Lung-RADS — when to apply?

In lung cancer screening with low-dose CT in eligible patients (age/smoking per USPSTF protocol). Do not apply to diagnostic CT outside screening.

Incidental nodule outside screening — which guideline?

Fleischner Society criteria (2017) — guide follow-up by size, solid vs subsolid, and patient risk.

Intermediate or high clinical probability (Wells/Geneva), or positive D-dimer with low probability. First-line in hemodynamically stable patients.

Report template — CT of corpo total

When to use

Chest CT evaluates lung parenchyma, mediastinum, pleura, airways and bony framework. Indicated for chronic cough, hemoptysis, pulmonary nodules, oncologic staging, interstitial disease and suspected PE (CTPA). For incidental pulmonary nodules, apply Lung-RADS or Fleischner.

What to evaluate

Nodules: number, size, density (solid/subsolid), location, features.
Interstitial pattern: reticular, ground-glass, honeycombing, traction bronchiectasis.
Airways, mediastinum and mediastinal nodes (IASLC stations).
Pleura: effusion, thickening, plaques, mass.
Pulmonary vessels (including filling defects on CTPA for PE).

Interactive template

Fill the blanks0/2

Técnica: Aquisição volumétrica de corpo inteiro em protocolo de baixa dose e sem administração do meio de contraste para pesquisa de lesões ósseas. Análise: - Lesões ósseas suspeitas: . - Fraturas: ausentes. - Demais achados: Comparação: Em relação ao exame de não se observam alterações significativas. Estudos anteriores não disponíveis para análise comparativa. Conclusão: Não se observam lesões ósseas suspeitas para mieloma múltiplo. Observação: caso haja necessidade de avaliação detalhada de alguma região anatômica, é conveniente a complementação com estudo dirigido.

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.

Related classifications

Lung-RADS — categories & follow-up in screening

Frequently asked

Lung-RADS — when to apply?: In lung cancer screening with low-dose CT in eligible patients (age/smoking per USPSTF protocol). Do not apply to diagnostic CT outside screening.
Incidental nodule outside screening — which guideline?: Fleischner Society criteria (2017) — guide follow-up by size, solid vs subsolid, and patient risk.
When CTPA for PE?: Intermediate or high clinical probability (Wells/Geneva), or positive D-dimer with low probability. First-line in hemodynamically stable patients.

References

ACR Lung-RADS 2022.
MacMahon H et al., Radiology 2017 (Fleischner).