Normal CTA Head and Neck Report Template
Normal CT angiogram head and neck report template: arch, cervical and intracranial vessels, circle of Willis, with stenosis and aneurysm wording notes.
EXAMINATION: CT angiogram of the head and neck. CLINICAL HISTORY: [indication] COMPARISON: None available. TECHNIQUE: Axial helical images from the aortic arch through the vertex following intravenous contrast administration, with multiplanar and maximum-intensity-projection reformats. FINDINGS: Aortic arch and great vessel origins: Normal arch configuration. The great vessel origins are patent without stenosis. Cervical carotid arteries: The common and internal carotid arteries are patent bilaterally. No hemodynamically significant stenosis of either carotid bifurcation by NASCET criteria. No dissection. Cervical vertebral arteries: Patent and codominant without stenosis, occlusion or dissection. Intracranial arteries: The intracranial internal carotid, middle, anterior and posterior cerebral arteries, vertebral arteries and basilar artery are patent. No occlusion, flow-limiting stenosis or aneurysm. Circle of Willis: Patent, with conventional configuration. Venous structures: The visualized dural venous sinuses opacify normally. Brain: No acute territorial infarct or hemorrhage on source images. Neck soft tissues: No suspicious mass. Airway patent. IMPRESSION: 1. No stenosis, occlusion, dissection or aneurysm of the cervical or intracranial arteries.
Dictation notes
- Quantify any carotid stenosis by NASCET and name the method — a percentage without a criteria set is unanswerable at the surgical conference.
- Trace each vertebral artery through the skull base on source images; V3-V4 dissection hides in the reformats.
- State circle of Willis variants (fetal PCA, hypoplastic A1) — they change what an occlusion downstream means.
Related references
Frequently asked questions
What does a normal CTA head and neck report cover?
A CTA head and neck report covers the aortic arch and great vessel origins, the cervical carotid arteries with stenosis graded at the bifurcations, the cervical vertebral arteries, the intracranial arteries including the circle of Willis, the dural venous sinuses as visualized, the brain on source images, and the neck soft tissues and airway. The normal impression states no stenosis, occlusion, dissection or aneurysm of the cervical or intracranial arteries.
How should carotid stenosis be quantified on CTA?
Carotid stenosis on CTA should be quantified by NASCET criteria — the residual lumen compared with the normal distal internal carotid artery — and the report should name the method used. A bare percentage without a criteria set cannot be acted on at a surgical or endovascular conference, because different measurement conventions yield different numbers for the same lesion and the revascularization trial thresholds were defined with NASCET.
Why should circle of Willis variants be reported on CTA?
Variants such as a fetal-origin posterior cerebral artery or a hypoplastic A1 segment change what a downstream occlusion means — collateral routes that would normally compensate may be absent, and a territory may depend on a different parent vessel than expected. Stating the configuration also prevents a normal variant from being misread as an occlusion on a later study. V3-V4 vertebral segments deserve tracing on source images, where dissection hides.
MyRadAgent turns a scratch dictation into this report — structured, guideline-checked, in your own section headers and phrasing. It learns your style from every correction. Free trial: 100 reports over 14 days, no card, no IT ticket.
Draft a report with it → or watch the live demo first — no signup →