A reporting co-pilot, built by a practising radiologist

Not a dictation tool. A second reader.

Describe what you see. Lacunr weighs the case, asks the questions a senior colleague would ask, ranks the differential, stages what can be staged — and only then writes the report, in your template and house style, with references you can open.

Free to start · no card · decision support, not a diagnostic device

Your case · 24F · sudden right iliac fossa pain for 6 hours · vomiting

USG abdomen and pelvis: right adnexa looks bulky and tender, a little free fluid in the pelvis. Appendix not clearly seen yet.

Triaged: …

It asks before it writes

  • Urine or serum β-hCG?

    PositiveNegativeNot known
  • Right ovary — size and Doppler?

    NormalEnlarged, flow presentEnlarged, twisted pedicle
  • Appendix on graded compression?

    Normal, compressibleInflamedNot seen
  • Free fluid?

    Anechoic, smallEchogenic / clotNone

Anything marked “not assessed” stays out of the report.

Reading the case…

Invented case — for demonstration.

Why it is different

Dictation writes down what you said. This thinks it through with you.

Types what you say

Reads what you describe — and weighs how hard the case is

Leaves the gaps blank

Asks what is missing before it writes a word

Stops at the report

Ranks the differential, flags the must-not-miss, stages what can be staged

One voice for everyone

Your template, your house style, pitched to your seniority

Invents a reference, or gives none

Cites only papers it has checked exist

How a case goes

Four steps. You stay the reader.

01

Describe it

Speak or type the findings in any order, the way you would say them to a colleague. Radiology words are corrected as they land.

Dictating“CT abdomen: 3 cm hypodense mass in the pancreatic head, upstream duct dilated, CBD dilated…”
02

It asks what is missing

A thin case gets a few precise questions first — the ones that change the report. Mark any “not assessed” and that line stays out.

SMV / portal vein contact?< 180°
SMA contact?None
Liver lesions?Not assessed
03

It reasons

A ranked differential with the must-not-miss flagged, the stage or category criterion by criterion, and what would change management.

Pancreatic adenocarcinomaMost likely
Groove pancreatitisPossible
Ampullary tumourMust not miss

Resectability by vessel contact — the criteria and edition named.

04

Check, copy, sign

The report in your template and house style, pitched to your seniority, with verified papers beside it. A follow-up question comes back as an addendum, not a new report.

Impression

1. Pancreatic head mass with double-duct dilatation — adenocarcinoma most likely.

2. Resectable by vessel contact (criteria named) — for MDT discussion.

What it does

Four tools, one workspace.

AI reporting

A full report from a few sentences — organ by organ, with the impression, the stage and the differential already worked out.

Indian, ACR, RCR, academic and teleradiology house styles · resident to late-consultant depth · templates for every common study

  1. 1

    Auto-template population

    Findings in any order, filed under the right organ of your template — or the one it suggests.

  2. 2

    Auto-impression

    A numbered impression built only from what you described.

  3. 3

    Template generation

    Any template, normal or disease-specific — saved under My templates.

  4. 4

    Auto-staging

    TNM, the RADS systems, Bosniak, AAST — criterion by criterion, edition named.

  5. 5

    Auto-diagnosis

    A ranked differential with the must-not-miss flagged and the finding that separates each.

Dictation

Speak instead of typing. Radiology words are corrected as they land — “speculative” becomes “spiculated”.

In the workspace, on desktop and phone

Scratchpad

A notes pad beside every case, like a sticky note — a measurement to recheck, a phrase you like, a reminder.

Saved on your device only — never sent to us

Knowledge assistant

Ask a question instead of a case — “what separates Bosniak IIF from III?” — or open the Library, taught the way you would at the console.

Guided, structured or checklist — pitched to your level

Built to be trusted

Every reference opens. Every limit is said out loud.

A language model will happily invent a paper, an author or a page number. This one is handed real papers for your case and may cite only those — and it says what a study cannot exclude.

Journal papers

Each fetched from PubMed and its DOI checked on Crossref before it can be cited.

Radiopaedia cases

Articles and worked cases, each opened and title-checked. Links only.

Pitched to your level

The same case reads differently for a first-year resident and a late consultant.

Honest about limits

“Ultrasound cannot exclude early perforation” — said in the report, not left out.

Free, no sign-in

The Library, and the templates beside it.

How to look for each diagnosis on the scan — the manoeuvre, what confirms it, what lets you exclude it, the classic misread — with a template and the normal limits one click away.

Plans

Free for everyday cases. Pro for the hard ones.

Before anything is written, each case is weighed for how hard it is. Your plan decides how strong a model writes it.

Free

Sign in · no card

  • Everyday and moderate cases, with extended reasoning when the case needs it
  • Dictation, the questions it asks, templates, the scratchpad, the Library and verified references
  • Staging and MDT cases still drafted — on the standard model, with a notice saying so
  • Text cases: describe what you see
Start free

Pro

Early access · on request

  • Staging, MDT and resectability cases on the strongest reporting model
  • Harder everyday cases moved up to a stronger model
  • The hardest cases escalate again — several primaries, serial response, contradictory findings, rare entities, recurrence after surgery
  • Upload an image — a six-step read with a certainty ladder
Request Pro access

Every plan is decision support. You verify and sign.

Built for the reading room by a radiologist who reports in one.

Dr Divyansh Gupta, MD Radiodiagnosis

Start reporting free

Every case on this page is invented. Never enter patient identifiers.