I wish your dictaphone transcribed properly too goddamnit!
Discussion
If I had a nickel every time I had to call radiology and ask…”soooooo…is there a PE there or no?…it was dictated as a carry out order” I’d probably have an entire Bitcoin at this point.
Lol…you’d love our reports.
Impression comes first. The PE template has yes or no as item #1. You can get a binary PE answer after reading at most a few words in to the report.
We believe reading the findings section should generally be optional, but most often ignored (for the clinician), unless the impression section specifically alludes to important details that won’t be repeated (often with “, as below” to keep reports as short as possible).
In training, I could get away with “ CT scan of the abdomen and pelvis with IV contrast and no comparison is negative.” And sign the report. Those were the days.
Amen and yes I would.
I’ll read 100-200 studies a day. We have almost 1000 templates (one for each radiology exam), all of which have multiple fields with pick lists to minimize how much we actually have to type.
CHF on chest X-ray? Pick 8. COPD? Pick 3. Standard AM ICU film? Pick 10.
This can’t cover every situation but has reduced typos over 90% in our group.
“Correlate clinically.”
You monsters 😂🤣
Lol…we use that term when it’s obvious to everyone but us. Example: gas in the urinary bladder. Differential includes infection and recent instrumentation. Correlate clinically.
“Possible findings could represent atelectasis, volume overload, pulmonary hypertension, developing pneumonia, COPD, or swallowing a fucking leprechaun. Correlate clinically.”