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This report analyzes a 30 month experience with a commerically available mark sense form-based automated radiographic reporting system (RAPORT) in the diagnostic radiology department of a 400 bed general hospital. By using the system, five radiologists were able to completely formulate readable diagnostic radiology reports in 65% of all cases, thereby bypassing a transcriptionist and decreasing report turnaround time dramatically without sacrificing reporting time. Moreover, billing and statistical capabilities provided by the system were found to capture enough lost charges to pay for its entire cost. Trade-offs for these efficiencies included learning of a new code by the radiologist, certain changes in his reading habits, and acceptance of a limited, repetitive, and somewhat stilted jargon both by the radiologist and the referring physician.

Vasoseminal vesiculography showed medial displacement and stretching of the ampulla of the vas deferens in 3 patients with cysts of the seminal vesicle. In 2 a nonopacified mass separated the ampulla from the ipsilateral seminal vesicle. All 3 patients were managed without surgical intervention. If such a vesiculographic pattern is seen in a patient with a paraprostatic mass, the contents of the mass should be aspirated and contrast material injected to document its cystic nature.

Two cases of delayed opacification of multiple irregular cystic spaces are reported in unilateral congenital multicystic kidney. This finding should be added to the basic excretory urographic sings of poor function, cystic spaces on total body opacification, and calyceal crescents, and indicates the need for delayed films in all such cases. Reevaluation of the necessity for further diagnostic study and nephrectomy are discussed.

Massive gastrointestinal bleeding is a recognized late complication of aortic replacement surgery. In some instances, the bleeding is due to erosion and perforation of the intestinal tract by the prosthesis without an aortico-enteric fistula. Bleeding at this time from the wall of the intestine may be moderate in degree and of long duration. The roentgen findings in this situation are specific and consist of identification of the area of intestinal perforation. The prosthesis may protrude into the lumen of the intestine through the perforation, or contrast medium may extravasate through the perforation to outline the external margins of the graft. The crimped tubular pattern of the commonly used Dacron prostheses, when observed, affords positive identification.

Hemobilia or hemorrhage into the biliary tree is an uncommon cause of gastrointestinal bleeding, usually resulting from blunt abdominal trauma or rupture of a hepatic artery aneurysm [1]. It is a rare complication of liver biopsy; only five cases have been reported [1-3]. In three patients, identification of the bleeding site was delayed and two unsuccessful operations were penformed; one patient died. We report an angiographically documented case of hemobilia following liver biopsy in which the bleeding resolved spontaneously.

Carcinoma of the urachus, a relatively rare genitourinary neoplasm, usually presents as a supravesical mass. This tumor may occasionally calcify, which together with other radiographic and clinical features may permit a specific preoperative diagnosis. The calcifications also enable an evaluation of recurrence via plain films. A case is presented, with the clinical, radiologic, sonographic, and radionuclide imaging characteristics reviewed.

Reports of “benign” giant-cell tumours with pulmonary metastasis have been relatively infrequent (Finch and Gleave, 1926; Hughes and Cuthbertson, 1962; Jewell and Bush, 1964; Johnson, Gee, and Dahlin, 1962; Lasser and Tetewsky, 1957; Lichtenstein, 1965; Orr, 1931; Pan, Dahlin, Lipscomb, and Bernatz, 1964; Pan and MacKinnon, 1962). Even more unusual is the combination of long-term follow-up examinations with histological verification of primary bone tumours and multiple metastatic lung lesions. The purpose of this report is to describe the unusual pulmonary findings in a patient with a giant-cell tumour. A 39-year-old white nurse was hospitalized in November, 1956 because of increasing nodular densities in both lung fields of two months' duration. She was asymptomatic and in good general health except for several transitory bouts of mild cough and chest discomfort.