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Add new forms.
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tsaiid committed May 21, 2014
1 parent b7ef4ae commit ca5d267
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3 changes: 3 additions & 0 deletions MyScripts/neuro-neck.ahk
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Expand Up @@ -114,6 +114,9 @@ IMPRESSION:
2. COM with cholesteatoma, ----------.
3. COM with cholesteatoma or granulation tissue, ---------.
4. Mastoiditis, ----------.

SUGGESTION:
Suggest clinical correlation and follow up.
)
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60 changes: 57 additions & 3 deletions MyScripts/neuro-spine.ahk
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Expand Up @@ -217,6 +217,63 @@ SUGGESTION:
Paste(MyForm)
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;; MRSPT
:O:mrspt::
MyOrder := CopyOrder()
MyForm =
(
INDICATION: %MyOrder%

The MRI of the T-spine performed:
Coronal T2WI with fat sat (localized)
Sagittal TI, T2WI
Axial T1WI and T2WI with fat sat:

PREVIOUS MRI of T-spine: no

FINDINGS:

No evidence of compression fracture of the T-spine noted.

No evidence of abnormal signal intensity tumor mass lesion involving the T-spine.

No obvious significant spinal stenosis of the T-spine.

No evidence of abnormal signal intensity lesion in the spinal canal of the T-spine.

No evidence of abnormal signal intensity lesion over the spinal canal of the lower C-spine and T-spine region noted.

Presence of benign fat content hemangioma noted over the T2 spine vertebral body, size about 1cm.

No evidence of abnormal signal intensity lesion and no evidence of abnormal enhanced in the spinal cord of T-spine.

Presence of diffuse bulging disc noted over the T12-L1 region, and causing mild spinal stenosis noted.



1. --------: No definite spinal stenosis.
2. --------: Presence of diffuse bulging/protrusion/herniation disk causing mild/moderate/severe spinal stenosis.
3. --------: Presence of diffuse bulging/protrusion/herniation disk combined with ligament flavum hypertrophy and facet joint degenerative causing mild/moderate/severe spinal stenosis.
4. --------: Presence of -------- herniated of nucleus pulposus (HIVD), cranial/caudal migration, with compression /attachment of the adjacent nerve root/dural sac.
5. Presence of -------- DJD/spondylolytic type spondylolisthesis over ----------.
6. Presence of narrowing of intervertebral foramen over --.
7. No evidence of fracture of thoracic spine.
8. Presence of fracture/subluxation over --------------.
9. Presence of high signal within the spinal cord at ------ level, indicating edema/gliosis/compression with cord signal change
10. Presence of infectious osteomylitis involving the ------- spine, combined with epidural/paraspinal soft tissue infection, causing compression of the spinal cord
11. Presence of abnormal signal intensity involving the ------spine, and compression of the spinal cord at -------- level, R/O metastasis, myeloma, or lymphoma
12. No evidence of abnormal signal intensity lesion in the spinal cord of T-spine.
13. Presence of abnormal signal intensity mass lesion, extradural/intradural extramedullary/intramedullary location, size about ------ cm, over the ------- spine level.
14. Post-contrast studies show enhancement of the abnormal signal intensity lesions.

IMPRESSION:
No evidence of abnormal signal intensity lesion over the spinal canal of the lower C-spine and T-spine region noted.

SUGGESTION:
)
Paste(MyForm)
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;; MRSPT1
:O:mrspt1::
MyOrder := CopyOrder()
Expand Down Expand Up @@ -271,7 +328,6 @@ Post-contrast, sagittal and axial T1WI:
IMPRESSION:
No evidence of abnormal signal intensity lesion over the spinal canal of the lower C-spine and T-spine region noted.


SUGGESTION:
)
Paste(MyForm)
Expand Down Expand Up @@ -336,7 +392,6 @@ No evidence of focal herniation of nucleus pulposis (HIVD) in the L-spine region

No evidence of abnormal signal intensity tumor mass lesion over the spinal canal of the L-spine noted.


SUGGESTION:
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Paste(MyForm)
Expand Down Expand Up @@ -454,7 +509,6 @@ No evidence of focal herniation of nucleus pulposis (HIVD) in the L-spine region

No evidence of abnormal signal intensity tumor mass lesion over the spinal canal of the L-spine noted.


SUGGESTION:
)
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