CT report template

HRCT Chest (Thorax) report template

Copy a blank HRCT chest report into your reporting system. Record the series acquired, describe the distribution and CT features, then complete the impression from your findings.

Technique: Non-contrast high-resolution CT of the chest.

Typical indications: Suspected interstitial lung disease, bronchiectasis or small-airways disease.

Scope: For HRCT assessment of interstitial lung disease, bronchiectasis or small-airways disease. Describe expiratory or prone findings only when those series were acquired. A UIP pattern is not, by itself, a diagnosis of idiopathic pulmonary fibrosis.

Report sections

The HRCT Thorax report structure, section by section.

  1. Distribution and pattern of parenchymal disease
  2. Reticulation, ground-glass and honeycombing
  3. Traction bronchiectasis
  4. Airways and air trapping
  5. Pleura and mediastinum
  6. Bones and visualised structures

Sample impression

Illustrative and synthetic — not a real case. This example describes a UIP pattern, not a stand-alone clinical diagnosis of IPF.

  • Basal, subpleural reticulation with honeycombing.
  • Pattern is consistent with usual interstitial pneumonia.
  • No pleural effusion.

Plain-text scaffold

Copyable HRCT chest report format

Copy this scaffold into your reporting system. Replace each bracketed prompt and remove any line you did not assess.

Independent blank scaffold, not a society-issued template. For reporting guidance, see the 2022 ATS/ERS/JRS/ALAT IPF and PPF guideline.

EXAM: HRCT CHEST
CLINICAL DETAILS: [Indication, relevant history and exposures]
COMPARISON: [Prior study and date, or no comparison available]
TECHNIQUE: [Coverage, slice thickness, contrast status and limitations]
SERIES ACQUIRED: [Inspiratory; expiratory or prone only if performed]

FINDINGS:
Distribution: [Lobar extent; peripheral, central or diffuse; symmetry]
Parenchymal pattern: [Reticulation, ground-glass, consolidation or nodules]
Fibrosis: [Honeycombing, traction bronchiectasis/bronchiolectasis and architectural distortion]
Airways: [Bronchiectasis, wall thickening and mucus plugging where present]
Expiratory series, if acquired: [Air trapping and its distribution]
Prone series, if acquired: [Persistence or resolution of dependent opacities]
Pleura and mediastinum: [Pleural findings and lymph nodes]
Other imaged structures: [Heart, vessels, bones and upper abdomen within scan limits]
Interval change: [Change in distribution, extent or features against the stated comparison]

IMPRESSION:
1. [Dominant findings, distribution and extent]
2. [CT pattern assessment where applicable; interpret with the clinical context]
3. [Interval change, important limitation or additional finding]

From dictation to finished report

Dictate your findings naturally. RadSpeed maps them onto the HRCT Thorax structure above, keeps your reporting style, numbers the impression and returns clean text to your existing workflow. You do not fill in a form — you speak, and the structure is applied for you.

  1. Dictate the findings in any order.
  2. RadSpeed structures them into the sections above and drafts the impression.
  3. Review and sign off — the final wording stays yours.

This template is a reference scaffold with synthetic sample text. It is not clinical guidance, and the sample impression is illustrative only. RadSpeed is assistive software, not a diagnostic device. Never enter patient-identifiable information into public tools.