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Sample Reports

EagleEye’s team of radiologists are proud to offer your facility their accurate and timely interpretive services. Following are four examples of interpretations completed by our EagleEye Radiologists. You can expect the same level of detail and quality when you partner with us.

MRI of the brain

No comparison studies are available.

Indication for study: The patient is a 78-year-old female with cognitive impairment and ataxia.

Technique: The following sequences were obtained through the brain: 3 plain localizer, sagittal T1, coronal T1, axial T2, axial T2 gradient, axial T1, axial T2 and FLAIR, and axial diffusion-weighted imaging.

Findings: The ventricles and sulci are prominent consistent with a diffuse global volume loss. The cervicomedullary junction is normal in appearance. A focal area of T2 prolongation with associated volume loss is present within the inferior left frontal lobe consistent with encephalomalacia. Scattered foci of T2 prolongation are present within the periventricular and subcortical white matter most consistent with senescent microvascular ischemic change. The intracranial flow-voids are patent. There is no evidence of mass lesion or mass effect. There are no areas are restricted diffusion.

The paranasal sinuses are well-aerated. Remainder of the visualized soft tissue structures are within normal limits.

Impression: Diffuse global volume loss, findings consistent with senescent white matter ischemic changes, and an area of focal encephalomalacia within the left inferior frontal lobe which most likely represents a sequela of prior ischemic event.

MRI of the ankle

History: Possible posterior tibial tendon tear

Technique: Multiplanar, multisequence imaging of the ankle was performed without contrast

Comparisons: Plain films of right ankle from 11/14/2008

Findings: There is a high-grade partial thickness tear of the posterior tibialis tendon, including a longitudinal component that begins in the retromalleolar portion of the tendon. The distal tendon is thickened and has intermediate signal intensity. There is a mildly prominent medial osteophyte that projects posteriorly from the medial malleolus. There is thickening of the posterior tibial tendon sheath and increased fluid within the tendon sheath, consistent with tenosynovitis. The flexor hallucis longus and flexor digitorum longus tendons are intact. The anterior, lateral, and posterior tendon groups about the ankle appear normal. A small joint effusion is present.

The anterior and posterior tibiofibular ligaments are intact. There is thickening of the anterior talofibular ligament, consistent with prior injury. The calcaneofibular ligament and posterior talofibular ligament are intact. There is no evidence for osteochondral lesion. The deltoid ligament complex is intact. The spring ligament appears normal. There is no evidence for soft tissue mass or cyst. Bone marrow signal is within normal limits throughout, aside from a small bone island in the posterior aspect of the distal tibia.

impression: High-grade partial thickness tear of the posterior tibialis tendon with associated tendinopathy and tenosynovitis, as described above.

CT of the head without contrast

Indication for study: Patient is an 83-year-old male follow-up fall.

Technique: Axial 4.5 mm images were obtained through the brain without the use of intravenous contrast.

Findings: The inferior right frontal hemorrhage has resolved. Low attenuation is present along the inferior aspect of the right frontal lobe suggestive of residual encephalomalacia.. There is no evidence of extra-axial fluid collections, and the previously noted bilateral subdural hygromas have resolved. In the left frontal lobe hemorrhage has resolved and a focal area of low attenuation is present in its previous location again suggestive of encephalomalacia. No new hemorrhages are identified. The gray-white differentiation is preserved. There is no evidence of mass lesion or mass effect. The ventricles and sulci are prominent consistent with a diffuse global volume loss. Periventricular subcortical regions of low attenuation are present most consistent senescent microvascular ischemic change.

Calcifications are present along the cavernous and supraclinoid portions of the internal carotid artery as well as the bilateral vertebral and basilar arteries consistent with atherosclerotic change.

The intraorbital structures are normal in appearance. The right lateral wall orbital fracture is again noted. The nasal bone fracture is again noted as well as the right maxillary wall fracture. The mastoid air cells are well-aerated. The visualized aspects of the paranasal sinuses are also well-aerated. The patient's right temporal bone fracture is again noted.

Impression: Interval resolution of the hemorrhagic contusions as well as the bilateral subdural hygromas without evidence of recurrent hemorrhage.

CT of the abdomen

History: Follow-up for esophageal cancer

Technique: 5 mm axial images of the abdomen and pelvis were obtained during and after the administration of IV contrast. Oral contrast was administered. Coronal reconstructions were performed for delineation of anatomy.

Comparisons: CT abdomen and pelvis from 11/1/2008

Findings: Calcified pleural plaques are noted in the lung bases. There is no pleural or pericardial effusion.

There is mild adenopathy surrounding the common hepatic artery. This appears improved from the comparison examination. A lymph node adjacent to the common hepatic artery now measures approximately 8 mm in diameter short axis where as it previously measured approximately 15 mm in short axis diameter. A portocaval lymph node is unchanged, measuring approximately 11 mm in short axis diameter. Mildly enlarged lymph nodes are seen within the region of the gastrohepatic ligament, including a lymph node that measures 9 mm in short axis diameter. It appears slightly smaller than on the comparison exam where it measured approximately 10 mm in short axis diameter.

The liver, spleen, pancreas, and adrenal glands are within normal limits. The gallbladder has been removed. A small simple cyst is present the upper pole of the right kidney. An area of parenchymal scarring is present in the periphery of the left kidney.

There is a small area of chronic focal dissection involving the infrarenal abdominal aorta. Extensive atherosclerotic calcifications are present in the abdominal aorta and its branches.

The appendix is normal. The pelvis was not included in the field-of-view.

Since the prior exam, there has been interval resolution of the small bowel obstruction.

Impression: Interval mild improvement in upper abdominal adenopathy as described above.