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Table 1:

Diagnostic certainty of diagnosis in the Impression section of a radiology report—categories for annotation

Certainty CategoriesInterpretationExamples
Non-DefinitiveDescribing differential diagnoses without indicating any confidence or only findings without any diagnosis“Less likely differential considerations include demyelinating/inflammatory processes”
Definitive-StrongDescribing discrete diagnostic findings without hedging words“Stable right sphenoid intraosseous lipoma”
Definitive-MildDescribing discrete diagnostic findings with hedging words“Findings suggestive of Arnold Chiari I malformation”
OtherDescribing recommendations, imaging techniques, prior studies“Another follow-up is recommended”