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Doctor insights on: Orthographic Projection

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Interval bony consolidation of the L5 pars fractures bilaterally. Coronal alignment is normal, exception of positional leaning to the left. explain?

Interval bony consolidation of the L5 pars fractures bilaterally. Coronal alignment is normal,  exception of positional leaning to the left. explain?

Ok: So, you initially had fractures in an area of the spine knows as the pars interarticularis, consolidation suggests they have now healed. The alingnment if the spine when viewed from the back is normal. I would not hesitate to go through your study with the person that ordered it as well. ...Read more

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Shoulder MRI: What does this mean? Focal bony proliferation w/focal chondral labral separation suspected @ posterior labrum at the 8 o'clock position?

Shoulder MRI: What does this mean? Focal bony proliferation w/focal chondral labral separation suspected @ posterior labrum at the 8 o'clock position?

Labral tear: See an experienced shoulder arthroscopist to assess clinical correlation w/ this MRI report.Basically it means you MAY have a labral( cartilage) tear of your shoulder in the 'back' portion ( posterior)of your glenoid( shoulder socket).the possible 'bony proliferation' may be a response to a long- standing labral tear.Clinical Correlation needed! Best of Luck! ...Read more

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Neck X-ray what does is mean findings open mouth view is limited by overlying bony structures no fractures or subluxation cervical spine straightening?

Neck X-ray what does is mean findings open mouth view is limited by overlying bony structures no fractures or subluxation cervical spine straightening?

The open mouth view-: -is 2 visualize the C1-C2 articulation. Overlying bony structures means either U did not open wide or the technician did not aim the column properly. If there was a concern, it would have been repeated. Otherwise it's normal. ...Read more

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Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally" surgery or cast? Why .

Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally"
surgery or cast? Why .

Orthopedic consult: Displaced cuneiform fractures often require an open reduction and internal fixation with screws. This is due to tarsometarsal joint instability. Additional important considerations include - intra-articular vs extra-articular and plane of the fracture. Isolated cuneiform fractures are rare and more likely to happen in association with metatarsal injuries. You need to consult an orthopedic surgeon! ...Read more

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Borderline inferior cerebellar ectopia present, the cerebellar tonsils demonstrate mild inferior herniation, measuring 4 mm sagittal sequence, means?

Borderline inferior cerebellar ectopia present, the cerebellar tonsils demonstrate mild
inferior herniation, measuring  4 mm sagittal sequence, means?

It most likely: doesn't mean anything. If that is the only finding, and the tonsils are otherwise normally shaped, some use less than 5mm as the normal range, so by that criteria 4mm would be normal. Others call 3-5mm benign tonsillar ectopia, an incidental asymptomatic finding. Most consider greater than 5mm to be abnormal(Chiari 1 malformation). The measurement is from the skull base to the tonsil tip. ...Read more

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C5/6residual rparacentral disc osteophyte complex mild flatening & indent anterior aspect of cord-surgery with anterior fixation&fusion 2fix-soreneck?

C5/6residual rparacentral disc osteophyte complex mild flatening & indent anterior aspect of cord-surgery with anterior fixation&fusion 2fix-soreneck?

Hard to say: The treatment options for someone with the MRI findings you are describing are based also on the degree of problem you have had with it and also with the understanding that many people can respond to nonoperative care. That being said, an anterior cervical discectomy and fusion is the time tested surgery for that condition and is reasonably safe and effective. Thank you for your question. ...Read more

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What does slight lateral positioning of the patella and shallow trochlear groove with min. anterior lateral femoral condyle ridge reactive change mean?

What does slight lateral positioning of the patella and shallow trochlear groove with min. anterior lateral femoral condyle ridge reactive change mean?

Common MRI : It means that your kneecap sits slightly off to the side on the end of the thigh bone( trochlea) @ 90degrees of bend. ( flexion), and your 'groove' ( trochlea) is slightly shallow on your femur. Very common radiologic ' diagnosis' , seen most commonly in patients w/ 'mild' patellar instability or ' kneecap' pain. See your ORS for significance . Best of Luck! ...Read more

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Mammo shows asymmetry at superior in breast seen only on mlo view.Spot compression view reveals asymmetry dispersed into normal glandular tissue. ?

Mammo shows asymmetry at superior in breast seen only on mlo view.Spot compression view reveals asymmetry dispersed into normal glandular tissue. ?

Normal: Abnormal breast masses will not compress out but imaging artifact will. All imaging studies have a multitude of technical reasons why one single view could show something that really isn't there at all. Multiple views and other techniques like spot compression will tend to give a better picture of equivocal findings. ...Read more

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What is focal 3 mm full-thickness hyaline cartilage defect involving the superiolateral acetabulum that partially undermines the superiolateral labrum?

What is focal 3 mm full-thickness hyaline cartilage defect involving the
superiolateral acetabulum that partially undermines the superiolateral labrum?

Cartilage loss: you are describing an area of your hip socket that has lost cartilage. Cartilage is the smooth and slippery lining of our joints that allows us to move our joints freely. The labrum is the lining around the hip socket. Your cartilage defect is in an area that could cause pain and clicking in your hip. Good luck ...Read more

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Smr turbinates(h) ethmoidectomy total, sphenoid & maxillary endoscopy w tissue removal, prtl excision turbinates fees image guidance please translate

Smr turbinates(h) ethmoidectomy total, sphenoid & maxillary endoscopy w tissue removal, prtl excision turbinates fees image guidance please translate

FESS: Smr: this means that the surgeon removed inner tissue of the turbinate while sparing the outer lining (mucosa). Sounds like they were partially removed too. The rest relates to opening various sinuses under the guidance of a special ct scan photo (taken prior to surgery). ...Read more

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Is neuromuscular dentistry effective for TMJ? MRI shows bone spurs, disc fragments and flattening of the Condyle

Is neuromuscular dentistry effective for TMJ?  MRI shows bone spurs, disc fragments and flattening of the Condyle

Recommendation: Suggest you get referral to Oral Surgeon, as your description raises concerns about extensive degeneration of the joint, and you may require a repair procedure. You may even want two opinions on how to manage. ...Read more

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What does it mean neck X-ray report. No fractures or subluxation visualized. Cervical spine straightening. No PREVERTEBRAL soft tissue swelling. Open mouth view is limited by overlying bony structures. ?

What does it mean neck X-ray report. No fractures or subluxation visualized. Cervical spine straightening. No PREVERTEBRAL soft tissue swelling. Open mouth view is limited by overlying bony structures. ?

Cervical: Sounds like an entirely normal X-ray. All cervical spines straighten out in cray or MRI done supine. Alternatively could be indication of some cervical muscle spasm causing splinting and thus straightening of the spine. ...Read more

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X-ray rprt "loss of lumbar curvature", MRI rprt"l5-s1 disc show posterior central annulus protrusion causing subtle impingement on thecal sac" ?

X-ray rprt "loss of lumbar curvature",  MRI rprt"l5-s1 disc show posterior central annulus protrusion causing subtle impingement on thecal sac" ?

Call your doctor: Your doctor who has the complete report and who has examined you can give you more information. You have a herniated disc which may be putting some pressure on the nerve. Your doctor can give you more information and recommendation for treatment. ...Read more

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MRI showed single focal chondromalacia lesion involving the apex of the patella superiorly w underlying subarticular bony edema what does this mean?

MRI showed single focal chondromalacia lesion involving the apex of the patella superiorly w underlying subarticular bony edema what does this mean?

Degenerative proces: What it MEANS as stated and what it MEANS in the context of the clinical situation may be 2 different things. Chondromalacia means degeneration of cartilage at the pinnacle point of the kneecap with swelling beneath the kneecap area. ...Read more

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What's the correct projection and position for a posteroanterior erect chest radiograph?

What's the correct projection and position for a posteroanterior erect chest radiograph?

Posterioranterior: Posterior anterior refers to entrance of xray beam posteriorly and exit anteriorly (PA). With anterior chest facing casette and proper distance of tube from patient, the least magnification of heart shadow occurs. Misinterpretation of enlarged heart is less likely to occur. Patient is standing for examination. ...Read more

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Subcapsular and capsular arterial phase enhancement of liver. Focal capsular retraction @inferior rt hepatic tip along lateral margin. Layman's terms?

Subcapsular and capsular arterial phase enhancement of liver. Focal capsular retraction @inferior rt hepatic tip along lateral margin. Layman's terms?

See hepatologist: Arterial enhancement means that the area is dependent of arterial blood, usually meaning some type of inflammation or malignancy. Retraction means that the capsule of the liver is indented, concerning for scarring or cancer. With a definable mass, this would be concerning and necessitate a liver biopsy or repeat scan in a few months. See a liver specialist. ...Read more

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Mra finding of "cleft" within anterosuperior acetabular labrum extending to choncdrolabral junction.. Suggestive of acetabular labral tear means what?

Mra finding of "cleft" within anterosuperior acetabular labrum extending to choncdrolabral junction.. Suggestive of acetabular labral tear means what?

Small tear: The labrum is rim of cartilage around the acetabulum which helps stabilize the femoral head in the hip joint socket. Labral tears can develop from chronic wear and tear or more acute injury; in younger patients they are sometimes related to abnormal morphology of the acetabulum or femoral neck, leading to femoroacetabular impingment (fai). ...Read more

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What does pleural based wedge shaped opacity finding in ct scan mean?

What does pleural based wedge shaped opacity finding in ct scan mean?

Pulmonary infarct: A wedge shaped opacity (whitening) has typically been thought to represent an infarction or a blockage of a blood vessel reducing blood supply to a section of the young. This would be seen with a pulmonary embolism. Less commonly this opacity can be seen in pneumonia, tumors, and other diseases. Chest pain, difficulty breathing and rapid heart rate will accompany pulmonary embolism. Immediate eval ...Read more

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