnormal.Noosteophytesarerevealedatthecervicalvertebrabodies.

Impression:Normalofthecervicalvertebra.

26.胸椎正常

Thealignmentofthoracicvertebraeisnormal.Curveofthethoracicvertebraeexist.Theintervertebalspacebetweenthethoracicvertebraisnormal.Noosteophytesarerevealedatthethoracicvertebrabodies.

Impression:Normalofthethoracicvertebra.

27.腰椎正常

Thealignmentoflumbarvertebraeisnormal.Curveofthelumbarvertebraeexist.Theintervertebalspacebetweenthelumbarvertebraisnormal.Noosteophytesarerevealedatthelumbarvertebrabodies.

Impression:Normalofthelumbarvertebra.

28.頸椎退行性變

Thealignmentofcervicalvertebraisnormal.Curveofthecervicalvertebradisappear.NarrowingoftheintervertebalspacebetweenC？andc？斜位片有椎間孔狹窄時(shí)：＋Thesecauseminimalnarrowingoftheintervertebralforamina.Severeosteophytesarerevealedattheposterior/anteriorofC？－c？Thereisnofractureordislocation.

Impression:Degenerativeofthecervicalvertebra.

29.腰椎退行性變

Thealignmentoflumbarvertebraisnormal.Curveofthelumbarvertebradisappear.Narrowingoftheintervertebalspacebetweenl？andl？斜位片有椎間孔狹窄時(shí)：＋Thesecauseminimalnarrowingoftheintervertebralforamina.Severeosteophytesarerevealedattheposterior/anteriorofl？－l？Thereisnofractureordislocation.

Impression:Degenerativeofthelumbarvertebra.

30.胸片正側(cè)位正常

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:NormalChest

31.胸片正位正常

PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.

Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:NormalChest

32.胸片有鈣化點(diǎn)無其它肺部疾病。

PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Asmallcalcifiedatthetopoftherightlung.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:Smallcalcifiedatthetopoftherightlung.Noacutelungdisease.

33.胸部小結(jié)節(jié)。

PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.

Thereisasmalllungnodule3mmsizeattherightmidlung.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:3mmnoduleatrightmidlung.SuggestcomparisonwitholdCXRtoensurestability,otherwisesuggestCTchest.

34.兩肺紋理增多，未見明顯感染之征象。

APviewofthechestwasobtained.Bothlungfieldsarewellexpanded.

Thereisnoevidenceoflungmassorinfiltrate.Mildincreaseoflungmarkingsarepresent.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:Mildincreaseoflungmarkings.Nofocalinfiltrateisseen.

35.胸片側(cè)位，肋骨骨折

Bilaterallungsarenormal.Thehearthasnormalsizeandcontour.Themediastinumisnormal.Thereisafractureofright7thaxillaryrib.

Impression:1.Lungsarenormal.2.Fractureoftheright7thaxillaryrib.

36.胸部正側(cè)位（右隔抬高，原因待查）

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.。Thereiselevationofrightseptum

Impression:Thereiselevationofrightseptum,suggestfurther

checkup;

37.心影稍增大（胸片正位）

PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.

Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thereismildcardiomegaly.Themediastinumandbilateralhilaarenormal.

Impression:Mildcardiomegaly.Lungsareclear.

38.左上肺陳舊性肺結(jié)核

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisfibro-calcificchangesatleftupperlobe.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:LULpostTBinflmmatoryresiduals.

39．兩肺門增大，建議ct檢查

PAviewofthechestwasobtained.Bothlungfieldsarewellexpanded.Thereismildincreaseofinterstitiallungmarkingswithbilateralprominenthila.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:Thereismildincreaseofinterstitiallungmarkingswithbilateralprominenthila.SuggestCTchest.

40.兩肺紋理增多，左側(cè)胸腔積液，心影中度擴(kuò)大。

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.ThereismildincreaseofinterstitiallungmarkingsandKerley-Blinesatrightlowerlung.ThereisincreasedhazeattheLLLsuggestpleuraleffusion.Bilateralapicesarenormal.Thereismoderatecardiomegalywithlargerightatrium.Themediastinumandbilateralhilaarenormal.

Impression:Increasedlungmarkingsatlungbases.

Leftpleuraleffusion.

Moderatecardiomegaly.

41.肺感

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisdiffuseinterstitialinfiltratesatleftlung/rightlung/LUL?LLL/RUL/RLL.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.

Impression:Pneumoniaofleftlung/rightlung/LUL/LLL/RUL/RLL.

42.心包積液

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiacsizeisenlargedwith"waterbottle"appearancesuggestingpericardialeffusion.Themediastinumandbilateralhilaarenormal.

Impression:Enlargedheartwith"waterbottle"appearancesuggestiveofpericardialeffusion.Nolunginfiltrateisseen.

43.右上肺肉芽腫

PAandlateralviewsofthechestwereobtained.Bothlungfieldsarewellexpanded.Thereisnoevidenceoflungmassorinfiltrate.Bilateralapicesarenormal.Bilateralpleuralspacesarenormal.Thecardiaccontourisnormal.Themediastinumandbilateralhilaarenormal.A3mmgranulomaisseenat