Radiologist Template

USG Abdomen (Normal)

A professional Radiologist template for healthcare professionals.

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Specialty

Radiologist

Used

18 times

Type

Note

Last edited

9/5/2024

Created by

Siddharth Krishnakumar

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About this template

This Ultrasound Abdomen (Normal) template is designed for sonologists, sonographers and radiologists to document the findings of a normal abdominal ultrasound. It includes sections for patient information, clinical indication, technical details, and detailed findings for the pancreas, liver, gallbladder, kidneys, and spleen. This template ensures comprehensive and standardized reporting, making it an essential tool for radiologists for normal ultrasound abdomen reports. Use this template to streamline your documentation process and ensure accuracy in your ultrasound reports.

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Ultrasound Abdomen Patient Information: Name: John Doe Age & Gender: 45, Male Date of Birth: 01/01/1978 Medical Record Number: 123456 Clinical Indication: Patient presents with upper abdominal pain and a history of mild jaundice. The ultrasound is performed to evaluate the liver, gallbladder, pancreas, and kidneys for any abnormalities. Technical Information: Date of Examination: 10/10/2023 Sonographer: Jane Smith Equipment Used: GE Logiq, curvilinear transducer operating at 2-5MHz Type of Examination: Ultrasound Abdomen Findings: The pancreas is well visualised and has a normal size, shape and echotexture, with no duct dilation. The liver is of normal size, shape and echotexture with no intrahepatic duct dilation or focal lesion seen. The portal vein measures 12 mm with normal flow. The gallbladder is normal with a wall thickness of 3 mm. No gallstones, polyps or sludge are seen within the lumen and the patient is sonographic Murphy’s negative. The CBD measures 5 mm. Both kidneys are of normal size and shape with smooth contour and normal cortical echotexture. The central echogenic complexes have a normal appearance with no hydronephrosis. The right kidney measures 10 x 5 cm and the left kidney measures 10 x 5 cm. The spleen is of normal size, shape and echotexture with a diameter of 11 cm. Impression: - No significant abnormality is seen in present examination.