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. 2021 Jul 24;21:101530. doi: 10.1016/j.jcot.2021.101530

Table 1.

Elements of a typical Radiology report for Orthopaedic Surgeons.

Attribute Characteristic with examples
1 Date of Exam Date, time of the imaging (e.g. MRI spine for suspected Cauda Equina signifies an urgent imaging)
2 Name or Type of Exam
Type of radiographic view
  • Plain radiographs/CT/MRI/Nuclear medicine imaging

  • With or without contrast

  • Dynamic or Static?

  • Position: standing or sitting ((e.g.) Standing radiographs in knee osteoarthritis)

  • Mobile radiographs: Flexion and extension view in spondylolisthesis

  • Serendipity view (sternoclavicular joint)

  • Judet views (acetabular fracture)

  • Mortice view (ankle injuries)

  • Sunset/skyline view patello femoral dysplasia

  • Von Rosen view (Developmental Dysplasia Hip)

3 Interpreting Radiologist The name of the reporting Radiologist who read the diagnostic imaging exam and available for further clarification of the report if required
4 Clinical Query Background interpretation of clinical history provided by the requesting surgeon and surgeon's query.
5 Type of report
  • A structured report would allow clear understanding of the flow of the report

5 Technique Technical details of the exam (such as “2-view x-ray” or “2 mm axial images for CT” or FS-STIR for MRI), and if contrast was used.
6 Comparison Describe the present study and use past tense to describe comparison with previous studies/images.
7 Contents/Findings
/Impression
  • Clinically relevant findings

  • Radiologist impression of the imaging study. Was it abnormal or a normal finding?

8 Follow-up Suggestions Radiologist recommendation on follow up testing/imaging studies (e.g. a biopsy or additional diagnostic imaging)
9 Subspeciality reporting
  • Oncology reporting for staging of disease and MDT discussion

  • Post-operative implant surgery e.g. Fracture healing/infection clarification

10 Conclusion An effective conclusion to summarise key findings

Abbreviations: CT= Computerised Tomography; MRI = Magnetic Resonance Imaging; FS-STIR= Fat Suppressed - Short-TI Inversion Recovery; MDT = Multidisciplinary Team meeting.