CT Scan of Abdomen and Pelvis with Contrast for Male Kidney Stone Protocol - Negative Results

The "CT Abdomen and Pelvis Male with Contrast for Kidney Stone Protocol Negative" template is an essential tool for clinicians seeking to enhance diagnostic accuracy in male patients presenting with suspected nephrolithiasis. This comprehensive template is designed to streamline the interpretation of CT scans, ensuring a thorough evaluation of the abdominal and pelvic regions with contrast enhancement. By adopting this protocol, healthcare professionals can efficiently rule out kidney stones, providing clear and precise imaging results that facilitate timely and effective patient management. Explore this template to improve diagnostic workflows, reduce uncertainty, and enhance patient outcomes in urological care.

1,116 uses

4/5.0

Dr. Fiona Fitzgerald

Template Structure

Organized sections for comprehensive clinical documentation

Radiology Report Template

Patient Information

- Name: [Insert patient name]

- Date of Birth: [Insert date of birth]

- Medical Record Number: [Insert MRN]

Examination Details

- Date of Exam: [Insert date of exam]

- Type of Exam: [Insert type of exam]

- Referring Physician: [Insert referring physician]

Clinical Indication

[Insert clinical indication]

Technique

[Insert technique details]

Findings

- [Insert findings]

Impression

- [Insert impression]

Recommendations

- [Insert recommendations]

Radiologist

- Name: [Insert radiologist name]

- Signature: [Insert signature]

- Date: [Insert date]

Sample Clinical Note

Example of completed documentation using this template

Radiology Report  
  
Patient Name: John Doe  
Patient ID: 123456  
Date of Birth: 01/15/1975  
Date of Examination: 10/20/2023  
  
Referring Physician: Dr. Jane Smith  
Examination: MRI of the Lumbar Spine  
  
Clinical Indication:  
Chronic lower back pain with intermittent radiculopathy in the left leg. Rule out disc herniation or spinal stenosis.  
  
Technique:  
MRI of the lumbar spine was performed without contrast using standard T1 and T2-weighted sequences in sagittal and axial planes.  
  
Findings:  
- Alignment: Normal lumbar lordosis is maintained. No evidence of spondylolisthesis.  
- Vertebral Bodies: Normal height and signal intensity of the vertebral bodies. No fractures or lesions identified.  
- Intervertebral Discs:  
  - L1-L2, L2-L3, and L3-L4: No significant disc bulge or herniation.  
  - L4-L5: Mild disc bulge with minimal effacement of the thecal sac. No significant neural foraminal narrowing.  
  - L5-S1: Moderate disc herniation with impingement on the left S1 nerve root.  
- Spinal Canal and Neural Foramina: No evidence of spinal canal stenosis. Mild narrowing of the left neural foramen at L5-S1.  
- Paraspinal Soft Tissues: Unremarkable.  
  
Impression:  
1. Moderate disc herniation at L5-S1 with impingement on the left S1 nerve root, correlating with the patient's symptoms of left leg radiculopathy.  
2. Mild disc bulge at L4-L5 without significant neural compromise.  
3. No evidence of spinal canal stenosis.  
  
Recommendations:  
Clinical correlation is advised. Consideration for neurosurgical consultation for further evaluation and management of the L5-S1 disc herniation. Physical therapy may be beneficial for symptom management.  
  
Radiologist: Dr. Emily Carter  
Date of Report: 10/21/2023

Clinical Benefits

Key advantages of using this template in clinical practice

Explore our comprehensive CT Abdomen and Pelvis Male with Contrast for Kidney Stone Protocol, designed to deliver precise and reliable diagnostic results. This advanced imaging template is optimized for detecting and evaluating kidney stones, ensuring accurate assessment and management of urological conditions. With high-resolution imaging and enhanced contrast, clinicians can confidently identify the presence or absence of calculi, streamline patient care, and improve outcomes. Implement this protocol to enhance diagnostic accuracy, reduce unnecessary interventions, and provide superior patient care. Discover the benefits of adopting this state-of-the-art template in your practice today.

Frequently Asked Questions

Common questions about this template and its usage

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