POWERPLUSWATERMARKOBJECT8629868 X XX NUCLEAR FACILITY 6021 UNIVERSITY BLVD 500

POWERPLUSWATERMARKOBJECT8629868 X XX NUCLEAR FACILITY 6021 UNIVERSITY BLVD 500




Medications: Singular, Vitaplex, Crestor, Tricor, Prevacid, Lisinopril, Coumadin, Insulin,

POWERPLUSWATERMARKOBJECT8629868 X XX NUCLEAR FACILITY 6021 UNIVERSITY BLVD 500 XPOWERPLUSWATERMARKOBJECT8629868 X XX NUCLEAR FACILITY 6021 UNIVERSITY BLVD 500 XX Nuclear Facility

6021 University Blvd #500

Columbia, MD 21043

Phone (123)123-1234

Fax (123)123-1234




Patient Name: Doe, John

ID Number: 123456

Date of Birth: 4-2-55

Sex: Male

Referring Physician: Dr. Jones

Date of the Exam: 4-1-21

Radiopharmaceutical: 27.4 mCi 99m Tc MDP IV

Height: 68 in

Weight: 220 lb


Whole Body Bone Scan



Indications/History: Prostate Cancer – Bone Metastases


Findings: Following the intravenous administration of 27.4 mCi of Tc99m MDP, image acquisition of the axial and appendicular skeleton occurred at 3 hours post injection. The study is compared with the 11/1/2020 exam. The scan quality is adequate.


There is persistent left hydronephrosis. In fact, the degree of hydronephrosis has increased since the last exam.

There is mild right collecting system dilatation. The appearance is stable.


The bilateral rib lesions seen on the last exam have not changed. Intense increased uptake involving the lower cervical and upper thoracic spine on the last exam appears to be less obvious at this time. Abnormal uptake at T12 and L1 appears to be stable. Abnormal sacral uptake is still present and appears to be covering a smaller area than on the last exam. There is persistent abnormal uptake involving the right femoral neck and intertrochanteric region without a significant change. Abnormal uptake within the inferior ischiopubic rami is present and this appears to be more obvious than on the last exam. This is particularly true on the right side.


Impression:

  1. Increasing left hydronephrosis

  2. Decreased density of abnormal uptake involving the proximal thoracic spine by comparison with the last exam. Correlation with the therapy history is recommended with regard to this finding.

  3. Stable thorocolumbar metastases.

  4. Decreased size of a large sacral metastasis. An adjacent left iliac metastasis is unchanged. The right femoral neck and intertrochanteric metastasis is unchanged.

  5. Increased conspicuity of bilateral inferior ischiopubic rami metastases.


Maria Costello, MD (electronically signed) April 2, 2021 at 2:15PM.



Bone Scan II Report (SAMPLE) ` 1
NOTE: This is a SAMPLE only. Protocols submitted with the application MUST be customized to reflect current practices of the facility.





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