Home » Cancer Registration & Surveillance Modules » Abstracting a Cancer Case » Abstracting Diagnostic Procedures » Clinical Examinations » Diagnostic Nuclear Medicine Examinations » Practical Examples » Example 3
- Abstracting a Cancer Case
- Abstracting the Medical Records
- Composition of a Medical Record
- Abstracting Diagnostic Procedures
- Clinical Examinations
- Manipulative Procedures
- Operative Procedures
- Pathological Examinations
- Additional Information
Radioisotope Scan Report Example 3
View the suggested abstraction.
The Division of Nuclear Medicine Radioisotope Scan Report
- Hospital No.: 000014
- Name: Iman Payne
- Ward: 709
- Date: 10/28/91
Reason for Examination:
Metastatic prostatic carcinoma
Examination:
Total body bone scan
Interpretation:
Abnormal Bone Scan
Impression:
Whole body anterior and posterior views with technetium diphosphonate reveal multiple areas of abnormality. These are located within the skull, the neck, the sternum, the shoulders, multiple areas in the ribs, multiple lesions throughout the entire spine, and multiple lesions in the pelvis, and a discrete lesion in the shaft of the left femur.
Sean Kidd ,MD
Nuclear Medicine



