AI Medical Scribe for
Every study your imaging service signs out should read the same way: clinical history, comparison, technique, findings, impression. Medical Scribe drafts reports in exactly that structure from dictation, using the built-in Radiology and Imaging Specialist's note.
A real example of the documentation Medical Scribe generates for radiology and imaging specialists — ready as soon as you finish dictating.
47F with 8 weeks of low back pain radiating along the left L5 dermatome, not improving with conservative therapy. No red-flag features. Referred by primary care to evaluate for disc herniation.
No prior lumbar spine imaging available for comparison.
MRI of the lumbar spine without contrast: sagittal T1, T2, and STIR sequences; axial T2 from L3 through S1.
Left paracentral L4-5 disc extrusion with compression of the left L5 nerve root, concordant with the clinical presentation. No fracture or concerning marrow signal. Suggest interventional spine or neurosurgical referral if symptoms persist despite conservative management.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
X-ray, CT, MRI, ultrasound, mammography — each brings different technique details, protocol notes, and measurement conventions that have to be captured correctly in every report.
Referrers notice when reports from the same service look nothing alike. Keeping a reading group aligned on structure usually means style guides nobody rereads.
A skipped comparison, an impression that doesn't answer the clinical question, an undocumented recommendation: report structure failures are where imaging services get burned.
Real-time transcription that understands medical terminology and clinical context.
Recognizes terms, conditions, and procedures specific to your practice area.
Generate comprehensive clinical notes in minutes instead of hours.
Enterprise-grade encryption and security to protect sensitive data.
These aren't generic formats — they ship in the product today, structured around how you actually document.
Plus 280+ templates across every specialty — or build your own in minutes.
Imaging services document studies, not visits — so Medical Scribe adapts to dictation. Each read is spoken once and drafted into a full report; sonographer worksheets discussed aloud, procedure encounters, and results consultations produce their own structured notes. One workflow covers the reading room and the patient-facing corners of the department alike.
Drafts follow the built-in Radiology and Imaging Specialist’s note — Patient Information, Clinical History, Comparison, Technique, Findings, Impression — so the comparison is never silently skipped and the impression always addresses the indication. Findings stay organized by region, with measurements exactly as dictated.
Most imaging disputes turn on the report: was the prior compared, was the recommendation explicit, did the impression answer the question. A fixed section structure means those elements are visibly present or visibly absent at sign-off — and since only dictated content appears, the signed report reflects the actual read.
The built-in Radiology and Imaging Specialist's note: Patient Information, Clinical History, Comparison, Technique, Findings, and Impression — with findings organized by region and the impression answering the referrer's question. It's one of 280+ built-in templates.
Yes. Because every dictation is drafted into the same section structure, reports leave the service looking consistent regardless of who read the study. Custom templates take minutes if your group prefers its own headings per modality.
No. Imaging documentation is mostly dictation, and that's what it structures. Where your service does have patient-facing encounters — ultrasound, procedures, results discussions — those record the same way and produce their own notes.
Medical Scribe is HIPAA compliant, encrypted in transit and at rest, and available on iOS, Android, Web, and Mac. Nothing is finalized until the reporting clinician reviews and signs, and only dictated content ever appears in the report.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.