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).
Peds Upper GI
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
- //Upper GI Series
- XR
- Upper GI
- Technique
- Contrast material
-
- Given by
-
-
Mouth -
Feeding tube
-
Gastrostomy tube
-
[ ______ ]
-
-
Barium
-
[ ______ ]
- positiveInteger
-
-
Water-soluble contrast
-
[ ______ ]
- positiveInteger
-
-
[ ______ ]
-
- [ ______ ]
- Description
-
- "Images of the esophagus, stomach, duodenum, and proximal mesenteric bowel were obtained."
-
[ ______ ]
- Clinical information
-
Vomiting -
Bilious [ ______ ]
-
Non-bilious [ ______ ]
-
[ ______ ]
-
-
Gastro-esophageal reflux [ ______ ]
-
Dysphagia [ ______ ]
- [ ______ ]
-
- Comparison
-
None [ ______ ]
-
[ ______ ]
-
- Findings
- Preliminary view
-
Normal [ ______ ]
-
[ ______ ]
-
- Swallowing
-
Normal [ ______ ]
-
Abnormal [ ______ ]
-
[ ______ ]
-
- Aspiration
-
None
-
[ ______ ]
-
- Esophagus
-
Normal [ ______ ]
-
Caliber
-
Normal [ ______ ]
-
[ ______ ]
-
-
Motility
-
Normal [ ______ ]
-
Abnormal [ ______ ]
-
[ ______ ]
-
-
Emptying
-
Normal [ ______ ]
-
[ ______ ]
-
- [ ______ ]
-
-
- Stomach
-
Normal [ ______ ]
-
Size
-
-
Normal [ ______ ]
-
Small [ ______ ]
-
Large [ ______ ]
-
[ ______ ]
-
-
Gastric mucosa
-
-
Normal [ ______ ]
-
Thin [ ______ ]
-
Thickened [ ______ ]
-
-
Penetrating ulcer
-
Present [ ______ ]
-
Absent [ ______ ]
-
[ ______ ]
-
-
Emptying into duodenum
-
-
Normal [ ______ ] //Empties promptly
-
Slow [ ______ ]
-
Absent [ ______ ]
-
- [ ______ ]
-
-
- Duodenum
-
Normal [ ______ ]
-
Caliber
-
-
Normal [ ______ ]
-
Dilated [ ______ ]
-
[ ______ ]
-
-
Obstruction
-
-
None [ ______ ]
-
Location
-
-
First portion [ ______ ]
-
Second portion [ ______ ]
-
Third portion [ ______ ]
-
Fourth portion [ ______ ]
-
[ ______ ]
-
-
[ ______ ]
-
- [ ______ ]
-
-
- Duodenojejunal junction //Ligament of Treitz
-
-
Normal
-
- "Normal and located in the left upper quadrant of the abdomen."
-
[ ______ ]
-
Abnormal [ ______ ]
-
[ ______ ]
-
- Gastroesophageal reflux
-
Not observed [ ______ ]
-
Lower esophagus [ ______ ]
-
Upper esophagus [ ______ ]
-
Oropharynx [ ______ ]
-
- [ ______ ]
- Impression
- Gastroesophageal reflux
-
Present [ ______ ]
-
Absent [ ______ ]
-
[ ______ ]
-
- Gastric emptying
-
-
Normal [ ______ ]
-
Delayed [ ______ ]
-
- Intestinal malrotation
-
Present [ ______ ]
-
Absent [ ______ ]
-
[ ______ ]
-
- Duodenal obstruction
-
Present [ ______ ]
-
Absent [ ______ ]
-
[ ______ ]
-
- [ ______ ]