N.D. WRUBLE, M.D.
Radiologist

Nathan Wruble
   Free Consultation
   718-726-9600
   718-728-6300

Doctor's Referral

PATIENT INFORMATION
CLINICAL INFORMATION
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DIGITAL BREAST IMAGING

MAMMOGRAPHY

  • Screening or routine follow up

  • Diagnostic or Special Interval
    follow up

  • Includes computer aided diagnosis (CAD)

ULTRASONOGRAPHY OF BREAST

  • Screening

  • If indicated (mamma finding, dense breast, etc.)

  • Palpable Mass/Thickening (mark locations below)

  • Doppler if indicated

INCREASED RISK FACTORS

  • Personal/family history

  • Dense breast on mammo

  • BRCH1 carrier and/or BRCH2 gene mutation, ADH

ULTRASOUND GUIDED BIOPSY

  • Cyst aspiration

  • FNA/CORE

CLINICAL INFORMATION

  • Normal clinical breast exam (CBE)

  • Abnormal CBE (mark location(s) below)

BONE DENSITOMETRY (DXA)
  • Routine (hip & spine)

  • Forearm (if indicated)

  • X-rays vertebral fracture assessment (if needed)

  • NOTE: A one page summary report will be sent. Graphs available upon request.

DIGITAL ULTRASONOGRAPHY

GENERAL

  • Abdomen

  • Include Kidneys

  • Gallbladder

  • Renal

  • Aorta

  • Thyroid

  • Doppier: Renal HTN, Thyroid, Etc.

  • Other

OB-GYN

GYN

  • Trasabdominal

  • Transvaginal

  • Doppler of ovaries if indicated

  • Sonohysterography

OB

  • Routine

  • 1st Trimester

  • Level II (anatomical survery)

  • Biophysical profile

MALE PELVIS

  • Prostate with urinaru bladder

  • Testicular

  • Doppler if indicated

MUSCULOSKELATAL ULTRASOUND

  • Shoulder

  • Elbow

  • Wrist

  • Hand

  • Hip

  • knee

  • Ankle

  • Foot

  • R

  • R

  • R

  • R

  • R

  • R

  • R

  • R

  • L

  • L

  • L

  • L

  • L

  • L

  • L

  • L

  • Bilat

  • Bilat

  • Bilat

  • Bilat

  • Bilat

  • Bilat

  • Bilat

  • Bilat

  • Plain X-rays of área evaluated

VASCULAR DOPPLER ULTRASOUND
  • Carotid

  • Venous Lower Extremity (DVT)

  • Venous upper extremity

  • Arterial lower extremity

  • Arterial upper Extremity

  • Echocardiogram

  •  
  • R

  • R

  • R

  • R

  •  
  •  
  • L

  • L

  • L

  • L

  •  
  •  
  • Bilat

  • Bilat

  • Bilat

  • Bilat

  •  
DIGITAL GENERAL RADIOLOGY (X-RAY)

CHEST

  • Chest

  • Ribs

  • R

  • L

  • Bilat

  • Sternum

ABDOMEN

  • KUB

  • Flat and upright

HEAD AND NECK

  • Skull

  • Paranasal sinuses

  • Orbits

  • R

  • L

  • Bilat

  • Facial bones

  • Nasal bones

SPINE AND PELVIS

  • Standing

  • Cervical

  • Thoracic

  • Lumbosacral

  • Pelvis

  • Sacroiliac joints

UPPER EXTREMITIES

  • Shoulder

  • Humerus

  • Elbow

  • Radius/Ulna

  • Wrist

  • Hand

  • R

  • R

  • R

  • R

  • R

  • R

  • L

  • L

  • L

  • L

  • L

  • L

  • Bilat

  • Bilat

  • Bilat

  • Bilat

  • Bilat

  • Bilat

  • Other

LOWER EXTREMITIES

  • Hip

  • Femur

  • Knee

  • Tibia/Fibia

  • Ankie

  • Foot

  • Calcaneus

  • R

  • R

  • R

  • R

  • R

  • R

  • R

  • L

  • L

  • L

  • L

  • L

  • L

  • L

  • Bilat

  • Bilat

  • Bilat

  • Bilat

  • Bilat

  • Bilat

  • Bilat

  • Other


MISCELLANEOUS

  • Skeletal survery

  • Bone age

  • Foreign body

  • Scoliosis series

  • PHYSICIAN REPORTS:

  • FAX only

  • MAIL only

  • Fax and Mail until further notification