Case
-T3-1D RADIOLOGY REPORT, CHEST
LOCATION: Outpatient, Hospital
PATIENT: Vance Roche
PHYSICIAN: James Noonar, MD
RADIOLOGIST: Morton Monson, MD
EXAMINATION OF: Chest
CLINICAL SYMPTOMS: Cardiomegaly
CHEST, TWO VIEWS: Comparison is made to the x-ray taken 30 days previously. There is cardiomegaly. Overt failure is not identified. There is only a moderate degree of inspiration. Osseous structures show old compression deformity of the lower thoracic spine.
Calcification is identified within a tortuous aorta. That portion of the abdomen seen is unremarkable.
IMPRESSION:
1. Cardiomegaly. There is poor inspiratory effort, but overt failure is not suggested grossly at this time.
2. ASVD (arteriosclerotic vascular disease).
3. Old compression deformity of the thoracic spine.
4. Progress studies should be obtained as felt to be clinically warranted.
T3-1D:
SERVICE CODE(S): ___________________________________________________
ICD-10-CM DX CODE(S): ______________________________________________
Correct Answer:
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