Forensic radiology report (short / English)

Short form - English. - Long form - English. - Scientific paper regarding structured reporting.
t(call)

General

IRM Number and Case Type:

Examined Datasets:

Output coding:

Clinical Question:

Head and Neck

Soft tissues and skin, eyes, ears, auricles, external auditory canals (review: soft tissue reconstruction, axial slices):

Skull including facial skeleton and mandible including temporomandibular joints (review: 3D, bone reconstruction: axial, coronal, sagittal):

Cranial cavity and brain (review: soft tissue reconstruction, axial slices, other planes if applicable):

Head/neck and airway patency (review: soft tissue kernel, soft tissue and lung window, sagittal):

Cervical spine (review: bone reconstruction, sagittal, others if applicable):

Dentition (review: bone reconstruction, if possible with extended CT scale [ECTS], axial, sagittal and coronal if applicable):

Paranasal sinuses, middle ears and mastoid (review: bone reconstruction, bone window):

Neck vessels (review: soft tissue reconstruction, axial slices):

Hyoid, thyroid cartilage (review: MPR / axial and 3D, full screen):

Chest

Soft tissue and skin (review: soft tissue reconstruction, axial slices):

Skeleton (review: mandatory 3D for malalignments, fractures and other findings, additionally bone reconstruction axial and sagittal):

Thoracic cavity (review: soft tissue reconstruction, axial slices):

Lungs (review: lung/bone reconstruction, axial slices):

Mediastinum (review: soft tissue reconstruction, axial slices):

Heart and great vessels (review: soft tissue reconstruction, axial slices, also sagittal or coronal if applicable for query of injury or dissection):

Heart (view: soft tissue reconstruction, axial, note configuration, if applicable short axis and search for irregularly dense wall areas):

Heart (view: lung reconstruction, strong magnification, if applicable thin MIP, search for calcifications):

Diaphragm (review: soft tissue reconstruction, coronal view):

Diaphragm level (review: soft tissue reconstruction, coronal view):

Abdomen and Pelvis

Soft tissue and skin (review: soft tissue reconstruction, axial slices):

Skeleton:

Liver, gallbladder, pancreas, spleen, kidneys and adrenal glands (review: soft tissue reconstruction, axial slices, particularly also query for sentinel clots or smallest gas inclusions):

Calcifications and CT-dense foreign material (review: soft tissue reconstruction, axial slices, possibly thinMIP, for query of body packing also carefully review in lung window):

Abdominal cavity (review: soft tissue reconstruction, axial slices):

Urinary bladder (review: soft tissue reconstruction, axial slices):

Genitalia (review: soft tissue reconstruction, axial slices):

Gastric contents (review: soft tissue reconstruction, axial slices):

Small intestine, large intestine (review: soft tissue reconstruction, axial slices, as noted above search for foreign material such as body packing, if applicable in lung window):

Great vessels (review: soft tissue reconstruction, axial slices):

Trunk wall (review: soft tissue reconstruction, axial slices):

Extremities

Skeleton of arms, legs, hands and feet (review: soft tissue reconstruction, axial slices):

General

Foreign material (review: soft tissue reconstruction and bone reconstruction, axial slices and other planes):

Medical installations (review: 3D and adapted MPR):

Additional findings / ID:

Assessment


structured text input - 1995-2026 conceived for simultaneously quality-assuring, time-saving and database-capturing written documentation of individual- or area-inspection-site-based pathological-anatomical or forensic medical morphology, variously implemented, most recently written directly in the PHP/HTML language and optimized for Google Chrome by Wolf Schweitzer