Bone Age Interpretation Report

Patient Name: [Patient full name]

MRN: [Medical record number]

DOB: [Date of birth] (If not provided, state "Not provided" and note impact on chronological age calculation in Findings.)

Sex (for standards): [male / female / not provided] (If not provided, note impact on standard selection in Impression.)

Exam Date: [Exam date]

Study: Bone Age Radiograph

Ordering Clinician: [Ordering clinician name]

Interpreting Clinician: [Interpreting radiologist name and credentials]

Clinical History

[Brief indication and referrer's clinical question] (1–2 sentences. If none provided, state "Clinical history not provided.")

Technique

View: [PA left hand/wrist radiograph / other view and side]

Method: [Greulich & Pyle atlas / Tanner-Whitehouse / Automated system with human over-read]

[Technical limitations] (Only include if present, e.g., incomplete visualization, positioning artifact, prior deformity. Otherwise omit entirely.)

Findings

Chronological Age: [Calculated age in years and months] (If DOB unavailable, state "Cannot calculate: DOB not provided.")

Bone Age: [Estimated skeletal age in years and months]

Comparison to Chronological Age: [advanced / delayed / concordant] by [difference in months]

Prior Study: [Prior exam date, bone age, method, and interval maturation tempo] (Include only if prior bone age study is available for comparison. Otherwise omit entirely.)

Predicted Adult Height: [Value in cm, method used, height input with date] (Include only if explicitly requested AND current measured height is provided. Add brief note that predictions are estimates with inherent limitations. If requested but height missing, state "PAH not calculated: current height not provided." Otherwise omit entirely.)

Incidental Findings: [Osseous abnormalities] (Include only if clinically significant fractures, dysplasias, or anomalies are present. Otherwise omit entirely.)

Impression

1. [Bone age] by [method], [advanced / delayed / concordant] with chronological age by [difference]
2. [Predicted adult height with method] (Include only if calculated; note prediction limitations. Otherwise omit.)
3. [Significant incidental findings] (Include only if present. Otherwise omit.)
4. [Material limitations affecting interpretation] (Include only if applicable, e.g., missing DOB, missing sex, technical factors. Otherwise omit.)

Electronically signed by: [Name, credentials, date/time]