DDHHS CT Biopsy Procedure Report

Patient Details

Location

Procedure Types

Date of Procedure:
Procedure Type:

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Pre-Procedure

Indications

Medications Administered Click to add medications

Approach

Measurements

	Measurements (mm)
Skin to pleura:
Pleura to target lesion:
Angle to chest wall:
Angle to pleura:
Target size (perpendicular, axial slice, lung windows):
Target size (perpendicular, axial slice, soft tissue windows):
Target span (needle path):
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Other Measurements:
Description:	Measurements (mm)




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Biopsy Notes

Biopsy notes:

Complications

Images

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Yes No	Microscopy, culture + sensitivity.
Yes No	Acid fast bacilli smear and culture.
Yes No	Cytology.
Yes No	Histopathology.
Yes No	Flow cytometry.
Yes No	Galactomannan.
Yes No	ThinPrep for NGS.
Yes No	Other.

Yes No	Observations at 15 mins for 1 hour, 30 min for 2 hours, hourly for 4 hours
Yes No	Rest in bed for 4 hours
Yes No	Normal diet after 1 hour
Yes No	Toilet privileges after 4 hours
Yes No	Chest x-ray after 4 hours
Yes No	Notify dyspnoea or any concerns
Yes No	Home after resp reg reviews CXR if OK

Consent type:		Consent obtained from:
Additional notes regarding consent: