Structured Reporting

Technique:

[Standard views, supplementary views]

Comparison:

[Prior studies compared]

Findings:

Left Breast:

[Location]: [Finding] [size if applicable] Right Breast:

[Location]: [Finding] [size if applicable]

Assessment:

BI-RADS: [Category]

• [Description]

Recommendations:

[Follow-up recommendations] LI-RADS Templates LI-RADS Categories Category Definition LR-1 Definitely benign LR-2 Probably benign LR-3 Intermediate probability of malignancy LR-4 Probably HCC LR-5 Definitely HCC LR-M Probably malignant, not HCC specific LI-RADS Report Template

LIVER IMAGING REPORT

Study: MRI Liver with contrast | Accession: [Number]

Clinical History:

[ cirrhosis surveillance / elevated AFP / etc. ]

Technique:

[ MRI sequences, contrast agent ]

Liver Observations:

Additional Findings:

[Other benign findings, etc.]

Impression:

[LR-X] - [Size] hemodynamically [characteristic] in [Location]

Recommendations:

[Follow-up imaging / biopsy / treatment] PI-RADS Templates PI-RADS Assessment Category Assessment PI-RADS 1 Very low PI-RADS 2 Low PI-RADS 3 Intermediate PI-RADS 4 High PI-RADS 5 Very high PI-RADS Report Template

PROSTATE MRI REPORT

Study: Multiparametric MRI Prostate | Accession: [Number]

Clinical History:

[PSA level, previous biopsies, clinical suspicion]

Technique:

[T2W, DWI, DCE sequences]

Prostate Volume:

[Volume in cc]

Findings:

Transition Zone:

[Location, size, PIRADS score, description] Peripheral Zone:

[Location, size, PIRADS score, description] Extra-prostatic Extension: [Present / Not identified] Seminal Vesicles: [Involved / Not involved] Lymph Nodes: [Suspicious / Not suspicious]

Assessment:

PI-RADS: [Score]

• [Clinical significance]

Recommendations:

[Biopsy guidance / follow-up] TI-RADS Templates TI-RADS Categories Category Risk Recommendation TR1 None None TR2 Very low None TR3 Low Follow-up TR4 Intermediate FNA if criteria met TR5 High FNA recommended TI-RADS Report Template

THYROID ULTRASOUND REPORT

Study: Thyroid Ultrasound | Accession: [Number]

Clinical History:

[Indication for study]

Findings:

Right Lobe:

[Size], [echogenicity], [margins], [calcifications], [TI-RADS: TR-X] Left Lobe:

[Same parameters] Isthmus:

[Findings] Central Neck:

[Lymph nodes, if visible]

Assessment:

TI-RADS: [Category]

• [Description]

Recommendations:

[FNA if indicated, follow-up schedule] Lung-RADS Templates Lung-RADS Categories Category Findings Management 0 Incomplete Additional evaluation 1 No nodules Continue annual screening 2 Benign Continue annual screening 3 Probably benign 6-month follow-up 4A Suspicious 3-month follow-up or PET 4B Very suspicious Chest CT with/without PET 4C

Evaluate as 4B S Significant incidental finding

Lung-RADS Report Template

CT CHEST LUNG CANCER SCREENING REPORT

Study: Low-dose CT Chest | Accession: [Number]

Clinical History:

[Age, smoking history, eligibility criteria]

Findings:

Lungs:

[Nodules identified with characteristics]

Location: [Lobe]

Size: [mm]

Type: [Solid/GGS/Mixed]

Margins: [Smooth/irregular/spiculated] Nodule Analysis:

Assessment:

Lung-RADS: [Category]

Recommendations:

[Based on category - follow-up/CT/PET/biopsy]

Additional Findings:

[Any significant incidental findings] Free-Text to Structured Conversion def convert_free_to_structured ( free_text_report ): """Convert free-text report to structured format."""

Extract key sections

sections = { "clinical_history" : extract_section(free_text_report, "CLINICAL|HISTORY|INDICATION" ), "findings" : extract_findings(free_text_report), "impression" : extract_section(free_text_report, "IMPRESSION|CONCLUSION" ), }

Identify modality and body part

modality = detect_modality(free_text_report) body_part = detect_body_part(free_text_report)

Select appropriate template

if "BREAST" in free_text_report.upper(): template = "BI-RADS" elif "LIVER" in free_text_report.upper(): template = "LI-RADS" elif "PROSTATE" in free_text_report.upper(): template = "PI-RADS" elif "THYROID" in free_text_report.upper(): template = "TI-RADS" else : template = "GENERAL" return { "original" : free_text_report, "structured" : sections, "template" : template, "modality" : modality, "body_part" : body_part } Report Quality Checklist All required sections present Clinical indication documented Comparison with priors noted All findings described with size/characteristics Appropriate standard scoring used (BI-RADS, LI-RADS, etc.) Impression clearly states most significant findings Recommendations actionable and specific Incidental findings addressed Related Skills radiology-report-analysis : For analyzing existing reports impression-generation : For AI-assisted impression writing patient-results-letter : For patient communication guideline-integration : For standard compliance Examples Example 1: BI-RADS Report Generate a BI-RADS 4A report for a spiculated mass Left Breast:

2 o'clock: 15mm spiculated mass with suspicious calcifications Assessment: BI-RADS: 4A - Low suspicion for malignancy Recommendations: Ultrasound-guided biopsy recommended Example 2: Free-Text to Structured Convert: "CT chest shows 2.5cm mass in right upper lobe. No mediastinal lymphadenopathy. Suspicion for malignancy." Findings:

Lungs: 25mm spiculated mass, right upper lobe

Mediastinum: No lymphadenopathy Assessment:

Lung mass, concerning for malignancy Recommendations:

PET/CT for staging

CT-guided biopsy