Radiology Report Composer
Structure clinically complete radiology reports with systematic findings and evidence-based recom...
What You Can Do
You can transform diagnostic imaging findings into structured, comprehensive radiology reports that organize complex multi-finding studies systematically, clarify differential diagnoses with appropriate clinical context, and deliver actionable recommendations to referring providers. This skill ensures medicolegal documentation completeness while translating technical findings into language that non-radiologist clinicians can act on immediately.
Features
structure complex multi-organ studies with clear anatomic and clinical hierarchy
generate specific, actionable recommendations tied to findings severity and clinical context
flag and appropriately escalate thyroid nodules, adrenal masses, and other incidental discoveries with ACR-compliant communication
articulate diagnostic uncertainty clearly when multiple diagnoses have different management implications
ensure completeness and precision for trauma, abuse, and litigation-related imaging cases
adapt language complexity for emergency medicine, primary care, surgery, and specialist audiences
restructure preliminary reports for clarity and compliance without losing clinical nuance
Example Output
Example 1: Complex CT Chest with Incidental Finding
FINDINGS: Lungs: 8mm right upper lobe nodule, new compared to prior study. No pleural effusion. Mediastinum: Normal heart size, no lymphadenopathy. Incidental: 1.2cm left adrenal nodule, likely adenoma.
IMPRESSION:
- New right upper lobe pulmonary nodule, 8mm
- Incidental left adrenal nodule
RECOMMENDATIONS:
- Follow-up CT chest in 3 months to assess nodule stability per Fleischner criteria
- Left adrenal nodule consistent with benign adenoma; no further follow-up required
Example 2: Brain MRI with Differential Considerations
FINDINGS: Multiple T2/FLAIR hyperintense foci in periventricular and subcortical white matter, nonspecific.
DIFFERENTIAL DIAGNOSIS: Differential includes demyelinating disease (multiple sclerosis), small vessel ischemic disease, and migraine-related white matter changes. Clinical correlation with age, symptom onset, and CSF findings recommended.
RECOMMENDATIONS:
- MR spectroscopy if MS suspected
- Neurology consultation for symptom-based diagnostic clarification
What's Included
- SKILL.md instruction file with complete radiology reporting framework:
- Structured report template with sections for findings, impression, and recommendations:
- Differential diagnosis checklist for common imaging scenarios (chest, abdomen, brain, spine):
- Incidental findings protocol following ACR guidelines for thyroid, adrenal, and renal nodules:
- Provider communication guide with language adjustments for different clinical specialties:
- Medicolegal documentation checklist for trauma and litigation-related studies:
Who It's For
- Radiologists composing diagnostic reports across all modalities (CT, MRI, ultrasound, X-ray, nuclear medicine)
- Radiology residents and fellows developing structured reporting skills and best practices
- Teleradiology providers managing high-volume reporting with consistency requirements
- Physician assistants and nurse practitioners with imaging interpretation responsibilities
- Healthcare organizations standardizing radiology documentation for quality and compliance
Best For
- Complex multi-organ imaging studies requiring systematic organization (CT chest/abdomen/pelvis, spine MRI, brain imaging)
- Incidental findings requiring ACR-compliant recommendations and appropriate escalation
- Differential diagnosis communication where diagnostic uncertainty affects clinical management
- Medicolegal and forensic imaging cases where documentation completeness will be reviewed
- Report revision and editing to improve clarity and clinical actionability for referring providers
- Teaching cases where comprehensive formatting models radiologic best practice
- Non-routine studies requiring clear communication to non-radiologist clinicians
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