The Ultrasound Abdomen (Normal) template by s10.ai is expertly crafted for sonologists, sonographers, and radiologists to accurately document normal abdominal ultrasound findings. This comprehensive template includes sections for patient information, clinical indications, technical details, and detailed observations of the pancreas, liver, gallbladder, kidneys, and spleen. By ensuring standardized and thorough reporting, this template is an indispensable resource for radiologists aiming to enhance the precision and efficiency of their normal ultrasound abdomen reports. Adopt this template to optimize your documentation workflow and ensure the highest accuracy in your ultrasound reporting.
Organized sections for comprehensive clinical documentation
Example of completed documentation using this template
Ultrasound AbdomenPatient Information:Name: John DoeAge & Gender: 45, MaleDate of Birth: 01/01/1978Medical Record Number: 123456Clinical Indication:Patient reports upper abdominal pain and has a history of mild jaundice. The ultrasound is conducted to assess the liver, gallbladder, pancreas, and kidneys for any irregularities.Technical Information:Date of Examination: 10/10/2023Sonographer: Jane SmithEquipment Used: GE Logiq, curvilinear transducer operating at 2-5MHzType of Examination: Ultrasound AbdomenFindings:The pancreas is clearly visualized and exhibits normal size, shape, and echotexture, with no duct dilation observed.The liver appears normal in size, shape, and echotexture, with no intrahepatic duct dilation or focal lesions detected. 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 present within the lumen, and the patient is sonographic Murphy’s negative. The CBD measures 5 mm.Both kidneys are normal in size and shape with smooth contours and normal cortical echotexture. The central echogenic complexes appear normal with no hydronephrosis. The right kidney measures 10 x 5 cm and the left kidney measures 10 x 5 cm.The spleen is normal in size, shape, and echotexture with a diameter of 11 cm.Impression:- No significant abnormalities are observed in the current examination.
Key advantages of using this template in clinical practice
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