{"id":"69a2367cefd4f1d9175044ae","name":"CT Abdomen and Pelvis","slug":"ct-abdomen-and-pelvis","description":"Structured template for CT imaging of the abdomen and pelvis with comprehensive anatomical organization","category":{"modality":"CT","system":"Body"},"tags":["abdomen","pelvis","ct","abdominal imaging","dose reduction","iterative reconstruction"],"sections":{"title":{"defaultText":"CT Abdomen and Pelvis","aiInstructions":"Use the exact exam title from the report. Typically 'CT Abdomen and Pelvis' with or without contrast specification."},"clinicalHistory":{"defaultText":"[Patient-specific — populated at report time]","aiInstructions":"Ask the user for: patient age, sex, presenting complaint, relevant clinical history, and reason for the exam. This section contextualizes the entire report. Always include it."},"comparison":{"defaultText":"No prior studies available for comparison.","aiInstructions":"Document any prior imaging studies mentioned. If none are referenced, use default text."},"technique":{"defaultText":"CT of the abdomen and pelvis was performed. Dose reduction techniques were employed including automated exposure control and iterative reconstruction.","aiInstructions":"Include specific technical parameters mentioned such as contrast administration (arterial, portal venous, or delayed phase), slice thickness, reconstruction algorithms, dose metrics (DLP, CT DI), and any special protocols used. Document radiation dose reduction techniques."},"findings":{"defaultText":"Comprehensive evaluation of the abdomen and pelvis demonstrates the following:","aiInstructions":"Organize findings by anatomical region. Present each structure systematically from superior to inferior. Include any incidental findings. Use clear, concise radiological language.","fields":[{"name":"Visualized Lower Chest","defaultText":"Within normal limits.","aiInstructions":"Document any abnormalities of the lung bases, pleural spaces, or lower thoracic structures visible on the study."},{"name":"Liver","defaultText":"Normal size and attenuation. No focal lesions.","aiInstructions":"Assess liver size, contour, parenchymal attenuation, and presence of any masses, cysts, or cirrhotic changes. Document hepatic steatosis if present."},{"name":"Biliary System","defaultText":"Gallbladder and bile ducts are normal. No cholelithiasis or cholecystitis.","aiInstructions":"Evaluate gallbladder size, wall thickness, and contents. Assess for stones, sludge, or signs of inflammation. Document bile duct caliber."},{"name":"Pancreas","defaultText":"Normal size and attenuation. No focal lesions or ductal dilatation.","aiInstructions":"Assess pancreatic size, signal characteristics, and ductal system. Document any masses, cystic lesions, or signs of pancreatitis."},{"name":"Spleen","defaultText":"Normal size and enhancement. No focal lesions.","aiInstructions":"Document splenic size, attenuation, and presence of any infarcts, masses, or other abnormalities."},{"name":"Adrenal Glands","defaultText":"Normal size and attenuation bilaterally.","aiInstructions":"Assess both adrenal glands for size, morphology, and attenuation. Document any nodules or masses."},{"name":"Kidneys","defaultText":"Bilateral kidneys are normal in size and attenuation with symmetric enhancement. No hydronephrosis, stones, or focal lesions.","aiInstructions":"Evaluate renal size, cortical thickness, and parenchymal attenuation. Assess for hydronephrosis, nephrolithiasis, masses, or cysts. Document any renal artery stenosis if visible."},{"name":"Bladder","defaultText":"Bladder is normal in size and contour with normal wall thickness.","aiInstructions":"Assess bladder distension, wall thickness, and contents. Document any masses, diverticula, or abnormal findings."},{"name":"Bowel","defaultText":"Small and large bowel loops are normal in caliber without evidence of obstruction or wall thickening.","aiInstructions":"Evaluate bowel caliber, wall enhancement, and contents. Document any dilated loops, wall thickening, or signs of obstruction."},{"name":"Appendix","defaultText":"Appendix is normal.","aiInstructions":"Specifically document appendiceal findings if visualized. Note diameter, wall thickness, and any signs of appendicitis."},{"name":"Mesentery","defaultText":"Mesentery is unremarkable without evidence of stranding or abnormal lymph nodes.","aiInstructions":"Assess for mesenteric stranding, edema, or lymphadenopathy. Document any abnormal findings."},{"name":"Peritoneum","defaultText":"No free fluid or peritoneal abnormalities.","aiInstructions":"Document presence or absence of ascites. Describe character and distribution if present. Assess peritoneal surfaces."},{"name":"Vascular Structures","defaultText":"Aorta and major vessels are normal in caliber without evidence of aneurysm or dissection.","aiInstructions":"Assess aortic diameter, presence of aneurysm, dissection, or atherosclerotic disease. Document IVC patency and any thrombosis."},{"name":"Retroperitoneum","defaultText":"Retroperitoneal fat is unremarkable without abnormal lymph nodes or masses.","aiInstructions":"Assess retroperitoneal fat planes and lymph node status. Document any masses or abnormal collections."},{"name":"Pelvis","defaultText":"Pelvic organs and structures are within normal limits.","aiInstructions":"Evaluate pelvic organs including prostate/uterus, ovaries/testes, and pelvic sidewalls. Document any masses, cysts, or abnormalities."},{"name":"Soft Tissues","defaultText":"Abdominal and pelvic soft tissues are unremarkable.","aiInstructions":"Assess subcutaneous fat planes and muscles. Document any abnormal collections, masses, or edema."},{"name":"Osseous Structures","defaultText":"Visualized osseous structures are intact without acute fracture or lytic/sclerotic lesions.","aiInstructions":"Evaluate visible bones for fractures, lytic or sclerotic lesions, and marrow signal. Document any abnormalities."}]},"impression":{"defaultText":"No acute abdominal or pelvic pathology.","aiInstructions":"Synthesize key findings into a concise impression. List significant findings or pathology. If study is normal, state 'No acute abdominal or pelvic pathology' or similar. Include any incidental findings of clinical significance. Provide recommendations for follow-up if indicated."}},"aiUsageInstructions":{"summary":"Use this template to generate a complete CT Abdomen and Pelvis radiology report.","steps":["1. Collect patient clinical history from the user (age, sex, clinical indication).","2. Confirm whether prior studies are available for comparison.","3. For the Technique section, use defaultText or adapt based on actual acquisition parameters.","4. For each field in sections.findings.fields: ask the user for the finding or infer from clinical context. Use defaultText if the structure is normal.","5. Generate the Impression by summarizing the most significant findings from step 4.","6. Use the aiInstructions for each section to guide the depth and format of the content.","7. Maintain formal radiology report language throughout. Passive voice preferred.","8. If any finding is abnormal, quantify it with measurements and describe its imaging characteristics."],"language":"Formal radiology report language. Passive voice preferred. Avoid first-person pronouns.","format":"Numbered impression list. Prose findings paragraphs or structured field-by-field format both acceptable.","units":"Report measurements in centimeters (cm) for masses, millimeters (mm) for small structures."},"meta":{"canonicalUrl":"https://radiluxreports.com/templates/ct-abdomen-and-pelvis","claudeApiUrl":"https://radiluxreports.com/templates/api/claude/ct-abdomen-and-pelvis","useInDashboardUrl":"https://radiluxreports.com/?templateId=69a2367cefd4f1d9175044ae","apiUrl":"https://radiluxreports.com/templates/api/ct-abdomen-and-pelvis","updatedAt":"2026-03-01T02:10:39.296Z","license":"Free for clinical and educational use. Attribution appreciated."}}