Interpretation and reporting
Use a structured report: quality, relevant normal anatomy, abnormalities, differential and action. Record who reviewed the image.
Understand
A report should state technical adequacy, relevant findings, differential, clinical significance and recommended action. The interpreter is responsible for the whole image or volume.
Assess
Use a fixed search pattern and document both expected and unexpected findings. Compare with prior studies and ask whether the image explains the presentation.
Apply
Communicate significant or urgent abnormalities and close the loop on follow-up. Avoid a vague “normal” when the examination was limited or an area was not adequately seen.
Key distinctions
A structured radiographic report begins with the study and its quality, then normal anatomy, relevant findings and a conclusion linked to the referral question. Uncertainty should be explicit. For an incidental lesion, record who will explain it, arrange further imaging or referral and check completion; reporting is part of a clinical pathway, not merely a caption.
Think through a case
A radiograph requested for a lower third molar also shows an unrelated jaw lesion. The whole image requires review and a documented plan for the incidental finding.
The distinction to remember
Do not report only the target tooth or fail to communicate a significant unexpected result.
Test your recall
What should happen with an incidental abnormality?
Show answer
Assess its significance and document any follow-up or referral.