Body Rotation Dictation Templates

----------------------------------------

 

Hepatic Mass Protocol CT:

 

Clinical History
[]

Technique
A multiphasic contrast enhanced CT of the abdomen was performed to evaluate for focal hepatic masses (Hepatic Mass Protocol).  This consists of:

 

Precontrast
Arterial Phase

Portal Venous Phase

Delayed Phase

Contrast Dose:  [ ] cc of iodinated contrast.

CDTI:

DLP:

Comparison
[N/A]

Findings

LIVER: Normal size. No focal disease.

 

LUNG BASES:  Unremarkable.
BILIARY: No dilatation.
PANCREAS: Unremarkable. 
SPLEEN: Normal size. No focal lesions.
ADRENALS: Unremarkable. 
KIDNEYS: No hydronephrosis or stones.
BOWEL: No wall thickening.  No evidence for bowel obstruction.  
PERITONEUM: No free fluid, no free air. 
RETROPERITONEUM: No lymphadenopathy.
VESSELS: Normal caliber aorta.


BONES: No aggressive lesions.  

Impression
Unremarkable study.

 

-------------------------------------

Hematuria (Renal Mass) Protocol CT:

 

Clinical History
[]

Technique
A multiphasic contrast enhanced CT of the abdomen and pelvis was performed to evaluate for hematuria (Renal and Ureteral Mass Protocol).  This consists of:

 

Precontrast
Nephrographic Phase

Excretion Phase

Contrast Dose:  [ ] cc of iodinated contrast.

CDTI:

DLP:

Comparison
[N/A]

Findings

Kidneys:

Calculi:  Negative

Hydronephrosis:  Negative

Enhancing Lesions:  Negative

Cysts:  Negative

Ureters:

No fillings defects.  No masses.

 

Bladder:

Note the bladder is incompletely distended with intraluminal contrast.  Therefore, evaluation of mucosal lesion is limited.  Within these limits, no mass or calculus is seen.

 

Lung Bases:  Unremarkable.
Biliary Tract and Gallbladder: No dilatation.
Pancreas: Unremarkable. 
Spleen: Normal size. No focal lesions.
Adrenals: Unremarkable. 
Bowel: No wall thickening.  No evidence for bowel obstruction.  
Peritoneum: No free fluid, no free air. 
Retroperitoneum: No lymphadenopathy.
Vessels: Normal caliber aorta

Bones: No aggressive lesions.  

Impression
No evidence for kidney or ureteral mass.