The radiology report is the communication from radiologist to referrer, used to inform prognosis and guide patient management. The report is the final step in a process which is influenced by the information on the referral, image quality, the reporting environment, and appropriate detection and interpretation of findings by the radiologist. It should present accurate, complete information in a way that can be easily understood. Even small improvements in any of these areas can have a significant impact on the average quality of radiology reports, with potential impact on vast numbers of patients across the globe. How do we train our future referrers to understand the complexities of imaging and write better referrals? How do we improve image quality as close to source as possible by engaging with equipment vendors? How can we make it easier for all radiologists to have access to the latest guidelines and use reporting templates where appropriate? Every radiologist has a role to play, with possible actions ranging from individual choice to departmental policies and global collaboration. The diseases we diagnose are the same, the equipment similar and knowledge freely available. All our patients deserve the best report we can provide.