Reading your dictation…
The report is not ready yet — fields are being filled in.
⚠️ Missing or Incomplete Fields
⚙️ Technique & Scan Quality
What to assess:
Evaluate overall image quality for each coronary segment. Motion artifact, noise, and contrast opacification all affect diagnostic confidence. A non-diagnostic segment triggers the N modifier.
Excellent
No artifact
No artifact
Good
Minor artifact
Minor artifact
Fair
Moderate artifact
Moderate artifact
Non-Diagnostic
→ N modifier
→ N modifier
💎 Coronary Artery Calcium Score
Note: Calcium scoring is optional in this study but provides important additive risk information. If performed, report the Agatston score and distribution. If not performed, select "Not performed."
🫀 Left Main, LAD & Diagonal Branches
Coronary dominance: Assess before segment evaluation. Right dominance (~70%), left dominance (~10%), or co-dominance (~20%). This affects whether PDA/PLB arise from RCA or LCx.
Bifurcation
Trifurcation (+ Ramus)
Right
Left
Co-dominant
| Segment | % Stenosis | Plaque Type | +Remod | LAP | NRS | Spotty Ca | Stent | Notes |
|---|
🫀 Ramus Intermedius
| Segment | % Stenosis | Plaque Type | +Remod | LAP | NRS | Spotty Ca | Stent | Notes |
|---|
🫀 Left Circumflex & Obtuse Marginals
| Segment | % Stenosis | Plaque Type | +Remod | LAP | NRS | Spotty Ca | Stent | Notes |
|---|
🫀 Right Coronary Artery & Branches
| Segment | % Stenosis | Plaque Type | +Remod | LAP | NRS | Spotty Ca | Stent | Notes |
|---|
🗂️ Studies
Queued dictations are interpreted in the background, so you can start the next case immediately.
A dictation is saved the moment you queue it — closing the tab or reloading will not lose it.
Deleting moves a study to the trash, where it stays for 30 days and can be restored;
erasing for good is a separate step.
🗺️ Coronary Segment Map
The tree as this study describes it. Each segment is coloured by its stenosis grade and
also labelled with it, so the picture still reads on a monochrome print or to a
colour-blind reader. Click any segment to edit it — the map writes to the same
fields as the vessel tabs, so there is only ever one copy of a finding. Segments the patient does
not have (left PDA in a right-dominant system, ramus without a trifurcation) are not drawn.
The report text itself stays plain so it pastes cleanly into an EMR. Use these to put the figure into systems that accept images, or turn on “include the map when printing” in Settings.
🔖 Modifiers
Modifiers are appended to the CAD-RADS category (e.g., CAD-RADS 3/HRP/S). S, HRP and N are derived automatically from the findings; G, I and E can be toggled here.
S — Stent
Coronary stent present. Auto-set when any segment has a stent checked.
G — Graft
Coronary artery bypass graft present. Auto-set when a graft description is entered below.
HRP — High-Risk Plaque
High-risk plaque features present: positive remodeling (RI >1.1), low attenuation plaque (<30 HU), napkin-ring sign, or spotty calcification. Auto-set from segment findings.
I — Ischemia
Ischemia confirmed by functional assessment: FFR-CT ≤0.80, abnormal stress MPI, stress echo, or stress CMR. New in CAD-RADS 2.0.
E — Exception
Exception: congenital anomaly, myocardial bridging, or other unusual finding requiring special notation. Auto-set when an exception description is entered below.
N — Non-diagnostic
One or more segments non-evaluable. Auto-set if image quality is Non-Diagnostic, non-evaluable segments are listed, or any segment is graded non-evaluable.
No modifiers currently active.
🫀 Cardiac Morphology & Structure
Non-coronary cardiac structures are reported Normal by default. Change a structure only when dictated. Use Normal variant for normal anatomical variation (LAA morphology, accessory pulmonary veins), Congenital anomaly for true anomalies (bicuspid aortic valve, PAPVR, ASD/VSD/PFO), or Abnormal for acquired findings (LVH, valvular calcification, thrombus).
🫁 Extra-Cardiac Findings
Important: All extra-cardiac structures visible on the FOV must be reported. If a structure appears normal, select "Normal." Do not leave any domain blank.