What to do if…
you receive a message that an imaging result is urgent and you are not sure what it means
Short answer
Treat “urgent” as “needs prompt follow-up”, not as “you are in immediate danger right now”. Verify the message is genuine, then contact the clinician/service that ordered the scan today (or NHS 111 if you can’t reach them) and ask exactly what action is needed and by when.
Do not do these things
- Do not assume “urgent” means “cancer” (or any specific diagnosis) from the wording alone.
- Do not ignore it because you feel well — some urgent findings need action even without symptoms.
- Do not click links, call back unknown numbers, or share personal details until you’ve verified it’s from an NHS source you can independently confirm.
- Do not rely on internet searching the report phrases to decide what to do (it often misleads and increases panic).
- Do not bounce between multiple services just to “cover all bases”. If you develop red-flag symptoms or feel rapidly worse, use 999/A&E/NHS 111 as appropriate.
What to do now
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Check for immediate danger symptoms (right now).
If you have severe chest pain, sudden shortness of breath, signs of stroke (face droop/arm weakness/speech problems), heavy bleeding, collapse, or a sudden “worst ever” headache: call 999 or go to A&E. If you feel acutely unwell but it’s not clearly life-threatening: call NHS 111. -
Treat the message as “real but unconfirmed” until proven otherwise.
Take a screenshot, note the time/date, and do not reply with sensitive details. -
Verify the sender using a trusted route.
- If it came through the NHS App or your GP online record, open the app the usual way (not via a link) and check whether there’s a message/result there.
- If it mentions a hospital, use the hospital’s official website to find the main switchboard/outpatient contact details (not the number in the message), then ask for the team that handles results/follow-up for that clinic.
- If it’s a text/call with minimal details, assume it could be genuine or a scam until you’ve confirmed via an official number.
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Contact the person/service that ordered the scan and ask for same-day clarification.
Start with the referrer (often your GP practice, outpatient clinic, or the team looking after you). Say:- “I received a message saying my imaging result is urgent.”
- “Can you tell me what the report says in plain language?”
- “What do I need to do next, and what is the timeframe (today / within 48 hours / this week)?”
- “Is there anything I should watch for that would mean calling 999 or going to A&E?”
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If you cannot reach the referrer quickly, escalate without guessing.
- If it’s during the day and you had the scan at a hospital: call the hospital’s outpatient clinic secretary/booking office for the specialty that ordered it and ask how urgent results are actioned and who can explain them today.
- If you’re stuck, call NHS 111 and say: “urgent imaging result message, can’t reach the ordering clinician, need advice on the right service to contact today.”
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Ask how (and when) you can see the written report.
Some results appear in the NHS App GP record (when shared with your GP). Some hospitals use separate patient portals and may release imaging reports on different timelines. Ask: “Where will I be able to view the report, and when should I expect it to be available?” -
If you’re getting passed around, use a patient support route to unblock communication.
If you’ve verified it’s real but still can’t get a clear explanation or next step, contact the hospital’s PALS (Patient Advice and Liaison Service) and say: “I have an urgent imaging result notification and I need help reaching the responsible team today.” -
Make it harder for the system to ‘lose’ you.
Confirm they have your correct phone number, and ask: “If you can’t reach me, what happens next and who should I call back?” -
Write down the key facts you’re told.
Note: (a) what the finding is, (b) what action is needed, (c) the deadline, (d) who is responsible for arranging it, and (e) the direct number to call if you haven’t heard by an agreed time.
What can wait
- You do not need to interpret medical terminology tonight.
- You do not need to decide on treatment options until a clinician explains the finding and the next step.
- You do not need to tell everyone or search worst-case stories online to “prepare” — first get a clear explanation and plan.
- You do not need to chase multiple departments once you have one confirmed route and a timeframe.
Important reassurance
“Urgent” is often used to flag that the clinician needs to review and act promptly — it does not automatically mean “life-threatening right now,” and it doesn’t tell you the cause by itself. Feeling frightened or fixated after that kind of message is a normal stress response; your job in the next hour is simply to confirm it’s genuine and connect with the right clinician so nothing is missed.
Scope note
This is first-steps guidance for the first hours after an “urgent imaging result” alert. Once you’ve spoken to the ordering clinician/team, you may need follow-up appointments, repeat imaging, or referrals — those next decisions can be taken one step at a time with clinical support.
Important note
This is general information, not medical advice or a diagnosis. If you feel seriously unwell, your symptoms matter more than any message — use 999/A&E for emergencies and NHS 111 for urgent assessment and routing.
Additional Resources
- https://www.nhs.uk/nhs-services/urgent-and-emergency-care-services/when-to-use-111/
- https://www.nhs.uk/nhs-services/gps/view-your-test-results/
- https://www.nhs.uk/nhs-app/help/health-records-in-the-nhs-app/test-results/
- https://www.england.nhs.uk/long-read/guidance-on-patient-digital-notification-of-diagnostic-imaging-reports/
- https://www.rcr.ac.uk/media/44sfqlbi/rcr-publications_alerts-and-notification-of-imaging-reports-recommendations_october-2022.pdf
- https://www.nhs.uk/nhs-services/hospitals/what-is-pals-patient-advice-and-liaison-service/