SUPER KAWAII REPORTING GUIDELINES!!!!!!!

Upper Abdomen

1. PANCREAS
Transverse and longitudinal scanning required, particularly in the head
Comment on:
The degree of visualisation particularly if suboptimal
Size of the head, body and tail
Parenchymal texture
Focal lesions: including soft tissue masses, cysts, and calcification
Pancreatic duct; calibre, contour and stones
Peripancreatic lesions; solid masses, lymphadenopathy and cysts
2. GALL BLADDER
Demonstrate in at least two planes and with patient in more than one
position (i.e. oblique and erect)
Comment on:
Intraluminal lesions; number, size, posterior shadowing and
mobility
Wall thickness (versus degree of distension)
Presence of mural gas or calcification
Distension - physiological, pathological
Point tenderness
Pericholeic collections
3. EXTRAHEPATIC BILE DUCT
Attempt to demonstrate the full length of the common bile duct and common hepatic duct.
Comment on:
Duct diameter - measured inside to inside, at level of portal vein bifurcation and more distally,
if the proximal measurement is at or above the upper limit of normal Duct dilatation - degree
and extent of dilatation, level of obstruction, regularity of calibre
Intraluminal lesions - number, size, echogenicity, posterior shadowing, and mobility within
duct
4. LIVER
Longitudinal and transverse views usually sufficient.
Comment on:
Adequacy of visualisation of the whole of the liver
Overall size, caudate lobe size
Borders - smooth, irregular
Parenchymal echogenicity, texture and attenuation
Focal lesions; number, size, location echo characteristics
Intrahepatic bile ducts
Hepatic veins, portal veins
Perihepatic collections
Right pleural space
5. SPLEEN
Size
Parenchyma - texture and echogenicity
Focal lesions - number, size, location, echo characteristics
Perisplenic collections, collateral veins
Left pleural space
6. KIDNEYS
Size - measure bipolar distance
Outline
Parenchyma - echogenicity cortex and medulla
Focal masses - number, size, location, cystic or solid
Collecting systems - hydronephrosis, prominent extrarenal pelvis,
dilated ureter, intraluminal lesions
Peri-renal and para- renal collections and masses
7. ADRENALS
Visualisation should be attempted
Size and texture if enlarged
Focal masses: cystic, solid, bilateral, unilateral
8. UPPER ABDOMINAL VASCULATURE
Demonstration of the upper abdominal vasculature is the key to upper abdominal anatomy.
The level of ultrasonic evaluation of the vasculature will depend on the clinical indication for
the scan. The following vessels should be identified.
Aorta
Coeliac axis
Superior mesenteric artery
Left renal vein
Inferior vena cava
Splenic vein
Superior mesenteric vein
Main portal vein and its branching pattern in liver
Splenic artery
Hepatic artery
Replaced right hepatic artery (common variant)
Hepatic veins
9. AORTA
Size: measure the outer AP diameter of the aorta.
Comment on:
Aneurysmal dilatation
Calcification, plaques and thrombus
Para-aortic masses; size number location
10. PERITONEAL CAVITY
Ascites
Loculated collections; size, site, echo characteristics
Peritoneal masses; size and site
Bowel wall: thickness, dilatation, peristalsis
Assess appendix.




KUB

Kidney - size
- Shape
- Margin
- Position
- Parenchyma thickness & echogenicity
- Cortico-medullary differentiation
- Central renal complex? hydronephrosis
- ? Focal lesions? renal calculi ? mass ? collection


Ureter ? hydroureter

Bladder - wall thickness and contour
- lesion?
- Urinary jet
- Pre-void volume
- Post-void volume

Prostate - size
- echotexture


Female Pelvic

the age of the patient
presenting symptoms
parity
menstrual history
last menstrual period (LMP),
any previous gynaecological surgery
any current hormonal treatment
results of any available hormonal tests for pregnancy
FAMILY PATHO HISTORY ON PELVIC

Uterus - size, shape, position, mobility
- endometrium - thickness, B mode appearance, classification, vascularity,
intracavity masses and if present their mobility.
- myometrium - masses (size, number, echotexture, vascularity, position,
particularly in relation to the endometrial cavity)
- serosal surface - any masses as above
Ovaries - positive identification of both ovaries and location
- size, echotexture
- follicles, cysts, solid masses
- mobility and tenderness
Adnexa - masses, characteristics
- free fluid
Kidneys - position, exclude hydronephrosis

EVALUATION OF MASSES
- site of origin, relationship to uterus and ovaries
- dimensions
- borders (well defined, irregular, poorly defined, thick walled)
- cystic, solid, mixed, loculated or septated
- contents of cysts
- echogenicity and architecture of solid areas
- vascularity
- mobility



Scrotum

TESTIS
- size
- echotexture (compared with contralateral testis)
- capsule
- mediastinum testis (location to assess rotation)
- vascularity
- appendix testis (seen in the presence of a small hydrocoele)
EPIDIDYMIS
- assess head, body and tail
- size
- echotexture
- vascularity
- appendix epididymis (occasionally seen if hydrocoele is present)
OTHER SCROTAL ANATOMY
- spermatic cord
- tunica vaginalis
- scrotal wall
EVALUATION OF INTRATESTICULAR MASSES
- dimensions
- borders (well defined, irregular, poorly defined)
- cystic, solid or complex
- echogenicity compared with normal testis
- vascularity (if colour Doppler is available)
EVALUATION OF EXTRATESTICULAR MASSES
- hydrocoele, haematocoele and pyocoele
- varicocoele (size and location)
- scrotal hernia
- epididymal lesions (cyst, spermatocoele, acute inflammatory mass, granuloma, solid tumours)



Breast

Assess:
Size
Shape:
a) Ellipsoid
b) Taller than wide
Margins:
a) Spiculated
b) Angular
c) Branch extension
d) Duct extension
Lobulations:
a) Number
b) Characteristics, gentle or microlobulations
Shadowing
Echogenicity:
a) Markedly hypoechoic
b) Hyperechoic Calcification
Capsular thickness



3rd Trimester OB

The last menstrual period (LMP) or previously calculated estimated date of delivery (EDD) and
previous obstetric history should be noted. It is often useful to review any available ultrasound
records. The indication for the examination should be carefully considered and the examination
targeted to answer the clinical problem.
1. Fetal number, presentation and lie
2. Fetal cardiac activity
3. Measurements of fetal size
4. Fetal anatomy,Pelvis-3,5,10mm
5. Fetal wellbeing
6. Placental localisation
7. Amniotic fluid volume,<2cm >8cm,8-22cm
8. Detection and evaluation of maternal pelvic or adnexal masses