
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 Female Pelvis
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
- Pelvis
- Technique
- Post contrast imaging
-
-
Dynamic -
Non-dynamic
-
- Field strength [{decimal} T]
- Contrast media
-
-
None -
Name [ ______ ] -
Amount [{decimal} ml]
-
-
- Image quality
-
-
Satisfactory -
Degraded by motion [ ______ ] -
[ ______ ]
-
- [ ______ ]
- Description [ ______ ]
- Clinical information
-
Pelvic pain -
None -
[ ______ ]
-
-
Suspected pelvic mass -
None -
[ ______ ]
-
- [ ______ ]
-
- Comparison
-
None [ ______ ] -
[ ______ ]
-
- Findings
- Uterus
-
Absent [ ______ ] -
Normal [ ______ ] -
Endometrial thickness [{decimal} mm]
-
-
Configuration -
-
Normal -
Arcuate -
Septate -
Bicornuate -
Unicornuate -
Didelphys -
[ ______ ]
-
-
Endometrium -
Normal [ ______ ] -
Abnormal [ ______ ] -
[ ______ ]
-
- Maximum width [{decimal} mm]
-
Junctional zone [ ______ ] - Adenomyosis
-
None [ ______ ] -
Mild [ ______ ] -
Moderate [ ______ ] -
Severe [ ______ ]
-
-
Maximum thickness [{decimal} mm]
-
Myometrium [ ______ ] - Leiomyomas [ ______ ]
-
-
None - 0+ Leiomyoma
- positiveInteger
- Size
- Measurement [{decimal} ]
-
Measurement [{decimal} ] -
Measurement [{decimal} ]
- Location
-
-
Intracavitary [ ______ ] -
Submucosal [ ______ ] -
Intramural [ ______ ] -
Subserosal [ ______ ] -
Exophytic [ ______ ] -
[ ______ ]
-
- Enhancement
-
-
Present -
- positiveInteger
- "%"
-
[ ______ ]
-
Absent
-
- Image location
- Series number [{positiveInteger} ]
- Image number [{positiveInteger} ]
- [ ______ ]
-
-
-
- Size
- Measurement [{decimal} ]
-
Measurement [{decimal} ] -
Measurement [{decimal} ]
- [ ______ ]
-
- Right ovary
- Size
- Measurement [{decimal} ]
-
Measurement [{decimal} ] -
Measurement [{decimal} ]
- Image location
- Series number [{positiveInteger} ]
- Image number [{positiveInteger} ]
- Left ovary
- Size
- Measurement [{decimal} ]
-
Measurement [{decimal} ] -
Measurement [{decimal} ]
- Image location
- Series number [{positiveInteger} ]
- Image number [{positiveInteger} ]
- Adnexal masses
-
None -
Number [{nonNegativeInteger} ] - 0+ Adnexal mass
- Size
- Measurement [{decimal} ]
-
Measurement [{decimal} ] -
Measurement [{decimal} ]
-
Cystic - Tissue components
-
Unilocular [ ______ ] -
Septated [ ______ ] -
Layering debris [ ______ ] -
Solid nodular components [ ______ ] -
[ ______ ]
-
- Fluid characteristics
-
Simple [ ______ ] -
Mucin [ ______ ] -
Hemorrhage [ ______ ] -
Slight protein or hemorrhage [ ______ ] -
Macroscopic fat [ ______ ] -
Intravoxel fat and water [ ______ ] -
[ ______ ]
-
-
Solid - Components
-
Fibrosis or smooth muscle [ ______ ] -
Papillary projections [ ______ ] -
Non-specific solid tissue [ ______ ] -
Solid nodules [ ______ ] - [ ______ ]
-
- Enhancement
-
Homogeneous [ ______ ] -
Heterogeneous [ ______ ] -
Absent [ ______ ] -
[ ______ ]
-
- Location
-
Right -
Left
-
-
Ovary -
Fallopian tube -
Parovarian -
Peritoneal -
[ ______ ]
-
-
Image location - Series number [{positiveInteger} ]
- Image number [{positiveInteger} ]
-
-
- Cervix
-
Normal [ ______ ] -
[ ______ ]
-
- Vagina
-
Normal [ ______ ] -
[ ______ ]
-
- Bladder
-
Normal [ ______ ] -
[ ______ ]
-
- Lymph nodes [ ______ ]
-
-
Normal [ ______ ] -
Enlarged -
-
Probably reactive [ ______ ] -
Abnormal [ ______ ]
-
-
- Peritoneum
- Physiologic pelvic fluid
-
None -
[ ______ ]
-
- Ascites
-
None [ ______ ] -
Mild [ ______ ] -
Moderate [ ______ ] -
Severe [ ______ ]
-
- Peritoneal implants
-
None -
[ ______ ]
-
- [ ______ ]
- Impression
- [ ______ ]
-
Recommendation [ ______ ]