大五診療實習影像診斷 X-RAY 報告

組別： 學號： 姓名： 日期：

Animal Information
Reg. No. Species:
Pet Name: Breed:
Sex: M F Neutered? Y N
Age: Body weight:
Examination Date:
Reasons for Examination

Imaging Findings: (1. Image quality evaluation, 2. Findings description)

Radiological Differential Diagnosis and Recommendation:

Discussion & Reference

52
 大五診療實習影像診斷 CT 報告
組別： 學號： 姓名： 日期：

Part 1 - __:

Question no. Answer

A
B
C
D
E
F
G
H
I
J

Part 2 - CT Report

Animal Information
Reg. No. Species:
Pet Name: Breed:
Sex: M F Neutered? Y N
Age: Body weight:
Examination Date:

Chief complaint/Reasons for examination:

Imaging findings:

Differential diagnosis / Recommendations:

Reference:

53