inou/scrape_mychart/output/385.json

{"orderName":"CT Chest W/Contrast","key":"WP-24uBmlX5KFZJ-2FcxKhPNf9S3g-3D-3D-24atNuwhrG15d-2BGiRicEcbXFzNF53m2SRw-2FJwx8RcJJg4-3D","results":[{"name":"CT Chest W/Contrast","key":"WP-24uBmlX5KFZJ-2FcxKhPNf9S3g-3D-3D-24atNuwhrG15d-2BGiRicEcbXFzNF53m2SRw-2FJwx8RcJJg4-3D","showName":false,"showDetails":true,"orderMetadata":{"orderProviderName":"Meghan Martin, MD","readingProviderName":"Jane Cook, DO","resultTimestampDisplay":"May 02, 2022 10:24 PM","prioritizedInstantISO":"2022-05-02T21:23:42-04:00","prioritizedInstantDisplay":"May 02, 2022","latestUpdateInstantISO":"2022-05-02T22:26:20","collectionTimestampsDisplay":"May 02, 2022 9:57 PM","deviceReadTimestampDisplay":"May 02, 2022 10:24 PM","studyDateTimestampDisplay":"May 02, 2022 9:23 PM","specimensDisplay":"","resultStatus":"Final","resultType":"IMAGING","read":"Read","associatedDiagnoses":[]},"resultComponents":[],"studyResult":{"narrative":{"isRTF":false,"hasContent":true,"contentAsString":"Exam(s):\r\nCT ABDOMEN/PELVIS W/ IV CONTRAST, CT CHEST W/ IV CONTRAST: 5/2/2022 21:23\r\n","contentAsHtml":"","signingInstantTimestamp":"12/12/2025 4:21 PM"},"impression":{"isRTF":false,"hasContent":true,"contentAsString":"IMPRESSION:\r\nPatchy airspace consolidation left greater than right upper lobe as well as bilateral lung bases left greater than right. Findings most concerning for diffuse aspiration event.\r\n\r\nAreas of atelectasis also suspected. Lung contusions not excluded with certainty.\r\n\r\nDiffuse hyperenhancement of bowel loops, both small and large bowel, throughout with fluid and air distention. There is no one area more worrisome than another. Findings are concerning for hypoperfusion.\r\n\r\nFindings are concerning for hypoperfusion complex status post cardiac arrest. \r\n\r\nLeft sided minimally displaced and/or slightly angulated pelvic fractures as described.\r\n\r\nThese findings were relayed to Dr. Megan Martin and the trauma team including Dr. Danielson at 8:46 PM May 2, 2022.\r\n\r\nAdditional incidental finding of suprasternal thymus. Heterogeneity of the thyroid gland can also be seen with hypoperfusion complex.\r\n\r\nIndication:\r\nTrauma\r\n\r\nComparison Study Date:\r\nNone.\r\n\r\nTechnique:\r\nCT of the chest, abdomen, and pelvis was performed following 50 mL Omnipaque 240 IV contrast.  Multiplanar reconstructions were obtained.  Oral contrast not administered.\r\n\r\nFindings:\r\n\r\nCHEST \r\nSUPPORT DEVICES: Endotracheal tube and enteric tube are in place.\r\n\r\nLUNG PARENCHYMA / NODULES: Diffuse lung consolidation and patchy airspace opacities involving the left greater than right upper lobe as well as the bilateral lung bases left greater than right. More dense opacity seen in the right lower lobe posteriorly \r\nwith linear dense opacities extending throughout the right lower lobe from the superior segment as well as the right upper lobe posterior medially. More dense focal opacity seen in the superior segment left lower lobe as well as the left upper lobe \r\nanterior medially. These findings are concerning for diffuse aspiration event and/or areas of lung contusion. Some scattered areas of atelectasis suspected.\r\n\r\nPLEURA: Normal.\r\n\r\nTRACHEA AND AIRWAYS: Normal.\r\n\r\nLYMPH NODES: Normal.\r\nHEART/GREAT VESSELS: Grossly normal. \r\nPULMONARY VASCULATURE: Normal.\r\nOTHER MEDIASTINAL STRUCTURES: Normal.\r\n\r\nCHEST WALL: Soft tissue densities in the suprasternal region appears to extend from the thymus and likely represents suprasternal thymus. Heterogeneous enhancement of the thyroid gland also noted.\r\n\r\nOSSEOUS STRUCTURES: Normal.\r\n\r\nABDOMEN/PELVIS\r\n\r\nLIVER AND BILIARY SYSTEM: The liver appears somewhat hypoattenuating in comparison to the spleen diffusely throughout. There is hyperenhancement of the gallbladder bowel wall near the fundus. There is also low attenuation surrounding the portal venous \r\nstructures. Findings can be seen with hypoperfusion. \r\n\r\nSPLEEN: No definitive hypoenhancement. No enlargement seen.\r\nPANCREAS:  Normal.\r\nADRENAL GLANDS: Normal.\r\nKIDNEYS, URETERS, AND BLADDER:  The renal cortex appears to be similar attenuation to the spleen. There may be mild hyperenhancement of the renal cortex in comparison to the liver and spleen. Delayed imaging demonstrates normal renal excretion of \r\ncontrast into the collecting system.\r\n\r\nBOWEL:  Diffuse hyperenhancement of bowel loops, both small and large bowel, throughout with fluid and air distention. There is no one area more worrisome than another. Findings are concerning for hypoperfusion. Findings are concerning for hypoperfusion \r\nstatus post cardiac arrest. No definitive hypoperfusion of the spleen or hyperperfusion of the kidneys, however the liver appears to be diffusely lower in density with questionable hypoperfusion The abdominal aorta does not appear significantly small \r\nhowever the inferior vena cava does appear partially collapsed in some segments. This is most notable on axial series #2 image #110 through #152.\r\n\r\nThe hyperenhancement of the bowel wall persists on delayed imaging.\r\n\r\nAPPENDIX:  The appendix is measuring prominent at 7 mm with some wall hyperenhancement. This is felt to be secondary and related to hypoperfusion rather than acute appendicitis.\r\nREPRODUCTIVE TRACT:  Prepubertal uterus identified. Ovaries are not seen with certainty.\r\nPERITONEAL CAVITY: No free fluid within the abdomen or pelvis.\r\nVASCULATURE: The abdominal aorta appears subjectively small subadjacent to the renal artery takeoff. In addition, the inferior vena cava appears partially collapsed cysts best seen on series #2 image #111 through image #152. This finding is persistent on\r\n delayed sequences.\r\nLYMPH NODES:   Normal.\r\nABDOMINAL WALL:  Normal.\r\nOSSEOUS STRUCTURES:  There is a nondisplaced fracture of the left ischial tuberosity as well as inferior pubic ramus seen best on series #2 placed and bone windows image #218 through #221. There is also a nondisplaced fracture involving the superior \r\nvertical column of the left ischium with some minimal displacement and angulation. This is seen best on axial bone windows series #2 image #199 through image #204. There is some thickening of the iliopsoas in this region without definitive hematoma at \r\nthis time.\r\n\r\nImages and interpretation personally reviewed by: Jane Cook, DO","contentAsHtml":"","signingInstantTimestamp":"12/12/2025 4:21 PM"},"combinedRTFNarrativeImpression":{"isRTF":false,"hasContent":false,"contentAsString":"","contentAsHtml":"","signingInstantTimestamp":"12/12/2025 4:21 PM"},"addenda":[],"isFullResultText":false,"transcriptions":[],"ecgDiagnosis":[],"hasStudyContent":true},"shouldHideHistoricalData":true,"resultNote":{"isRTF":false,"hasContent":false,"contentAsString":"","contentAsHtml":"","signingInstantTimestamp":"12/12/2025 4:21 PM"},"hiddenProxies":"","reportDetails":{"isDownloadablePDFReport":false,"reportID":"","openRemotely":false,"reportContext":"","reportVars":{"ordId":"WP-24uBmlX5KFZJ-2FcxKhPNf9S3g-3D-3D-24atNuwhrG15d-2BGiRicEcbXFzNF53m2SRw-2FJwx8RcJJg4-3D","ordDat":"WP-24abFInwZ86ffp-2BLmGRApPQg-3D-3D-24NQ1yWY0-2Bbjq6NFE05ilCBsiIctXbnrYQEmTID88Gta4-3D"}},"scans":[],"imageStudies":[],"indicators":[],"geneticProfileLink":"/app/genetic-profile","shareEverywhereLogin":false,"showProviderNotReviewed":false,"providerComments":[],"resultLetter":{"isRTF":false,"hasContent":false,"contentAsString":"","contentAsHtml":"","signingInstantTimestamp":"12/12/2025 4:21 PM"},"warningType":"","warningMessage":"","variants":[],"tooManyVariants":false,"hasComment":false,"hasAllDetails":true,"isAbnormal":false,"baseSingleMessageUrl":"/app/communication-center/conversation?id=","fullMultipleMessagesUrl":"/app/communication-center?filterType=testResults&filterKey=WP-24uBmlX5KFZJ-2FcxKhPNf9S3g-3D-3D-24atNuwhrG15d-2BGiRicEcbXFzNF53m2SRw-2FJwx8RcJJg4-3D","relatedConversationIds":[]}],"orderLimitReached":false,"ordersDeduplicated":false,"isEnhancedAskAQuestionActive":false,"hideEncInfo":false}