Gastric emptying (liquids) sample dictation

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History: The patient is [] month old [] with []. Evaluate for gastric emptying.

Procedure: Dynamic images of the anterior and posterior abdomen were obtained for 90 minutes following the infusion/oral ingestion of [] oz/cc formula/Enfamil/milk mixed with 0.35 mCi of Tc-99m sulfur colloid followed by [] oz/cc of non-radioactive Enfamil/formula/milk via nasogastric/gastric tube. The tube was withdrawn after the infusion of formula/milk.

[Static images of the chest were obtained at 24 hours.]

Comparision: []

Findings: Following the infusion/ingestion of Enfamil/milk as stated above, half of the gastric contents clear in [] minutes (as estimated by exponential fit analysis), which is [prolonged/normal] (upper limits of normal half-time of clearance for liquids from the stomach is 30 minutes). The current T1/2 of [] min. is [reduced/increased] in comparison to prior dated [] (T1/2: [] min.). Gastric to small bowel transit is first noted at [] minutes.

There is no reflux of radiotracer activity into the region of the esophagus (a nasogastric tube was in place throughout the study).

There are [] episodes of radiotracer activity in the region of the esophagus: the first at [] minutes, the second episode at [] minutes, and the third episode at [] minutes. The episode with the highest degree of reflux demonstrates activity up to the region of the [naso/oropharynx].

Static images of the chest showed interval resolution of the radiotracer from the lung fields at 24 hours.

Impression: [Normal/Abormal] radionuclide gastric emptying scintigraphy.

Prolonged liquid gastric emptying, T-1/2 of [] min. [longer/improved in comparison to T-1/2 of [] min. on [date]).

No evidence of gastroesophageal reflux.

[] episodes of gastroesophageal reflux.

Gastroesophageal reflux noted at [] minutes.

No evidence of aspiration at 24 hours.