Report template

Report template — CT of joints temporomandibular

CT report template for joints temporomandibular — clinical body in pt-BR with [...] placeholders for exam-specific findings.

When to use

Head and neck/face CT evaluates sinus disease, facial fractures, orbital disease, sella, ears/mastoid and TMJ. For neck soft tissues and ENT neoplasm workup, it is often the initial exam; MRI complements in complex lesions and parotid/marrow assessment.

What to evaluate

  • Paranasal sinuses: pneumatization, mucosal thickening, content, ostiomeatal complex.
  • Facial bones: fractures (LeFort I/II/III, orbital wall, zygomaticomaxillary complex).
  • Orbits: globe, extraocular muscles, intraorbital fat, optic nerve.
  • TMJ: articular surfaces, spaces, degenerative signs.
  • Middle and inner ear: ossicular chain, cochlea, semicircular canals.

Interactive template

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Técnica: Realizados cortes axiais sem a administração intravenosa do meio de contraste iodado. Análise: - Cavidades articulares: contornos regulares. - Côndilos mandibulares: morfologia preservada. - Excursão côndilos à abertura bucal: simétrica e adequada; assimétrica, menor à ; reduzida. Comparação: Exames anteriores indisponíveis para a análise. Em comparação com o estudo de Conclusão: Exame tomográfico das articulações temporomandibulares dentro dos parâmetros da normalidade.
Template in Brazilian Portuguese (clinical reporting language). Adapt to your service protocol. Not medical advice — the physician reviews, edits and signs.

How to use

  • Replace each [...] with the exam's measurement or descriptor.
  • Adapt the conclusion to your service protocol before signing.
  • Use the template as a starting point — not a replacement for physician review.
  • In Laudos.AI, dictate findings in natural speech and the AI structures text in this format for review.

Frequently asked

Rhinosinusitis — when to order CT?
Recurrent sinusitis, suspected complication (orbital cellulitis, abscess), pre-op FESS. Not initial for uncomplicated acute sinusitis.
LeFort fracture — how to distinguish?
LeFort I (low transverse, separates palate), II (pyramidal, crosses orbit), III (complete craniofacial disjunction).

References

  • ACR Appropriateness Criteria — Sinonasal Disease.

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