17 Dec 2020, Thursday

 17 Dec 2020, Thursday

Prioritized Daily Task

James Rynolds' 6th Birthday - tried to call Blake, no answer and her message box was full and would not take any more messages.  I texted James a happy birthday wish using Blake's phone.  I talked to Elain, her grandmother, and my sister.

8 AM Legacy Center 

9:30 AM Pibaco

11 AM Imaging Center for CT

11:30 AM Imaging Center for MRI 

Talked to Debbie this morning and this evening, prayer and read scriptures together.

It is snowing.  Before going to bed about midnight to took the Land Rover our of the garage and backed it down the street to Courtyard Dr. and walked back up our street and around back of our neighbors to the downstairs apartment entrance and left Day 11 Christmas Present (blanket) in the Christmas bag Debbie put it in and I covered it with a plastic bag and then wrapped it in clear plastic that was covering my suite when I got it out of the dry cleaners. I walked back down the street to the SUV and drove it back to the house and parked it in the garage so no front prints showed up in the snow going to our home.

MRI

   

 

 

Chart Print Cover Page

 

 

 

Patient:

 

MRN:

MCALPIN, JAMES

932198

 

Organization:

 

 

View:

 

 

Print Server: Printer:

Central Utah Clinic

 

 

all*

 

Print Server

Provo HIM Records Release HPM632FHT (P16822)

 

Document   Count: 2 Result Count: O      

 Encounter Form Count: O

Total:    2

 

Printed: 

By: Ross, Logan

Revere Health

formerly known as Central Utah Clinic

1055 N. 500 W.

Provo, UT 84604

801-429-8000

 

Patient: JAMES MCALPIN

653 W 1310N

LEHI, UT 84043-2328

MRN: 932198 DOB: 01/21/1944

Age:      76

Gender: M

 

 

Encounter Date: 12/17/2020

 

 

EXAMINATION: MRI BRAIN W-0 and W CO TRAST REFERRING PHYSICIAN: JEFF GROVES

CLINICAL INDICATION: Anosmia. Remote head injury. COMPARISON: Sinus CT study 12/17/2020

TECHNIQUE:  Axial Tl weighted, T2 weighted, FLAIR and diffusion-weighted scans were performed, as well as sagitta FLAIR scans. Postcontrast axial, coronal and sagittal scans.       Contrast: 9 mL of Gadavist.

 

 

FINDINGS:

 

Postcraniotomy changes are demonstrated in the skull with associated metallic susceptibility artifacts.

 

The ventricles and sulci are diffusely enlarged, consistent with parenchymal volume loss (atrophy ).

No mass effect or midline shift. No extra-axial fluid collections. No foci of restricted diffusion.

Chronic left frontal lobe encephalomalacia with surrounding gliosis. Additional note is made of smaller white matter lesions in both cerebral hemispheres, likely age-related, but nonspecific. No pathologic contrast enhancement.

 

 

IMPRESSION:   Chronic encepha lomalacia and gliosis. No acute findings. No evidence of acute infarct or hemorrhage.

 

 

 

 

 

 

Printed By: 875974                         l of2                                                          12/22/20 6:2I :03 AM

Patient: Encounter:

JAMES MCALPIN

Dec 17 2020 11:30AM                 MRN:         932198

 

 

Electronically Signed By: Gregory Smith MD Signature Date/Time : 12/17/2020 3:09 PM

 

printed by: 875974

Revere Health

formerly known as Central Utah Clinic

1055 N. 500 W.

Provo, UT  84604

801-429-8000

 

Patient: JAMES MCALPIN

653 W 1310 N

LEHI, UT 84043-2328

MRN:932198 DOB: 01/21/1944

Age:      76 Gender: M

xx

 

 

Encounter Date: 12/17/2020

 EXAMINATION: CT SINUS

REFERRING PHYSICIAN: JEFF GROVES

CLINICAL HISTORY: Loss of smell. Anosmia.

T ECHNIQUE: Helical multidetector CT imaging through the paranasal sinuses without contrast.           High-resolution coronal multiplanar reformats. The exam was performed utilizin g state-of-the-art dose reduction technology - ADAPTED STATISTICAL ITERATIVE RECONSTRUCTION (ASIR)   TECHNICAL QUALITY: Excellent. COMPARISONS: None.

FINDINGS:

Extensive, chronic fractures of the frontal bones bilaterally, frontal sinuses, and nasal bridge region. Multiple full-thickness bony defects seen within the frontal bones. Sideplate and multiple screws traversing the region of the frontal sinuses horizontally. Hardware involving the anterior wall of the left maxillary sinus. Cervical os scratch that multiple cerclage wires within the frontal bones.

 

Large area of encephalomalacia in the left frontal lobe likely related to previous trauma .

 

PARANASAL SINUSES: Significant mucosal thickening in the right maxillary sinus with thickening of the surrounding bone consistent with chronic sinus disease. Mild mucosal thickening in the ethrno i d air cells.

OSTIOMEATAL UNITS: The right OMC is occluded. ORBITS: Unremarkable.

NASA:. SE P T UM: Midline.

IMPRESSION:

Extensive, chronic fractures of the frontal bones bilaterally, frontal sinuses, and nasal bridge region. Multiple full-thickness bony defects seen within the frontal bones. Sideplate and multiple screws traversing the region of the frontal sinuses horizontally. Hardware involving the anterior wall of the left maxillary sinus. Cervical os scratch that multiple cerclage wires within the frontal bones.

Large area of encephalomalacia in the left frontal lobe likely related to

Printed By: 875974                           1 of2                                                          12/22/20 6:21:04 AM

Patient:

Encounter:

JAMES MCALPIN

Dec 17 2020 11:00AM               MRN:       932198

 previous trauma.

Significant mucosal thickening in the right maxillary sinus with thickening of the surrounding bone consistent with chronic sinus disease. Mild mucosal thickening in the ethmoid air cells.

 

 Electronically Signed By: Kimball Christianson MD Signature Date/Time: 12/17/2020 12:22 PM

printed by: 875974