{"id":"69a233faefd4f1d91750429b","name":"MRI Brain Without and With Contrast","slug":"mri-brain-without-and-with-contrast-2","description":"Comprehensive MRI brain protocol with multiplanar sequences before and after intravenous gadolinium contrast administration","category":{"modality":"MRI","system":"CNS"},"tags":["brain","contrast","stroke protocol","dwi","multiplanar","neuro"],"sections":{"title":{"defaultText":"MRI of the Brain Without and With Intravenous Contrast","aiInstructions":"Use the examination title as provided in the input. This is a standard MRI brain study with contrast enhancement."},"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 comparison studies are mentioned in the report, document the specific prior exam type and date. If comparison section is blank or states no priors, use default text."},"technique":{"defaultText":"Multiplanar multi-sequential MR imaging of the brain was performed. Non-contrast sequences include axial T1-weighted, T2-weighted, FLAIR, GRE, and DWI images; coronal FLAIR images; and sagittal T1-weighted images. ADC maps were calculated. Following intravenous gadolinium contrast administration, axial, coronal, and sagittal T1-weighted images were obtained.","aiInstructions":"Document all sequences used in the study. Include details about contrast administration timing (pre-contrast and post-contrast sequences). Preserve specific sequence names and planes as documented."},"findings":{"defaultText":"Detailed examination of intracranial structures reveals normal findings throughout.","aiInstructions":"Organize findings by anatomical region. Present observations in a logical anatomical sequence. Include negative findings for key structures assessed (absence of acute infarction, hemorrhage, mass effect). Avoid redundancy while ensuring completeness.","fields":[{"name":"Ventricular System and Sulci","defaultText":"The ventricles and sulci are normal for patient's stated age.","aiInstructions":"Document size and configuration of lateral ventricles, third ventricle, and fourth ventricle. Describe sulcal pattern. Note any enlargement, compression, or abnormal morphology. Specify age-appropriate findings if relevant."},{"name":"Diffusion-Weighted Imaging and Acute Infarction","defaultText":"The diffusion-weighted images and ADC maps show no evidence of acute infarction or restricted diffusion.","aiInstructions":"Assess for areas of restricted diffusion indicating acute ischemia. Document normal ADC values and absence of acute infarction. If acute infarction present, specify location, vascular distribution, and size."},{"name":"Hemorrhage and Susceptibility","defaultText":"The GRE/T2* images show no evidence of parenchymal hemorrhage or abnormal susceptibility artifact.","aiInstructions":"Evaluate for blood products using gradient echo sequences. Document absence of acute, subacute, or chronic hemorrhage. Note any microhemorrhages or hemosiderin deposition if present."},{"name":"Mass Effect and Midline Structures","defaultText":"There is no evidence of extra-axial collections, space-occupying mass lesion, mass-effect or midline shift.","aiInstructions":"Assess for intracranial masses, subdural or epidural collections, and mass effect on adjacent structures. Evaluate midline shift of falx and septum pellucidum. Document any abnormal masses with location, size, and signal characteristics."},{"name":"Corpus Callosum","defaultText":"The sagittal images demonstrate well formed intact corpus callosum.","aiInstructions":"Describe corpus callosum morphology including genu, body, and splenium. Note any agenesis, hypoplasia, or abnormal signal. Document integrity and normal appearance."},{"name":"Posterior Fossa and Cerebellar Tonsils","defaultText":"The cerebellar tonsils appear to terminate above the level of foramen magnum. The brainstem, posterior fossa and cervicomedullary junction appear preserved.","aiInstructions":"Assess cerebellar tonsil position relative to foramen magnum. Document absence of Chiari malformation or tonsillar descent. Evaluate brainstem signal and morphology. Note any mass lesions or abnormal signal in posterior fossa structures."},{"name":"Sellar Region and Pituitary","defaultText":"The sella turcica, pituitary gland, optic chiasm and suprasellar region appear within normal limits.","aiInstructions":"Describe pituitary gland size, signal intensity, and contour. Evaluate for mass lesions, signal abnormalities, or compression of optic chiasm. Document normal sellar anatomy and suprasellar cistern patency."},{"name":"Cerebellopontine Angles","defaultText":"There is no gross mass lesion in the cerebellopontine angles.","aiInstructions":"Assess for acoustic neuromas, meningiomas, or other mass lesions. Document normal cerebellopontine angle cisterns bilaterally. Note any abnormal signal or mass effect."},{"name":"Orbital Soft Tissues and Nasopharynx","defaultText":"The orbital soft tissues and visualized nasopharynx appear normal.","aiInstructions":"Document normal appearance of orbital contents, extraocular muscles, and optic nerves. Assess nasopharynx for masses or abnormal signal. Note any abnormalities in visualized orbital or nasopharyngeal structures."},{"name":"Paranasal Sinuses and Mastoid Air Cells","defaultText":"There are no fluid levels seen within paranasal sinuses and mastoid air cells.","aiInstructions":"Document aeration status of frontal, maxillary, ethmoid, and sphenoid sinuses. Assess mastoid air cells for aeration or fluid. Note any opacification, fluid levels, or mucosal thickening."},{"name":"Skull Base, Calvarium, and Upper Cervical Spine","defaultText":"There is no abnormal bone marrow signal within the skull base, calvarium, and visualized upper cervical spine.","aiInstructions":"Evaluate bone marrow signal for abnormalities including edema, infiltration, or pathologic signal. Assess skull base and calvarium for lytic or sclerotic lesions. Document normal appearance of visualized cervical vertebrae and alignment."},{"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 normal flow-voids in major arteries and dural venous sinuses. Assess for abnormal signal indicating thrombosis, dissection, or abnormal flow. Note patency of cavernous sinuses and superior sagittal sinus."}]},"impression":{"defaultText":"No evidence of acute infarction, intracranial hemorrhage, space-occupying mass lesion, or midline shift.","aiInstructions":"Synthesize key findings into a concise summary statement. Lead with most significant findings. Include definitive statements about absence of acute pathology when applicable. If abnormalities are present, prioritize by clinical significance. Avoid repeating detailed descriptions from findings section."}},"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-2","claudeApiUrl":"https://radiluxreports.com/templates/api/claude/mri-brain-without-and-with-contrast-2","useInDashboardUrl":"https://radiluxreports.com/?templateId=69a233faefd4f1d91750429b","apiUrl":"https://radiluxreports.com/templates/api/mri-brain-without-and-with-contrast-2","updatedAt":"2026-03-01T00:12:17.725Z","license":"Free for clinical and educational use. Attribution appreciated."}}