ULTRASOUND EXAMINATION OF THE ABDOMEN
INDICATION:
[+Payable: Hepatitis, hepatoptosis, liver disorder, gallstone, backache, chest pain, Nausea w/
vomiting, Nausea alone, Heartburn, Abdominal pain, RUQ Abdominal pain, LUQ Abdominal
pain, RLQ Abdominal pain, LLQ Abdominal pain, Abdominal pain epigastric, Abdominal pain
generalized, Abdominal pain multiple sites, Splenomegaly, Abdominal mass, Abnormal serum
enzyme levels, Abn findings radiology exam abd, Abnormal liver scan+]
[+Nonpayable: Obesity, Flatulence/gas pain, Change in bowel habits, Abnormal blood chemistry
+]
COMPARISON STUDIES: []
TECHNICAL INFORMATION: Transabdominal sonography was performed.
INTERPRETATION:
Liver: []
Gallbladder: []
Intrahepatic ducts: []
Common bile duct: [], measures [] mm.
Pancreas: []
Spleen: []
Right kidney: [] The right kidney measures [] x [] x [] mm.
Left Kidney: [] The left kidney measures [] x [] x [] mm.
Aorta: []
IVC: []
IMPRESSION:
[]
Dictated at [ ]
RADREPORT.ORG
US Abdomen Complete (generic)
Clinical History: [abdominal pain, fever, mass, etc]
Study: [complete ultrasound of abdomen]
Prior study:
[none]
[ultrasound dated …….]
[CT abdomen dated ….]
[MR abdomen dated …]
Liver:
size[normal] [enlarged][small]
echogenicity- [normal] [hyperechoic consistent with hepatic
steatosis]
[heterogenous
contour[smooth]
[nodular consistent with cirrhosis]
mass[none]
[cyst measuring L x AP x W cm]
[solid mass measuring L x AP x W cm]]
bile ducts[intrahepatic and extrahepatic bile ducts not dilated
with common bile duct measuring ….. mm]
[intrahepatic bile ducts dilated]
[extrahepatic bile duct dilated with common bile duct measuring..mm]
Gallbladder:
[normal]
[cholelithiasis]
[gallbladder wall thickened]
[no pain over gallbladder]
Pancreas:
[head, body, and tail appeared normal]
[head and body appear normal; tail obscured by bowel gas]
Spleen: [normal measuring L x AP x W cm]
Kidneys:
[no pelvicalyceal dilatation with right kidney measuring … cm
in length; left kidney measuring … cm in length]
Aorta & Inferior vena cava:
Ascites:
[none]
IMPRESSION:
[…………………………………]
[visualized portions appear normal]
ULTRASOUND EXAMINATION OF THE ABDOMEN
INDICATION: []
[+Payable: Hepatitis, hepatoptosis, liver disorder, gallstone(s), backache, pain
(chest, abdomen – any and all quadrants/combinations but NOT gas pain,
backache), nausea with or without vomiting, heartburn, splenomegaly,
abdominal mass, abnormal serum enzyme levels, abnormal radiographs,
abnormal liver scan.+][+Nonpayable: Obesity, flatulence/gas pain, change in
bowel habits, abnormal blood chemistry+]
COMPARISON STUDIES: []
TECHNICAL INFORMATION: Transabdominal sonography was performed.
FINDINGS:
Liver: [<Normal.>]
Gallbladder: [<Normal.>].
Intrahepatic ducts: [<Normal.>]
Common bile duct: [<Normal.>], measures [] mm.
Pancreas: [<Normal.>]
Right kidney: [<Normal.>] The right kidney measures [] x [] x [] mm.
Left kidney: [<Normal.>] The left kidney measures [] x [] x [] mm.
Aorta: [<Normal.>]
IVC: [<Patent.>]
IMPRESSION:
[+Mention symptom.+]
[+Signature/location.+]