Head CT sample dictation

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[edit] Sample Dictation

Clinical statement: []


Technique: Multiple contiguous 5 mm axial images were obtained from the skull base to the vertex without the use of intravenous contrast.


Comparison: []


Findings: The ventricles and sulci are within normal limits. No intracranial hemorrhage or extra-axial fluid collection is identified. There is no evidence of acute infarct, focal mass lesion or midline shift. The osseous structures are intact. The paranasal sinuses are well-aerated.

Impression: Normal head CT.