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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.

The reporting workspace

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.

Write the report

The form is headed Create Study Report, Edit Study Report or View Study Report depending on what you opened and what you may do with it.
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.

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.”

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.

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.

If something goes wrong

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 in the review queue. Attach it there and the images appear on the order — see Connect your imaging machines.
Save the order before downloading its report. — the order has to exist before a report can be produced from it. Save, 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 — see Audit log.