CT Abdomen & Pelvis Plain Report Template

Title
Modality
CT
Part
Abdomen & Pelvis : Plain
Technique
CT Scan of Abdomen and Pelvis carried out on Multi detector CT scanner. Images recorded and evaluated at appropriate window settings.
Findings

Liver, Pancreas, Spleen and both adrenals show normal shows normal size, shape and attenuation on present unenhanced scan.  The porta hepatis is normal. No IHBR or CBD dilatation.

Gall bladder reveals normal lumen and walls with normal size and shape. No mass lesion, calcification or stone is seen within the lumen.

Both kidneys reveal normal in size, shape, position and attenuation. No mass lesion, calcification or stone is seen in the renal parenchyma or collecting systems on both sides. No signs of obstructive uropathy are detected.

The IVC, aorta and portal vein are within normal position and calibre. No evidence of retroperitoneal lymphadenopathy or ascites.

The visible parts of the bowel loops show no obvious mass lesions or wall thickening. Appendix appears normal.

Urinary bladder reveals normal lumen and walls. No vesical calculi, wall thickening or mass lesion.

Prostate appears normal. / Uterus and both ovaries appear normal. No adnexal pathology.

Visualised osseous structures appear unremarkable. No lytic or sclerotic bony lesion. The extra-abdominal and paraspinal soft tissues are normal. 

Lung bases are clear. No basal pleural effusion.

Impression
  • No significant abnormality is detected in abdomen and pelvis. 

Suggested : Clinical correlation and further evaluation, if clinically indicated.