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Radiology Specialist
20-25 minutes

X-RAY AP AND LATERAL VIEWS OF THE NECK SOFT TISSUE WERE PERFORMED Template

The "X-ray AP and Lateral View of the Soft Tissue Neck" template is an essential tool for clinicians seeking to enhance diagnostic accuracy in evaluating neck pathologies. This comprehensive template facilitates the detailed assessment of soft tissue structures, aiding in the identification of abnormalities such as masses, foreign bodies, or airway obstructions. By providing a standardized approach to capturing anterior-posterior and lateral views, this template ensures consistent imaging quality, crucial for effective patient management and treatment planning. Clinicians can leverage this template to streamline workflow, improve diagnostic confidence, and ultimately enhance patient outcomes. Explore the benefits of implementing this template in your practice to elevate the standard of care and optimize radiological assessments.

3,386 uses
4.6/5.0
D
Dr. Olivia O'Connor
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]
- Date of Exam: [Insert date of exam]
Clinical Indication
[Insert clinical indication]
Technique
- Modality: [Insert modality]
- Contrast: [Insert contrast details]
- Other: [Insert additional 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 Examination: October 15, 2023
Referring Physician: Dr. Jane Smith
Examination: MRI of the Lumbar Spine
Clinical Indication:
The patient presents with chronic lower back pain radiating to the left leg, with a history of lumbar disc herniation. The examination is requested to evaluate for any recurrent disc herniation or other pathological changes.
Technique:
MRI of the lumbar spine was performed using standard T1-weighted, T2-weighted, and STIR 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, L3-L4: No significant disc bulge or herniation.
- L4-L5: Mild disc bulge with no significant spinal canal or foraminal stenosis.
- L5-S1: Moderate left paracentral disc herniation impinging on the left S1 nerve root.
- Spinal Canal and Neural Foramina: No significant spinal canal stenosis. Mild narrowing of the left neural foramen at L5-S1.
- Conus Medullaris: Terminates at the L1 level, normal in appearance.
Impression:
1. Moderate left paracentral disc herniation at L5-S1 impinging 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 stenosis.
Recommendations:
Clinical correlation is advised. Consideration for neurosurgical consultation if symptoms persist or worsen.
Radiologist: Dr. Emily Carter
Date of Report: October 16, 2023
Clinical Benefits

Key advantages of using this template in clinical practice

  • Explore the comprehensive benefits of utilizing the X-ray AP and Lateral View of the Soft Tissue Neck template, designed to enhance diagnostic accuracy and streamline clinical workflows. This essential radiology tool provides detailed imaging of the cervical region, aiding in the precise evaluation of soft tissue abnormalities, airway obstructions, and potential pathologies. By adopting this template, healthcare professionals can ensure a thorough assessment, leading to improved patient outcomes and optimized treatment plans. Implement this advanced imaging solution to elevate your practice's diagnostic capabilities and stay at the forefront of medical excellence.
Frequently Asked Questions

Common questions about this template and its usage

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X-RAY AP AND LATERAL VIEWS OF THE NECK SOFT TISSUE WERE PERFORMED | Medical Chart Template