Small left sided pleural effusion

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Small left sided pleural effusion. CPT CODE:ICD-10-CM DX CODE:ICD-10-CM DX CODE:Radiology Report, Chest

LOCATION: Outpatient,

HospitalPATIENT: Lorenz Miller

PHYSICIAN: Ronald Green,

MDRADIOLOGIST: Morton Monson,

MDEXAM: Chest

CLINICAL SYMPTOMS: Primary, malignant neoplasm of the hilus of the lung.

TWO VIEWS, CHEST: Frontal and lateral views obtained of the chest.  These are submitted on September 3 for interpretation.  Comparison is made with a portable view of the chest, July 27.  Blunting of the left posterior costophrenic sulcus suggests small pleural effusion on the left.  Abnormal opacity, right perihilar/suprahilar region, is best seen on the frontal view.  The patient has a history of lung cancer.  Opacity was noted there previously.  Previously noted bibasilar opacities appear essentially resolved.  Oral contrast is noted within the abdomen.

IMPRESSION:  Persistent opacity, right perihilar/suprahilar region, presumably reflecting the patient’s clinical history of lung cancer.  This was noted previously.  Suspect small pleural effusion on the left.  Basilar regions otherwise appear cleared since the prior study.CPT CODE:ICD-10-CM DX CODE:Ultrasound, Fallbladder

LOCATION: Outpatient, Hospital

PATIENT: Mary Lou Moe

PHYSICIAN: Larry Friendly,

MDRADIOLOGIST: Morton Monson,

MDEXAM OF: Gallbladder ultrasound

CLINICAL SYMPTOMS: Abdominal pain

GALLBLADDER ULTRASOUND: Findings: A right pleural effusion is present.  A normal gallbladder is not identified.  In the region of the gallbladder fossa, there is an echogenic structure that does produce prominent posterior shadowing.  This is not peristalsis, and there is adjacent peristalsis of bowel.  Common bile duct is 7 mm, which is upper normal.

IMPRESSION: Normal gallbladder is not identified.  It is thought that there is a WES (wall echo shadow that occurs in patients with contracted gallbladders) sign consistent with a gallbladder packed with stones, but the differential diagnosis does include the absence of a gallbladder with echogenic bowel in the area.  Clinical correlation is suggested.CPT CODE:CPT CODE:ICD-10-CM DX CODE:1. Radiology Report, Line Placement

LOCATION: Outpatient, Hospital

PATIENT: George Barr

PHYSICIAN: Gary Sanchez,

MDRADIOLOGIST: Morton Monson,

MDEXAMINATION OF: Chest, single view

CLINICAL:…

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