中英X线诊断模板
(中英双文版)射线检测报告模板
Radiographic Examination InstructionforCircularWeld 环焊缝射线检测工艺卡Form No./表码: Rev. No./版本号:A Report No./报告号: Page 1of 11 Application应用Carbon Steel. Butt/Circumferential weld with = 122” Ø tank, tank thickness up to 13mm碳钢对接环焊缝直径122’’壁厚13mm2 Equipment Type:设备XXGZT-3005HQ panoramic x-ray tube or equivalent XXGZT-3005HQ轴向X射线机3 Radiation Source:辐射源5mA, 150-300kv, 1.0 x 2.5mm focal point 5mA, 150-300kv, 1.0 x 2.5mm焦点大小4 Technique:技术Single Wall Exposure Single Wall View (Panoramic)单壁单影周向曝光5 GeometricRelationship:几何关系Radiation source positioned within of center of weld circle. Radiation beam at 90° to weld and film.源在中间，射线束以90°方向投入焊缝和胶片。
6 Film Type:胶片类型In general, Agfa C7 Sheet film,Agfa C4 sheet film shall be used if the required sensitivity not achieved. 通常用agfa C7胶片，灵敏度达不到的话，可以用C4.7 Film Coverage:胶片覆盖A minimum of 10mm of parent metal on either side of the weld will be included in the radiographs. Theoverlap offilm cassettes is approximately 25mm.至少10mm母材需被覆盖, 胶片重叠25mm。
关于CT方面的中英文对照
pericardial thickening and calaification 心包增厚和钙化
pericardium 心包
perirenal space 肾周间隙
posterior pararenal space 肾旁后间隙
pulmonary artery level 主肺动脉层面
analog/digital converter 模拟/数字转换器
digital/analog converter 数字/模拟转换器
voxel 体素
pixel 象素
spatial resolution 空间分辨率
density resolution 密度分辨率
Houlsfield unit CT值单位
Hounsfield Unit HU
intra/extra-capsular ligaments 囊内外韧带
lateroconal fascia 侧锥筋膜
left atrial level 左心房层面
pericardial defect 心包缺损
pericardial neoplasm 心包新生物
radiology 放射摄影
tomography 体层摄影
contrast agents (media) 造影剂
protection from radiation 放射防护
computed tomography (CT) 计算机体层摄影
ct scanner CT扫描仪（CT机）
头部血管造影 Head CT Angiography
颈部血管造影 Neck CT Angiography
X线诊断报告模板
X线诊断报告书写规范第一部分? 呼吸系统一、正常胸部平片1、? ? ? ? 正常胸片：胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门大小，位置及密度正常。
两肺纹理走行自然，未见扭曲及聚拢。
两肺野清晰，未见实变及肿块影。
胸膜无增厚及粘连。
气管居中，纵隔居中，无增宽。
心脏形态、大小在正常范围内。
双侧膈肌光滑，肋膈角锐利。
2、? ? ? ? 肋骨像：胸廓对称，肋骨走行自然。
片中所示骨性肋骨骨质连续性完整，未见中断影像。
二、气管和支气管疾病1、? ? ? ? 先天性支气管囊肿胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门不大，位置及密度正常。
右肺下野可见一类圆形囊状透亮区，壁较薄，其内未见气液平。
气管居中，无增宽。
心脏大小，形态在正常范围内。
双膈光滑，肋膈角锐利。
（与正常肺不同的是右肺下叶，为判断理由）2、? ? ? ? 支气管炎胸廓对称，肋骨走行自然，未见畸形及骨质破坏，两肺门不大，位置及密度正常。
两肺纹理增多增粗，以右肺明显，气管居中，纵隔居中，膈肌光滑，肋膈角锐利。
心影形态大小在正常范围。
（以右肺纹理增多增粗为主要判断理由）3、? ? ? ? 慢性支气管炎。
肺气肿。
胸廓呈捅状，肋骨平举，肋间隙增宽，未见畸形及骨质破坏。
两肺门大小，位置及密度正常。
两肺纹理增多紊乱，肺野透亮增强，肺纹理变细，双肺野清晰，未见实变及肿块影，胸膜无增厚及粘连。
气管居中，京戏狭窄。
心脏呈垂位型，心脏无扩大。
双侧膈肌变平，肋膈变平，肋膈角锐利。
4、? ? ? ?支气管扩张胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门不大，位置及密度正常。
两下肺纹理增多、增粗、紊乱。
并隐约可见多个囊状透亮区。
余肺、野清晰，未见实变及肿块影。
胸膜无增厚及粘连。
气管居中，纵隔居中，无增宽。
心脏形态、大小在正常范围内。
双侧膈肌光滑，肋隔角锐利。
三、肺部炎症1、? ? ? ?大叶性肺炎胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门不大，位置及密度正常。
常见心脏病X线诊断(中英文对照)
(一)二尖瓣狭窄
(mitral stenosis)
1 病理 瓣膜表面粗糙硬化、瓣缘赘生
物形成，瓣叶间粘连
二尖瓣狭窄
2 临床表现 症状：劳累后心慌、气短，端坐呼 吸、肝大、下肢浮肿 体征：心尖区舒张中晚期隆隆样杂 音，P2亢进
二尖瓣狭窄
3 X线表现
(1)心脏增大：呈二尖瓣型 (2)左房大、左心耳(left auricle)突出 (3)右室大 (4)主动脉结小 (5)肺瘀血 (6)间质性肺水肿常见 (7)可有肺动脉高压
(二)二尖瓣关闭不全
（mitral insufficiency）
1 病理 瓣叶增厚、收缩，瓣膜表面粗
糙硬化、有赘生物，腱索缩短、粘 连
二尖瓣关闭不全
2 临床表现 症状：劳累后心慌、气短、咯血、 端坐呼吸、肝大、下肢浮肿 体征：心尖区收缩期吹风样杂音， 向腋下传导
二尖瓣关闭不全
3 X线表现 心脏增大，二尖瓣型 左房、右室、左室大，左心耳突出 主动脉球正常或缩小 肺瘀血
心包炎
3 病程 急性：心包积液(pericardial
effusion)
慢性：缩窄性心包炎
(constrictive pericarditis)
(一)心包积液
1 病理 心包腔内过多液体，心
脏舒张受限
心包积液
2 临床表现 乏力、发热等；可有心包填
塞(呼吸困难、面色苍白、发绀 和端坐呼吸)；心音遥远
主动脉结缩小：体循环血流量减 少
法鲁氏四联症
（Fallot’s Tetralogy）
为肺血减少、右向左分流紫绀性 先天性心脏病。由肺动脉狭窄（漏斗 部、肺动脉瓣和肺动脉干及分支）、 室间隔缺损、主动脉骑跨和右心室肥 厚组成，前两者为主要组成部分
中英X线诊断模板
1.头颅骨质未见异常 The shape and the size of the skull are normal。
The inner and outer tables， and the diploe of the cranial vault are unremarkable，on the lateral view ，the sizes，the shape and the density of the sella turcica are nothing remarkable。
Impression：plain films of the head are normal.2.头颅正常 AP and lateral views of the skull are submitted. The cavarium has normal configuration and appearance. There is no evidence of fracture. The soft tissues are normal. Impression: Normal skull.3.鼻旁窦炎症There is generalized haziness of the frontal, ethmoid and bilateral maxillary sinuses. Findings are consistent with sinusitis. Impression: Frontal,（额窦）ethmoid（筛）and maxillary （上颌）sinusitis.4. 右膝关节正常The bones and joints of the right knee are normal. There is no evidence of fracture or subluxation. The soft tissues are normal. There is no joint effusion. Impression: Normal right knee.5.右膝退变The bones and joints of the right knee are normal. Mild degenerative changes of the knee joint is present. There is no evidence of fracture or subluxation. The soft tissues are normal. There is no joint effusion. Impression:Mild DJD of knee joint。
X线诊断报告中英文对照
1. 头颅骨质未见异常The shape and the size of the skull are normal。
The inner and outer tables，and the diploe of the cranial vault are unremarkable，on the lateral view ，the sizes，the shape and the density of the sella turcica are nothing remarkabl e。
Impression：plain films of the head are normal.2.头颅正常AP and lateral views of the skull are submitted. The cavarium has n ormal configuration and appearance. There is no evidence of fracture. The soft tissues are normal.Impression: Normal skull.3.鼻旁窦炎症There is generalized haziness of the frontal, ethmoid and bilateral m axillary sinuses. Findings are consistent with sinusitis.Impression: Frontal,（额窦）ethmoid（筛）and maxillary （上颌）sinusitis.4. 右膝关节正常The bones and joints of the right knee are normal. There is no evi dence of fracture or subluxation. The soft tissues are normal. There is no joint effusion.Impression: Normal right knee.5.右膝退变The bones and joints of the right knee are normal. Mild degenerative changes of the knee joint is present. There is no evidence of fra cture or subluxation. The soft tissues are normal. There is no joint effusion.Impression: Mild DJD of knee joint。
中英文X光报告
中英文X光报告
摘要
本报告是对患者进行的X光检查的结果进行分析和描述的文档。
通过X光图像的观察和解读，我们提供了对患者体部的病变和异常情况的详细描述。
此报告包含患者的基本信息、检查所用仪器、医
生的观察结果和初步诊断建议。
患者信息
- 姓名：XXX
- 年龄：XX
- 性别：X
- 就诊日期：XXXX年XX月XX日
检查结果
头部 X光检查
- 医生观察结果：患者头部X光显示正常，未发现异常结构或病变。
- 初步诊断建议：患者头部X光结果未显示明显的异常，建议针对其他症状进行进一步检查。
胸部 X光检查
- 医生观察结果：患者胸部X光显示右上叶阴影存在，可能与感染或结节有关。
- 初步诊断建议：建议进行进一步检查，如胸部CT扫描或其他相关检查，以确定阴影的性质和起因。
腹部 X光检查
- 医生观察结果：患者腹部X光显示胃和肠道正常，未发现明显异常。
- 初步诊断建议：腹部X光结果在观察范围内未显示明显的异常，建议根据其他症状和检查结果进行进一步诊断。
结论
根据患者的X光检查结果，需要进一步评估和诊断，以确定任何潜在的异常情况或疾病。
进一步的检查，如CT扫描或其他相关检查，将有助于明确诊断和制定适当的治疗方案。
此报告仅为初步分析和诊断建议，具体的诊断和治疗方案应由专业医生根据进一步检查和患者具体情况来确定。
请咨询专业医生以获得个体化的诊断和治疗建议。
心脏基本病变X线诊断(中英文对照)
(2)肺动脉圆锥隆起 左前斜位 心前下缘向前膨隆，心膈面延长，
推移左室向后平移
见于：二尖瓣狭窄、肺心病和 肺动脉狭窄等
心尖在左、右心室增大时的位置
3 左心房增大（Enlargement of Left Atrium）
• 代表左室大一类心脏病 • X线心尖主要左下大，心腰相对凹陷 • 见于高心病等
3 普大型心(general enlarged heart)：
代表心包病或多个房室大一类 心脏病
X线心脏向双侧增大，心缘各弓 弧消失
见于心包炎或心肌病
Hale Waihona Puke 4 靴型心(wooden-shoe heart)：
代表右室大，有肺动脉狭窄一类 心脏病
X线心脏主要向左大，心尖上翘， 心腰器质性下陷
见于法鲁氏四联症等
(四)主动脉形态和密度的改变
1 形态改变：迂曲、延长（tortuosity、elongation） 2 密度改变：增粗、钙化（dilatation、calcification）
(五)心包钙化（Pericardial Calcification）
肺血多少的判断标准
主要以右下肺动脉干直径为标准： 正常成人男性10~15mm
女性 9~14mm 一般肺动脉和伴行支气管直径之比 为1:1
3 肺动脉高压（Pulmonary Arterial Hypertension）
收缩压>4kPa(30mmHg)，平 均压>2.7kPa(20mmHg)
1 肺动脉段突出 2 肺门截断征 3 中心肺动脉搏动强 4 右室大
后前位 1 左心耳（left auricle）突出 2 心底部双重密度，心右缘双重 轮廓影
X线诊断报告模板7
X线诊断报告书写规第一部分呼吸系统一、正常胸部平片1、正常胸片：胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门大小，位置及密度正常。
两肺纹理走行自然，未见扭曲及聚拢。
两肺野清晰，未见实变及肿块影。
胸膜无增厚及粘连。
气管居中，纵隔居中，无增宽。
心脏形态、大小在正常围。
双侧膈肌光滑，肋膈角锐利。
2、肋骨像：胸廓对称，肋骨走行自然。
片中所示骨性肋骨骨质连续性完整，未见中断影像。
二、气管和支气管疾病1、先天性支气管囊肿胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门不大，位置及密度正常。
右肺下野可见一类圆形囊状透亮区，壁较薄，其未见气液平。
气管居中，无增宽。
心脏大小，形态在正常围。
双膈光滑，肋膈角锐利。
（与正常肺不同的是右肺下叶，为判断理由）2、支气管炎胸廓对称，肋骨走行自然，未见畸形及骨质破坏，两肺门不大，位置及密度正常。
两肺纹理增多增粗，以右肺明显，气管居中，纵隔居中，膈肌光滑，肋膈角锐利。
心影形态大小在正常围。
（以右肺纹理增多增粗为主要判断理由）3、慢性支气管炎。
肺气肿。
胸廓呈捅状，肋骨平举，肋间隙增宽，未见畸形及骨质破坏。
两肺门大小，位置及密度正常。
两肺纹理增多紊乱，肺野透亮增强，肺纹理变细，双肺野清晰，未见实变及肿块影，胸膜无增厚及粘连。
气管居中，京戏狭窄。
心脏呈垂位型，心脏无扩大。
双侧膈肌变平，肋膈变平，肋膈角锐利。
4、支气管扩胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门不大，位置及密度正常。
两下肺纹理增多、增粗、紊乱。
并隐约可见多个囊状透亮区。
余肺、野清晰，未见实变及肿块影。
胸膜无增厚及粘连。
气管居中，纵隔居中，无增宽。
心脏形态、大小在正常围。
双侧膈肌光滑，肋隔角锐利。
三、肺部炎症1、大叶性肺炎胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门不大，位置及密度正常。
右上肺大片状密度增高阴影，下缘清楚平直，上缘模糊，余肺野清晰，未见实性变及肿块影。
胸膜无增厚及粘连。
气管居中，纵隔居中，无增宽。
X线诊断报告模板
X线诊断报告模板一、呼吸系统(一)肺结核：右(左)肺上叶肺结核。
2、右侧胸腔积液右上肺野见少量小斑片状及斑点状密度增高影，密度不均、边缘部分模糊；右下肺野第5肋间以下见片状密度增高影，上缘呈外高内低，凹面向上弧状；两侧肺门未见增大、增浓；右膈被遮盖，左膈面光整，肋膈角清晰锐利；心影大小、形态正常，主动脉未见异常；纵隔居中、无增大；两侧胸廓对称，无畸形；其它：未见异常。
双上肺结核－－部分硬结钙化双上肺野见边缘清晰索条状纤维硬化灶及斑点状密度增高不均影；边缘清晰，部分为钙化灶；两侧肺门未见增大、增浓；双膈面光整，肋膈角清晰锐利；心影大小、形态正常，主动脉未见异常；纵隔居中、无增大；两侧胸廓对称，无畸形；其它：未见异常。
右(左)上肺结核－－部分硬结钙化右上肺野见边缘清晰索条状纤维硬化灶及斑点状密度增高不均影；边缘清晰，部分为钙化灶；两侧肺门未见增大、增浓；双膈面光整，肋膈角清晰锐利；心影大小、形态正常，主动脉未见异常；纵隔居中、无增大；两侧胸廓对称，无畸形；其它：未见异常。
双肺上叶陈旧性肺结核双上肺野见边缘清晰索条状纤维硬化灶及斑点状密度增高不均影；边缘清晰，部分为钙化灶；两侧肺门未见增大、增浓；双膈面光整，肋膈角清晰锐利；心影大小、形态正常，主动脉未见异常；纵隔居中、无增大；两侧胸廓对称，无畸形；其它：未见异常。
右(左)肺上叶陈旧性肺结核右上肺野见边缘清晰索条状纤维硬化灶及斑点状密度增高不均影；边缘清晰，部分为钙化灶；两侧肺门未见增大、增浓；双膈面光整，肋膈角清晰锐利；心影大小、形态正常，主动脉未见异常；纵隔居中、无增大；两侧胸廓对称，无畸形；其它：未见异常。
双上肺结核－－大部分硬结钙化。
双上肺野见边缘清晰索条状纤维硬化灶及斑点状密度增高不均影；边缘清晰，大部分为钙化灶；两侧肺门未见增大、增浓；双膈面光整，肋膈角清晰锐利；心影大小、形态正常，主动脉未见异常；纵隔居中、无增大；两侧胸廓对称，无畸形；其它：未见异常。
X线诊断报告模板
X线诊断报告模板一、呼吸系统(一)肺结核：右(左)肺上叶肺结核。
2、右侧胸腔积液右上肺野见少量小斑片状及斑点状密度增高影，密度不均、边缘部分模糊；右下肺野第5肋间以下见片状密度增高影，上缘呈外高低，凹面向上弧状；两侧肺门未见增大、增浓；右膈被遮盖，左膈面光整，肋膈角清晰锐利；心影大小、形态正常，主动脉未见异常；纵隔居中、无增大；两侧胸廓对称，无畸形；其它：未见异常。
双上肺结核－－部分硬结钙化双上肺野见边缘清晰索条状纤维硬化灶及斑点状密度增高不均影；边缘清晰，部分为钙化灶；两侧肺门未见增大、增浓；双膈面光整，肋膈角清晰锐利；心影大小、形态正常，主动脉未见异常；纵隔居中、无增大；两侧胸廓对称，无畸形；其它：未见异常。
右(左)上肺结核－－部分硬结钙化右上肺野见边缘清晰索条状纤维硬化灶及斑点状密度增高不均影；边缘清晰，部分为钙化灶；两侧肺门未见增大、增浓；双膈面光整，肋膈角清晰锐利；心影大小、形态正常，主动脉未见异常；纵隔居中、无增大；两侧胸廓对称，无畸形；其它：未见异常。
双肺上叶旧性肺结核双上肺野见边缘清晰索条状纤维硬化灶及斑点状密度增高不均影；边缘清晰，部分为钙化灶；两侧肺门未见增大、增浓；双膈面光整，肋膈角清晰锐利；心影大小、形态正常，主动脉未见异常；纵隔居中、无增大；两侧胸廓对称，无畸形；其它：未见异常。
右(左)肺上叶旧性肺结核右上肺野见边缘清晰索条状纤维硬化灶及斑点状密度增高不均影；边缘清晰，部分为钙化灶；两侧肺门未见增大、增浓；双膈面光整，肋膈角清晰锐利；心影大小、形态正常，主动脉未见异常；纵隔居中、无增大；两侧胸廓对称，无畸形；其它：未见异常。
双上肺结核－－大部分硬结钙化。
双上肺野见边缘清晰索条状纤维硬化灶及斑点状密度增高不均影；边缘清晰，大部分为钙化灶；两侧肺门未见增大、增浓；双膈面光整，肋膈角清晰锐利；心影大小、形态正常，主动脉未见异常；纵隔居中、无增大；两侧胸廓对称，无畸形；其它：未见异常。
X线诊断报告模板
X线诊断报告书写规范第一部分呼吸系统一、正常胸部平片1、正常胸片:胸廓对称,肋骨走行自然,未见畸形及骨质破坏。
两肺门大小,位置及密度正常。
两肺纹理走行自然,未见扭曲及聚拢。
两肺野清晰,未见实变及肿块影。
胸膜无增厚及粘连。
气管居中,纵隔居中,无增宽、心脏形态、大小在正常范围内、双侧膈肌光滑,肋膈角锐利。
２、肋骨像:ﻫ胸廓对称,肋骨走行自然、片中所示骨性肋骨骨质连续性完整,未见中断影像。
ﻫ二、气管与支气管疾病1、先天性支气管囊肿ﻫ胸廓对称,肋骨走行自然,未见畸形及骨质破坏、两肺门不大,位置及密度正常。
右肺下野可见一类圆形囊状透亮区,壁较薄,其内未见气液平。
气管居中,无增宽。
心脏大小,形态在正常范围内。
双膈光滑,肋膈角锐利。
(与正常肺不同得就是右肺下叶,为判断理由)ﻫ2、支气管炎胸廓对称,肋骨走行自然,未见畸形及骨质破坏,两肺门不大,位置及密度正常、两肺纹理增多增粗,以右肺明显,气管居中,纵隔居中,膈肌光滑,肋膈角锐利。
心影形态大小在正常范围。
(以右肺纹理增多增粗为主要判断理由)ﻫ３、慢性支气管炎。
肺气肿。
胸廓呈捅状,肋骨平举,肋间隙增宽,未见畸形及骨质破坏、两肺门大小,位置及密度正常。
两肺纹理增多紊乱,肺野透亮增强,肺纹理变细,双肺野清晰,未见实变及肿块影,胸膜无增厚及粘连、气管居中,京戏狭窄、心脏呈垂位型,心脏无扩大。
双侧膈肌变平,肋膈变平,肋膈角锐利、ﻫ4、支气管扩张胸廓对称,肋骨走行自然,未见畸形及骨质破坏、两肺门不大,位置及密度正常。
两下肺纹理增多、增粗、紊乱。
并隐约可见多个囊状透亮区、余肺、野清晰,未见实变及肿块影、胸膜无增厚及粘连。
气管居中,纵隔居中,无增宽。
心脏形态、大小在正常范围内。
双侧膈肌光滑,肋隔角锐利、ﻫ三、肺部炎症ﻫ１、大叶性肺炎胸廓对称,肋骨走行自然,未见畸形及骨质破坏。
两肺门不大,位置及密度正常。
右上肺大片状密度增高阴影,下缘清楚平直,上缘模糊,余肺野清晰,未见实性变及肿块影。
X线诊断报告模板
X线诊断报告书写规范第一部分呼吸系统一、正常胸部平片1、正常胸片：胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门大小，位置及密度正常。
两肺纹理走行自然，未见扭曲及聚拢。
两肺野清晰，未见实变及肿块影。
胸膜无增厚及粘连。
气管居中，纵隔居中，无增宽。
心脏形态、大小在正常范围内。
双侧膈肌光滑，肋膈角锐利。
2、肋骨像：胸廓对称，肋骨走行自然。
片中所示骨性肋骨骨质连续性完整，未见中断影像。
二、气管和支气管疾病1、先天性支气管囊肿胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门不大，位置及密度正常。
右肺下野可见一类圆形囊状透亮区，壁较薄，其内未见气液平。
气管居中，无增宽。
心脏大小，形态在正常范围内。
双膈光滑，肋膈角锐利。
（与正常肺不同的是右肺下叶，为判断理由）2、支气管炎胸廓对称，肋骨走行自然，未见畸形及骨质破坏，两肺门不大，位置及密度正常。
两肺纹理增多增粗，以右肺明显，气管居中，纵隔居中，膈肌光滑，肋膈角锐利。
心影形态大小在正常范围。
（以右肺纹理增多增粗为主要判断理由）3、慢性支气管炎。
肺气肿。
胸廓呈捅状，肋骨平举，肋间隙增宽，未见畸形及骨质破坏。
两肺门大小，位置及密度正常。
两肺纹理增多紊乱，肺野透亮增强，肺纹理变细，双肺野清晰，未见实变及肿块影，胸膜无增厚及粘连。
气管居中，京戏狭窄。
心脏呈垂位型，心脏无扩大。
双侧膈肌变平，肋膈变平，肋膈角锐利。
4、支气管扩张胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门不大，位置及密度正常。
两下肺纹理增多、增粗、紊乱。
并隐约可见多个囊状透亮区。
余肺、野清晰，未见实变及肿块影。
胸膜无增厚及粘连。
气管居中，纵隔居中，无增宽。
心脏形态、大小在正常范围内。
双侧膈肌光滑，肋隔角锐利。
三、肺部炎症1、大叶性肺炎胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门不大，位置及密度正常。
右上肺大片状密度增高阴影，下缘清楚平直，上缘模糊，余肺野清晰，未见实性变及肿块影。
胸膜无增厚及粘连。
X线诊断报告模板
X线诊断报告书写规范第一部分呼吸系统一、正常胸部平片1、正常胸片:胸廓对称，肋骨走行自然,未见畸形及骨质破坏.两肺门大小，位置及密度正常。
两肺纹理走行自然,未见扭曲及聚拢。
两肺野清晰，未见实变及肿块影。
胸膜无增厚及粘连。
气管居中，纵隔居中，无增宽。
心脏形态、大小在正常范围内。
双侧膈肌光滑,肋膈角锐利。
2、肋骨像：胸廓对称，肋骨走行自然。
片中所示骨性肋骨骨质连续性完整，未见中断影像.二、气管和支气管疾病1、先天性支气管囊肿胸廓对称,肋骨走行自然，未见畸形及骨质破坏。
两肺门不大，位置及密度正常。
右肺下野可见一类圆形囊状透亮区，壁较薄，其内未见气液平.气管居中,无增宽.心脏大小，形态在正常范围内。
双膈光滑，肋膈角锐利.(与正常肺不同的是右肺下叶，为判断理由)2、支气管炎胸廓对称，肋骨走行自然，未见畸形及骨质破坏，两肺门不大，位置及密度正常.两肺纹理增多增粗,以右肺明显,气管居中,纵隔居中，膈肌光滑,肋膈角锐利。
心影形态大小在正常范围.（以右肺纹理增多增粗为主要判断理由）3、慢性支气管炎.肺气肿。
胸廓呈捅状，肋骨平举,肋间隙增宽，未见畸形及骨质破坏。
两肺门大小，位置及密度正常。
两肺纹理增多紊乱,肺野透亮增强,肺纹理变细，双肺野清晰,未见实变及肿块影,胸膜无增厚及粘连。
气管居中,京戏狭窄.心脏呈垂位型，心脏无扩大.双侧膈肌变平，肋膈变平，肋膈角锐利.4、支气管扩张胸廓对称，肋骨走行自然，未见畸形及骨质破坏。
两肺门不大，位置及密度正常.两下肺纹理增多、增粗、紊乱.并隐约可见多个囊状透亮区。
余肺、野清晰，未见实变及肿块影。
胸膜无增厚及粘连.气管居中，纵隔居中，无增宽.心脏形态、大小在正常范围内.双侧膈肌光滑,肋隔角锐利。
三、肺部炎症1、大叶性肺炎胸廓对称,肋骨走行自然，未见畸形及骨质破坏。
两肺门不大,位置及密度正常。
右上肺大片状密度增高阴影,下缘清楚平直，上缘模糊,余肺野清晰，未见实性变及肿块影。
胸膜无增厚及粘连。
(医学影像学)中英文对照学生翻译版
团队的力量 Strength of our team！湘雅医院2008级五年制临床医学、麻醉医学及口腔七年制18组同学合作完成本文的翻译Double-Contrast Upper Gastrointestinal Radiography: A Pattern Approach for Diseases of the StomachAbstractThe double-contrast upper gastrointestinal series is a valuable diagnostic test for evaluating structural and functional abnormalities of the stomach. This article will review the normal radiographic anatomy of the stomach. The principles of analyzing double-contrast images will be discussed. A pattern approach for the diagnosis of gastric abnormalities will also be presented, focusing on abnormal mucosal patterns, depressed lesions, protruded lesions, thickened folds, and gastric narrowing.This article presents a pattern approach for the diagnosis of diseases of the stomach at double-contrast upper gastrointestinal radiography. After describing the normal appearance of the stomach on double-contrast barium studies and the principles ofdouble-contrast image interpretation, we will consider abnormal surface patterns of the mucosa, depressed lesions (erosions and ulcers), protruded lesions (polyps, submucosal masses, and other tumors), thickened folds, and gastric narrowing. 上消化道双重对比造影：一种用于胃部疾病诊断的成像方法摘要上消化道双重对比造影系列是用于评估胃部结构性和功能性病变的一种极有价值的诊断方法。
住院病历中英文对照
随着中外交流的加强，专业英语对医院也是越来越重要！花了点时间整理了下“住院病历的英汉对照”的格式，发上来和大家分享，希望对能用到的人有所帮助！POMR (Problem-Oriented Medical Records)表格式住院病历Biographical data:一般项目：Name Age Sex Marital status Nativity Race姓名年龄性别婚否籍贯民族Occupation Date of admission Informant History职业入院日期病史叙述者病史Chief complaint主诉History of present illness现病史Past history既往史：Previous health status: well ordinary bad Infectious diseases平素健康状况：良好一般较差传染病史Immunizations Allergies: N Y clinical manifestation预防接种史过敏史无有临床表现allergen: Trauma: Surgery:过敏原外伤史手术史Review of systems:(Tick if positive, cross out if negative. If postive, you should write down your disease history and brief course of diagnose and therapy)系统回顾：(有打√无打×阳性病史应在下面空间内填写发病时间及扼要诊疗经过) Respiratory system:呼吸系统Sore throat chronic cough sputum hemoptysis wheezing咽痛慢性咳嗽咳痰咯血哮喘dyspnea chest pain呼吸困难胸痛cadiovascular system:循环系统Palpitation dyspnea on exertion hemoptysis syncope心悸活动后气促咯血晕厥edema of lower limbs precordial pain hypertention下肢水肿心前区疼痛高血压Digestive system:消化系统Anorexia sour regurgitation belching nausea vomitting食欲减退反酸嗳气恶心呕吐abdominal distention abdominal pain constipation diarrhea腹胀腹痛便秘腹泻hematemesis melena hematochezia jaundice呕血黑便便血黄疸Urinary system:泌尿系统Lumbago frequent micturition urgent micturition urodynia腰痛尿频尿急尿痛dysuria hematuria nocturia polyuria oliguria facial edema排尿困难血尿夜尿多尿少尿面部水肿Hematopoietic system造血系统Fatigue dizziness blurred vision gingival bleedig乏力头昏牙龈出血subcutaneous hemorrhage ostealgia epistaxis皮下出血骨痛鼻衄Metabolic and endocrine system:代谢及内分泌系统Excessive appetite anorexia sweats cold intolerance食欲亢进食欲减退多汗畏寒polydipsia tremor hands change of character obvious obesity 多饮双手震颤性格改变显著肥胖emaciation hirsutism hair losing pigmentation消瘦多毛毛发脱落色素沉着chang of sexual function amenorrhea性功能改变闭经Musculoskeletal system肌肉骨骼系统Floating arthralgia arthraliga swelling of joints游走性关节痛关节痛关节红肿deformiteies of jionts myalgia atrophy of muscle关节变形肌肉痛肌肉萎缩Nervous system神经系统Dizziness headache vertigo syncope degeneration of memory 头昏头痛眩晕晕厥记忆力减退visual disturbance insomnia disturbance of consciousness视力障碍失眠意识障碍tremor spasm paralysis paresthesia颤动抽搐瘫痪感觉异常Personal history:个人史Birthplace Occupation sexual history smoking N Y出生地职业冶游史吸烟无有about years average pieces per day ceased for years约年平均支/日戒烟年alcohol intake N occasional frequent about years嗜酒无偶有经常约为年average ml per day others平均 ml/日其他Marital history:婚姻史：Marrying age companion’s state of health结婚年龄配偶健康状况Menorrhea and Childbearing:月经及生育史Menarche age cycle lasting for days date of last period初潮每次持续时间末次月经时间(age of menopause)绝经年龄Amount of flow: little normal large menstrual pain: N Y经量少正常多痛经无有cycle: regular irregular pregnancy times natural labor经期规则不规则妊娠次顺产times abortions times premature delivery times胎流产胎早产胎stillbirths times difficult labor and its condition死产胎难产及病情Familly history (pay attention to the congenital diseases andcommunicable diseases and communicable dieases related to the paitent家族史（注意与患者现病有关的遗传病和传染性疾病）Father: still alive illness died cause of deaths mother:父：健在患病已故死因母 still alive illness died cause of death siblings: others:健在患病已故死因兄弟姐妹子女其他Physical examination体格检查Vital signs生命体征:Temperature体温pulse脉搏 /min次/分respiration呼吸 /min次/分B.P血压 mmHgGeneral Appearance一般状况:Development发育:ortho-sthenic type正常asthenic type不良sthenic type超常nutrition营养:well良好fairly中等poor不良cachexia恶病质Facial features面容:normal无病容acute急性chronic慢性病容others其他Expression表情:natural自知painful痛苦anxious忧虑dreadful恐惧indifferent淡漠Position: active semi-recumbent others体位：自主半卧位其他Gait: normal abnormal步态正常不正常Conciousness: aware somnolence confusion stupor coma神志清楚嗜睡模糊昏睡昏迷delirium coppperatio; well badly谵妄配合检查合作不合作Mucocutaneous color: normal red pale cyaosis stainted皮肤粘膜色泽无病容潮红苍白紫绀yellow pigmentation lesions:N Y (type and distribution)黄染色素沉着皮疹无有（类型及分布）Subcutaneous hemorrhange: N Y(type and distribution)皮下出血无有（类型及分布）Hair: normal reduced edema: N Y(position and degree)头发分布正常减退水肿无有（部位及程度）Hepatic palm: N Y spider angionma:N Y（position numbers ） others:肝掌无有蜘蛛痣无有(部位数目) 其他Lymphnodes:淋巴结Superficial lymph nodes: non-swelling swelling(position and characteristics)全身淋巴结肿大无肿大肿大（部位及特征）Head : cranium : size : normal large small deformity:头部头颅大小正常大小畸形N Y(coxycephaly squared skull deforming skull)无有（尖颅方颅变形颅）Others: tenderness mass sunk (position)其他异常：压痛包块凹陷（部位）Eyes eyelid: normal edema ptosis trichiasis conjunctive :眼睑正常水肿下垂倒睫结膜normal hyperemia edema hemrrhage正常充血水肿出血eye ball: normal proptosis depression tremor眼球正常突出凹陷震颤motion dysfunction(left right)运动障碍Sclera :normal yellow cornea : normal abnormal ( left right )巩膜无黄染有黄染角膜正常异常（左右）Pupils: equal roundness same size unequal left cm瞳孔等圆等大不等左 cmreaction to light: normal delay (left right) disappear (left right) 对光反射正常迟钝（左右）消失（左右）Others:其他Ears: auricle :normal deformity fistula others (left right )耳耳廓正常畸形瘘管其他（左右）excretions of external auditory canal: N Y (left right feature)外耳道分泌物无有（左右性质）Tenderness of mastoid : N Y audation dysfunction: N Y (left right)乳突压痛无有听力粗试障碍无有（左右）Nose: shape : normal: abnormal ( ) other abnormalities:N Y鼻外形正常异常（）其他异常无有Nosalala flap obsruction excretions nasal sinus tenderness:鼻翼扇动鼻塞分泌物鼻旁窦压痛N Y (position )无有（部位）Mouth lips :red syanosis pale herpes fissure mucosa :normal口唇红润发绀苍白疱疹皲裂粘膜正常abnormal ( pale petechia)异常（苍白出血点）Opening of parotid gland duct: normal abnormal (swelling腮腺导管开口正常异常（肿胀suppurative excretions)脓性分泌物）Tongue:normal abnormal (coverings tremor leaning to left or right)舌正常异常（舌苔伸舌震颤向左、向右偏斜）Gums: normal swelling pus overflow hemorrhage pigments牙龈正常肿胀溢脓出血色素沉着lead line tooth:regular edentulous carious teeth铅线牙列齐缺牙—|—龋齿—|—Tonsils: pharynx: voice: normal hoarse扁桃体咽声音正常嘶哑Neck:resistence:N Y carotid artery pulsation: normal increased颈部抵抗感无有颈动脉搏动正常增强decreased (left right) jugular vein:normal distention减弱（左右）颈静脉正常充盈high distention trachea:middle deviation to (left right)怒张气管正中偏移（向左向右）Hepatojugular reflux:(-) (+) thyroid: normal swelling degree肝颈静脉回流征：（-）（+）甲状腺正常肿大度Symmetry 对称Dominance in one side: spreading nodular:soft hard others :N Y 侧为主弥漫性结节性质软质硬其他无有(tenderness tremor bruits)（压痛震颤血管杂音）Chest topography:normal barrel chest pigeon chest funnel chest胸部胸廓正常桶状胸鸡胸漏斗胸flat chest bulging or retraction (left right )扁平胸膨隆或凹陷（左右）bulging in the precordial region tenderness of sternum心前区膨隆胸骨压痛Breast: normal symmetrical abnormal : left right(gynecomastia乳房正常对称异常左右（男乳女化mass tenderness excretions of nipples)包块压痛乳头分泌物）Lung肺Inspection : movement of respiration : normal abnormal : left视诊呼吸运动正常异常左right( increased decreased)右（增强减弱）Intercostal space :normal wide narrow(position)肋间隙正常增宽变窄（部位）Palpation : vocal fremitus:normal abnormal :left right (increased触诊：语颤正常异常左右（增强decreased ) pluernal friction rubs: N Y（position）减弱胸膜摩擦感：无有（部位）Subcutaneous crepitus: N Y(posotion) percussion: resonance皮下捻发感无有（部位）叩诊正常清音abnormal dullness flatness hyperresonance tympany异常叩诊音浊音实音过清音鼓音Lower borders:scapular line: right intercostal space, left肺下界肩胛线右肋间左intercostal space Range of mobility: right cm , left cm肋间移动度右 cm，左 cmDusculation: breath regular irregular听诊呼吸规整不规整Breath sound: normal abnormal( feature, position )呼吸音正常异常（性质，部位描写）Rale: N Y ：ronchi: sonorous sibilant啰音：无有：干性鼾音哨笛音Moist rales: coarse medium fine rales crepitus湿性大中小水泡音捻发音Vocal conduction: normal abnormal: reduced increased(position)语音传导正常异常减弱增强（部位）Plueral friction rubs: N Y (position)胸膜摩擦音无有（部位）Heart 心Inspection:bulging in precordial region : N Y apex impulse:视诊心前区隆起无有心尖搏动normal unseen increased diffusing position: normal正常未见增强弥散心尖搏动位置正常deviation ( the distance from midclavicular line cm)移动（距左锁骨中线内外厘米）Other precordial pulsations: N Y (position)其他部位搏动无有（部位）Palpation:apex impulse:normal increased thrust unclear触诊心尖搏动正常增强抬举感触不清thrills :N Y (position period) percardial friction rubs:N Y震颤无有（部位时期）心包摩擦感无有Percussion:relative cardiac outline: normal shrink extant (right left )叩诊相对浊音界正常缩小扩大（右左）Ausculation: heart rate bpm/min rhythm(regular irregular听诊心率次/分心律（齐不齐）absolutly irrgelar) heart sound:S1normal increased decreased绝对不齐心音 S1 正常增强减弱split S2 normal increased decreased split分裂 S2 正常增强减弱分裂S3 N Y S4 N Y A2 P2S3 无有 S4 无有 A2 P2Extra heart sound N gallop (diastolic presystotic summalion额外心音无奔马律（舒张期收缩前期重叠gallop) opening snap others murmurs: N Y (degree conduction)开瓣音其他杂音无有（图示并描述传导）Pericardial friction rubs N Y心包摩擦音无有Peripheral vessals: normal pistal shot of big arteries周围血管无异常血管征大血管枪击音Duroziez’s sign water hammer pulse capillary pulsa tion二重杂音水冲脉毛细血管搏动pulse deficit paradoxical pulse pulsus alternans other脉搏短绌奇脉交替脉其他Abdoman腹部Inspection: shape normal distention frog abdomen( size cm)视诊外形正常膨隆蛙腹（腹围厘米）scaphoid apical abdomen gastral pattern intestinal pattern舟腹尖腹胃型肠型peristalsis abdominal respiration:existance disappear umbilicus:蠕动波腹式呼吸存在消失脐normal protruding excretions others: N Y(venous distention of正常凸出分泌物其他异常无有（腹壁静脉曲张abdoman purple striae surgical scars hernia)条纹手术疤痕疝）Palpation: soft muscle tension position tenderness N Y触诊柔软腹肌紧张部位压痛无有rebound tenderness N Y fluidthtill N Y succussions plash N Y 反跳痛无有液波震颤无有振水音无有Mass N Y(position size) discription of feature liver:can’t be 腹部包块无有（部位大小）特征描述肝未触及touched can be touched :subcostal cm under xipfoid process可触及肋下厘米剑突下discription of feature gallbladder: can’t be touched can be touched特征描述胆囊未触及可触及size cm tenderness N Y Murphy’s sign spleen: can’t be 大小厘米压痛无有 Murphy征脾未触及touched can be touched distance from costal margin cm可触及肋下厘米Kideny:can’t be touched can be touched size consistency肾未触及可触及大小硬度tenderness mobility tenderness of ureters: N Y (position)压痛移动度输尿管压痛点无有（部位）percussion: borders of liver dull(existance shrink obliteration )叩诊肝浊音界（存在缩小消失）Upper borders of liver on right midclavicular line intercostal space 肝上界位于右锁骨中线肋间shifting dullness N Y tenderness in renal region N Y (right left )移动性浊音无有肾区叩痛无有（右左）ausculation : borhorygmus normal increased decreased听诊肠鸣音正常增强减弱disappear gurgling N Y vessal bruits N Y (position)消失气过水声无有血管杂音无有（部位）Genitalia :not examined normal abnormal Rectum and Anus :生殖器未查正常异常肛门直肠not examined normal abnormal未查正常异常Spine and Extremities脊柱四肢Spine : normal deformities (lateral anterior posterior protruding)脊柱正常畸形（侧前后凸）Spinous process : tenderness pain while percussed ( position )棘突压痛叩痛（部位）Mobility : normal restricted extremeties: normal abnormal移动度正常受限四肢正常异常deformity swelling of joints joints stiffness畸形关节红肿关节强直tenderness of muscles atrophy of muscles肌肉压痛肌肉萎缩Venous distention of lower limbs (position and feature ) acropachy下肢静脉曲张（部位及特征）杵状指Nervus System神经系统Abdominal wall reflex ( normal ) muscle tone ( normal )腹壁反射（正常）肌张力（正常）Myodynamia ( degree ) paralysis of limbs N Y (left right肌力（级）肢体瘫痪无有（左右upper lower) biceps reflex left (normal) right (normal)上下）肱二头肌反射左（正常）右（正常） knee jerk left (normal) right( normal) achilles jerk left膝健反射左（正常）右（正常）跟腱反射左(normal) right ( normal )正常右（正常）Hoffmann’s di gn left (+)(-) right(+)(-)Hoffmann征左（+）(-) 右（+）（-）Babinski’s sign left(+)（-） right(+)(-)Babinski 左（+）（-）右（+）（-）Kernig’s sign left(+)（-）right(+)(-) othersKernig征左（+）（-）右（+）（-）其他Laboratory findings实验室及器械检查结果（The important laboratory examination .X-ray . ECG and other result areincluded） (重要的化验、X线、心电图及其他有关化验) Nunber of X-rayX线片号Abstract病历摘要Diagnosis(impressions)入院诊断Recorder病史记录者Examiner并使审阅者Date of record 记录日期 . ..。
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中英X线诊断模板1.头颅骨质未见异常Findings:The shape and the size of the skull are normal. The inner and outer tables, and the diploe of the cranial vault are unremarkable, on the lateral view, the sizes, the shape and the density of the sella turcica are nothing remarkable.Impression：plain films of the head are normal.2.头颅正常Findings:AP and lateral views of the skull are submitted. The cavarium has normal configuration and appearance. There is no evidence of fracture. The soft tissues are normal.Impression: Normal skull.3.鼻旁窦炎症Findings:There is generalized haziness of the frontal, ethmoid and bilateral maxillary sinuses. Findings are consistent with sinusitis.Impression: Frontal,（额窦）ethmoid（筛）and maxillary （上颌）sinusitis.4. 右膝关节正常The bones and joints of the right knee are normal. There is no evidence of fracture or subluxation. The soft tissues are normal. There is no joint effusion.Impression: Normal right knee.5.右膝退变The bones and joints of the right knee are normal. Mild degenerative changes of the knee joint is present. There is no evidence of fracture or subluxation. The soft tissues are normal. There is no joint effusion.Impression: Mild DJD of knee joint.6.左小腿蜂窝炎, （软组织肿胀, 无骨髓炎）There is mild degree of soft tissue swelling 10.9cm at the proximal anterior leg. There is no evidence of adjacent bone abnormality. There is no evidence of periosteal reaction. The fibular bone has normal configuration and appearance.Impression: There is a focal 10.9cm length soft tissue swelling at the proximal anterior leg adjacent to the tibia. The tibial bone has normal configuration with no evidence of osteomyelitis. Findings are consistent with localized cellulitis.7.右侧胫骨石膏固定中, 位置可, 和老片比较相似The right leg is in a plaster cast. There is oblique fracture of the right mid tibial shaft. There is mild callous formation across the fracture line. The bone fragnments are in proper alignment. Comparison with previous eximination of 4/19/2006 reveals no significant interval change.Impression: S/P fracture of the right mid tibial shaft. Callous formation is present across the fracture line.There is no interval change from previous study of 4/19/2006. 8.右足正斜位正常The bones and joints of the right forefoot are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.Impression: Normal right forefoot.9.正常左踝正侧位AP and lateral views of the left ankle were obtained. The bones and joints of the ankle are normal. There is no fracture.Impression: Normal left ankle.10.右侧足背距骨和舟状骨之间退变The bones and joints of the right fore foot are normal. Mild degenerative changes of the talo-navicular joint is present. There is no evidence of fracture or subluxation. The soft tissues are normal.Impression: Normal right fore foot. Mild DJD of talo-naviculat joint.11.双侧足背斜位, 拇外翻There is mild degree of hallux valgus deformities of the both feet right and left. The bones and joints of the rest of the feet are unremarkable. Soft tissues are within normal limits.Impression: 1. Mild right hallux valgus deformities.12.双肘正常The bones and joints of bilateral elbows are normal. The soft tissues are normal. There is no evidence of fracture or subluxation.Impression: Normal elbows.13.右侧拇指正常The bones and joints of the right thumb are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.Impression: Normal right thumb.14.右肩关节正位正常The bones and joints of the right shoulder are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.Impression: Normal right shoulder.15.右腕正侧位正常The bones and joints of the right wrist are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.Impression: Normal right wrist.16.双侧腕关节（右侧正常, 左侧横行骨折, 未移位）There is a transverse non-displaced fracture of the left distal radialmetaphysis region. The left wrist is normal in configuration and appearance. The right distal forearm and right wrist are normal in appearance. Soft tissues are within normal limits.Impression: Transverse non-displaced fracture of the left distal radial metaphysis. Right distal forearm and wrist are normal.17.左手背正常The bones and joints of the left hand are normal. There is no evidence of fracture or subluxation. The soft tissues are normal.Impression: Normal left hand.18.正常锁骨片（左）The left clavicle has normal configuration and appearance. The soft tissues of the neck above the clavicle is normla in appearance. Scapular and left shoulder joint are within normal limits.Impression: Normal left clavicle. No evidence of soft tissue mass is demonstrated.19.左锁骨及肩胛骨AP views of the left shoulder and scapula reveal normal bones and joints. There is no evidence of fracture or bone abnormality. The soft tissues are normal.Impression: Normal left shoulder and scapula.20.腹部立卧位正常片Supine and upright views of the abdomen are submitted. The bowel gas pattern is normal. There is no evidence of intestinal obstruction. There is no evidence of abnormal calcifications overlying the kidneys or the pelvis. The osseous structures are normal.Impression: Normal abdomen.21.腹部立位正常：The bowel gas pattern is normal. There is no evidence of abnormal calcifications. The osseous structures are normal.Impression: Normal abdomen.22.腹部立位大便AP erect view of the abdomen reveal feces filled colon. There is no evidence of abdominal mass or calcifications. The osseous structures are normal.Impression: Feces impacted colon.23.颈椎增生性改变The alignment of cervical vertebra is normal. Curve of the cervical vertebra exist（disappear）. Narrowing of the intervertebal space between C？and c？is found. Slight osteophytes are revealed at the posterior/anterior of C？－c？. There is no fracture or dislocation.24.胸椎增生性改变The alignment of thoracic vertebra is normal. Curve of the cervical vertebra exist（disappear）. Narrowing of the intervertebal space between t？and t？is found. Slight osteophytes are revealed at the posterior/anterior of t？－t？. There is no fracture or dislocation.Impression: Hyperplasy changes of the thoracic vertebra.25.颈椎正常The alignment of cervical vertebra is normal. Curve of the cervical vertebra exist. The intervertebal space between the cervical vertebra is normal. No osteophytes are revealed at the cervical vertebra bodies.Impression: Normal of the cervical vertebra.26.胸椎正常The alignment of thoracic vertebrae is normal. Curve of the thoracicvertebrae exist. The intervertebal space between the thoracic vertebra is normal. No osteophytes are revealed at the thoracic vertebra bodies.Impression: Normal of the thoracic vertebra.27.腰椎正常The alignment of lumbar vertebrae is normal. Curve of the lumbar vertebrae exist. The intervertebal space between the lumbar vertebra is normal. No osteophytes are revealed at the lumbar vertebra bodies.Impression: Normal of the lumbar vertebra.28.颈椎退行性变The alignment of cervical vertebra is normal. Curve of the cervical vertebra disappear. Narrowing of the intervertebal space between C？ and c？斜位片有椎间孔狭窄时：＋These cause minimal narrowing of the intervertebral foramina. Severe osteophytes are revealed at the posterior/anterior of C？－c？There is no fracture or dislocation.Impression: Degenerative of the cervical vertebra.29.腰椎退行性变The alignment of lumbar vertebra is normal. Curve of the lumbar vertebra disappear. Narrowing of the intervertebal space between l？ and l？斜位片有椎间孔狭窄时：＋These cause minimal narrowing of the intervertebral foramina. Severe osteophytes are revealed at the posterior/anterior of l？－l？There is no fracture or dislocation.Impression: Degenerative of the lumbar vertebra.30.胸片正侧位正常PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: Normal Chest31. 胸片正位正常PA view of the chest was obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: Normal Chest32.胸片有钙化点无其它肺部疾病.PA view of the chest was obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. A small calcified at the top of the right lung. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: Small calcified at the top of the right lung. No acute lung disease.33.胸部小结节.PA view of the chest was obtained. Both lung fields are well expanded. There is a small lung nodule 3mm size at the right mid lung. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: 3 mm nodule at right mid lung. Suggest comparison with old CXR to ensure stability, otherwise suggest CT chest.34.两肺纹理增多, 未见明显感染之征象.AP view of the chest was obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Mild increase of lung markings are present. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: Mild increase of lung markings. No focal infiltrate is seen.35.胸片侧位, 肋骨骨折Bilateral lungs are normal. The heart has normal size and contour. The mediastinum is normal. There is a fracture of right 7th axillary rib.Impression:1. Lungs are normal.2. Fracture of the right 7th axillary rib.36.胸部正侧位（右隔抬高, 原因待查）PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal.. There is elevation of right septumImpression: There is elevation of right septum, suggest further check up;37.心影稍增大（胸片正位）PA view of the chest was obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. There is mild cardiomegaly. The mediastinum and bilateral hila are normal.Impression: Mild cardiomegaly. Lungs are clear.38.左上肺陈旧性肺结核PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is fibro-calcific changes at left upper lobe. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: LUL post TB inflmmatory residuals.39．两肺门增大, 建议ct检查PA view of the chest was obtained. Both lung fields are well expanded.There is mild increase of interstitial lung markings with bilateral prominent hila. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: There is mild increase of interstitial lung markings with bilateral prominent hila. Suggest CT chest.40.两肺纹理增多, 左侧胸腔积液, 心影中度扩大.PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is mild increase of interstitial lung markings and Kerley-B lines at right lower lung. There is increased haze at the LLL suggest pleural effusion. Bilateral apices are normal. There is moderate cardiomegaly with large right atrium. The mediastinum and bilateral hila are normal.Impression:1.Increased lung markings at lung bases.2.Left pleural effusion.3.Moderate cardiomegaly.41.肺感PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is diffuse interstitial infiltrates at left lung/right lung/LUL?LLL/RUL/RLL.Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal.Impression: Pneumonia of left lung/right lung/LUL/LLL/RUL/RLL.42.心包积液PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac size is enlarged with " water bottle" appearance suggesting pericardial effusion. The mediastinum and bilateral hila are normal.Impression: Enlarged heart with "water bottle" appearance suggestive of pericardial effusion. No lung infiltrate is seen.43.右上肺肉芽肿PA and lateral views of the chest were obtained. Both lung fields are well expanded. There is no evidence of lung mass or infiltrate. Bilateral apices are normal. Bilateral pleural spaces are normal. The cardiac contour is normal. The mediastinum and bilateral hila are normal. A 3 mm granuloma is seen at RUL.Impression: 3 mm granuloma at RUL. Suggest 6 month follow up CXR.44.正常骨盆及两侧髋部The iliac bones are normal in configuration and appearance. Bilateral hip joints are normal in appearance. There is no evidence of hip joint dysplasia. Bilateral proximal femurs are normal in appearance. Soft tissues are normal.Impression: Normal pelvis and bilateral hips.45.两侧髋部正常Frog lateral views of the hips are submitted. Both acetabulum are normal in appearance. The femoral heads are normal. There is no subluxation.Impression: Normal hips.46.右侧肋骨正常The right ribs have normal configuration and appearance. There is no fracture. No pleural effusion of the ipsilateral.Impression: Normal right ribs.47.第一趾骨骨折Right 1st toe:AP and obliques of the right 1st toe are submitted. There is a small avulsion （撕脱）fracture at the medial base of the distal（远侧的）/ proximal(近侧的) phalange The IP joint（趾间关节） is normal. The soft tissues are normal.Impression: Small avulsion fracture at the medial base of the distal phalange.48.左侧第五蹠骨基底部撕脱性骨折There is a avulsion fracture at the base of the left 5th matatarsal bone with adjacent soft tissue swelling. The rest of the left foot is normal.Impression: Avulsion fracture at base of the left 5th metatarsal bone.。