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 chest tep

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 blanks0/1

Técnica: Helicoidal multislice, durante a injeção endovenosa do meio de contraste iodado. Análise: - Vasos: tronco da artéria pulmonar e ramos prévios, com calibre preservado, sem falhas de enchimento. Não há sinais de sobrecarga hemodinâmica das câmaras cardíacas direitas . Aorta com calibre normal. - Mediastino: não se observam linfonodomegalias. - Traqueia e árvore brônquica: de calibres normais. - Pulmões: com atenuação preservada. - Espaços pleurais: ausência de derrame pleural. Não há pneumotórax. - Partes moles e estruturas ósseas: sem particularidades ao método. - Transição toracoabdominal: sem alterações evidentes. - Transição cervicotoracica: sem particularidades. Comparação: Estudos anteriores não disponíveis para a análise. Conclusão: Exame negativo para tromboembolismo pulmonar.

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).