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Pearl · 04 of 05

Write a follow-up recommendation someone can act on

Every follow-up recommendation should give the modality, interval and reason in the impression, with a tracking flag.

A recommendation for further imaging only helps if the requesting clinician understands it and someone makes sure it happens. Vague wording — 'correlate clinically', 'consider follow-up' — is easily lost.

State the modality, the interval and the reason in one sentence: 'MRI liver with hepatobiliary contrast in 3 to 6 months to characterise a 12 mm segment 6 lesion'. Put it in the impression, not the body of the report, and flag it through whatever tracking system exists so it is not reliant on memory.

  • Name the modality, the interval and the question
  • Put the recommendation in the impression
  • Use a structured follow-up flag where the reporting system has one
  • Communicate directly when the finding is significant and time-sensitive
  • Avoid hedged phrases that do not tell anyone what to do

Why it matters

The report is where most follow-up failures could be prevented.

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