V/Q scan sample dictation

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HISTORY: The patient is [] year-old [] with []. Evaluate for pulmonary embolism.


PROCEDURE: Initially, ventilation images of both lung fields were obtained following the inhalation of aerosolized Tc-99m DTPA. Then, perfusion images of both lung fields were obtained following the IV administration of [] mCi Tc-99m MAA.


COMPARISION: [ ]


A chest radiograph dated [] is available for evaluation.


FINDINGS: The pulmonary ventilation/perfusion scan demonstrates a [large/small/nonsegmental] perfusion defect in the [] segment of the [] lobe, [mismatched/matched] on ventilation images.


Evaluation of the remaining images demonstrates no definite mismatched perfusion defects.


Ventilation is worse than perfusion.


IMPRESSION: Radionuclide pulmonary ventilation/perfusion scintigraphy.


1. [] probability for pulmonary embolism.


[2. Recommend repeat baseline VQ scan after treatment of current embolism.]