Describing Radiographic Lesions

Describing Radiographic Lesions

Describing Radiographic Lesions

Objectives

By the end of these revision notes, you should:

Why is describing radiographic lesions important?

Correctly describing radiographic lesions has multiple benefits both for you as a clinician but also for any potential members of the team involved in a patient’s case. Some of the reasons include:

  • Determining the nature of a lesion – correctly describing and reporting a radiographic lesion can help determine the nature of what it is and the potential level of concern you may have regarding it. You can determine potential tissues of origin and the growth rate of the lesion amongst many other things.
  • Differentials and referrals – a systematic and thorough description can narrow your differentials down significantly. This is particularly important when you are referring a patient, where a simple glance at your description can help triage urgent cases. 
  • Record-keeping – correctly describing and reporting imaging is crucial in your records to demonstrate that you have assessed and appropriately managed a patient.

How to describe a lesion

It is important to have a systematic way to describe lesions. Ideally, the lesion needs to be described in such a way that someone else could replicate it without any other reference. A useful acronym to work with to ensure you cover everything is LESION.

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