Bone marrow edema — when relevant?

Edema may indicate stress fracture, osteochondral lesion, active synovitis, infection, neoplasm or chronic inflammation (transient marrow edema syndrome). Always correlate with clinic and pattern.

MR arthrography — when?

Detailed evaluation of labrum (shoulder, hip), scapholunate ligament, ligaments of the elbow and ankle. Not routine — case-by-case based on suspicion.

MRI vs US for tendons — when each?

US: dynamic study, guided injection, superficial tendinopathy, cost. MRI: deep tendons, associated bone/cartilage lesion, pre-surgical, post-op complications.

Report template — MRI of hand

When to use

MSK MRI evaluates internal joint derangement (menisci, ligaments, labrum), tendinopathies and tears, osteochondral lesions, marrow edema, pre-surgical lesions and post-op follow-up. Standard for soft-tissue analysis.

What to evaluate

Bony structures: marrow signal, focal lesions, edema, occult fractures.
Articular cartilage: focal changes, fissures, osteochondral lesions.
Tendons/ligaments: integrity, thickness, partial/full tears.
Menisci/labrum: tears, shape, periphery.
Effusion and synovitis, adjacent soft tissue.

Interactive template

Fill the blanks0/1

Técnica: Sequências ponderadas em T1 e T2, em aquisições multiplanares, XXXX pré e pós-contraste. Análise: - Estruturas ósseas: de morfologia e sinal medular conservados. Ausência de fraturas ou de lesões ósseas focais de aspecto agressivo. - Articulações: ausência de derrame articular ou erosões subcondrais / marginais. - Complexos ligamentares: íntegros. - Estruturas musculotendíneas: sem lesões musculares ou tendíneas.. - Planos superficiais: sem alterações significativas. Comparação: Em relação ao exame de não se observam alterações significativas. Conclusão: Exame dentro dos limites da normalidade.

Template in Brazilian Portuguese (clinical reporting language). Adapt to your service protocol. Not medical advice — the physician reviews, edits and signs.

How to use

Replace each [...] with the exam's measurement or descriptor.
Adapt the conclusion to your service protocol before signing.
Use the template as a starting point — not a replacement for physician review.
In Laudos.AI, dictate findings in natural speech and the AI structures text in this format for review.

Frequently asked

Bone marrow edema — when relevant?: Edema may indicate stress fracture, osteochondral lesion, active synovitis, infection, neoplasm or chronic inflammation (transient marrow edema syndrome). Always correlate with clinic and pattern.
MR arthrography — when?: Detailed evaluation of labrum (shoulder, hip), scapholunate ligament, ligaments of the elbow and ankle. Not routine — case-by-case based on suspicion.
MRI vs US for tendons — when each?: US: dynamic study, guided injection, superficial tendinopathy, cost. MRI: deep tendons, associated bone/cartilage lesion, pre-surgical, post-op complications.

References

ESSR & ACR consensus papers on MSK MRI protocols.