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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:
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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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Dominance:
Left Main Coronary Artery:
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Left Anterior Descending:
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Left Circumflex:
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Right Coronary Artery:
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Cardiac Morphology:
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Cardiac Function:
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Extracardiac Findings:
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Impression:
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Your Signature:
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