2.2.1-Attachment 1 - PWS_Appendix 3.pdf

This document is a medical imaging interpretation template for chest X-ray TB screening assessments. It provides standardized reporting formats for both negative and abnormal radiographic findings.

For negative/normal films, the template documents a single PA view chest X-ray examination with clinical data evaluating for tuberculosis. The findings section specifies normal parameters including midline trachea, normal heart size, absence of infiltrate, effusion, pneumothorax, acute pathology, atherosclerotic disease, and osseous abnormalities. The impression indicates negative screening for active TB disease with a normal chest X-ray result, requiring nurse review and clearance for the general population. For abnormal films, the template indicates that findings vary according to identified abnormalities and provides a positive screening impression for active TB disease when pulmonary parenchymal findings, pleural findings, and/or mediastinal lymphadenopathy are present that cannot exclude active TB. In such cases, providers should apply the IHSC TB Clinical Guideline screening algorithm using Category A, B, or C classifications to determine further action if necessary.