CTPA
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Report:
Scan quality: [Good/Adequate/Poor/Non-diagnostic.].
Pulmonary emboli? [Yes/No.]
Location: [Saddle/Main left/Main right/Segmental left/Segmental right/Subsegmental left/Subsegmental right/Multiple]
Features of right heart strain/raised pulmonary artery pressure: [Straightening/reverse bowing of interventricular septum/Pulmonary artery enlargement/Reflux of contrast into hepatic veins]
Lymphadenopathy: [Axillary/Hilar/Mediastinal]
Lung parenchyma: []
Pleural disease: []
Pulmonary nodules: []
Upper abdominal organs: []
Bones: []
Vasculature including coronary arteries: []
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| Explanatory notes
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| Heading
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Options
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Reason
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| Clinical details: |
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| Technique: |
CTPA |
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| Scan quality: |
Good/Adequate/Poor/Non-diagnostic. |
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| Pulmonary emboli? |
Yes/No. |
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| Location |
Saddle/Main left/Main right/Segmental left/Segmental right/Subsegmental left/Subsegmental right/Multiple |
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| Features of right heart strain/raised pulmonary artery pressure |
Straightening/reverse bowing of interventricular septum/Pulmonary artery enlargement/Reflux of contrast into hepatic veins |
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| Lymphadenopathy: |
Axillary/Hilar/Mediastinal |
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| Lung parenchyma: |
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| Pleural disease: |
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| Pulmonary nodules: |
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| Upper abdominal organs: |
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| Bones |
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| Vasculature including coronary arteries |
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Nodule follow up CT
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Comparison is made with the previous scan(s) dated [].
The time after baseline is: []
The nodule volume on [date] was: [] mm3.
The nodule volume now is: [] mm3.
This gives a volume doubling time of: [] days.
According to BTS guidelines [CT in 2 years/Discharge/consider discharge or follow up depending on patient preference/consider biopsy or surveillance based on patient preference/further workup and consideration of definitive management] is advised
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References:
1. Callister MEJ, Baldwin DR, Akram AR on behalf of the British Thoracic Society Standards of Care Committee, et alBritish Thoracic Society guidelines for the investigation and management of pulmonary nodules: accredited by NICEThorax 2015;70:ii1-ii54.
Pectus excavatum pre-surgery
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Haller index: [widest measurement/smallest AP spine to sternum].
Correction index: [(largest anterior spine to anterior most part of chest (rib) - anterior spine to posterior sternum)/largest anterior spine to anterior most part of chest (rib)]
Asymmetry index: [largest AP posterior rib to anterior on left/largest on right]
Sternal torsion angle: [Angle of sternum to horizontal]
Depression index: [Sternal depression at level of mid sternum as measured from a line across the anterior ribs to the sternum/vertebral body width at that point]
Lungs: []
Lymphadenopathy: [Yes/No.]
Soft tissue and other organ abnormalities: [Present/Absent.]
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References:
A novel measure for pectus excavatum: the correction index St. Peter, Shawn D. et al. Journal of Pediatric Surgery , Volume 46 , Issue 12 , 2270 - 2273
Classification of Pectus Excavatum According to Objective Parameters From Chest Computed Tomography Choi, Jin-Ho et al. The Annals of Thoracic Surgery , Volume 102 , Issue 6 , 1886 - 1891
The Depression Index: an objective measure of the severity of pectus excavatum based on vertebral diameter, a morphometric correlate to patient size Fagelman, Kerry M. et al. Journal of Pediatric Surgery , Volume 50 , Issue 7 , 1130 - 1133
Pre-navigation bronchoscopic biopsy
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Pre Lung volume reduction surgery/endobronchial valve placement
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Pre re-do sternotomy
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