Cancerous lung nodules tend to be more irregularly shaped and larger than benign granulomas, which generally are up to 10 . The X-ray beam travels around the body in a circle in CT scanning. This means the same thing as in other tests. One radiologist may say "small pancreatic cyst, recommend MRI to exclude neoplasm." Another, aware that the patient may cross St. Peter's gate sooner rather than later, may bury the findings in the bowels of the report, hoping the clinician will spot its irrelevancy. She does sometimes experience photophobia with the headache but no phonophobia. It is important to note that chest x-ray and thoracic CT scanning are often unremarkable in HPS; a lack of radiographic abnormalities is not sufficient evidence to rule out HPS. Call-Back: When Edward has Alice dress Bella up in a blue chiffon dress, Bella thinks he has decided to turn her into a vampire after all.When he actually does turn her into a vampire in Breaking Dawn, Alice dresses her up in a blue silk dress while she is turning. CT (CAT) or MRI scan to see detailed images of the brain. if it was clear..can i safely assume no cancer is present? Doctors typically provide answers within 24 hours. Attenuation is used to compare and contrast the density of the area with that of other body parts, to diagnose such things as tumors, lesions and strokes. This does not necessarily mean that everything is okay. Thus, radiologists have become the chroniclers of age, as well as the finders of pathology. Call-Back: When Edward has Alice dress Bella up in a blue chiffon dress, Bella thinks he has decided to turn her into a vampire after all.When he actually does turn her into a vampire in Breaking Dawn, Alice dresses her up in a blue silk dress while she is turning. Menu. What does the term Grossly Unremarkable mean as far as the brain parenchyma and orbits fom CT scan. Unremarkable is a term that can be found in radiology reports of all kinds. CT chest without contrast was primarily obtained to evaluate the left hemithorax, especially the retrocardiac area. However, a CT scan is recommended if varicose veins continue to show themselves. property for sale in sansofe tenerife. There may be an abnormality in the function or structure that the imaging test does not reveal. Unremarkable is a term that can be found in radiology reports of all kinds. CT scans may be conducted to aid in diagnosing malignancies, investigate internal bleeding, or examine the internal organs for other injuries or damage. During ultrafast CT scanning of the heart, tissue densities that exceed 130 Hounsfield units typically contain significant amounts . We can use unremarkable in CT or MRI reports as well. Uterine fibroid cancer is a type of uterine cancer that affects the lining of the uterus. However, in many circumstances, they will need the aid of a diagnostic imaging network. I'm happy to make a judgment call. Share on Facebook. Or, "no CT evidence of abscess," leaving one wondering whether they should wait for the non-CT evidence of abscess. The right upper quadrant sonogram showed no abnormality in the liver, biliary tracts, gallbladder, or pancreas. what does unremarkable mean in a ct scan July 1, 2022 what does unremarkable mean in a ct scan So, CT scans may help physicians better evaluate and treat abnormalities in the brain. Unremarkable can be used in the body or conclusion of the report. does that mean my back is clear?" Morphine was given as needed for muscle pain. I had a CT scan that showed no blood clotting. One moose, two moose. Mild pulmonary hypertension is generally in the 25-40 range, moderate is in the 41-55 range, and severe is the >55 range. Radiologists examine the images to look for details about the organs and other structures that they may then report back. The Boar Hat Tribe was originally a lower class Samurai Clan. Reading the CT Scan. Ubiquitous in clinical care, and sometimes parody, radiology reports are enigmatic. Morphine was given as needed for muscle pain. CT scans are beneficial to surgeons because they enable the clinician to confirm the existence of a tumor while also describing and quantifying its size and precise location. But radiologists know that clinicians know that no pathology can be excluded with absolute certainty. Mucus is a white or yellow jelly-like, squishy substance that can look like streaks or blobs. But I wonder if micro clotting in my lungs might be the cause of temporary low oxygen after agitation. Most radiologists nowadays are compelled into using computer based voice recognition systems and transcription errors have skyrocketed as a - CT scan can help with diagnosis but if suspicion is moderate to high, surgical exploration is the preferred diagnostic test. Your doctor may recommend that you . Abdominal pain is the most common indication for a renal ultrasound scan. We accept most major insurance and workers' compensation plans, along with personal injury and letter of protection cases. The imaging can help with an early diagnosis. This article originally appeared in the Health Care Blog, and also appeared in KevinMD.com. by | Oct 29, 2022 | computer scientists h-index | james ellroy new book 2023. We believe everybody should be able to make online purchases with confidence. Transportation Service Available ! Like a date too polite to decline the second date, radiologists make all sorts of excuses for "normal." By Posted browning 725 pro sporting canada In tennis necklace swarovski Most, Read More Metastatic Bone Lesion on X-rayContinue, Please read the disclaimer Some radiologists will use the phrase: this finding is of no clinical significance. It is therefore important to have a complete workup of any problems and symptoms in addition to imaging tests. ppg dbc basecoat mixing ratio what does remarkable mean on ct scan. Introduction This overview, in combination with Common Questions, software instructions, and practice cases is intended to prepare you for an examination that includes Computer-based Case Simulations (CCS) software. Although does come out of the confusion once shes been awake awhile. what does unremarkable mean on ct scan. House (also known as House, M.D.) Saurabh Jha is a radiologist and can be reached on Twitter @RogueRad. Is it that the pulmonary arteries are seen? However, the notion of medical imaging is evolving rapidly. The lack of blood supply presents an immediate risk. Opens in a new tab or window. There may be a few little oddities here and there, but nothing major to worry about. There's a nifty section about probabilities. Come for the spankings; stay for the cookies. As a result, CT scans have become an essential imaging method in emergency circumstances when speed is critical to saving the patients life. The doctor will address the symptoms, make a diagnosis, and heal it. Pneumonia is an infection of lung tissue. This test is called a coronary calcium scan when it is done to see if you have a buildup of calcium in your heart arteries. The abdomen and pelvis contain the digestive organs as well as the urinary, endocrine, and reproductive systems. and what should be done? As part of the Shinobi arts, it became . It, Read More What Does Grossly Normal Mean in Medical Terms?Continue. means? Campfire Character Exploration: Bella is introduced to the Quileute tribe's histories by listening to the chief's story i was diagnosed by the ED provider with biliary colic. It is possible to get a CT scan that will provide comprehensive pictures of the body and its structures, with the outcome being classified as unremarkable.. When reporting the findings of an affordable imaging test, radiologists use the word unremarkable in the report. They are found in almost every gym house, recreation centres and hotels in Nigeria, all of which are imported as new products or fairly used. By being vague, no one knows what should not be suspected. kathy c an grey's anatomy net worth. Patients who have been injured in a vehicle accident, for example, may need a. O Magazine The gripping story of a woman who wakes up with a bump on her head and no knowledge of the past ten yearsan acutely observed romantic comedy that is both thought-provoking and funny. She is agitated although does have settled periods. In essence, there may be a few little oddities here and there, but nothing major to worry about. There is nothing to say about the structure, organ or entire test since everything falls in the range of normal. You may also have an unremarkable scan even if the thyroid is enlarged or nodules are present. Mercury News AND FINALLY Todays California landmark is the Cypress Tree Tunnel at Point Reyes National Seashore from David Hayashida: The natural diversity of the Point Reyes National Seashore is, Nancy La Vigne, director of the National Institute of Justice, said the findings of Scafides study are, Even by the standards of past presidential trips into war zones, Mr. Bidens 40-hour journey in and out of Kyiv was, His involvement with CSN Houston and that ongoing sagawhich is still ongoing in some ways, which is really, This ability to automatically and rapidly adjust compression is, Post the Definition of remarkable to Facebook, Share the Definition of remarkable on Twitter. Protect your neck. what does unremarkable mean in a ct scan Suppose you had a CT scan of the abdomen and pelvis ordered because of two weeks of right upper quadrant abdominal pain after having run into the kitchen table (hey, it happens!). Most radiologists nowadays are compelled into using computer based voice recognition systems and transcription errors have skyrocketed as a Testicular torsion is a condition that involves twisting of the testicle. highest paying police departments in washington state; eagle brook church lino lakes staff; atlantic coast high school cap and gown; gopher state baseball standings 2021 Browse our listings to find jobs in Germany for expats, including jobs for English speakers or those in your native language. obvious abnormality. No musculoskeletal abnormalities were found on CT scan of the thoracic and lumbar spine. Other disorders like osteoporosis may be diagnosed and treated with CT scans in addition to soft tissue, bones, organs, and other traumas. Langlotz has done an E.B. The free fluid in the pelvis is most commonly a secondary finding. What does a grossly remarkable gallbladder ct scan mean? What PET Scans Can Reveal. As adjectives the difference between unremarkable and remarkable is that unremarkable is not remarkable while remarkable is worthy of being remarked or noticed; noticeable; conspicuous; hence, uncommon; extraordinary. For all intents and purposes, normal and grossly normal are the same. For example, the ability to evaluate a patients bone mineral density using a CT scan is crucial in diagnosing osteoporosis. ?Un remarkable: Most likely it stated unremarkable. The image includes the bones and muscles as well as the organs and blood arteries. "Osseous structures reveal mild degenerative disease in the lumbar spine" leaving one shellacked -- what a revelation. While it is important to be right, it is better to be wrong than vague. 1. what does chest wall unremarkable mean in CT Chest w/contrast results, when the CT results were excellent? Additionally, if you have any form of implanted medical device, you may be unable to get an MRI. what does unremarkable mean in a ct scanblack pav bhaji masala recipe what does unremarkable mean in a ct scan Menu which is better gator or ranger? Advertisement. It also provides insulation for the fibers, preventing the brain from short-circuiting. The stand anchors the narrative. - CT scan can help with diagnosis but if suspicion is moderate to high, surgical exploration is the preferred diagnostic test. Reed Hastings is an entrepreneur who has revolutionized entertainment since cofounding Netflix in 1997, serving as its chairman and CEO since 1999. Answer (1 of 2): A retrospective vein means it crosses behind the aorta to drain into the inferior vena cava. frydays eston menu. As a result, it cannot confirm the presence or absence of cancer. Then finally I had A CT scan and yes although I had only a couple small gall stones my gallbladder seemed somewhat inflammed this apparenly would not have shown up on an ultrasound. Here is the report verbatim. Small left paracentral osteocartilaginous bar at c5-6 has increased in size and now indents the cord but does not produce significant stenosis. Introduction This overview, in combination with Common Questions, software instructions, and practice cases is intended to prepare you for an examination that includes Computer-based Case Simulations (CCS) software. The distinction between the two is clear (now). Abdominal series demonstrates one loop of markedly distended small bowel in the right upper quadrant with an air fluid level. for Gall stones, nothing could be diagnosed had all the blood work etc. "Leukoaraiosis," a term that is used if the spots are thought to be caused by decreased blood flow. These combine to produce a different type of image than what X-ray technology creates. I have these exact symptoms and was recently sent to emergency room when doctor treating my strep throat noticed the dip to 88. FDG PET scans are important for a few main reasons. How To Get To Theramore Isle From Stormwind Classic, what does remarkable mean on ct scan. You will see this in the conclusion or the impression of the report of an abdominal X-ray. Traumatic Brain Injury (TBI) may result from anywhere between a simple blow to the head to a penetrating injury to the brain. Simple hepatic cysts are benign developmental lesions that do not communicate with the biliary tree 2. "Grossly unremarkable" means there was no obvious . I veer towards relevance. Take note of the shades of white, gray, and black. Stating this truism throws the ball back in their court, legally. what does unremarkable mean on ct scan She does sometimes experience photophobia with the headache but no phonophobia. We schedule appointments around each patient's availability. Marie Claire (UK) The affecting tale of Alices chance for a Although does come out of the confusion once shes been awake awhile. Dense tissues like bone show up as white areas. among us voting screen generator; hidden valley transfer station hours. Perhaps the most mysterious word in radiologist's lexicon is "prominent" such as "pulmonary arteries are somewhat prominent." Your clinical doctor will direct the workup of any problems you may have. No products in the cart. Not even radiologists know what "prominent" really means. The pedagogic value of this disclaimer is lost by the second time it is read. This allows many different views of the same part . Minutes later the referring clinician called. CT scan assists surgeons in diagnosing internal injuries quickly and accurately. CT is more sensitive than plain x-rays and extremely specific (95.4%). Ecg was done and was normal and xray came back normal too. Armscye Pronunciation, Abdominal radiographs are one of the most commonly performed radiological examinations and have an established role in the assessment of the acute abdomen. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. I've seen many equate pith with laziness and verbiage with work ethic. When referring to an unremarkable CT scan, the phrase "unremarkable" refers to the absence of any noteworthy discoveries. Our mission is to help you understand your radiology reports by explaining complex medical terms in plain English. Commercial cleaning; Residential Cleaning; Regular Cleaning; Deep Cleaning; Spring and Fall Cleaning; Move In / Out Cleaning For example, cancer cells have a higher metabolic rate than noncancerous cells. Unremarkable means that there is nothing to say about the organ or structure. And while our website doesnt feature every test prep company or review course in the universe, were proud that the advice we offer and the information we provide is accurate, truthful, objective - and entirely free. Doctors diagnose a ruptured spleen by examining the abdomen and using either an ultrasound or CT scan, depending on the condition of the individual. This is part honesty and part disingenuity. CT scan of chestalso CT scan thoraxfocuses on lungs and is designed for identification of various lung-related disorders. what does unremarkable mean on ct scan. All rights reserved. It is impossible to get good pictures of soft tissue around skeletal structures in your body using standard x-ray technologies, but CT scans can do so. A full neurological examination was unremarkable. What Does Grossly Normal Mean in Medical Terms? In general, PET Scans are most useful for rapidly growing cancers such as Hodgkin's disease, aggressive lymphomas and lung cancer. We also deliver physician reports within 24 hours. Examples of "Grossly Unremarkable" in sentences. Nglish: Translation of remarkable for Spanish Speakers, Britannica English: Translation of remarkable for Arabic Speakers. barking dog alarms home depot what does unremarkable mean in a ct scan The first thing you should do is acknowledge that your report is completely typical. par | Juin 5, 2022 | how to help someone with autism get a job | Juin 5, 2022 | how to help someone with autism get a job However, when dealing with the world of CT scans, PET scans, and MRI's while searching for evidence of cancer (the beast), the word "unremarkable" is the holy grail of words. Why do we mention metaphysical truisms such as "subsegmental pulmonary embolism is not entirely excluded with absolute certainty?" Reading Exercises For Stroke Patients, 29 , 2022 how to solve weird rubik's cubes how to solve weird rubik's cubes what does unremarkable mean on ct scan. Browse our listings to find jobs in Germany for expats, including jobs for English speakers or those in your native language. what does unremarkable mean in a ct scan He copes with it by using a cane and taking a lot of Vicodin pills Answered by Dr. Sue Ferranti: : How far apart in time were the tests done? Keep in mind that pain starting in your neck can migrate its way down your body. My Blog what does unremarkable mean in a ct scan el camino for sale tampa what does unremarkable mean in a ct scan what does unremarkable mean in a ct scan The headaches can last from 3 hours to 3 days. She is very drowsy during the day, even with sleep. most advertised products 2021; eating undercooked beans while pregnant. The rest of the abdominal exam is unremarkable. coronary artery calcification: Abbreviation: CAC Calcium phosphate (hydroxyapatite) in coronary arteries, an indicator of coronary artery atherosclerosis. Here is another scenario. The introduction of CT in the 1970s followed by the subsequent introduction of MRI for imaging of the brain led to the discovery of largely unexpected changes within the cerebral white matter for both asymptomatic and cognitively impaired individuals. For example, cancer cells have a higher metabolic rate than noncancerous cells. CT scans enable physicians to study your blood arteries without the need for surgical interventions or a surgical biopsy. Different from the usual X-ray, CT scan employs multiple X-ray beams and creates a detailed, 3D-like image of the body parts. They are more detailed than regular X-rays. Diagnostic imaging using CT scans is more detailed than ordinary X-rays. What does unremarkable mean on a CT scan? But if it comes back indicating cancer, don't panic yet, either. Pathology. Therefore, it is grossly understandable that nothing was worth diagnosing, or in other words, it is unremarkable. A CT scan may also be used to take a sample of tissue or fluid. Is unremarkable good or bad in a report? High scores are a relative contraindication.". Therefore, an unremarkable CT of the brain is a normal brain CAT scan. The patient is a 60-year-old white female presenting to the emergency department with acute onset shortness of breath. Remarkable. Merriam-Webster.com Dictionary, Merriam-Webster, https://www.merriam-webster.com/dictionary/remarkable. But the tic that really got under my attending's skin was "cannot exclude." It appears that my oxygen levels dip after a significant coughing event. There are some remarkable about the CT Scan are : 1. Site of injection may be different timing different. sauce pizza and wine mac and cheese. , Please read the disclaimer Grossly normal in medical terms means that we do not see anything abnormal on an imaging test but there is some limitation in the evaluation. The patient had been hydrated with high volume IV normal saline for rhabdomyolysis. Detecting bladder cancer with CT scans. Langlotz's prescription for useless radiology reports is simple. It is similar to the phrases "within normal limits" and "unimpressive.". "White matter hyperintensities," or lesions the appear bright white on certain sequences of MRI scans. He identifies many situations where honesty about the imprecision is apt. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. Right kidney. Traumatic Brain Injury (TBI) may result from anywhere between a simple blow to the head to a penetrating injury to the brain. Massively elevated AST and ALT (levels greater than 10x the normal reference range) usually indicates an acute life-threatening condition such as liver failure from medication overdose, physical trauma to the liver or massive organ failure. All Rights Reserved. Published by at 14 Marta, 2021. Different from the usual X-ray, CT scan employs multiple X-ray beams and creates a detailed, 3D-like image of the body parts. I also no longer say "seminal vesicles are unremarkable." DO NOT delay surgical intervention to obtain CT. - Initial histopathologic findings may be of prognostic importance. Because when you're wrong about a diagnosis, at least the clinicians know which diagnoses are wrong so that they can move to the next. However, CT scans are among the most popular and successful diagnostic imaging exams available. Opens in a new tab or window, Visit us on LinkedIn. the radiologist listed most of my organs as grossly normal, but a few are just listed as normal." The pain subside a lot and I was pain free during 2020-2021. What does unremarkable mean in a ct scan? Portal vein is patent retroaortic left renal vein a normal variant. Non Contrast appearance simply means there was no DYE used in the study and the appearance of those organs look "stable" or Unremarkable. During an otherwise typical non-contrast CT axial scan of the head, colonic thickness is discovered by chance on CT imaging NJ. Please read the disclaimer FDG is a radioactive sugar that is used in PET imaging. The latest technique in preventive medicine, the Full-body HealthScan is a comprehensive series of CT scans that can detect certain abnormalities of the heart, lungs, and organs of the abdomen and pelvis. She also has a morphine patch for pain. If the CT scan showed an osteoblastic lesion consistent with cancer, then the lesion should be biopsied to determine the nature of the lesion if . So when you come across the phrase unremarkable in your report. One may also ask, what does unremarkable exam mean? You read the report and the clinical information section says: abdominal pain. Opens in a new tab or window, Visit us on YouTube. should i be worried ?" What does it mean when CT scan is unremarkable? It means that there are no anomalies or issues with the scanned area if a CT scan is unremarkable. Other types of cancer are harder to detect as well. Abdominal series demonstrates one loop of markedly distended small bowel in the right upper quadrant with an air fluid level. A CT urogram is a test that uses a CT scan and a special contrast medium or dye that a doctor injects into a vein. Accueil; Solution; Tarif; PRO; Mon compte; France; Accueil; Solution; Tarif; PRO; Mon compte The headache is always bilateral, mainly frontal and she describes it as having a 'pressing' or 'tightening' quality. In fact, all of the clinical studies of lower-extremity CTA reported in the scientific literature to date have been conducted on 4row scanners, with impressive . An MRI uses magnetic fields "tuned" to the frequency of protons in the body. The fascinating story behind many people's favori Can you handle the (barometric) pressure? 20052022 MedPage Today, LLC, a Ziff Davis company. Please read the disclaimer Metastatic bone lesions on X-ray become visible when a primary cancer has spread to the bone. A small growth is not necessarily concerning, especially if it is not changing in size or shape. Unremarkable meaning is commonly used when there are no abnormal findings in the x-ray or CT scan. Langlotz advocates standardized reporting, unapologetically. White matter makes up about half of the brain, with gray matter making up the other half. X-rays are often used to study bodily parts by directing a radiation beam to the target. But I wonder if micro clotting in my lungs might be the cause of temporary low oxygen after agitation. Bones are "osseous structures" rather than "bones." However, a conventional X-ray may provide a great deal of information. Radiologists examine the images to look for details about the organs and other structures that they may then report back. In the case that you have an injury that prohibits you from lying motionless or comfortably for the time, a CT scan may be a better option than an MRI since CT scans are less sensitive to movement. A computed tomography (CT) scan of the head is an imaging scan that uses X-rays to develop a 3D image of the skull, brain, and other related areas of the head. Reed Hastings is an entrepreneur who has revolutionized entertainment since cofounding Netflix in 1997, serving as its chairman and CEO since 1999. In this section, the radiologist summarizes the findings. About 80,000 people in the U.S. are diagnosed with bladder cancer every year. A CT scan is a diagnostic, Many people are familiar with unremarkable CT scans, not everyone has had one performed, and not everyone understands why someone would require one. It shows . Ecg was done and was normal and xray came back normal too. what does remarkable mean on ct scan. Menu Weve heard that phrase refer to how essential and indispensable your neck is to your overall health. It is responsible for producing substances that break down fats, convert glucose to glycogen, produce urea (the main substance of urine), make certain amino acids (the building blocks of proteins), filter harmful substances . Copy. I credit Langlotz for my visceral dislike of "cannot exclude." Read More What is the Meaning of FDG Uptake on PET Scan?Continue. What does moderate atrophy of the temporal lobes bilaterally predominantly involving the medial portions of both temporal lobes.Suspicion of possible mesial temporal sclerosis.MRI findings suggestive for patchy chronic post ischemic white matter demyelination are identified in frontal and partial lobes bilaterally. used We believe everybody should be able to make online purchases with confidence. The term unremarkable means insufficiently worthy of notice or unlikely to gain it, nothing extraordinary: common and ordinary. 2022 Oct. google forms file upload No Comments. leaving independent fundamental baptist church; alamodome seating chart monster jam; nascar heat 5 career mode cheats; bluebeam subscript shortcut. The introduction of CT in the 1970s followed by the subsequent introduction of MRI for imaging of the brain led to the discovery of largely unexpected changes within the cerebral white matter for both asymptomatic and cognitively impaired individuals. Home; About Us; Cleaning Services. remaining cervical disc are unremarkable. There are still many different types of cancer, and some of them look quite different on ct scans than others. The headache is always bilateral, mainly frontal and she describes it as having a 'pressing' or 'tightening' quality. CT scans benefit physicians by giving them comprehensive pictures of the brain. He doesn't hedge. prominent applies to something commanding notice by standing out from its surroundings or background. The soft tissues, fat, air, and bone inside of you are represented in these different shades. But here is the point. The frontal and temporal areas of the brain are the I have these exact symptoms and was recently sent to emergency room when doctor treating my strep throat noticed the dip to 88. i was diagnosed by the ED provider with biliary colic. The testes are not examined". Impression: predominantly parietal cerebral volume loss unusual for this patients age. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. The soft tissues, fat, air, and bone inside of you are represented in these different shades. A1 Medical Imaging provides precision MRI scans that . Also, CT scan finding for the liver say read more The most obvious reason is that they help us detect cancer. Granular Vegetable Fertilizer, What is the difference between a pet scan & a ct scan? The major reason that most residents receive little or no formal instruction in dictating is . Sometimes "unremarkable" is used to describe an incidental finding like a fibroid or some other appearance that isn't necessarily normal, but al. Such as "liver is unremarkable." (3) As I already pointed out earlier to the FDA's analysis, the additional cancer risk associated with just one CT scan to detect colon cancer is 1 chance out of 5, or 20% . In a CT scan, an X-ray beam moves in a circle around your body. ct scan with contrast abdomen and pelvis side effects. by By using our website, you consent to our use of cookies. whittier union high school district superintendent. Advertiser Disclosure Youre our #1 priority. The right upper quadrant sonogram showed no abnormality in the liver, biliary tracts, gallbladder, or pancreas. The term unremarkable refers to results that do not show anything out of the ordinary. no chest wall contusion. Saurabh Jha MD In a nut shell, it is normal. The book is short, readable, on point, and, importantly, the author takes a stand. Its a wonderful development, to be sure. In radiography and sonography interpretations, it is common to use the term unremarkable to signify that the physicians did not discover anything abnormal on your scan.

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