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: Chest PA & Lateral

Description: Chest PA & Lateral to evaluate shortness of breath and pneumothorax versus left-sided effusion.
(Medical Transcription Sample Report)

EXAM: Chest PA & Lateral.

REASON FOR EXAM: Shortness of breath, evaluate for pneumothorax versus left-sided effusion.

INTERPRETATION: There has been interval development of a moderate left-sided pneumothorax with near complete collapse of the left upper lobe. The lower lobe appears aerated. There is stable, diffuse, bilateral interstitial thickening with no definite acute air space consolidation. The heart and pulmonary vascularity are within normal limits. Left-sided port is seen with Groshong tip at the SVC/RA junction. No evidence for acute fracture, malalignment, or dislocation.

IMPRESSION:
1. Interval development of moderate left-sided pneumothorax with corresponding left lung atelectasis.
2. Rest of visualized exam nonacute/stable.
3. Left central line appropriately situated and stable.
4. Preliminary report was issued at time of dictation. Dr. X was called for results.

Keywords: radiology, effusion, interstitial thickening, chest pa & lateral, shortness of breath, chest, pneumothorax,
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