Symplicured

Back to Blog
Patient Education

What Your X-Ray and MRI Reports Really Mean: An AI-Powered Guide

Symplicured Team9 min read
What Your X-Ray and MRI Reports Really Mean: An AI-Powered Guide

The Report You Cannot Read

After an injury, a persistent pain, or a routine check-up, your doctor orders an X-ray or MRI. Days later, a report arrives — and it reads like it was written in another language.

"Mild degenerative changes noted at L4-L5. No acute osseous abnormality. Disc desiccation observed with mild posterior disc bulge. No significant neural foraminal stenosis."

For the radiologist who wrote this, every word is precise and meaningful. For you, it is a wall of unfamiliar terminology that raises more questions than it answers.

This disconnect between medical reporting and patient understanding is one of the most persistent gaps in modern healthcare. Radiology reports are among the most technically dense documents patients encounter — and they are almost never written with the patient as the intended reader.

How Radiology Reports Are Structured

Understanding the general structure of these reports can help demystify them:

X-Ray Reports

A typical X-ray report includes:

  • Clinical Indication — Why the X-ray was ordered (e.g., "chest pain," "fall on outstretched hand")
  • Technique — How the image was taken (e.g., "PA and lateral chest radiograph")
  • Findings — What the radiologist observed, described systematically by anatomical region
  • Impression — The radiologist's summary and interpretation of the findings

The Impression section is usually the most important part for understanding the overall result. It distils the detailed findings into a clinical conclusion.

MRI Reports

MRI reports follow a similar structure but tend to be more detailed because MRI provides significantly more information than X-ray:

  • Clinical History — The reason for the scan and relevant patient background
  • Technique — The specific MRI sequences used (T1-weighted, T2-weighted, FLAIR, etc.)
  • Findings — Detailed observations, often broken down by anatomical structure
  • Impression — Summary of key findings and recommendations

MRI reports frequently include measurements, comparisons to prior imaging, and descriptions of signal intensity — all of which add to the complexity for non-medical readers.

Common Terms That Confuse Patients

Here are some frequently encountered radiology terms and what they actually mean:

In X-Ray Reports

  • "No acute osseous abnormality" — No broken bones or new bone problems
  • "Degenerative changes" — Normal wear-and-tear changes, common with age
  • "Cardiomegaly" — Enlarged heart (the X-ray shows the heart silhouette is larger than expected)
  • "Consolidation" — An area of the lung that appears more solid than normal, which can indicate infection (like pneumonia)
  • "Effusion" — Fluid buildup, often around the lungs (pleural effusion) or in joints

In MRI Reports

  • "Disc desiccation" — The disc between vertebrae has lost water content (a normal ageing process)
  • "Disc bulge" or "disc protrusion" — The disc extends beyond its normal boundary
  • "Stenosis" — Narrowing of a canal or passage (e.g., spinal stenosis means narrowing of the spinal canal)
  • "Signal abnormality" — An area that looks different from normal tissue on the MRI
  • "Meniscal tear" — A tear in the cartilage of the knee
  • "Tendinopathy" — Damage or degeneration of a tendon
  • "Incidental finding" — Something the radiologist noticed that was not the reason for the scan

The Anxiety Problem

Radiology reports have a unique capacity to generate anxiety. Unlike blood tests where numbers can be compared to reference ranges, imaging reports describe findings qualitatively — and the language can sound alarming even when the findings are clinically insignificant.

Consider these examples:

  • "Disc bulge at L4-L5" sounds frightening, but mild disc bulges are found in a large percentage of adults with no symptoms at all
  • "Degenerative changes" sounds like deterioration, but it is the medical term for normal age-related wear
  • "Incidental finding" can trigger concern, but it often refers to something benign that was noticed in passing

Without context, patients can spend days or weeks worrying about findings that their doctor would consider unremarkable.

How AI Helps You Understand Radiology Reports

AI-powered analysis tools are bridging the gap between radiology language and patient understanding:

Plain-Language Translation

Upload your X-ray or MRI image and receive a summary that explains the findings in everyday terms. Instead of "mild posterior disc bulge at L4-L5 without significant neural foraminal stenosis," you get an explanation that a disc in your lower back is slightly protruding but is not pressing on any nerves — a common finding that often does not require treatment.

Visual Context

The AI identifies the anatomical region shown in the image, helping you understand what part of the body was examined and what the radiologist was looking for.

Severity Perspective

One of the most valuable aspects of AI analysis is normalising findings. The AI can explain that certain observations are extremely common, age-appropriate, or clinically insignificant — reducing unnecessary anxiety while still flagging findings that deserve follow-up.

Guided Questions for Your Doctor

After reviewing your report, the AI suggests targeted questions to ask your doctor:

  • "What does this X-ray show overall?"
  • "Are there any notable findings I should be concerned about?"
  • "What should I ask my doctor about this?"

These questions ensure you walk into your next appointment prepared and focused.

What the AI Will Not Do

Transparency matters. AI radiology analysis has clear boundaries:

  • It does not provide diagnoses — Only a qualified radiologist or physician can diagnose conditions from imaging
  • It does not replace radiology reads — AI analysis is for patient understanding, not clinical decision-making
  • It works with the image you provide — The quality and completeness of the analysis depends on the image quality
  • It recommends professional consultation — For any concerning findings, the AI always directs you to speak with your healthcare provider

Making Imaging Results Less Intimidating

Radiology imaging is one of the most powerful diagnostic tools in medicine. X-rays and MRI scans give doctors a window into your body that no physical examination can match. But that power is diminished when patients cannot understand their own results.

By making radiology reports accessible, we are not undermining the role of radiologists and doctors — we are strengthening the patient-provider relationship. When patients understand their imaging results, they can:

  • Have more productive conversations with their healthcare team
  • Make informed decisions about treatment options
  • Reduce anxiety caused by unfamiliar medical terminology
  • Track changes in their imaging results over time

Try It Yourself

Upload an X-ray or MRI to Symplicured and see how AI transforms a dense radiology report into clear, understandable insights:

  1. Go to symplicured.com/chat
  2. Select Analyse X-Ray or Analyse MRI Report
  3. Upload your image (photo or PDF)
  4. Receive your plain-language analysis
  5. Ask follow-up questions about anything you would like to understand better

Your imaging results were meant to inform — not confuse. AI is making sure they do both.


Symplicured's AI analyses X-rays, MRI scans, and CT scans in seconds, delivering plain-language summaries you can actually understand. Upload your imaging report and get clarity, not confusion. Start here.

X-rayMRIradiologyimaging reportspatient educationAI analysismedical imaging

Share this article