MS Follow-Up MRI reporting

"Dear" [Patient's title and surname] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) "I have received the report of your MRI of the" [Anatomical region scanned] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) "This scan was compared with your previous MRI performed on" [Date of previous MRI scan] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Use format DD/MM/YYYY.) "which was used as the reference study." "--------------------------------------------------" "IMPRESSION / CONCLUSION" "--------------------------------------------------" (If the MRI shows no new or enlarging demyelinating lesions and disease is radiologically stable, include the following section A. If the MRI shows new or enlarging demyelinating lesions indicating radiological disease activity, include section B instead. Only include one of these two sections based on the imaging findings mentioned in the transcript, contextual notes, or clinical note.) "A) NO RADIOLOGICAL DISEASE ACTIVITY" "I am pleased to say that there is no evidence of new or enlarging demyelinating lesions on this scan. This indicates that your multiple sclerosis remains radiologically stable." (Only include this outcome if explicitly mentioned in transcript, contextual notes, or clinical note that there is no radiological disease activity.) "A further MRI has been requested for routine monitoring of disease activity in" [Timeframe for next routine MRI] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) "time." "--------------------------------------------" "B) RADIOLOGICAL DISEASE ACTIVITY PRESENT" "This MRI demonstrates evidence of new and/or enlarging demyelinating lesions when compared with your previous scan." (Only include this outcome if explicitly mentioned in transcript, contextual notes, or clinical note that radiological disease activity is present.) [Describe the specific findings of new or enlarging lesions including location, number, and characteristics] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences.) "Your imaging will be reviewed in the context of your overall clinical course, and further management decisions will be made accordingly after presentation of your case in our weekly MS MDT." (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) "A repeat MRI has been requested in approximately" [Timeframe for repeat MRI] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) "months to allow closer monitoring of disease activity." "--------------------------------------------------" "If you have any questions or concerns, please do not hesitate to get in touch." "With best wishes," [Consultant neurologist name] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) "Consultant Neurologist"