{"id":"69a2329befd4f1d9175041c8","name":"CT Neck with IV Contrast","slug":"ct-neck-with-iv-contrast","description":"Structured template for CT imaging of the neck with intravenous contrast, including soft tissue and skeletal evaluation from skull base to thoracic inlet.","category":{"modality":"CT","system":"Head & Neck"},"tags":["ct","neck","contrast","soft tissue","head and neck","lymph nodes","airway","thyroid"],"sections":{"title":{"defaultText":"CT of the Soft Tissues of the Neck with Intravenous Contrast","aiInstructions":"Use the examination type provided in the input. Include modality (CT), anatomical region (neck), and contrast specification if mentioned."},"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":"If a prior study is referenced with a date, update to: 'Comparison is made to prior neck CT study dated [date].' If no comparison is mentioned, use default text."},"technique":{"defaultText":"Contiguous 2 x 1 mm axial images were obtained from the skull base to the thoracic inlet following the administration of intravenous contrast. Images were reviewed in soft tissue and bone windows. Sagittal and coronal reformatted images were generated.","aiInstructions":"Document the slice thickness, coverage area, contrast administration, and image reconstruction methods exactly as stated in the source report. Include radiation dose parameters (DLP and CTDI) if provided in the source material."},"findings":{"defaultText":"Systematic evaluation of the neck demonstrates normal soft tissue and skeletal structures without evidence of mass, collection, or pathologic lymphadenopathy.","aiInstructions":"Provide an overview of findings before detailing individual anatomical structures. Structure the findings to progress from superior to inferior (skull base to thoracic inlet). For each anatomical structure listed below, document findings as normal or describe specific abnormalities identified.","fields":[{"name":"Intracranial and Orbital Soft Tissues","defaultText":"The visualized intracranial and orbital soft tissues are normal.","aiInstructions":"Document the appearance of brain parenchyma and orbital structures as visualized on neck CT. Note if normal or describe any abnormalities such as edema, mass effect, or lesions."},{"name":"Skull Base","defaultText":"No abnormality of the skull base is identified.","aiInstructions":"Assess for fractures, erosions, or lytic/blastic lesions. Document normal anatomy or describe specific pathology."},{"name":"Middle Ear and Mastoid Air Cells","defaultText":"The middle ear and mastoid air cells are well developed and normally aerated.","aiInstructions":"Evaluate aeration status and presence of fluid, infection, or mass. Document normal development or describe abnormalities such as opacification or erosion."},{"name":"Paranasal Sinuses","defaultText":"The paranasal sinuses are well developed and aerated.","aiInstructions":"Assess frontal, maxillary, ethmoid, and sphenoid sinuses for aeration, fluid levels, or mucosal thickening. Document normal aeration or describe specific sinus disease."},{"name":"Nasopharynx","defaultText":"The nasopharynx appears normal.","aiInstructions":"Evaluate for mass, obstruction, or abnormal soft tissue. Document normal appearance or describe pathology."},{"name":"Parapharyngeal Space","defaultText":"The parapharyngeal space appears normal.","aiInstructions":"Assess for mass, collection, or abnormal enhancement. Document normal appearance or describe specific findings."},{"name":"Masticator Space","defaultText":"The masticator space appears normal.","aiInstructions":"Evaluate muscles of mastication and pterygoid spaces for mass, edema, or abnormality. Document normal or describe pathology."},{"name":"Oropharynx and Base of Tongue","defaultText":"The oropharynx and base of tongue are grossly normal.","aiInstructions":"Assess for mass, ulceration, or abnormal enhancement. Document normal appearance or describe specific lesions."},{"name":"Floor of Mouth","defaultText":"Floor of mouth structures appear normal.","aiInstructions":"Evaluate for mass, collection, or abnormal soft tissue. Document normal or describe pathology such as ranula or infection."},{"name":"Hypopharynx","defaultText":"The hypopharynx appears normal.","aiInstructions":"Assess for mass, obstruction, or abnormal soft tissue. Document normal appearance or describe specific findings."},{"name":"Epiglottis and Aryepiglottic Folds","defaultText":"The epiglottis and aryepiglottic folds appear unremarkable.","aiInstructions":"Evaluate for edema, thickening, or mass. Document normal or describe abnormalities."},{"name":"Piriform Sinuses","defaultText":"The piriform sinuses appear unremarkable.","aiInstructions":"Assess for pooling of contrast, mass, or abnormality. Document normal or describe pathology."},{"name":"Vocal Cords","defaultText":"The true vocal cords appear smooth and symmetric.","aiInstructions":"Evaluate for asymmetry, paralysis, mass, or abnormal enhancement. Document normal appearance or describe specific abnormalities."},{"name":"Airway Patency","defaultText":"The airway appears patent throughout the neck.","aiInstructions":"Assess for obstruction, stenosis, or narrowing at any level. Document patency or describe specific areas of compromise."},{"name":"Parotid Glands","defaultText":"The parotid glands appear normal.","aiInstructions":"Evaluate for mass, ductal dilatation, or abnormal enhancement. Document normal or describe pathology."},{"name":"Submandibular Glands","defaultText":"The submandibular glands appear normal.","aiInstructions":"Assess for mass, stone, or abnormal enhancement. Document normal or describe specific findings."},{"name":"Thyroid Gland","defaultText":"The thyroid gland appears normal.","aiInstructions":"Evaluate for nodules, enlargement, or abnormal enhancement. Document normal or describe thyroid pathology."},{"name":"Carotid Spaces","defaultText":"No abnormalities of the carotid spaces are seen.","aiInstructions":"Assess for mass, dissection, or abnormal enhancement. Document normal or describe specific pathology."},{"name":"Cervical Lymph Nodes","defaultText":"No pathologically enlarged or necrotic lymph nodes are seen.","aiInstructions":"Evaluate cervical lymph node stations (I-VI) for enlargement, necrosis, or abnormal enhancement. Document normal or describe specific lymphadenopathy with size and characteristics."},{"name":"Soft Tissue Collections","defaultText":"No cervical mass or collection is seen.","aiInstructions":"Assess for abscess, hematoma, seroma, or other fluid collections. Document absence or describe specific collections with location and characteristics."},{"name":"Skeletal Structures","defaultText":"There is no evidence of fracture and no lytic or blastic lesions are seen within the visualized skeletal structures.","aiInstructions":"Evaluate cervical vertebrae, mandible, and other visible bone for fracture, lytic/blastic lesions, or abnormality. Document normal or describe specific skeletal pathology."},{"name":"Superior Mediastinum and Lung Apices","defaultText":"Evaluation of the thorax reveals no abnormal superior mediastinal soft tissue or adenopathy. The visualized lung apices are clear.","aiInstructions":"Assess the superior mediastinum for mass, adenopathy, or abnormal soft tissue. Evaluate lung apices for infiltrate or other abnormality. Document normal or describe specific findings."},{"name":"Vascular Structures","defaultText":"There is normal flow of contrast through the great vessels in the chest and the major vasculature of the neck, without evidence of focal or segmental stenosis or dilatation.","aiInstructions":"Evaluate carotid arteries, vertebral arteries, jugular veins, and mediastinal vessels for stenosis, occlusion, dilatation, dissection, or other abnormality. Document normal flow or describe specific vascular pathology."}]},"impression":{"defaultText":"No abnormal neck mass, collection, pathologically enlarged or necrotic lymph nodes noted.","aiInstructions":"Summarize the most clinically significant findings. State the presence or absence of mass, lymphadenopathy, collection, and other key pathology. If abnormalities are identified, describe their location, size, and characteristics. Conclude with a clear statement regarding clinically significant findings or confirmation of normal study."}},"aiUsageInstructions":{"summary":"Use this template to generate a complete CT Neck with IV Contrast 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-neck-with-iv-contrast","claudeApiUrl":"https://radiluxreports.com/templates/api/claude/ct-neck-with-iv-contrast","useInDashboardUrl":"https://radiluxreports.com/?templateId=69a2329befd4f1d9175041c8","apiUrl":"https://radiluxreports.com/templates/api/ct-neck-with-iv-contrast","updatedAt":"2026-03-01T00:12:16.914Z","license":"Free for clinical and educational use. Attribution appreciated."}}