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Reporting is the point at which images become a clinical document. You open the study, read it against the indication, write the findings and the impression, and submit — and from then on someone will treat a patient from what you wrote.

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What you’re looking at

Radiology Reports has four tabs: Report templates live under Documents, and a house template is the cheapest way to make ten radiologists’ reports read like one department’s. The report form itself is headed Create Study Report, Edit Study Report or View Study Report depending on what you opened and what you may do with it — the heading is how you tell at a glance whether you have write access to this one. The empty state. A centre with no reported studies yet sees empty charts on Overview and an empty Reports list. That is not the same as a study you cannot find: a study that has been acquired but never reported sits on Imaging Requests as Completed, counted under Reports Due, and is what you open from here.
This is the working reporting screen. The Reports tab on the radiology station is a placeholder marked under development — do not go looking for your worklist there.

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Write the report

1

Attach the study

Use Select Radiology Study to pick the study you are reporting, or Add New Study if you are reporting something not yet on an order.
2

Open the images

The Study Information card tells you what is attached — {n} images attached, or Study attached where the count is not known. Open full viewer opens the study at full resolution, and Study preview images gives you a quick look without leaving the form.Open full viewer only works once your viewer has been configured — see Connect your imaging machines.
3

Read the clinical context first

Clinical Information carries the indication and history the requester entered. Read it before the images; a chest film reported without knowing why it was taken is a worse report.
4

Record the technique

Technical Details takes Technique Used (“e.g., Standard protocol”), Image Quality (Excellent, Good, Acceptable, Poor, Non-diagnostic), Radiation Dose (“e.g., 5.2 mGy”), and where contrast was used Contrast Type (“e.g., Iodinated contrast”) and Volume (“e.g., 100ml”). Marking a study Non-diagnostic is a finding in itself — say so in the report rather than reporting around it.
5

Write the findings

Findings — “Describe the radiological findings…” — is the observation. Describe what is there, including the relevant negatives.
6

Write the impression

Impression — “Clinical impression and diagnosis…” — is the answer to the question that was asked. It is the part the referring clinician will read, and often the only part.
7

Add recommendations

Recommendations (“Follow-up recommendations…”) carries the next step — an interval film, a different modality, a referral. Technician Notes (“Technical notes…”) holds anything about the acquisition itself.
8

Flag a critical finding

Tick Critical Findings where what you have seen needs acting on now. Saving then gives Report saved. Critical findings require immediate communication to the ordering physician. The flag also raises the study on the Critical Findings counter at the radiology station.
9

Save a draft, or submit

Save Draft keeps your work without releasing it — the toast reads Draft saved successfully. Submit Report releases it, with Report submitted successfully; on an existing report the button reads Update Report.
A report that has not been submitted is preliminary, and a preliminary report must never leave the building looking final. Do not download, print, email or read out a draft as though it were a finished report. Submitting is the act that puts your name to it — until then it is working notes, however complete it looks on screen.

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Critical findings are a phone call

The Critical Findings flag records that you found something urgent. It does not tell the referring clinician. Ring them, then flag it, and note in Recommendations who you spoke to and when. The toast asks for exactly this: “Critical findings require immediate communication to the ordering physician.” A referrer’s portal only ever carries released results, and it is a place they visit rather than something that reaches them. Neither the flag nor the portal is a substitute for the call.

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Getting the study and its images

Three actions sit on the Study Information card beside the report: Radiology report downloaded confirms a report download. If you try to download before the order exists you get Save the order before downloading its report. — save first, then download.

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Who can do this

Role decides everything about writing a report here — reporting access is a job title, not a grantable permission. The only permissions on this page belong to the referrer and analytics surfaces beside it. Attempting to submit without reporting access returns You don’t have permission to submit reports — and a Radiology Technician or a Manager meets it, because reporting is Radiologist, Doctor or Owner only. No permission in the Diagnostics catalogue widens that; the fix is the person’s job-title role. There is no per-report release, and no permission for one. A Release a report to a referrer toggle existed until August 2026 and no screen ever read it; it was removed. The referrer portal shows an imaging study the moment its status reaches Reported — submitting the report is the release. A Lab Scientist does not reach the imaging screens at all. Two behaviours surprise people:
  • Enforcement is opt-in, per person. Somebody never saved in the permissions sheet is unrestricted; the sheet warns “Saving starts enforcing”.
  • A denied action is recorded; an allowed one is not. Figures on Overview and Analytics that are not yours to see render hidden or as a dash, never as a zero.
See Roles and Permissions.

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Check it worked

  • The report shows as submitted, and the study’s status has moved to Reported on Imaging Requests.
  • Reports Due on the imaging queue has gone down by one.
  • A critical study is counted under Critical Findings — and you have already phoned the referrer.
  • The report opens from the patient’s record with your findings and impression intact.

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Common issues

You have view-only access to imaging, or the report is already submitted and you do not hold the grant to change it. Submitting returns You don’t have permission to submit reports — see Roles.
The full-resolution viewer has not been configured yet, or the study has no images attached. Both are set up under Connect your imaging machines.
The study arrived without a matching accession number and is waiting under Studies awaiting review on the modalities page. Attach it there and the images appear on the order — see Connect your imaging machines.
The order has to exist before a report can be produced from it. Save it, then download.
The button becomes Retry archive. If it fails repeatedly the bridge at your site is not reaching the archive; check with whoever runs it, then contact support.
Open it again and use Update Report. Both the original and the correction stay in the record, so correct it here rather than working around it — see Audit log.

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FAQ

No. Submitting finishes the document; releasing is what puts it in the referrer’s portal, and that is a separate grant. A referrer sees only released results — see Referring doctors and their portal.
In your own on-site archive. Image pixels never leave your building: the viewer runs in the radiologist’s browser and reads directly from your archive. The only exception is the optional cloud archive you switch on yourself — see Connect your imaging machines.
Yes — house templates live on the Documents tab as Report Templates & Documents. Ten radiologists working from one template is what makes a department’s reports read consistently.
No. Order capture works offline; reporting, result entry and payment do not. A signed clinical document is never merged from two devices — see Working offline.
Only if you share it with them. Reports reach referring doctors through the referrer portal and patients through whatever you send them — the report does not publish itself.