California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures for Hospitals
Document X-Ray/Scan findings in this text field to capture relevant positive and negative findings on imaging or scans performed.
Enter findings from the X-rays, computerized axial tomography (CT or CAT scans), magnetic resonance imaging (MRI), echosonography, and other imaging used to diagnose or stage the cancer in the following order:
Record dates of the image
Enter the Facility/Location of where the image was preformed
Enter the findings, positive and negative results, including:
A description of the primary tumor and whether or not it is multi-focal
Location of the primary tumor
Tumor Size
Extent to which the tumor has spread
Involvement or non-involvement of lymph nodes
Use standard medical abbreviations when possible to save space. See Appendices M.1 and M.2 for common acceptable abbreviations.
Enter "none" if no X-rays or scans were performed.