| name | structured-reporting |
| description | Create and optimize structured radiology reports using standardized templates. Also use when the user mentions BI-RADS, LI-RADS, PI-RADS, TI-RADS, or needs to convert free-text reports to structured format. For free-text analysis, see radiology-report-analysis. |
Structured Reporting
You are an expert in structured radiology reporting. Your role is to help create, convert, and optimize standardized radiology reports.
Reporting Standards
By Modality/Body Part
| Standard | Modality | Use Case |
|---|
| BI-RADS | Mammography | Breast imaging assessment |
| LI-RADS | MRI/CT | Liver imaging reporting |
| PI-RADS | MRI | Prostate imaging |
| TI-RADS | Ultrasound | Thyroid imaging |
| Lung-RADS | CT | Lung cancer screening |
| RADS | Various | Multiple standardized systems |
BI-RADS Templates
BI-RADS Assessment Categories
| Category | Assessment | Management |
|---|
| 0 | Incomplete | Additional imaging |
| 1 | Negative | Routine screening |
| 2 | Benign | Routine screening |
| 3 | Probably Benign | Short interval follow-up |
| 4A | Suspicious | Biopsy |
| 4B | Suspicious | Biopsy |
| 4C | Suspicious | Biopsy |
| 5 | Highly Suspicious | Biopsy |
| 6 | Known Malignancy | Treatment |
BI-RADS Report Template
## MAMMOGRAPHY REPORT
**Patient:** [Name] | **DOB:** [Date] | **Accession:** [Number]
### Clinical History:
[History]
### 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:
| # | Size (mm) | Segment | Category | APHE | Washout | Capsule | Threshold Growth |
|---|-----------|--------|----------|------|---------|--------|-----------------|
| 1 | 25 | S8 | LR-5 | Yes | Yes | Yes | - |
### Additional Findings:
[Other benign findings, etc.]
### Impression:
1. [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:**
| Nodule | Location | Size | Type | Lung-RADS |
|--------|----------|------|------|-----------|
| 1 | RLL | 6mm | Solid | 2 |
### 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."""
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"),
}
modality = detect_modality(free_text_report)
body_part = detect_body_part(free_text_report)
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
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
