Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Radiology
Sample Name: MRI Head

Description: MRI Head W&WO Contrast.
(Medical Transcription Sample Report)

EXAM: MRI Head W&WO Contrast.

REASON FOR EXAM: Dyspnea.

COMPARISON: None.

TECHNIQUE: MRI of the head performed without and with 12 ml of IV gadolinium (Magnevist).

INTERPRETATION: There are no abnormal/unexpected foci of contrast enhancement. There are no diffusion weighted signal abnormalities. There are minimal, predominantly periventricular, deep white matter patchy foci of FLAIR/T2 signal hyperintensity, the rest of the brain parenchyma appearing unremarkable in signal. The ventricles and sulci are prominent, but proportionate. Per T2 weighted sequence, there is no hyperdense vascularity. There are no calvarial signal abnormalities. There is no significant mastoid air cell fluid. No significant sinus mucosal disease per MRI.

IMPRESSION:
1. No abnormal/unexpected foci of contrast enhancement; specifically, no evidence for metastases or masses.
2. No evidence for acute infarction.
3. Mild, scattered, patchy, chronic small vessel ischemic disease changes.
4. Diffuse cortical volume loss, consistent with patient's age.
5. Preliminary report was issued at the time of dictation.


Keywords: radiology, dyspnea, mri of the head, foci of contrast, patchy foci, white matter, w&wo contrast, mri head, mri,
NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples