Nowadays, spiral CT is usually equipped with imaging workstation, that is, you can directly type the report on the computer. Of course, the previous machine may still need to be handwritten. Printed reports are of course on ordinary 16 or A4 paper, and the new spiral CT reports in our hospital are also printed. Of course, the doctor can also write it by hand if he wants to. Anyway, it's just a matter of making a blank report form and then writing it yourself.
You're looking for evidence of a fake report, and I don't think you're going to find it. After all, the printed report is now recognized by the medical departments.