{"id":"69a22ec7efd4f1d917503f53","name":"MRI Brain and Orbits with and without Contrast","slug":"mri-brain-and-orbits-with-and-without-contrast","description":"Structured template for MRI examination of the brain and orbits with multiplanar imaging and intravenous contrast administration","category":{"modality":"MRI","system":"CNS"},"tags":["brain","orbits","contrast-enhanced","stroke protocol","multiplanar","neuroradiology"],"sections":{"title":{"defaultText":"MRI of the Orbits and Brain Without and With Intravenous Contrast","aiInstructions":"Use the examination type provided in the report header as the title. Include modality (MRI), anatomical regions (orbits and brain), and contrast status (without and with intravenous contrast)."},"clinicalHistory":{"defaultText":"[Patient-specific — populated at report time]","aiInstructions":"Ask the user for: patient age, sex, presenting complaint, relevant clinical history, and reason for the exam. This section contextualizes the entire report. Always include it."},"comparison":{"defaultText":"No prior studies available for comparison.","aiInstructions":"If the report mentions prior studies, specify the date and type of comparison study. Otherwise, use the default text."},"technique":{"defaultText":"Multi-planar MRI of the orbits was obtained utilizing axial (T1 FS, T2 FS), coronal (T2 FS, T1) and bilateral oblique T1 FS images without contrast. Following intravenous contrast administration, axial T1 FS, coronal T1 FS and oblique T1 FS images of the orbits were acquired. Brain imaging included axial (T1, DWI, ADC maps) and sagittal (T1) sequences without contrast, and axial T1 images with contrast.","aiInstructions":"Extract the complete technical parameters from the source report including pulse sequences, planes of imaging, and contrast administration details. Organize by anatomical region (orbits, then brain) and by contrast timing (without contrast first, then with contrast)."},"findings":{"defaultText":"Multiplanar MRI examination of the orbits and brain demonstrates normal anatomy without evidence of acute abnormality.","aiInstructions":"Provide an overview statement summarizing the general impression of the study before detailing individual anatomical structures.","fields":[{"name":"Orbital Globes","defaultText":"The orbital globes are normal in size and symmetric.","aiInstructions":"Document size, symmetry, and any abnormalities such as proptosis, masses, or signal abnormalities. Include assessment of globe contour and clarity."},{"name":"Extraocular Muscles","defaultText":"The extraocular muscles appear unremarkable.","aiInstructions":"Assess size, symmetry, signal intensity, and enhancement pattern of all extraocular muscles. Document any enlargement, edema, or abnormal enhancement."},{"name":"Optic Nerves and Chiasm","defaultText":"The optic chiasm is normal in size with no evidence of impingement.","aiInstructions":"Evaluate caliber, signal intensity, and enhancement of optic nerves. Assess for compression or displacement of the optic chiasm."},{"name":"Pituitary Gland and Sella Turcica","defaultText":"The pituitary gland and sella turcica appear within normal limits. The pituitary stalk appears unremarkable.","aiInstructions":"Document size, shape, signal intensity, and enhancement pattern of the pituitary gland. Assess stalk position and thickness. Evaluate sellar contents and suprasellar region for masses or abnormal enhancement."},{"name":"Cavernous Sinuses","defaultText":"The cavernous sinuses appear unremarkable bilaterally.","aiInstructions":"Assess symmetry, signal intensity, and enhancement pattern. Document any thrombosis, mass, or abnormal enhancement."},{"name":"Orbital Soft Tissues","defaultText":"The orbital soft tissues appear normal.","aiInstructions":"Evaluate orbital fat signal, lacrimal glands, and any masses or abnormal signal within the orbital spaces."},{"name":"Ventricles and Sulci","defaultText":"The ventricles and sulci are normal for the patient's stated age.","aiInstructions":"Document size and configuration of lateral and third ventricles. Assess sulcal prominence and any evidence of hydrocephalus or atrophy."},{"name":"Corpus Callosum","defaultText":"The corpus callosum is well formed and intact.","aiInstructions":"Evaluate continuity, thickness, and signal intensity. Document any agenesis, hypoplasia, or abnormal signal."},{"name":"Cerebral Parenchyma","defaultText":"No evidence of acute infarction, mass lesion, or abnormal signal intensity within the cerebral parenchyma.","aiInstructions":"Assess white matter signal, gray matter differentiation, and any focal abnormalities. Document presence or absence of mass effect or midline shift."},{"name":"Diffusion-Weighted Imaging","defaultText":"The diffusion-weighted images and ADC maps show no evidence of acute infarction or restricted diffusion.","aiInstructions":"Specifically document DWI signal abnormalities and corresponding ADC values. Assess for acute ischemic changes in arterial distributions."},{"name":"Gradient Echo and Susceptibility","defaultText":"The GRE/T2* images show no evidence of parenchymal hemorrhage or abnormal susceptibility artifact.","aiInstructions":"Document presence or absence of microhemorrhages, hemosiderin deposits, or blood products. Assess for vascular malformations or calcifications."},{"name":"Intracranial Collections","defaultText":"There is no evidence of extra-axial collections or subdural/epidural fluid.","aiInstructions":"Evaluate subdural, epidural, and subarachnoid spaces. Document any fluid collections, hematomas, or abnormal signal."},{"name":"Cerebellum and Posterior Fossa","defaultText":"The brainstem, posterior fossa, and cervicomedullary junction appear preserved. The cerebellar tonsils appear to terminate above the level of the foramen magnum.","aiInstructions":"Assess cerebellar hemispheres and vermis for atrophy, signal abnormality, or mass. Evaluate for Chiari malformation or tonsillar herniation. Document brainstem signal and contour."},{"name":"Cerebellopontine Angles","defaultText":"There is no gross mass lesion in the cerebellopontine angles.","aiInstructions":"Document presence or absence of masses, particularly acoustic neuromas or other CPA pathology. Assess for abnormal enhancement."},{"name":"Paranasal Sinuses and Mastoid Air Cells","defaultText":"There are no fluid levels seen within the paranasal sinuses and mastoid air cells.","aiInstructions":"Document aeration status of frontal, maxillary, sphenoid sinuses and mastoid air cells. Note any opacification, fluid levels, or mucosal thickening."},{"name":"Nasopharynx","defaultText":"The visualized nasopharynx appears normal.","aiInstructions":"Assess for masses, adenoid enlargement, or abnormal signal within the nasopharynx."},{"name":"Skull Base and Calvarium","defaultText":"There is no abnormal bone marrow signal within the skull base, calvarium, and visualized upper cervical spine.","aiInstructions":"Document bone marrow signal intensity, any focal lesions, fractures, or abnormal enhancement. Assess temporal bones and clivus."},{"name":"Intracranial Vasculature","defaultText":"Expected flow-voids are present within the visualized intracranial vessels at the skull base level and dural venous sinuses.","aiInstructions":"Document presence of normal flow-voids in major arterial and venous structures. Assess for abnormal signal suggesting thrombosis or dissection. Note any vascular anomalies or abnormal enhancement."}]},"impression":{"defaultText":"No evidence of acute infarction, intracranial hemorrhage, space-occupying mass lesion, or midline shift. Normal MRI examination of the brain and orbits.","aiInstructions":"Synthesize the key findings into a concise clinical impression. State primary findings and their significance. Include any incidental findings. If abnormalities are present, describe their location, characteristics, and clinical relevance. Recommend follow-up imaging or clinical correlation if warranted."}},"aiUsageInstructions":{"summary":"Use this template to generate a complete MRI Brain and Orbits with and without Contrast radiology report.","steps":["1. Collect patient clinical history from the user (age, sex, clinical indication).","2. Confirm whether prior studies are available for comparison.","3. For the Technique section, use defaultText or adapt based on actual acquisition parameters.","4. For each field in sections.findings.fields: ask the user for the finding or infer from clinical context. Use defaultText if the structure is normal.","5. Generate the Impression by summarizing the most significant findings from step 4.","6. Use the aiInstructions for each section to guide the depth and format of the content.","7. Maintain formal radiology report language throughout. Passive voice preferred.","8. If any finding is abnormal, quantify it with measurements and describe its imaging characteristics."],"language":"Formal radiology report language. Passive voice preferred. Avoid first-person pronouns.","format":"Numbered impression list. Prose findings paragraphs or structured field-by-field format both acceptable.","units":"Report measurements in centimeters (cm) for masses, millimeters (mm) for small structures."},"meta":{"canonicalUrl":"https://radiluxreports.com/templates/mri-brain-and-orbits-with-and-without-contrast","claudeApiUrl":"https://radiluxreports.com/templates/api/claude/mri-brain-and-orbits-with-and-without-contrast","useInDashboardUrl":"https://radiluxreports.com/?templateId=69a22ec7efd4f1d917503f53","apiUrl":"https://radiluxreports.com/templates/api/mri-brain-and-orbits-with-and-without-contrast","updatedAt":"2026-03-01T00:12:12.675Z","license":"Free for clinical and educational use. Attribution appreciated."}}