RANZCR · Royal Australian and New Zealand College of Radiologists; Clinical Radiology Phase 2

RANZCR Part 2 / report it.

Case reporting grader with viva-level feedback, seven-domain viva simulator with voice mode, spaced-repetition flashcards, and sourced study notes across all clinical radiology domains. Built for the breadth and depth the RANZCR Phase 2 examination demands.

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Pass rate

~65%

per sitting (combined components)

Sittings per year

1–2

annually or biannually

Format

Pathology + Case Reporting + 7 Vivas

Pathology: MCQ/SAQ · Cases: 35 × 3hr · Vivas: 7 domains × 25 min

Topics covered

158

study notes · 171 LOs

Organising college

RANZCR

Not affiliated with Primex

· Exam domains ·

Seven domains. The full scope of clinical radiology.

~25%

Thoracic & Cardiovascular

Lung cancer staging, pulmonary infections, ILD patterns (UIP/NSIP), PE on CTPA, aortic pathology, mediastinal masses, pleural disease, cardiac imaging, pulmonary nodule assessment (Fleischner criteria), post-surgical appearances.

UIP pattern · Fleischner criteria · Aortic dissection · Mediastinal compartments · PE risk stratification

~30%

Abdominal & Neuroradiology

Liver lesion characterisation (HCC, FNH, haemangioma, metastases), biliary and pancreatic pathology, renal mass characterisation, colorectal cancer staging, ischaemic stroke (DWI patterns), brain tumour grading (IDH wild-type GBM criteria), intracranial aneurysms, spinal pathology, traumatic brain injury.

Liver LI-RADS · BIRADS · Stroke DWI · GBM WHO criteria · Rectal MRI T-staging · Couinaud segments

~25%

Musculoskeletal & Genitourinary

Rotator cuff tears, knee ligament injuries, bone tumour characterisation, periprosthetic complications, prostate cancer (PI-RADS), gynaecological tumours, bladder/urothelial cancer, renal calculi, adrenal characterisation (adenoma vs metastasis), testicular lesions.

PI-RADS v2.1 · BI-RADS · Bone tumour matrix · Soft tissue sarcoma · Adrenal adenoma washout

~20%

Paediatric & Interventional

Paediatric chest and abdomen (intussusception, pyloric stenosis, Wilms), congenital anomalies, interventional radiology procedures (TIPSS, UFE, TACE), vascular intervention, radiation dose in paediatrics, post-treatment changes (radiation necrosis vs recurrence).

Intussusception · Paediatric mediastinum · TIPSS · TACE · Radiation necrosis vs recurrence

· Feature 01 · Case Reporting Grader

35 cases, 3 hours. Feedback at the level of the RANZCR examiner.

The RANZCR Part 2 Case Reporting paper presents 35 radiology cases across all seven domains in 3 hours. Primex grades your reports for systematic structure, correct pathology identification, and appropriate management recommendations; the three dimensions RANZCR viva examiners probe when following up on case reporting results.

Systematic report structure grading: observation → interpretation → differential → management
Pathology identification across all 7 domains including cross-modality cases
Missing key findings flagged with examiner-style feedback
Linked to study notes for immediate consolidation of missed pathology

Case reporting grader interface showing structured feedback

· Feature 02 · Flashcards

171 LOs. Spaced repetition for 7 domains of clinical radiology.

RANZCR Part 2 tests breadth across every clinical domain simultaneously. Primex flashcards cover pathology patterns, staging criteria, and reporting thresholds with spaced-repetition scheduling that tracks your weakest domains and surfaces them before the viva.

Flashcards across all 7 viva domains: thoracic/CV, abdominal, neuro, MSK, GU, paediatric, interventional
Staging criteria cards: Fleischner, Bosniak, PI-RADS, BI-RADS, LI-RADS, TIRADS
Pattern recognition cards: UIP vs NSIP, HCC enhancement pattern, DWI stroke appearances
Reporting threshold cards: when to recommend biopsy, follow-up, or urgent referral

Flashcard interface showing revealed answer

· Feature 03 · Viva Simulator

Seven domains. 25 minutes each. Voice mode.

The RANZCR Part 2 Viva consists of 7 domain stations, each 25 minutes with 8–10 cases. Each station has two examiners. Primex simulates all 7 domains with AI examiners who present radiology cases, ask for systematic interpretation, and probe clinical management; with voice mode for authentic viva practice.

All 7 domain viva stations: Thoracic/CV, Abdominal, Neuro, MSK, Genitourinary, Paediatric, Interventional
Case-based questioning: "Describe what you see, give me a differential, and tell me what you would recommend"
Examiner probes push from observations to diagnosis to management to follow-up
Voice mode for authentic spoken viva rehearsal

· Feature 04 · Study Notes

158 topics. Every Phase 2 clinical radiology domain mapped.

Every Primex RANZCR Part 2 study note follows a structured reporting framework: radiological features, differential diagnosis, key distinguishing features, and management implications. Each note includes the reporting pearls examiners expect candidates to demonstrate; not just pattern recognition, but clinical integration.

158 topics covering all 7 Phase 2 viva domains and the pathology/case reporting papers
Systematic reporting framework in every note: features → differential → distinguishing points → management
Staging and classification criteria with specific thresholds (LI-RADS, BI-RADS, TIRADS, Fleischner, Bosniak, PI-RADS)
References to ACR guidelines, RANZCR position statements, and landmark oncology staging systems

Study note interface showing structured content

· Feature 05 · RANZCR Curriculum Tracker

171 learning objectives. Progress across all Phase 2 domains.

The RANZCR Phase 2 curriculum maps 171 LOs across clinical radiology domains. Primex's curriculum tab maps every LO to the study notes and flashcards that cover it, with per-domain progress bars so you know which viva station needs more preparation.

All 171 RANZCR Phase 2 LOs mapped across 7 clinical domains
Checkbox completion persisted to localStorage across sessions
Click any LO to jump directly to the relevant study note
Per-domain progress bars showing viva station readiness at a glance

Curriculum tracker with progress indicators

· About this exam ·

The RANZCR Clinical Radiology Part 2 (Phase 2) Examination

The RANZCR Part 2 (Phase 2) examination is the final fellowship hurdle for clinical radiology trainees in Australia and New Zealand. It follows completion of Phase 1 and the required clinical training years. The examination consists of a Pathology Written Paper, a Case Reporting Paper (35 cases, 3 hours), and a Viva Examination covering 7 domains.

The Viva consists of seven 25-minute stations, each covering a clinical radiology domain (Thoracic/Cardiovascular, Abdominal, Neuroradiology, Musculoskeletal, Genitourinary, Paediatric, and Interventional Radiology), with 8–10 cases per station assessed by two examiners. Candidates must pass all components of the examination.

OrganiserRoyal Australian and New Zealand College of Radiologists (RANZCR)
Pathology paperMCQ and SAQ; basic pathology sciences relevant to clinical radiology
Case reporting35 cases across all domains; 3 hours
Viva7 domain stations × 25 min each; 8–10 cases per station; 2 examiners per station
CurriculumRANZCR Clinical Radiology Learning Outcomes v1.3 (January 2024); 171 Phase 2 LOs
Training pathwayCompletion of Phase 1 + years 2–5 of Radiology SET training; typically sat in final training year

· Key resources ·

ACR Appropriateness Criteria; referencing standard for case reporting management recommendations
Grainger & Allison's Diagnostic Radiology (6e); comprehensive clinical reference
Dahnert's Radiology Review Manual (7e); exam-focused reference
Radiopaedia.org; cases and pathology library
ACR reporting lexicons: BI-RADS, LI-RADS, TIRADS, PI-RADS, Fleischner Society, Bosniak
RANZCR website (ranzcr.com); examination regulations, past examiner feedback, and timetable

· Pricing ·

Every plan starts with
a 7-day free trial.

Starter

$9.99

7 days free, then $9.99/mo

✓ One specialist exam (your choice)
✓ Study notes for every curriculum topic
✓ Flashcards with spaced repetition
✓ 10 MCQs per topic (sampler)
✓ Study plan with pace tracking
✗ AI viva simulation & voice mode
✗ MCQ drill mode
✗ SAQ question bank & sessions
✗ Community feed

Start free trial

Monthly

$24.99

7 days free, then $24.99/mo

✓ All 21 specialist exams: SAQ, MCQ, Viva & Voice
✓ Flashcards with spaced repetition & MCQ drill
✓ Study notes for every curriculum topic
✓ SAQ question bank & sessions
✓ Study plan with pace tracking
✓ Community feed

Start free trial

3 Months

$59.99

7 days free, then $59.99/3mo

= $19.99/mo · save 20% vs monthly

✓ All 21 specialist exams: SAQ, MCQ, Viva & Voice
✓ Flashcards with spaced repetition & MCQ drill
✓ Study notes for every curriculum topic
✓ SAQ question bank & sessions
✓ Study plan with pace tracking
✓ Save 20% vs monthly

Start free trial

Best Value

Yearly

$15.00

per month, billed $179.99/yr

= $15/mo · save 40% vs monthly

✓ All 21 specialist exams: SAQ, MCQ, Viva & Voice
✓ Flashcards with spaced repetition & MCQ drill
✓ Study notes for every curriculum topic
✓ SAQ question bank & sessions
✓ Study plan with pace tracking
✓ Save 40% vs monthly plan

Start free trial →

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Free trial on every plan (7 days) Cancel anytime before trial ends Not affiliated with RANZCR

· FAQ ·

Common questions

What are the components of the Part 2 examination?

The Part 2 (Phase 2) examination has three components: a Pathology Written Paper (MCQ and SAQ covering basic pathological science relevant to clinical radiology), a Case Reporting Paper (35 cases across all 7 domains in 3 hours), and a Viva Examination (7 domain stations, 25 minutes each, with 8–10 cases per station and 2 examiners).

How is the Case Reporting paper marked?

The Case Reporting paper assesses systematic report structure, correct identification of key pathology, differential diagnosis generation, and appropriate clinical management recommendations. Common marking errors from examiner feedback: failing to identify the key finding first, missing multi-system involvement in a case, not providing a management recommendation, and imprecise reporting language (vague phrases like "some abnormality" instead of specific descriptions).

What does the viva examiner actually probe?

RANZCR viva examiners typically present cases in sequence: "Describe what you see" → "Give me your differential" → "What's your most likely diagnosis and why?" → "What would you recommend?" Primex's viva simulator replicates this pattern across all 7 domains. Examiners also probe beyond the obvious case: "What else could this look like?" and "What would change your management?"

Which domains have the most cases in the viva?

The 7 domains are roughly equally weighted, but Thoracic/Cardiovascular and Abdominal cases are often noted as the highest volume domains in the viva. The Pathology paper focuses on histopathological and pathological science underpinning radiology findings. Primex's viva simulator weights domains proportionally to their representation in the exam, with Abdominal and Neuro domains featuring frequently.

Does Primex cover reporting lexicons (BI-RADS, LI-RADS, PI-RADS etc.)?

Yes. All major ACR reporting lexicons are covered in dedicated study notes and flashcards: BI-RADS (0–6 with management), LI-RADS (LR-1 to LR-5 and TIV), TIRADS (ACR TR1–TR5 with FNA thresholds), Bosniak (v2019 cyst classification), Fleischner Society nodule guidelines (solid, part-solid, and ground-glass), PI-RADS v2.1 (1–5 by zone and sequence), and O-RADS. Knowing these criteria precisely is essential for both the Case Reporting paper and the viva.

Does the Part 2 viva test interventional radiology?

Yes; Interventional Radiology is one of the 7 viva domains. This station covers the indications, technical principles, and complications of major IR procedures: TIPSS, transarterial chemoembolisation (TACE), uterine fibroid embolisation (UFE), nephrostomy, biliary drainage, vertebroplasty, and vascular intervention. Primex covers these in dedicated study notes and the viva simulator.

Is RANZCR Part 1 content also available on the same subscription?

Yes. Primex Monthly, Quarterly, and Yearly subscriptions include all 21 exams; both RANZCR Part 1 (physics and anatomy) and Part 2 (clinical radiology) content are accessible on a single subscription. Many trainees use both simultaneously: Part 1 content for the physics/anatomy examination and Part 2 content for clinical case-based learning throughout training.

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