Tn. Ahmad Santoso
MRN 001223 · 58 tahun · Laki-laki · IGD Bed 02 · Accession RAD-2026-000812
Critical suspected
CXR Thorax AP
Images complete
PACS available
No prior
Modality
X-Ray
Body Part
Thorax AP
Requester
dr. Maya
Location
IGD Bed 02
Clinical Question
Pneumothorax?
Image Ready
10:12
Prior Study
None
Next Step
Notify + Sign
Release Readiness
DICOM identity ✅
Accession match ✅
Image complete ✅
Image QC ✅
Report draft Draft
Critical notify ⛔
Digital sign No
SatuSehat map ✅
Possible PTX
Series / Key Images
Series 1 — Thorax AP
1 image · portable AP · ready
Key Image 1
Right apical region marked
Prior Study
No prior available
DICOM Tags
Patient ID and accession match
Radiology Reading State Workflow
Order Requested
09:47
Image Acquired
10:08
Image QC
10:11
Reading
Now
Draft Report
Need final
Critical Notify
Pending
Sign
Blocked
Release
-
Report Editor
Template
X-Ray Thorax AP — Emergency / Pneumothorax Protocol
Technique
Foto thorax portable AP, kualitas cukup untuk evaluasi paru dan mediastinum.
Findings
Tampak hiperlusensi hemitoraks kanan dengan garis pleura visceral di apeks kanan.
Mediastinum tampak sedikit terdorong ke kiri. Corakan bronkovaskular kanan perifer berkurang.
Impression
Kesan: Pneumothorax kanan, curiga tension pneumothorax. Temuan kritis perlu komunikasi segera ke dokter IGD.
Prior / Measurement / Structured Data
Prior study
Tidak ada pemeriksaan thorax sebelumnya.
Key finding
Right pneumothorax with suspected mediastinal shift.
Measurement
Approx. apical pleural gap 3.2 cm.
Structured code
Critical finding category: Thoracic emergency.
Recommendation
Immediate clinical correlation and chest tube consideration.
Critical Finding
Tension pneumothorax suspected. Notification to requesting doctor and IGD nurse is required before completion.
Report Policy
Preliminary report can be signed immediately, then final report can follow as addendum if needed.
PACS Link
DICOM accession and patient ID match. Open PACS button preserves study context.
SatuSehat / FHIR
ImagingStudy and DiagnosticReport mapping ready; sync after final release.