Introduction: Cardiac MRI is a powerful tool for management of heart disease.It provides relevant data and thus requires structured and standardised reporting.Methods and Results: In ischemic heart disease cardiac MRI provides data on 1) cardiac structure 2) cardiac function, 3) flow and 4) enables tissue characterisation.Standardised reporting should be categorised into cardiac structure, function, tissue characterisation (usually referred to as late gadolinium enhancement) and extracardiac findings.Tables with normal values for female and male patients are helpful.In many institutions, the report is signed by both, radiologist and cardiologist which underlines the shared responsibility and enhances acceptance from referring physicians.