Ankle and foot ultrasound report template
A structured ankle and foot ultrasound report template used for ankle / foot ultrasound. It covers 7 sections and 22 fields, and includes a one-click normal preset.
Technique
High-frequency linear transducer ultrasound of the ankle and hindfoot with dynamic assessment.
Sample normal ankle and foot ultrasound report
This is the text SonoTez generates when the doctor applies the template's normal preset. Measurements are left for the doctor to enter.
Technique
High-frequency linear transducer ultrasound of the ankle and hindfoot with dynamic assessment.
Findings
Achilles tendon
The Achilles tendon is normal in thickness and fibrillar echotexture.
Plantar fascia
The plantar fascia is of normal thickness and echotexture.
Peroneal tendons and lateral ligaments
The peroneal tendons are intact and stable on dynamic assessment.
The anterior talofibular and calcaneofibular ligaments are intact.
Medial and anterior tendons
Tibialis posterior, flexor and extensor tendons are normal.
Ankle joint
No ankle joint effusion or synovial thickening.
What to include: sections and measurements
Examination
- Side examined: right · left · bilateral
- Contralateral comparison: performed · not performed
- Dynamic assessment: performed · not performed / not tolerated
Achilles tendon
- Appearance: normal · tendinopathy · calcific tendinopathy · partial-thickness tear · full-thickness tear · complete rupture
- Thickness (mm)
- Tear width (mm)
- Tear length / retraction / gap (mm)
- Calcific deposit (mm)
- Doppler: no hyperaemia · hyperaemia / neovascularity
- Retrocalcaneal bursa: normal · distended
Plantar fascia
- Plantar fascia: normal · thickened and hypoechoic · partial tear · nodule (fibroma)
- Thickness at calcaneal origin (mm)
Peroneal tendons and lateral ligaments
- Peroneal tendons: normal · tenosynovitis · longitudinal split (brevis) · tear
- Dynamic stability: stable · subluxation · dislocation
- Anterior talofibular ligament: intact · thickened (sprain) · partial tear · complete tear · chronically attenuated
- Calcaneofibular ligament: intact · abnormal
Medial and anterior tendons
- Tibialis posterior: normal · tenosynovitis · tendinopathy · tear
- Flexor and extensor tendons: normal · abnormal (describe)
- Description
Ankle joint
- Effusion / synovium: no effusion · small effusion · moderate effusion · large effusion · synovial thickening
- Depth (mm)
Other findings
- Other findings
Writing the impression
Answer the clinical question first, list the remaining findings in order of importance, and keep anything new out of the impression. If a structure was not fully seen, say so and give the reason. See how to write an ultrasound report for wording and certainty terms.