CT SCAN ABDOMEN

IDENTITAS PASIEN :

LESI / MASSA UTAMA YANG DI TEMUKAN :

DENSITAS :........HU, UKURAN .....X.......X.......CM, BATAS ; ...............TEPI..............

LOKASI .............................................. CONTRAS ENHANCEMENT ............HU. ADAKAH
KOMPONEN KALSIFIKASI ( + / - )........HU, KOMPONEN KISTIK/NECROTIC ( + / -
)........HU, KOMPONEN LEMAK ( + / -)........HU, PERLUASAN
MASSA :............................................................................................................................................
............................................................................................................................................................
....

HEPAR : UKURAN .............CM (CRANIOCAUAL LENGTH, N < 15CM), ........HU,

IHBD/EHBD (MELEBAR /TIDAK), DIAMETER V.PORTA........ CM (N: <13MM),
V.HEPATICA.......CM (N: 6MM), NODUL ( + / -)........HU

GB: UKURAN .........CM (N:<10 CM), TEBAL DINDING .........CM (N <3MM) SLUDGE GB
( + / -), BATU ( + / -)........HU UKURAN ......X.......CM

PANCREAS : UKURAN NORMAL/MEMBESAR ...........................MM, (N: HEAD <3,5 MM,

BODY <2,5MM, TAIL <1,5MM) MASSA ( + / -),...............X.............CM,

LIEN : UKURAN ......X........(CRANIO CAUDAL LENGTH N< 13 CM), NODUL ( + / -

)........HU

REN KANAN : UKURAN : ........X.........X.........CM, ..........HU, ECTASIS PCS ( + / -), KISTA

( + / -)........HU, UKURAN ........X........X........CM, BATU ( + / -)........HU,
UKURAN .......X......X......CM

REN KIRI : UKURAN : ........X.........X.........CM, ..........HU, ECTASIS PCS ( + / -), KISTA ( +

/ -)........HU, UKURAN ........X........X........CM, BATU ( + / -)........HU,
UKURAN .......X......X......CM

BULI : TERISI CAIRAN (CUKUP / TIDAK), TEBAL DINDING .....CM (N< 3MM), BALON
BATTETER ( +/ -), BATU ( + / - ).........................

PROSTAT: MASSA (+ /- )........................................................................., KALSIFIKASI ( + / -

).....................

UTERUS : UKURAN ..........X........X.........CM, MASA (+ / - ),..............................

ADNEXA :..........................................

TULANG TULANG : LESI LITIK/BLASTIC (+ /- )

DI ........................................................................

OSTEOFIT : (+/-)..................., FRACTURE / LISTESIS (+/-

), ........TEHADAP ........,GRADE ......, VACUM PHENOMENON ( +/ - ), DI...................,
SCHMORL'S NODE ( + /- ) DI ...............

CAIRAN BEBAS : PERIHEPATIC (+/-), PERISPLENIC (+/-), CAVUM ABDOMEN (+/-),

CAVUM PELVIS (+/-)

KGB : INGUINAL (+/-), UKURAN ......X.......CM, PRE SACRAL (+/-),

UKURAN ......X.......CM, PARAAORTA (+/-), UKURAN ......X.......CM, AORTOCAVA (+/-),
UKURAN ......X.......CM, PARACAVA (+/-), UKURAN ......X.......CM, PERITUMORAL (+/-),
UKURAN ......X.......CM, KGB DI TEMPAT LAIN......................................................

BASAL PARU : NODUL ( + / - ), UKURAN ......X.......CM DI...............................

EFUSI PLEURA (+/-),KANAN / KIRI HU...............

PARENKIM PARU YANG

TERVISALISASI.......................................................................................
BY: NZ09