The CT Chest (Normal/Abnormal) template by s10.ai is meticulously crafted for radiologists to accurately document findings from high-resolution CT scans of the chest. This comprehensive template encompasses detailed sections for evaluating lung parenchyma, air-space opacities, interstitial lung disease, tracheal and bronchial findings, lymphadenopathy, cardiac size and morphology, pleural or pericardial effusion, mediastinal vessels, and the bony thoracic cage. Optimized for seamless integration with s10.ai, the AI medical scribe, this template enhances the efficiency and accuracy of clinical documentation. Radiologists seeking a structured and streamlined approach to reporting both normal and abnormal CT chest findings will find this template indispensable for improving workflow and diagnostic precision.
Organized sections for comprehensive clinical documentation
Example of completed documentation using this template
CT Chest (Plain) ReportTechnique: A plain HRCT scan of the chest was performed using a multidetector CT scanner. Images were captured and assessed at suitable window settings.Findings:The observed lung parenchyma exhibits normal attenuation and structural pattern on both sides.There is no indication of air-space opacities, collapse, consolidation, abscess, or pulmonary mass lesion.No evidence of interstitial lung disease is present.The trachea and bifurcation appear normal.No bronchial thickening or bronchiectasis is observed.There is no evidence of mediastinal or hilar lymphadenopathy.The heart maintains a normal size and shape.There is no indication of pleural or pericardial effusion.The visualized mediastinal vessels have a normal course and caliber.The bony thoracic cage is normal. No lytic or sclerotic lesions are seen in the visualized bones.ImpressionThe CT Chest Plain study is within normal limits.
Key advantages of using this template in clinical practice
Common questions about this template and its usage