writing radiographic reports e lecture Flashcards
what must the legal person provide
procedures to ensure that a clinical evaluation of the outcome of each exposure is carried out and recorded
what should happen if there is no clinical evaluation
exposure is not justified and must not take place
what will the extent of the report depend on
selection criteria
might be simple
what are the common areas of doubt for normal anatomy
zygomatic buttress locule of antrum submandibular fossa incisive canal mylohyoid ridge
what conditions should we have to read an x ray
methodically
good conditions- light dimmed or x ray viewer
take into account quality
what do we need to check before looking at a radiograph
correct date
correct name
check orientation
what should we comment on when reading a radiograph
comment on quality if obvious error
be able to identify error and if possible demonstrate that you’ve rectified the error
don’t try to justify retrospectively if not possible
what can we check on bitewings
caries( if previous radiographs check for progression) calculus bone levels record as mm perforations overhangs/margins
what can we check on a PA
APICAL STATUS irregular bone levels caries bone level recorded as % root fillings - length condensation
what can we check on a panoramic
Comment on quality may be more relevant here as will justification
• Bone levels - % root length, pattern, furcation involvement, angular defects
• Have a routine to follow
• Comment on mandibular eights if impacted
• Root fillings status
• Check outline of maxillary antrum
what are common radiopacity areas in the mandible
idiopathic osteosclerosis
dense bone island
cemental lesions
what do we need to be careful of in Osseous dysplasia (will learn in 4th year )
careful not to misdiagnose early radiolucent lesion as rarefying osteitis
what are common finings in the antral region
may see inferior conchae
dome shaped radio density on the antral floor- benign antral cyst
thickening of antral lining
antrochoanal polyp
name some other common findings
Radiolucency mandible molar region-Submandibular fossa
• Various projection artefacts especially if poorly positioned
• Condyles can appear to have radiolucency in head or neck
Patchy radiodensities overlying rami
Most likely calcifications within tonsillar crypts
• Soft tissue calcifications eg in lymph nodes
what do we need to consider when writing a report
Does not have to be a full radiology report
• Should be able to demonstrate that each radiograph has been evaluated
• Should provide enough info so that it can be subject to later audit
