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M3/M4 Radiology Chest CT Report Form
M3/M4 Radiology Chest CT Report Form
Claripacs Case #:
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Exam Type:
Clinical Indication (see if you can guess the indication after viewing the study):
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Comparison:
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Findings:
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Aorta/Pulmonary arteries:
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Airways/Lungs/Pleura:
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Heart/Mediastinum:
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Bones/Soft tissues:
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Upper abdomen:
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Impression:
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Your Signature:
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