USS PELVIS-IUCD

The uterus is normal in size (), has homogenous echotexture and regular outline. No fibroids
seen.
IUCD is correctly placed in the uterine cavity.
Both ovaries are normal in size and morphology. No cysts seen.
No adnexal masses seen.
No fluid seen in the pouch of Douglas.
Urinary bladder is normal.
Comment
Intrauterine Contraceptive Device in situ.
No abnormalities seen in the uterus, ovaries and adnexa on scan.
USS PELVIS RPOC’S
The uterus is normal in size (), has homogenous echotexture and regular outline. No fibroids
seen.
Echogenic material measuring… mm in volume with no fluid areas noted in uterine cavity and
this is consistent with RPOC’s.
Cervix is long and the cervical canal is closed.
Both ovaries are normal in size and morphology. No cysts seen.
No adnexal masses seen.
No free fluid seen in the pouch of the Douglas.
Urinary bladder is normal.
Comment
Findings in keeping with an incomplete miscarriage.
USS PREGNANCY- TWINS
A bulky gravid uterus is seen.
Two gestational sacs located in the upper uterine segment are seen.
Sacs have diameters…………and……….
No embryonic structures seen the sacs as yet.
EGA by average sac is ……weeks…...days.
EDD is……………….
Cervical canal is closed and the cervix is long ().
No fibroids seen.
Both ovaries are normal in size and morphology. No cysts seen.
No adnexal masses seen.
No fluid seen in the pouch of the Douglas.
The urinary bladder is normal.
Comment
Normal early twin pregnancy scan. Rescan is advised after 2-3 weeks to check for presence and
viability of foetal poles.
USS PELVIS (NORMAL)
The uterus is normal in size (), has a homogenous echotexture and regular outline.
No fibroids are seen.
The endometrium has normal thickness and is well outlined.
Both ovaries are normal in size and morphology.
The right ovary measures…. Cc and the left ovary measures…. cc.
No cysts seen.
There is no free fluid seen in the pouch of the Douglas.
Comment
Normal pelvic scan.
USS PELVIS- HEMORRHAGIC CYST
Sonogram of the right (left) ovary shows a mass measuring......... with internal echoes and
multiple fibrin strands. Color doppler evaluation confirms absence of demonstrable blood flow
within the mass. Appearance of the mass is that of a hemorrhagic cyst.
Mention whether or not the other ovary has a cyst or not.
Mention if there is Free fluid in the PoD
Comment
Findings in keeping with a right ovarian hemorrhagic cyst
USS BOWEL OBSTRUCTION
Do normal abdomen scan and report.
Noted is to and from peristaltic movement within the bowels consistent with bowel obstruction.
Also noted is the "pointy" triangular appearance of inter-loop free fluid known as the tanga sign
between the bowels.
Mention if there is loop dilatation (>3cm).
Comment
Findings in keeping with bowel obstructions.
USS PREGNANCY
Single live intrauterine fetus.
Positive cardiac activity and normal fetal move no noted.
FHR is ..........Bpm.
...........presentation during scan.
No obvious fetal abnormalities seen.
Normal liquor volume with an AFI of .........cm
The umbilical artery had a normal waveform shape with flow throughout end-diastole. It has a
pulsatility index of ........ resistive index of ....and SD ratio of .... which is within normal limits.
If abnormal: The umbilical artery has an abnormal waveform shape with no (or reverse) end
diastolic peak. The PI, Rl, SD ratio are all out of the normal limits.
The placenta is on the .......... upper segment, clear of the os.
Cervical canal is long and the cervix is closed.
No fibroids or adnexal masses seen.
BPD (........mm) HC (.......mm) AC (........mm) and FL (.......mm)
EGA is .......weeks ......days.
EDD is .........+/-2weeks.
Comment
Single live intrauterine fetus of ........weeks ......days gestation.
Normal umbilical artery Doppler scan.
If abnormal comment: abnormal umbilical artery doppler assessment which is suggestive of
underlying fetal vascular stress and/or placental insufficiency.
USS PREGNANCY-very early
A bulky gravid uterus is seen.
Single intrauterine gestational sac seen.
Sac has a mean diameter of ......cm which corresponds to an EGA of .......
Provisional EDD is ....
Cervical canal is long and the cervix is closed.
No fibroids.
Both ovaries are normal in size and morphology.
No adnexal masses seen.
No free fluid in the Pouch of Douglas.
The urinary bladder is normal.
Comment
Early intrauterine pregnancy of ......weeks gestation. A rescan in .... weeks is recommended to
assess fetal viability and accurately date the pregnancy.
USS PREGNANCY-MOLAR PREGNANCY
The uterus is bulky and has a homogeneous echotexture and regular outline. No fibroids seen.
There is a solid mass with multiple small anechoic areas in the uterine cavity and it measures......
The appearance of the mass is that of a molar pregnancy.
Both ovaries are normal in size and morphology. No cysts seen.
No adnexal masses seen.
No fluid seen in the Pouch of Douglas.
Urinary bladder is normal.
Comment
Ultrasound appearances are that of a molar pregnancy.
USS ANTENATAL EARLY INTRAUTERINE FETAL DEMISE
There is a single non-viable intrauterine fetus.
Fetal cardiac activity and movements are negative.
The head shows Spalding's sign.
No color flow around the heart on doppler evaluation.
Estimated gestational age using femur length is ..........
The cervix is closed.
Comment
Intrauterine fetal demise.
USS ABDOMEN
The liver is normal in size measuring......cm with a homogeneous echotexture and smooth
outline. No focal hepatic lesions seen. The intrahepatic and extrahepatic ducts are not dilated.
The gallbladder is well distended with normal wall thickness and wall outline. There are no gall
stones seen.
The spleen......cm and pancreas are normal in size with a uniform echotexture and smooth
outline.
No focal lesions, cysts or masses seen. Normal IVC and aorta. Both kidneys are normal in size
(RT...cm and LT ....cm), shape position and echotexture with preserved cortico-medullary
differentiation. No focal renal masses, renal cysts or calculi or cortical scarring seen.
No hydronephrosis or hydroureter seen bilaterally. Supra renal areas appear normal.
No enlarged lymph nodes seen. No ascites, pleural effusions or intra- abdominal masses seen.
Comment
No abdominal abnormalities seen
USS KIDNEYS
Both kidneys are normal in size (Rt.....cm and Lt....cm), shape, position and echotexture with
preserved cortical-medullary differentiation.
No focal renal masses, renal cysts or calculi or cortical scarring seen.
Supra renal areas appear normal.
No hydronephrosis or hydroureter seen bilaterally.
Both kidneys are well perfumed on colour Doppler.
Comment
No renal or supra renal masses seen.
USS BLADDER
The urinary bladder is well distended with a premicturation volume of .... mls and emptied fully
with insignificant residual urine.
The urinary bladder has normal wall thickness, smooth mucosa and regular shape. The urine is
clear. No bladder masses or calculi seen. No focal bladder wall thickness seen.
USS PROSTATE-BPH
The urinary bladder is not well distended with a normal mucosal outline. No urinary bladder
masses or calculi seen.
Premicturation bladder volume is ........mls.
There is a post- micturition residual volume of .... mls.
The prostate gland is grossly enlarged measuring.......cc with a normal texture and a fairly intact
capsule.
Normal: the prostate gland is normal in size with volume of........ with a uniform echotexture. It
has a regular outline and an intact capsule.
Comment
There is a significant postmicturition residual volume of ......mls constituting ....% urine
retention.
The grossly enlarged prostate gland may be due to benign prostatic hyperplasia (BPH).
However, correlation with PSA levels to exclude prostate malignancy is suggested.
USS APPENDIX
The urinary bladder has a normal mucosal outline.
There is a thick walled non-compressible fluid filled tubular structure with a “fingers-like”
structure on its medial end seen in the right iliac fossa measuring ......mm in diameter. There is a
collection of fluid seen around it. There is pain elicited by applying pressure over it and there is
associated sonographic rebound tenderness observed (positive McBurney’s sign).
Comment
Appearances are those of a perforated appendix with a peri appendiceal abscess.
USS PREGNANCY nuchal translucency
A bulky gravid uterus with a gestational sac in the upper uterine segment is seen.
Single live embryo is noted.
Nuchal translucency is within normal limits of......mm.
Nasal bone is present.
CRL is ......mm.
EGA is .... weeks .... days.
EDD is .........
Cervical canal is long and the cervix is closed.
No fibroids seen.
Both ovaries are normal in size and morphology. No cysts seen.
No adnexal masses seen.
No free fluid seen in the Pouch of Douglas.
The urinary bladder is normal.
Comment
Intrauterine early pregnancy is noted showing a live embryo with no abnormalities at present.
USS PELVIS-post hysterectomy
Post hysterectomy appearances are seen with normal vaginal cuff.
Both ovaries are normal in size and morphology.
No adnexal masses seen.
No fluid seen in the Pouch of Douglas.
The urinary bladder is normal.
USS FIBROIDS + ADENOMYOSIS
Bulky uterus with a heterogeneous echotexture noted.
Endometrium appears thickened measuring ......cm.
Noted are two hypoechoic masses located on the anterior and posterior myometrium
measuring...... and ....cm respectively.
Noted is hyperechoic endometrial tissue extending into the myometrium
Cervix appears normal.
Bilateral adnexal regions appear normal in size and sonomorphology.
Comment
Findings are suggestive of fibroids in the uterus and ADENOMYOSIS.
USS BREASTS
Both breasts show normal fibro glandular tissue with no solid or cystic masses seen.
No duct dilatation demonstrated in either breast.
Normal peri nipple regions with no masses or collections seen.
There are no axillary lymph nodes noted. Normal right and left pectoral beds.
Comment
No breast abnormalities seen, in particular, no breast masses seen.
USS THYROID
The isthmus, right and left lobe of the thyroid gland are normal in size and have a homogeneous
echotexture and smooth outline. No cysts, nodules or focal lesions seen. No micro calcification
seen.
The right lobe measures....and the left measures ....
Normal thyroid gland vascularity.
Normal large neck vessels. No cervical and submandibular lymphadenopathy.
Comment
Normal thyroid gland.
USS THYROID- nodular goitre
The right lobe of the thyroid gland is enlarged measuring in excess of ....mm and has a
heterogeneous echotexture and smooth outline. There are multiple solid nodules seen with some
of them undergoing cystic degeneration. The largest nodule measures .... mm.
The thyroid isthmus and left lobe of the thyroid gland are normal in size and echotexture. The
left lobe measures .... mm.
There is normal vascularity noted bilaterally. There is mild tracheal deviation to the left of the
midline. Retrosternal extension was noted. There is no significant lymphadenopathy within the
soft tissues of the neck. The neck vessels are normal in calibre.
Comment
Nodular enlargement of the right lobe of the thyroid gland with mild tracheal displacement to the
left. There is evidence of early retrosternal extension.
USS ABDOMEN- trauma
The liver is normal in size with a homogeneous echotexture and smooth outline. There are no
hepatic focal areas of laceration or contusion seen. No dilated intrahepatic and extrahepatic bile
ducts seen.
Normal gall bladder and pancreas.
The spleen is normal in size measuring....cm with a normal texture and an intact capsule. There
are no splenic focal areas of laceration or contusion seen.
Both kidneys are normal in size (RT ....cm LT.......cm), shape and position with a normal texture
and preserved cortico-medullary differentiation. Both kidneys are well perfumed with no focal
areas of laceration or contusion seen. No renal masses, cysts, stones or hydronephrosis.
Normal aorta and IVC.
There are no abnormal intra-abdominal masses or any free fluid collection seen. Retro peritoneal
and mesenteric lymph nodes are not enlarged. No pleural effusions or sub phrenic collections
seen bilaterally.
The urinary bladder appears normal with no areas of laceration or contusion seen.
Comment
No free fluid seen in both abdomen and pelvis to suggest intra-abdominal injury.
No visceral lacerations or contusions seen.
USS UTERUS POST OPERATION
Bulky non-gravid uterus measuring.......x.......cm with .........echotexture.
Uterus appears displaced to the left side with adhesions noted in the uterovesical pouch.
Mention if there is communication between inferior surface of uterus and bladder or surrounding
structures. If there is then on comment write uterine dehiscence.
Mention if there is free fluid in the pouch of Douglas.
Comment on bilateral adnexal regions.