B. Chart Note
The pt underwent a
bone scan, which revealed irregular foci of tracer in lower T spine (T11
T12)
consistent with
compression fracture. There was also increased tracer in the posterior/lateral right
ribs. On physical exam she was
diffusely tender and in pain throughout her c
hest/ribs and spine.
The pt also underwent chest CT, which
demonstrated extensive parenchymal and pleural disease
encasing the entire chest and involving vessels and
bronchi. Her adrenals and liver, vertebral bodies,
and R scapula were also involved with m
etastatic disease.
1. What type of test is a bone scan? .........
A. Chest x
ray of ribs and bones of back
B. MRI of the skeleton
C. Dye is injected and traced in blood vessels
D. Radioisotope is injected and traced in
bones
2. What type of doctor
administers
this test? ............................................
A. Diagnostic radiologist
B. Nuclear medicine specialist
C. Radiation oncologist
D. Medical oncologist
3. Extensive parenchymal and pleural
disease means: ................................
...
A. Tumor is in the spinal cord
B. Tumor is in the backbones
C. Tumor is in the lungs and membranes
around the lungs
D. Tumor is in the abdominal, pelvic, and
chest regions
4. The bone scan revealed: ......................
A. Disease in the lungs
B. Ar
eas of tumor in the lower chest region
and ribs
C. Disease in the adrenals and liver
D. Metastatic disease in the right shoulder
bone