This template is designed for radiologists and clinicians who need consistent, audit-ready radiology reports across modalities. It guides you from patient data through technique, findings, and impression, ensuring clarity and completeness for safe patient care.
What's inside
Study & Patient Information: patient identifiers, demographics, exam date, modality, and indication.
Comparison: prior study details and relevance.
Technique: imaging protocol and sequences used.
Findings: structured, modality-specific observations with emphasis on important structures.
Impression: concise, prioritized summary of key conclusions.
Report Details: sign-off, timestamp, and facility information.
How to use this template
Open the template and replace all placeholders in brackets with real data.
Update the Comparison section with any prior imaging findings relevant to the current exam.
Document Technique and Findings with precise, objective language.
Craft a clear Impression that prioritizes urgent findings and recommended actions.
Review with the referring clinician, then complete the sign-off and save to the EHR.
Why it works
FAQ
How does this improve consistency across reports?
The template enforces a standard structure, reducing omissions and making reports easier to read for clinicians and patients.
Can this template support multi-modality reports?
Yes. It provides dedicated sections for Technique, Findings, and Impression that can be adapted to different modalities (CT, MRI, X-ray, ultrasound) while preserving a uniform format.
Is patient privacy protected in the template?
The template emphasizes capturing essential identifiers and content while allowing you to omit or redact sensitive fields per local policy when sharing drafts.