RADIOLOGIC REPORTING FOR LIVER MR

PROCEDURE: MRI ABDOMEN WITHOUT AND WITH CONTRAST (DATE) CLINICAL INDICATION: [Hepatocellular carcinoma surveillance]. COMPARISON: [Specify modality: e.g CT, enhanced MRI <date> | None*]. TECHNIQUE: Pre and dynamic post contrast evaluation of the abdomen was performed on a [field strength] Tesla scanner. The following sequences were obtained before contrast administration: [ ]. The following sequences were obtained dynamically before and after contrast administration: [ ] The following sequences were obtained after contrast administration: [ ] [ ] ml of [name of contrast agent] was administered at a rate of [ ] ml/sec with a delay of [ ] sec. Pre-medication [Yes/No]. {If yes}: [ ] Adverse events [Yes/No]. {If yes}: [ ] Image quality is [satisfactory/unsatisfactory]. {if unsatisfactory:} [ ] FINDINGS: Liver: Prior procedural changes: [Yes/No]. {if Yes:} [ ] Liver size: [normal, large, small]. {if Large:} [ ]. {if small:} [ ] Liver morphology [normal/abnormal]. {If abnormal:} [ ] Liver parenchyma [Normal/Abnomal]. {If abnormal:} [ ] Fat deposition: [Yes/No]. {If yes} [focal: location, morphology: patchy, nodular, or diffuse, areas of sparing [location, morphology: patchy, nodular].

Iron deposition: [None; Diffuse, patchy] Nodularity: [None visible; Diffuse, patchy] Reticulation: [None visible; Diffuse, Patchy] Confluent fibrosis: [Yes/No]:{If yes:} [location] Focal liver lesion or mass: [None; number] Size: [# x # cm] or [# x # x # cm] Margin [well defined, ill defined] Shape [round, oval, lobulated, irregular, other] Contour [Smooth/puckered, serrated] Texture: [Homogeneous/Heterogeneous] {if heteroegenous:} [ ] Capsule or pseudocapsule: [Yes, No] {if Yes:}[ ]

Location: intraparenchymal, subcapsular, exophytic, exact location Couinaud segment : [] Image location: series [#] image [#] Signal intensity relative to non fatty liver parenchyma [hypo, iso, hyper] T1-weighted image T2-weighted image T2*-weighted image Diffusion-weighted image Contains lipid [(Yes/No)] Contains blood [(Yes/No)]

Contains iron [(Yes/No)] Restricted diffusion[(Yes/No)] Enhancement [Yes/No] {if Yes,:} [Arterial-phase homogeneous hyperintensity] [Arterial-phase homogeneous iso-intensity] [Arterial-phase homogeneous hypo-intensity] [Arterial-phase peripheral continuous hyperintensity] [Arterial-phase peripheral discontinuous hyperintensity] [Arterial-phase heterogeneous intensity]{Speciffy:}[ ] [Venous-phase homogeneous hyperintensity] [Venous-phase homogeneous iso-intensity] [Venous-phase homogeneous hypo-intensity] [Venous-phase heterogeneous intensity]{Specify:}[ ]

[Hepatocyte phase homogeneous hyperintensity, iso-intensity, hypo-intensity]

Encases (partially or circumferentially) and narrows (Yes/No) hepatic vessels and/or bile ducts [Repeat above if other focal liver lesions or masses are noted] Other findings associated with focal liver lesion(s): [Yes, No]; {if Yes:} [ ] Compared to prior study: Change in size: [Yes/No] {if Yes;} [ ]

Change in other features: [Yes/No] {if Yes;} [ ] Bile ducts Intrahepatic biliary ducts: [Normal/Abnormal]; {if abnormal:} [ ] Extrahepatic bile ducts: [Normal/Abnormal]; {if abnormal:} [ ]

Gall bladder: [Absent/Normal/Abnormal]; {if abnormal:} [ ] Portal venous system Intrahepatic portal venous system: [Normal/Abnormal]; {if abnormal:} [ ] Extrahepatic portal venous system: [Normal/Abnormal]; {if abnormal:} [ ] IVC IVC: [Normal/Abnormal]; {if abnormal:} [ ] Hepatic arterial system Hepatic arterial anatomy classical from the celiac axis [ ]. Arterial (Celiac artery, superior and inferior mesenteric artery,and renal arteries) stenoses [none, describe location and degree of stenosis (mild, moderate, severe)] Aorta is [ ].

Portosystemic varices: [Yes/No]; {if Yes: } [ ] Ascites: [Yes/No]; {if Yes: } [trace, mild, moderate, severe]. Lymph nodes: [location, <Normal size>][<Enlarged; probably reactive>]. Spleen: [ ]. Adrenal glands: [ Kidneys: [ ]. ].

Bones: [ ] Lung bases: [ ] Other findings: [ ] LIVER-SPECIFIC IMPRESSIONS 1. Liver cirrhosis [yes/no]. 2. There are [#] focal liver lesions. [#; all] are [definitely HCC; probably HCC; indeterminate; probably benign; benign]. LIRADS category for each lesion. [# other lesions are ] 3. There is [No/indeterminate /definite] evidence of portal hypertension. {Comments: } [ ] 4. Evidence of extrahepatic spread of HCC: [Yes/No]; {If Yes:} [ ] {Comments:} [ ] 5. Recommendations: [ ]

OTHER IMPRESSIONS: