Ascites assessment report template
A structured ascites assessment report template used for ascites assessment. It covers 2 sections and 6 fields.
Demonstration content. Review and approve this template with your clinical lead before clinical use. Reference values shown in SonoTez are notes only and are never applied automatically.
Technique
Targeted transabdominal ultrasound for free peritoneal fluid.
What to include: sections and measurements
Free fluid
- Free fluid: none seen · present
- Amount (doctor-assessed): small · moderate · large
- Location
- Appearance: anechoic · with internal echoes · septated
- Pleural effusion: none seen on either side · right · left · bilateral
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.