CT report template

CT Head and Brain report template

Copy a blank CT head report scaffold into your reporting system, then replace the prompts with your findings. The same structure is available for dictated reports in RadSpeed.

Technique: Non-contrast CT of the brain.

Typical indications: Trauma, acute headache, suspected haemorrhage, stroke or raised pressure.

Scope: This template covers non-contrast CT head and brain reporting. It is not a CT perfusion or CT angiography report template.

Report sections

The CT Head and Brain report structure, section by section.

  1. Extra-axial spaces for haemorrhage or collection
  2. Brain parenchyma and grey–white differentiation
  3. Ventricles and basal cisterns
  4. Midline and mass effect
  5. Skull, skull base and calvarium
  6. Paranasal sinuses and mastoids

Sample impression

Illustrative and synthetic — not a real case.

  • No acute intracranial haemorrhage.
  • No territorial infarct or mass effect.
  • Age-appropriate involutional change.

Plain-text scaffold

Copyable CT head and brain report format

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

EXAM: CT HEAD / BRAIN
CLINICAL DETAILS: [Indication]
COMPARISON: [Prior study and date, or no comparison available]
TECHNIQUE: [Confirm the non-contrast technique and any limitations]

FINDINGS:
Extra-axial spaces: [Findings]
Brain parenchyma and grey-white differentiation: [Findings]
Ventricles and basal cisterns: [Findings]
Midline and mass effect: [Findings]
Skull and skull base: [Findings]
Paranasal sinuses and mastoids: [Findings]

IMPRESSION:
[Summarise the findings relevant to the clinical question]

From dictation to finished report

Dictate your findings naturally. RadSpeed maps them onto the CT Head and Brain 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.