{"id":"695642e22756f34e628c6d20","name":"CT Wrist Without Contrast","slug":"ct-wrist-without-contrast","description":"","category":{"modality":"CT","system":"MSK"},"tags":[],"sections":{"title":{"defaultText":"CT Wrist Without Contrast","aiInstructions":"decide laterality on the provided side by the user."},"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":"Ask if prior imaging studies are available. If yes, specify modality, date, and institution. Describe interval changes from prior."},"technique":{"defaultText":"High-resolution MDCT of the left wrist was performed using a dedicated musculoskeletal protocol. Axial data was acquired at 0.6 mm slice thickness and reconstructed in axial, coronal, and sagittal planes using high-spatial-frequency bone algorithms and standard soft tissue kernels. Dose reduction techniques, including automated tube current modulation, were utilized.","aiInstructions":"If intravenous contrast was administered, update the text to include phase of acquisition (e.g., arterial or portal venous) and the specific reason for contrast (e.g., evaluation of vascularity or soft tissue mass)."},"findings":{"defaultText":"Osseous Structures: No acute fracture or dislocation. Normal alignment of the radiocarpal, distal radioulnar, and midcarpal joints. The carpal bones (scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate, and hamate) are intact with normal corticomedullary differentiation. No aggressive lytic or blastic lesions.\n\nJoint Spaces: Preserved joint spaces throughout. No intra-articular loose bodies or significant degenerative changes (osteophytosis or subchondral sclerosis).\n\nDistal Radioulnar Joint (DRUJ): The distal ulna is normally positioned within the sigmoid notch of the radius. No evidence of volar or dorsal subluxation.\n\nSoft Tissues: Visualized tendons (including the first through sixth extensor compartments and flexor tendons) appear grossly intact within the limits of non-contrast CT. No evidence of pre-calcified tendinopathy or significant peritendinous edema.\n\nMiscellaneous: No radiopaque foreign bodies identified. No evidence of significant soft tissue swelling or regional lymphadenopathy.","aiInstructions":"Fracture Logic: If a fracture is detected or dictated, automatically expand the osseous section to include: location (distal vs. mid-shaft vs. proximal), orientation (transverse, oblique, spiral), and degree of displacement/shortening in millimeters.\n\nArticular Surface: For any fracture, explicitly state if there is \"articular extension\" or \"involvement of the radiocarpal joint.\"\n\nCarpal Alignment: If any carpal bone is abnormal, trigger an evaluation of the Gilula lines (1st, 2nd, and 3rd arcs) to check for disruption.\n\nNegative Findings: Ensure that if no findings are dictated for a sub-section (e.g., DRUJ or Joint Spaces), the AI maintains the \"normal/preserved\" default text rather than deleting the section.\n\nSoft Tissue Correlation: If soft tissue swelling is mentioned, prompt the user to check for an underlying occult fracture or ligamentous injury sign (e.g., widened scapholunate interval).","fields":[]},"impression":{"defaultText":"No acute fracture or malalignment of the left wrist.\n\nNormal CT appearance of the carpal bones and distal forearm.","aiInstructions":"Summarize any identified fractures, focusing on the specific bone (e.g., scaphoid waist), the degree of displacement/shortening, and any intra-articular extension. If stercoral colitis or other incidental findings are noted in the field of view (if pelvic/abdominal CT was concurrent), ensure they are cross-referenced here."}},"aiUsageInstructions":{"summary":"Use this template to generate a complete CT Wrist Without 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-wrist-without-contrast","claudeApiUrl":"https://radiluxreports.com/templates/api/claude/ct-wrist-without-contrast","useInDashboardUrl":"https://radiluxreports.com/?templateId=695642e22756f34e628c6d20","apiUrl":"https://radiluxreports.com/templates/api/ct-wrist-without-contrast","updatedAt":"2026-02-28T23:55:42.729Z","license":"Free for clinical and educational use. Attribution appreciated."}}