CT head (standard report)

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A CT head standard report may not be applicable in all situations, but gives an idea of some of the areas to cover when reporting a CT head.

Standardized reports are controversial and should be used with caution.

Report

Clinical details

Headache with photophobia.

Technique

CT head without contrast.

Findings

No mass, hemorrhage or hydrocephalus. Basal ganglia and posterior fossa structures are normal. No established major vessel vascular territory infarct. No intra or extra axial collection. The basal cisterns and foramen magnum are patent. The air cells of the petrous temporal bone are non-opacified. No fracture demonstrated.

Conclusion

Normal study.

CT examinations