The CECT Abdomen (Normal/Abnormal) template by s10.ai is an all-encompassing resource for documenting CT scan results of the abdomen, tailored for use by radiologists and other specialists. This template guarantees meticulous reporting of abdominal structures such as the liver, gall bladder, pancreas, spleen, and kidneys, among others. It is crafted to document both normal and abnormal findings, offering a comprehensive overview of the patient's abdominal health. When integrated with s10.ai, this template streamlines precise and efficient documentation, significantly enhancing clinical reporting and patient care. Perfect for clinicians aiming to produce detailed CT abdomen reports.
Organized sections for comprehensive clinical documentation
Example of completed documentation using this template
CT Abdomen (Plain & Contrast) ReportTechnique:A CT scan of the abdomen was performed with the use of oral and intravenous contrast agents.Findings:The liver is of normal size, shape, and attenuation. There is no mass lesion or calcification in the hepatic tissue. The porta hepatis appears normal. There is no dilation of the intrahepatic bile ducts or common bile duct.The gallbladder has a normal lumen and walls, with standard size and shape. There are no mass lesions, calcifications, or stones within the lumen.The pancreas is normal in size and structure. The pancreatic duct is not dilated.The spleen is of normal size and structure, with no focal lesions.Both kidneys are normal in size, shape, position, and attenuation. There are no mass lesions, calcifications, or stones in the renal tissue or collecting systems on either side. No signs of obstructive uropathy are present.Both adrenal glands are visualized normally.The inferior vena cava, aorta, and portal vein are in normal position and caliber. There is no evidence of retroperitoneal lymphadenopathy or ascites.The visible sections of the bowel loops show no apparent mass lesions or wall thickening. The appendix appears normal.The urinary bladder has a normal lumen and walls. There are no vesical calculi, wall thickening, or mass lesions.The prostate appears normal.The visualized bony structures are normal. There are no lytic or sclerotic bone lesions. The extra-abdominal and paraspinal soft tissues are normal.The lung bases are clear. There is no basal pleural effusion.Impression:No significant abnormalities are observed in the current examination.
Key advantages of using this template in clinical practice
Common questions about this template and its usage