Language radiologists use in reports is crucial, new research shows

July 23, 2026 - 09:59

A new research paper warns that vague or uncertain language in radiology reports can create confusion for ordering physicians and may lead to delays in patient care. The study, published recently, highlights how the specific words radiologists choose when describing findings directly impact how quickly and accurately referring doctors can act.

When a report uses terms like "indeterminate," "possible," or "cannot exclude," it often leaves the ordering provider with unanswered questions. Instead of a clear path forward, the physician may need to order additional tests, consult with the radiologist, or wait for more clinical information. This back-and-forth can stall treatment decisions, especially in time-sensitive cases such as suspected cancer or acute injuries.

The researchers analyzed hundreds of reports and found that even subtle differences in phrasing changed how clinicians interpreted the urgency of a finding. For example, a report stating "no evidence of malignancy" was seen as more definitive than one saying "no definite malignancy seen," even though both suggest a low likelihood of cancer. The study calls for radiologists to adopt more standardized, actionable language whenever possible.

The authors emphasize that improving report clarity does not require radiologists to be overly certain when uncertainty exists. Instead, they recommend offering specific next steps, such as suggesting a follow-up study or a biopsy, rather than leaving the interpretation entirely to the referring doctor. By reducing ambiguity, the goal is to streamline care and prevent unnecessary delays for patients.