University of Michigan Department of Radiology Case title, e.g. Flash Pulmonary Edema Student Name: Faculty Mentor: Period: Date:

Example: 57 F SOB and chest pain X 12 hours Elevated D-Dimer Previously healthy Only include RELEVANT history and physical exam findings and labs History (1 slide only)

Show relevant images Be able to point at the pertinent findings ***Make sure there is no protected patient information on the images*** –No patient initials or names –No dates (instead say “baseline,” “1 month later,” etc.) Show various modalities, if applicable Images 1-5 slides

Succintly summarize the imaging findings Findings

List in order from most likely to least likely Differential Diagnosis

For example, biopsy, surgery, additional tests, etc. Further work-up (if done)

Name the diagnosis Diagnosis

Discuss the disease process Discuss the contribution of imaging to patient care Include cost of the imaging studies Discussion

Were the appropriate exams ordered? ACR Appropriateness Criteria

1.Xxx 2.Xxx 3.Xxx Take Home Points