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).

Report template — CT of ears and mastoids

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

Fill the blanks0/0

Técnica: TEC1 SC: Realizados cortes axiais sem a administração intravenosa do meio de contraste iodado. TEC2 CC: Realizados cortes axiais após a administração intravenosa do meio de contraste iodado. Análise: - Mastoides: normopneumatizadas. - Caixas timpânicas: normoaeradas. - Cadeias ossiculares: sem alterações. - Labirinto ósseo: cócleas, vestíbulos, canais semicirculares e condutos auditivos internos preservados. Não se observam focos de desmineralização óssea na cápsula ótica. - Canais dos nervos faciais: preservados. - Bulbos jugulares e canais carotídeos: sem alterações. #### - Ângulos pontocerebelares: ausência de realces anômalos. Comparação: Exames anteriores indisponíveis para a análise. Em comparação com o estudo de Conclusão: Exame tomográfico dos ossos temporais 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.