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).
Esophagram
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
- //Esophagram
- Radiography
- Esophagus
- Contrast material [ ______ ]
-
Barium [ ______ ] -
Water-soluble contrast [ ______ ]
-
Gas granules [ ______ ]
-
- [ ______ ]
- Clinical information
-
Chest pain [ ______ ]
-
Gastroesophageal reflux [ ______ ]
-
Dysphagia [ ______ ]
-
Odynophagia [ ______ ]
-
Motility disorder [ ______ ]
-
Esophagitis [ ______ ]
-
Stricture [ ______ ]
-
Varices [ ______ ]
-
Neoplasm [ ______ ]
-
Esophageal obstruction [ ______ ]
-
Postoperative assessment [ ______ ]
- [ ______ ]
-
- Comparison
-
None [ ______ ] -
[ ______ ]
-
- Findings
-
Preliminary radiograph
-
Normal [ ______ ]
-
[ ______ ]
-
- Swallowing
-
Normal [ ______ ]
-
Abnormal [ ______ ]
-
[ ______ ]
-
- Esophagus
-
Normal [ ______ ]
-
Mucosal surface
-
Normal [ ______ ]
-
[ ______ ]
-
-
Stricture
-
None
-
[ ______ ]
-
-
Motility
-
Normal [ ______ ]
-
Abnormal [ ______ ]
-
[ ______ ]
-
-
Emptying
-
Normal [ ______ ]
-
[ ______ ]
-
- [ ______ ]
-
-
- Gastroesophageal reflux
-
Not observed [ ______ ]
-
Lower esophagus [ ______ ]
-
Upper esophagus [ ______ ]
-
Oropharynx [ ______ ]
-
[ ______ ]
-
- Fluoroscopy time
- decimal
- "minutes"
- [ ______ ]
-
- Impression
-
Normal [ ______ ]
-
Abnormal [ ______ ]
-
[ ______ ]
-
- [ ______ ]