Neuroradiology Case of the Week Form by hn6D35bR

VIEWS: 0 PAGES: 1

									                                Department of Imaging Sciences
                                Interesting Case Program Form
Authors:
Resident:                                                Attending Reviewer:
Category:                                     Pathology Proven        Yes      Date Submitted:

Patient Name:                                                MRN:
Patient Age:                                              Gender:
Clinical Presentation:




Imaging Findings:




Attach Figures as JPEGs. Modalities:   Plain film (PF)     MRI (MR)       CT (CT)    Fluoroscopy (FL)
Total # of Images:                     Ultrasound (US      Nuclear Medicine (NM)     Other (OT)
Figure Legends:



Diagnosis:

Discussion: (max 20 lines)




References: (one to three)




                                                   Page 1 of 1

								
To top