Report template

Report template — CT of sinais tomograficos of hemorragias recentes

CT report template for sinais tomograficos of hemorragias recentes — clinical body in pt-BR with [...] placeholders for exam-specific findings.

When to use

Abdominal CT is the method of choice for acute abdominal pain (appendicitis, diverticulitis, ischemia, perforation), complicated pancreatitis, urolithiasis (non-contrast), oncologic staging and stable abdominal trauma. For focal liver lesion characterization, hepatobiliary MRI is generally superior.

What to evaluate

  • Solid viscera: size, attenuation, focal lesions, enhancement.
  • Bowel: caliber, wall thickness, content, inflammatory signs.
  • Urinary tract: stones, hydronephrosis, filling defects.
  • Vessels: aorta, mesenteric, portal — caliber, thrombosis, occlusions.
  • Lymph nodes, ascites, free air, collections.

Interactive template

Fill the blanks0/0

Hemorragia subaracnoide( ) Sim(X) Não Hemorragia subdural( ) Sim(X) Não Hemorragia extradural( ) Sim(X) Não Hemorragia intraparenquimatosa( ) Sim(X) Não Caso hematoma intraparenquimatoso, qual o volume?
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 non-contrast vs contrast?
Non-contrast: urolithiasis, suspected acute hemorrhage, stone follow-up. IV contrast: appendicitis, diverticulitis, mesenteric ischemia, staging, abscess. Portal venous phase is the standard for abdomen.
When prefer MRI over CT?
Focal liver lesion characterization (especially cirrhosis / LI-RADS), biliary tree (MRCP), deep endometriosis, complex pelvic lesion and pregnant patients.
Appendicitis — sensitivity?
Contrast-enhanced CT has > 95% sensitivity and > 95% specificity for acute appendicitis in adults — superior to US and clinical evaluation alone.

References

  • ACR Appropriateness Criteria — Right Lower Quadrant Pain.
  • Eisenhauer EA et al., Eur J Cancer 2009 (RECIST 1.1).

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