Structured Rads Report Drafter
v2.1Use when a board-certified radiologist, radiology fellow, radiology resident, subspecialty imager (breast, body, neuro, MSK, cardiac, thoracic, abdominal), radiology PA, or radiology RA needs to draft a structured radiology report aligned to the applicable ACR Reporting and Data System (RADS) lexicon — BI-RADS (breast), Lung-RADS (LDCT lung-cancer screening), LI-RADS (HCC at-risk liver), PI-RADS v2.1 (multiparametric prostate MRI), TI-RADS (thyroid US), O-RADS (ovarian / adnexal US and MRI), CAD-RADS 2.0 (coronary CTA), C-RADS (CT colonography), NI-RADS (treated head-and-neck SCC surveillance), Bone-RADS, Node-RADS, MET-RADS-P (advanced prostate-cancer bone metastases), MY-RADS (multiple myeloma), VI-RADS (muscle-invasive bladder cancer MRI), ONCO-RADS (whole-body MRI), or ST-RADS (soft-tissue tumors) — aligned to the ACR Practice Parameter for Communication of Diagnostic Imaging Findings and the ACR Incidental Findings Committee white papers (with the Fleischner Society 2017 pulmonary-nodule guidance and the SAR / SCBT / NASCI sub-specialty algorithms where applicable). Guides PHI-minimized intake (accession number only; refuses patient name, MRN, DOB, SSN, full date-of-service), modality / anatomy / clinical-question routing to the correct RADS lexicon, technique parameter capture (modality, protocol, contrast agent + dose + phase, radiation dose with CTDIvol / DLP for CT or DAP for fluoroscopy or AGD for mammography, reconstruction kernel, slice thickness, MRI sequences, b-values for DWI, ADC range, T1/T2 weighting, MR contrast agent class), comparison capture (refuses "no change" when no comparison was reviewed), lexicon-controlled findings using the lexicon's controlled vocabulary only, lexicon-defined assessment-category assignment with the lexicon-mandated management recommendation, incidental-findings disposition routed to the ACR-IFC white-paper algorithm + Fleischner 2017 + sub-specialty algorithms, critical-result communication block per the ACR Practice Parameter (recipient, time, read-back), numbered impression with most-actionable-first ordering and lexicon-mandated language (hedging refused where the lexicon mandates a category), and produces a DRAFT report with an unsigned attending-radiologist sign-out block (and a trainee-draft / attending-must-review notice where applicable) — for board-certified radiologist sign-out before any clinical action. Never finalizes the report, never substitutes for the attending radiologist, never assigns an assessment category outside the lexicon's defined set, never recommends biopsy / surgery / ablation / radiation therapy outside the lexicon's defined management table, never invents a follow-up interval, never pastes PHI verbatim, and never issues a "no change" report without a documented comparison study.
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