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This report analyzes a 30 month experience with a commerically available mark sense form-based automated radiographic reporting system (RAPORT) in the diagnostic radiology department of a 400 bed general hospital. By using the system, five radiologists were able to completely formulate readable diagnostic radiology reports in 65% of all cases, thereby bypassing a transcriptionist and decreasing report turnaround time dramatically without sacrificing reporting time. Moreover, billing and statistical capabilities provided by the system were found to capture enough lost charges to pay for its entire cost. Trade-offs for these efficiencies included learning of a new code by the radiologist, certain changes in his reading habits, and acceptance of a limited, repetitive, and somewhat stilted jargon both by the radiologist and the referring physician.

Hemobilia or hemorrhage into the biliary tree is an uncommon cause of gastrointestinal bleeding, usually resulting from blunt abdominal trauma or rupture of a hepatic artery aneurysm [1]. It is a rare complication of liver biopsy; only five cases have been reported [1-3]. In three patients, identification of the bleeding site was delayed and two unsuccessful operations were penformed; one patient died. We report an angiographically documented case of hemobilia following liver biopsy in which the bleeding resolved spontaneously.