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MT Training > Radiology
Combining Forms, Suffixes, Prefixes and Terminology
Practical Applications This section contains actual medical reports using terms that you have studied in this and previous chapters.
CT Upper Abdomen Using IV Contract
Comparison was also made with prior examination. The extensive retroperitoneal and mesenteric lymphadenopathy has shown marked reduction in size. The celiac lymph nodes are also reduced, and the outlines of the lymph nodes are in the top limits of normal at this point. In images 8 and 9 the celiac nodes are no longer visible. Previously described right pleural effusion is also not present. The obstructed right kidney shows and now measures approximately 7-8 cm in size. The left kidney remains much the same as before. The adrenal glands are symmetrical with normal aorta and inferior vena cava as well as abdominal wall.
Chart Note
DX. Stage T3 N0 M0 colon carcinoma. TX. 5-FU plus XRT.
Mr. Deam Smith returns today for general follow-up and is currently ready to begin his 5-FU and concurrent XRT in his right lower quadrant. He is without symptoms and denies any abdominal pain, diarrhea, nausea, vomitting, melena or hematochezia. Vital signs stable, afebrile. HEENT [head, ears, eyes, and throat] entirely benign. Axillary cervical and inguinal lymph node benign. Chest; lungs clear to auscultation and percussion. Abdomen; notable only for a well-healing midline abdominal scar with moderate smooth hepatomegaly.
Laboratory. This time notable for SGOT 26 [normal: 8-20]; LDH 541 [normal 48-115]. HCT 32.2 [normal 40-54]; platelet 400,000 [normal 4500-11000] with normal differential
Impression an plan. Mr. Smith should begin his XRT and chemotherapy sometime early next week. Chart Rounds: Center for Radiation Oncology
1. Patient has metastatic carcinoma and is being treated to the costovertebral junction with 3000 palliatively. 2. Patient is being treated for cervical esophageal carcinoma. Previously treated with a hockey field technique [RT given covering the area in the shape of hockey stick] for breast cancer and recurrent field is only being taken to 3000 cGy. 3. Patient is being treated for a pathological stage H-B Hodgkin’s disease on the mantle [upper chest and neck] only protocol 4. The patient is being treated for a parietal GBM [glioblastoma multiforme]. The plan needs to be signed. The films look fine.
Questions 1. Which patient is being treated for a brain tumor? 2. Which patient is being treated for lesions in the ribs? 3. Which patient has disease in cervical and thoracic lymph nodes? Which patient is being treated for gastrointestinal cancer?
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