Forensic radiology report (long / English)

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

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Case details

Case number / ID

Data sets available:

Forensic question:

Overview

Body constitution:

Foreign material:

Other general aspect findings:

Medical devices and installations

Body surface:

Internally located devices:

Head and neck

Soft tissues - deformation, swelling, hematoma:

Soft tissues - calcification:

Soft tissues - foreign material:

Soft tissues - defect:

Soft tissues - eyes:

Skull - bone 3D volume rendering, cropped to expose skull base, full inspection:

Skull - bone of neurocranium:

Skull - bone of viscerocranium:

Skull - bone defect:

Skull - bone, foreign material:

Skull - bone, sella turcica:

Skull - bone tumor, bone swelling, bone hyperostosis:

Paranasal sinuses - contents:

Skull cavity:

Skull - auditory canals:

Brain - symmetry:

Brain - normal calcifications:

Brain - sulci:

Brain - basal ganglia:

Brain - basal meninges and cisterns:

Brain - foreign material:

Brain - circumscript / localized findings:

Brain - pituitary gland:

Brain - lateral ventricle symmetry:

Brain - width of lateral ventricles:

Brain - ventricle content:

Brain - dura mater, falx cerebri:

Brain - region of Circle of Willis:

Head - dentition:

Head - status of dental applications:

Head / neck - oral cavity, pharynx, laryngeal structures:

Neck - skin, subcutaneous fat, muscles:

Neck - thyroid gland:

Neck - vessels:

Cervical spine - 3D / MIP / VRT:

Cervical spine - sagittal view:

Cervical spine - spinal canal - sagittal view:

Cervical spine - axial view:

Cervical spine - spinal canal- axial view:

Hyoid bone in-plane axial MPR, thyroid cartilage sagittal MPR, zoomed in to fill screen / window:

Chest, abdomen, extremities

Chest, abdomen, back - skin, subcutaneous fat, muscle:

Abdomen - umbilicus, groins:

Chest - mammary glands:

Skeleton - configuration 3D / VRT:

Skeleton - ribs:

Skeleton - sternum:

Skeleton - shoulder girdle (clavicles, scapulae):

Thoracic and lumbar spine - 3D / MIP / VRT:

Thoracic and lumbar spine - sagittal view:

Thoracic and lumbar spine - spinal canal - sagittal view:

Thoracic and lumbar spine - axial:

Thoracic and lumbar spine - spinal canal - axial:

Lungs:

Lungs - trachea, bronchi:

Airways - tube:

Lungs - pleural cavity:

Mediastinum:

Aorta thoracalis und abdominalis:

Vena cava superior:

Conus pulmonalis, pulmonary arteries:

Pericard:

Heart - left ventricle:

Heart - myocardial walls:

Heart - calcification:

Heart - content:

Diaphragm (coronary MPR):

Diaphragm position:

Liver:

Gall bladder:

Spleen:

Kidneys:

Adrenal glands:

Pancreas:

Urinary bladder:

Reproductive organs:

Abdominal cavity:

Gastric contents:

Intestine:

Gastrointestinal tract - specific search for foreign bodies inc. body packing:

Large arteries and veins:

Lymph nodes:

Right arm - skin, fat, muscle:

Right arm - configuration skeleton:

Right arm - humerus, radius, ulna:

Right arm - carpal bones:

Right arm - metacarpal and digital bones:

Left arm - skin, fat, muscle:

Left arm - configuration skeleton:

Left arm - humerus, radius, ulna:

Left arm - carpal bones:

Left arm - metacarpal and digital bones:

Pelvis - configuration skeleton:

Right leg - skin, fat, muscle:

Right leg - configuration skeleton:

Right leg - femur:

Right leg - tibia:

Right leg - fibula:

Right leg - foot, skeleton:

Left leg - skin, fat, muscle:

Left leg - configuration skeleton:

Left leg - femur:

Left leg - tibia:

Left leg - fibula:

Left leg - foot, Skeleton:

Ancillary examinations:

Summary of findings, interpretation:


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