{"id":"69a21bc5efd4f1d917503bb1","name":"MRI Brain Without and With Contrast - Normal Template","slug":"mri-brain-without-and-with-contrast-normal-template","description":"Structured template for a normal MRI brain study with and without contrast, including standard sequences and anatomical review.","category":{"modality":"MRI","system":"CNS"},"tags":["brain","contrast","flair","dwi","gre","normal"],"sections":{"title":{"defaultText":"MRI of the brain without and with intravenous contrast","aiInstructions":"Use the exact exam title from the input. Do not modify."},"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 input comparison section is blank or contains only placeholder characters, use the default text. If a specific prior study is mentioned, replace the default text with that information."},"technique":{"defaultText":"Multiplanar multi-sequential MR imaging of the brain was performed without and with intravenous contrast. Sequences include noncontrast axial (T1, T2, FLAIR, GRE, DWI), sagittal T1 and coronal FLAIR. ADC maps were also calculated. Following intravenous contrast administration axial, sagittal and coronal T1 sequences were performed.","aiInstructions":"Use the technique description verbatim from the input text. Ensure it is written in complete, professional sentences suitable for a final report."},"findings":{"defaultText":"The brain parenchyma demonstrates normal signal intensity and architecture.","aiInstructions":"This is an overview statement. It should be included in the final report findings section, followed by the detailed anatomical findings from the fields below.","fields":[{"name":"Contrast Enhancement","defaultText":"No abnormal areas of enhancement are identified.","aiInstructions":"Report the presence or absence of abnormal contrast enhancement. If pathology with enhancement is described, replace the default text with the specific finding (e.g., 'There is a heterogeneously enhancing mass in the right frontal lobe.')."},{"name":"Ventricles and Sulci","defaultText":"The ventricles and sulci are normal in size and configuration.","aiInstructions":"Comment on ventricular size, symmetry, and sulcal prominence. Replace default if hydrocephalus, atrophy, or mass effect is present."},{"name":"Diffusion","defaultText":"No restricted diffusion to suggest acute ischemia.","aiInstructions":"Specifically report on DWI/ADC findings related to acute ischemia or other cytotoxic processes. Replace default if restricted diffusion is present."},{"name":"Susceptibility (GRE)","defaultText":"No abnormal susceptibility effect.","aiInstructions":"Report findings from GRE/SWI sequences, such as hemorrhage, microbleeds, or calcifications. Replace default if present."},{"name":"Mass Effect / Herniation","defaultText":"No intracranial mass, hemorrhage, hydrocephalus, midline shift, or herniation pattern is identified.","aiInstructions":"A composite finding for significant space-occupying pathology. Replace default if any of these elements are present."},{"name":"Sella / Pituitary","defaultText":"The sella turcica and pituitary gland are unremarkable.","aiInstructions":"Describe the pituitary gland size, shape, signal, and enhancement. Report any sellar or suprasellar masses."},{"name":"Pineal Region","defaultText":"The region of the pineal recess is unremarkable.","aiInstructions":"Comment on the pineal gland size, cysts, or calcifications."},{"name":"Cerebellar Tonsils","defaultText":"The cerebellar tonsils terminate above the level of the foramen magnum.","aiInstructions":"Specifically describe the position of the cerebellar tonsils to evaluate for Chiari malformation."},{"name":"Brainstem and Posterior Fossa","defaultText":"The brainstem, posterior fossa, and cervicomedullary junction are normal.","aiInstructions":"Describe the brainstem morphology and signal. Evaluate the posterior fossa for masses or structural abnormalities."},{"name":"Vasculature","defaultText":"The vascular flow voids at the base of the brain are maintained.","aiInstructions":"Comment on the patency of the circle of Willis and major intracranial vessels as seen on flow voids. Replace if aneurysms, stenoses, or vascular malformations are noted."},{"name":"Calvarium","defaultText":"No suspicious expansile or destructive calvarial lesions are identified.","aiInstructions":"Evaluate the skull for lytic/blastic lesions, fractures, or marrow signal abnormalities."},{"name":"Paranasal Sinuses and Mastoids","defaultText":"The visualized paranasal sinuses and mastoid air cells are clear.","aiInstructions":"Comment on mucosal thickening, fluid levels, opacification, or bony destruction in these incidentally visualized structures."}]},"impression":{"defaultText":"Unremarkable MRI evaluation of the brain.","aiInstructions":"Provide a concise summary of the most significant findings. For a normal study, state it is unremarkable. If abnormalities are present, list them in order of clinical significance. Number multiple findings."}},"aiUsageInstructions":{"summary":"Use this template to generate a complete MRI Brain Without and With Contrast - Normal Template 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-normal-template","claudeApiUrl":"https://radiluxreports.com/templates/api/claude/mri-brain-without-and-with-contrast-normal-template","useInDashboardUrl":"https://radiluxreports.com/?templateId=69a21bc5efd4f1d917503bb1","apiUrl":"https://radiluxreports.com/templates/api/mri-brain-without-and-with-contrast-normal-template","updatedAt":"2026-03-01T00:12:10.307Z","license":"Free for clinical and educational use. Attribution appreciated."}}