The RSNA radiology reporting initiative is improving reporting practices by creating a library of clear and consistent report templates.
Supported in part by the National Institute of Biomedical Imaging and Bioengineering (NIBIB).
MR Brain
This page demonstrates the templates as a synoptic and hierarchical report, with the initial view showing only the template title and the major section headers of the report. By clicking on the section headers it is possible to drill into the content of the template.
- Report
- Procedure
- MR
- Brain
- Modifier [ ______ ]
- Technique
- [ ______ ]
-
Contrast media [ ______ ]
- Description [ ______ ]
- Clinical information
-
Risk factors [ ______ ]
-
Allergies [ ______ ]
-
Reason for exam [ ______ ]
-
Headache [ ______ ]
-
Stroke [ ______ ]
-
Dizziness [ ______ ]
-
Trauma [ ______ ]
-
- [ ______ ]
-
- Comparison
-
None [ ______ ] -
[ ______ ]
-
- Findings
- Extra-axial spaces
-
Normal
-
- "Normal in size and morphology for the patient's age"
-
[ ______ ]
-
Widened [ ______ ]
-
[ ______ ]
-
- Intracranial hemorrhage
-
None [ ______ ]
-
Subdural [ ______ ]
-
Subarachnoid [ ______ ]
-
Epidural [ ______ ]
-
Intraventricular [ ______ ]
-
Parenchymal [ ______ ]
- [ ______ ]
-
-
- Ventricular system
-
Normal
-
- "Normal in size and morphology for the patient's age"
-
[ ______ ]
-
Enlarged [ ______ ]
-
Small [ ______ ]
-
[ ______ ]
-
- Basal cisterns
-
Normal [ ______ ]
-
Enlarged [ ______ ]
-
Small [ ______ ]
-
[ ______ ]
-
- Cerebral parenchyma
-
Normal [ ______ ]
-
Microvascular changes [ ______ ]
-
Infarction [ ______ ]
-
Encephalomalacia [ ______ ]
-
Gliosis [ ______ ]
-
Hemorrhage [ ______ ]
- [ ______ ]
-
-
-
Midline shift
-
-
None [ ______ ]
-
Leftward shift [ ______ ]
-
Rightward shift [ ______ ]
-
- Cerebellum
-
Normal [ ______ ]
-
[ ______ ]
-
- Brainstem
-
Normal [ ______ ]
-
[ ______ ]
-
- Calvarium
-
Normal [ ______ ]
-
Osteolysis [ ______ ]
-
Sclerosis [ ______ ]
- [ ______ ]
-
-
- [ ______ ]
- Vascular system
-
Normal flow voids [ ______ ]
-
Atheroma [ ______ ]
-
Occlusion [ ______ ]
-
Dissection [ ______ ]
- [ ______ ]
-
-
- Paranasal sinuses and mastoid air cells
-
Clear [ ______ ]
-
Scattered mild inflammatory mucosal thickening [ ______ ]
-
[ ______ ]
-
- Visualized orbits
-
Normal [ ______ ]
-
[ ______ ]
-
- Visualized upper cervical spine
-
Normal [ ______ ]
-
[ ______ ]
-
- Sella
-
Normal [ ______ ]
-
[ ______ ]
-
- Skull base
-
Normal [ ______ ]
-
[ ______ ]
-
- Marrow
-
Normal [ ______ ]
-
[ ______ ]
-
- [ ______ ]
- Impression
- [ ______ ]
-
Recommendation [ ______ ]