When CT instead of XR for fracture?

Strong clinical suspicion with inconclusive radiograph (scaphoid, occult scaphoid, ribs, coronoid), complex fractures for surgical planning, and assessment of union.

Lytic bone lesion — when MRI complements?

Whenever primary tumor or metastasis is suspected — MRI better evaluates the marrow component and soft-tissue extension.

Report template — CT of membros superiores

When to use

MSK CT is the standard for complex fractures (acetabulum, calcaneus, scaphoid), orthopedic pre-surgical planning, torsional profile of limbs and focal bone lesions. For soft tissue, ligaments and bone marrow, MRI is superior.

What to evaluate

Fractures: line, displacement, fragments, articular involvement.
Focal bone lesions: matrix, margin pattern, periosteal reaction.
Articular surfaces and congruence.
Intra-articular loose bodies.
Adjacent soft tissues (limited vs MRI).

Interactive template

Fill the blanks0/3

Técnica: Aquisição helicoidal multislice, sem com a injeção endovenosa do meio de contraste iodado. Análise: Ateromatose discreta difusa, caracterizada por placas parietais parcialmente calcificadas esparsas. Associam-se discretas irregularidades da superfície luminal, indicativas de ulcerações rasas. - Ramos supra-aórticos (porções proximais inclusas): com trajeto e calibre preservados, sem estenoses significativas. - Artéria axilar: pérvia, com trajeto e calibre preservados, sem estenoses significativas. - Artéria braquial: pérvia, com trajeto e calibre preservados, sem estenoses significativas. - Artéria radial: pérvia, com trajeto e calibre preservados, sem estenoses significativas. - Artéria ulnar: pérvia, com trajeto e calibre preservados, sem estenoses significativas. - Veias axilar, braquial braquiais, cefálica, basílica, radiais e ulnares: pérvias, com calibres normais, sem tromboses Demais achados: - Comparação: Exames anteriores não disponíveis para a análise. Conclusão: Exame sem achados significativos.

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

When CT instead of XR for fracture?: Strong clinical suspicion with inconclusive radiograph (scaphoid, occult scaphoid, ribs, coronoid), complex fractures for surgical planning, and assessment of union.
Lytic bone lesion — when MRI complements?: Whenever primary tumor or metastasis is suspected — MRI better evaluates the marrow component and soft-tissue extension.

References

ACR Appropriateness Criteria — Acute Trauma to the Foot/Ankle/Wrist.