Background <p>The use of standardised structured radiology reports improves the consistency, reproducibility and overall quality of radiological reporting while enhancing communication with referring physicians and ultimately contributing to improved patient care.</p> Objective <p>To develop a standardised structured report template for fetal and neonatal postmortem magnetic resonance imaging through expert consensus.</p> Materials and methods <p>A Delphi survey was conducted between September and December 2025 among members of the ESPR Postmortem Task Force and other recommended international PM imaging experts. The surveyed items were derived from clinically used MRI reporting templates across the expert group. Consensus was defined using a ≥75% agreement threshold, and items meeting this criterion were incorporated into the final point-of-care template.</p> Results <p>Twenty-four postmortem imaging specialists from 22 centres worldwide (Europe, USA, Canada, Australia, New Zealand, India and South America) formed our expert panel and completed the survey. By consensus, the final structured PMMRI report template includes the following subheadings: expected postmortem changes, cerebral structures, cervicothoracic structures, abdominal structures and extremities, each accompanied by a defined list of anatomical structures to be assessed, followed by a conclusion. In addition, the indication and technique sections of the report were based on prior consensus recommendations from the ESPR PM Task Force.</p> Conclusion <p>A standardised and structured reporting template for fetal and neonatal PMMRI was developed through expert consensus to promote complete, clear and consistent reporting and to facilitate communication. These recommendations aim to promote standardisation and wider adoption of perinatal PMMRI in clinical practice.</p> Graphical abstract <p></p>