{"id":"69a21bdeefd4f1d917503bca","name":"MRI Brain Without and With Contrast","slug":"mri-brain-without-and-with-contrast","description":"Structured template for brain MRI with and without intravenous contrast, including multiplanar sequences and contrast-enhanced imaging","category":{"modality":"MRI","system":"CNS"},"tags":["brain","contrast","multiplanar","neuroradiology","screening"],"sections":{"title":{"defaultText":"MRI of the Brain Without and With Intravenous Contrast","aiInstructions":"Use the examination title as provided in the source report. Ensure it specifies contrast administration status."},"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":"Extract comparison information from the source report. If no comparison is mentioned or field is blank, use default text."},"technique":{"defaultText":"Multiplanar multi-sequential MR imaging of the brain was performed without intravenous contrast. Sequences include axial T1, T2, FLAIR, GRE, and DWI with calculated ADC maps. Following contrast administration, axial, coronal, and sagittal T1-weighted images were obtained.","aiInstructions":"Preserve the specific sequences and imaging planes mentioned in the source report. Include both pre- and post-contrast imaging details. Maintain technical accuracy regarding sequence types and planes used."},"findings":{"defaultText":"Systematic evaluation of intracranial structures reveals normal findings throughout.","aiInstructions":"Organize findings by anatomical region. Begin with ventricular system and sulci, then address gray matter, white matter, and specific structures. Include assessment of diffusion, enhancement patterns, and vascular flow. End with assessment of paranasal sinuses and mastoid air cells.","fields":[{"name":"Ventricles and Sulci","defaultText":"The ventricles and sulci are age appropriate.","aiInstructions":"Document size and configuration of lateral, third, and fourth ventricles. Describe sulcal pattern and any evidence of hydrocephalus, effacement, or enlargement. Compare to age-appropriate norms."},{"name":"Brain Parenchyma and Enhancement","defaultText":"No abnormal areas of enhancement throughout the brain.","aiInstructions":"Assess for abnormal enhancement on post-contrast T1-weighted images. Document presence or absence of focal or diffuse enhancement patterns. Specify location if abnormalities are present."},{"name":"Diffusion and Acute Ischemia","defaultText":"No restricted diffusion to suggest acute ischemia.","aiInstructions":"Evaluate DWI and ADC maps for areas of restricted diffusion. If present, specify location, size, and vascular territory distribution. Correlate with conventional sequences."},{"name":"Intracranial Hemorrhage","defaultText":"No intracranial hemorrhage.","aiInstructions":"Assess all sequences for blood products. On GRE/SWI sequences, look for susceptibility artifacts indicating hemorrhage. Specify location, size, and associated findings if present."},{"name":"Mass Effect and Midline Structures","defaultText":"No mass, hydrocephalus, midline shift, or herniation pattern.","aiInstructions":"Document presence or absence of mass lesions with size, location, and signal characteristics. Assess for mass effect, midline shift, and signs of herniation."},{"name":"Sella and Pituitary Gland","defaultText":"The sella and pituitary gland are unremarkable.","aiInstructions":"Evaluate pituitary gland size, signal intensity, and enhancement. Assess sellar contents and relationship to surrounding structures. Document any masses or abnormal enhancement."},{"name":"Brainstem and Posterior Fossa","defaultText":"The brainstem, posterior fossa, and cervicomedullary junction are normal.","aiInstructions":"Assess midbrain, pons, and medulla for signal abnormalities, atrophy, or mass effect. Evaluate cerebellar hemispheres, vermis, and fourth ventricle. Document cervicomedullary junction findings."},{"name":"Cerebral Vasculature","defaultText":"The vascular flow voids at the base of the brain are maintained.","aiInstructions":"Assess flow voids in major intracranial vessels (internal carotid, middle cerebral, anterior cerebral, posterior cerebral arteries and vertebral arteries). Document any signal abnormalities suggesting flow disturbance or occlusion."},{"name":"Paranasal Sinuses and Mastoid Air Cells","defaultText":"The visualized paranasal sinuses and mastoid air cells are clear.","aiInstructions":"Document pneumatization and signal intensity of paranasal sinuses and mastoid air cells. Note any opacification, air-fluid levels, or abnormal signal."}]},"impression":{"defaultText":"Unremarkable MRI evaluation of the brain.","aiInstructions":"Synthesize key findings into a concise clinical summary. State primary conclusion regarding normalcy or pathology. List any significant abnormalities with anatomical specificity. Avoid repeating detailed findings; focus on clinical significance and recommendations if applicable."}},"aiUsageInstructions":{"summary":"Use this template to generate a complete MRI Brain Without and With 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-without-and-with-contrast","claudeApiUrl":"https://radiluxreports.com/templates/api/claude/mri-brain-without-and-with-contrast","useInDashboardUrl":"https://radiluxreports.com/?templateId=69a21bdeefd4f1d917503bca","apiUrl":"https://radiluxreports.com/templates/api/mri-brain-without-and-with-contrast","updatedAt":"2026-03-01T00:12:10.544Z","license":"Free for clinical and educational use. Attribution appreciated."}}