Abstract
Objective: To carry out a narrative review of the literature in an attempt to improve communication between the requesting physicians and the radiologist, defining which information should be included in a radiological report and which is the preferred format of the applicants. Bibliographic review: The radiological report is the main form of communication for radiologists and requesting physicians. They are often written in free text and studies show that this can be an obstacle to the effectiveness of patient care, generating dissatisfaction and complaints from the applicants in the face of the lack of uniformity of the information obtained. Thus, there is a need for standardized terms for these documents to be interpreted with precision and consistency. In this context, we have as an example the construction of the BI-RADS classification (Breast Imaging Report and Data System) in order to promote a standardization of mammographic reports, making clear recommendations for better clinical diagnosis and treatment. Final considerations: In order to improve communication between the requesting doctors and the radiologist, it is necessary to use structured reports in an attempt to avoid extensive and objective records. In addition, there should be a significant improvement in terms of standardization of terms.
