Radiologist Template

CT Chest (Normal/Abnormal)

A professional Radiologist template for healthcare professionals.

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Specialty

Radiologist

Used

8 times

Type

Note

Last edited

9/6/2024

Created by

Siddharth Krishnakumar

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About this template

This CT Chest (Normal/Abnormal) template is designed for radiologists to document findings from a plain HRCT scan of the chest. It includes detailed sections for lung parenchyma, air-space opacities, interstitial lung disease, trachea, bronchial findings, lymphadenopathy, heart size and shape, pleural or pericardial effusion, mediastinal vessels, and the bony thoracic cage. The template ensures comprehensive reporting and is optimized for use with Heidi, the AI medical scribe, to streamline the documentation process. This template is ideal for radiologists looking for a structured and efficient way to report CT chest findings for both normal and abnormal cases.

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CT Chest (Plain) Report Technique: Plain HRCT Scan of Chest carried out on Multidetector CT scanner. Images recorded and evaluated at appropriate window settings. Findings: The visualised lung parenchyma shows normal attenuation and architectural pattern on both sides. No evidence of air-space opacities, collapse, consolidation, abscess or pulmonary mass lesion. No signs of interstitial lung disease. Trachea and bifurcation are normally seen. No bronchial thickening or bronchiectasis is seen. No evidence of mediastinal or hilar lymphadenopathy. Heart shows normal size and shape. No evidence of pleural or pericardial effusion. The visualised mediastinal vessels show normal course and calibre. Bony thoracic cage is normal. No lytic or sclerotic lesion in visualised bones. Impression CT Chest Plain study is within normal limits.