Forensic radiology report (short / English)

Short form - English. - Long form - English. - Scientific paper regarding structured reporting.
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General section

Case number:

Examined data set:

Output coding:

Specific answers requested:

Head and neck

Soft tissue of head and neck, eyes, orbitae, ears, ear canals:

Skull, facial skeleton, mandible:

Cranial cavity, mastoid bone:

Brain:

Nasal cavity, paranasal sinuses:

Teethm, jaws:

Cervical spine, including enlarged sagittal views:

Blood vessels:

Laryngeal skeleton, including detailed reconstructions of hyoid and thyroid cartilage, including both superior horns of the thyroid cartilage (MPR; 3D):

Thorax

Soft tissues:

Skeleton:

Thoracic cavity

Lungs:

Mediastinum:

Heart and large vessels:

Heart (size, configuration):

Heart (calcifications):

Diaphragm (coronary MPR reconstructions):

Diaphragm level:

Abdomen and pelvic area

Soft tissues:

Skeleton:

Abdominal solid organs:

Liver, spleen and kidneys (parenchyma):

Abdominal cavity:

Urinary bladder:

Reproductive organs:

Gastric content:

Intestines:

Large vessels:

Check for intestinal content (such as body packing):

Extremities

Skeleton of arms and legs:

Body overview

Foreign material / bodies:

Medical installations:

Ancillary examinations:

Summary


strukturierte Texteingabe - 1995-2012 zur zeitgleich qualitätssichernden, zeitsparenden und datenbankerfassenden schriftlichen Dokumentation der einzel- bzw. bereichprüfstellen-basierten pathologisch-anatomischen oder rechtsmedizinischen Morphologie erdacht, verschiedentlich implementiert, zuletzt direkt in der pHp/HTML-Sprache verfasst und optimiert für Google Chrome von Wolf Schweitzer