Structured Radiology Report Composer
Convert imaging observations into ACR-compliant structured radiology reports
What You Can Do
You can convert imaging observations and clinical context into complete, structured radiology reports that meet ACR standards for documentation completeness and precision. The skill organizes findings by clinical significance, generates evidence-based differential diagnoses, structures impressions with proper clinical language, and ensures all critical elements are included to support clinical decision-making in high-volume reporting environments.
Features
Formats findings, impression, and recommendations according to American College of Radiology standards for legal and clinical compliance
Ranks findings by importance to ensure critical pathology is prominently featured and actionable
Develops clinically appropriate differential diagnoses based on imaging patterns and clinical context
Integrates findings from CT, MRI, X-ray, ultrasound, or fluoroscopy into unified, coherent narratives
Structures prior vs. current comparison with appropriate language for stability, progression, or resolution
Identifies missing critical elements (recommendations, follow-up, incidental findings) before sign-out
Maintains standardized language and formatting aligned with departmental protocols
Uses clinically appropriate, defensible terminology that avoids ambiguity and supports patient care continuity
Example Output
Input: CT chest findings: right upper lobe 8mm nodule, new since 2020; mild bronchiectasis; no pleural effusion or lymphadenopathy
Output: FINDINGS: Right upper lobe 8 mm noncalcified nodule (axial image 45), new compared to prior study from [date]. Mild bronchiectasis of bilateral lower lobes, unchanged. No pleural effusion. No focal consolidation. Mediastinal and hilar lymph nodes are within normal limits by size criteria.
IMPRESSION: 1. New 8 mm right upper lobe noncalcified pulmonary nodule. 2. Mild bronchiectasis, stable.
RECOMMENDATION: Follow-up CT chest without contrast in 3 months per Fleischner Society guidelines for nodules 6-8 mm in low-risk patients.
Input: Ultrasound abdomen observations: gallbladder 3.2 cm, no stones, wall thickness normal; liver echotexture normal; no ascites; spleen 11 cm
Output: FINDINGS: The gallbladder measures 3.2 cm in transverse diameter without evidence of cholelithiasis or wall thickening. The liver demonstrates normal echotexture without focal lesion. The spleen measures 11 cm in greatest dimension (upper limit normal). No ascites identified.
IMPRESSION: Unremarkable abdominal ultrasound.
RECOMMENDATION: No follow-up required.
What's Included
- SKILL.md instruction file: Complete prompt with ACR reporting standards and structured templates
- Report structure template: Findings, impression, and recommendation sections with example formatting
- Differential diagnosis framework: Clinically organized hierarchy based on likelihood and clinical significance
- Multi-modality comparison checklist: Ensures interval change assessment captures all pertinent prior findings
- ACR compliance verification checklist: Quality assurance items to validate completeness before sign-out
Who It's For
- Radiologists and attending physicians — Accelerating routine and complex report composition during high-volume clinical workflow
- Radiology residents and fellows — Learning structured reporting conventions and ACR-compliant documentation patterns
- Teleradiology providers — Standardizing report format and completeness across distributed reading locations
- Quality assurance reviewers — Verifying report completeness and identifying omissions before sign-out
- Radiology department coordinators — Preparing structured templates and institutional protocol documentation
Best For
- Routine diagnostic imaging reporting (CT, MRI, X-ray, ultrasound, fluoroscopy)
- Multi-modality case synthesis requiring unified narrative structure
- Interval change assessment comparing prior and current studies
- Incidental finding documentation with appropriate follow-up recommendations
- Second-opinion and peer review report formalization
- Quality assurance verification of completeness and ACR compliance
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