How radiologists report the CT Abdomen/Pelvis
We're going to focus on delivering the CT Abdomen/Pelvis preliminary report in RadClerk. But in case you were wondering, the normal template for a final report from the radiologist looks more like this:
Lung bases: Clear.
Liver: Normal size and density. No masses.
Gallbladder and bile ducts: Normal gallbladder. No intra- or extra-hepatic biliary dilatation.
Spleen: Normal.
Pancreas: Normal.
Adrenal glands: Normal.
Kidneys: Normal. No hydronephrosis. No kidney stones.
Ureters: Normal. No ureteral stones.
Bladder: Normal.
Bowel: Normal stomach, small and large bowel. Normal visualized appendix.
Reproductive organs: Normal.
Peritoneal cavity: No free air or free fluid.
Abdominal and pelvis wall: Normal.
Bones: No suspicious osseous lesions. No fractures.There's years of training that goes into reporting that an organ is "normal", because you need to be able to detect many conditions, and many variations on those conditions. On your RadClerk rotation, we're going to focus on emergencies, so your CT Abdomen/Pelvis preliminary report template is focused on that.