Hepatic and portal venous Doppler report template
A structured hepatic and portal venous doppler report template used for hepatic / portal doppler. It covers 7 sections and 21 fields, and includes a one-click normal preset.
Technique
Grey-scale, colour and angle-corrected spectral Doppler ultrasound of the portal venous system, hepatic artery, hepatic veins and IVC.
Sample normal hepatic and portal venous doppler 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
Grey-scale, colour and angle-corrected spectral Doppler ultrasound of the portal venous system, hepatic artery, hepatic veins and IVC.
Findings
Main portal vein
It is patent with hepatopetal flow.
Hepatic artery
The hepatic artery is patent with a low-resistance waveform.
Hepatic veins and IVC
The hepatic veins and IVC are patent with normal triphasic waveforms.
Spleen, collaterals and ascites
No portosystemic collaterals are seen.
No ascites.
Impression
Patent portal venous system with hepatopetal flow. Patent hepatic artery, hepatic veins and IVC. No sonographic signs of portal hypertension.
What to include: sections and measurements
Patient state
- Fasting: fasting · not fasting
Main portal vein
- Diameter (mm)
- Flow direction: hepatopetal · hepatofugal · bidirectional (to-and-fro) · no flow
- Velocity (cm/s)
- Waveform: mildly phasic · flat / monophasic · pulsatile
- Thrombus: none · partial, non-occlusive · occlusive · expansile with internal arterial flow (tumour thrombus suspected)
- Right / left portal veins, splenic and SMV (description)
Hepatic artery
- PSV (cm/s)
- RI
- Waveform: low-resistance, brisk upstroke · tardus-parvus · high-resistance · no flow
Hepatic veins and IVC
- Hepatic veins: patent · thrombus · not seen
- Hepatic vein waveform: triphasic (phasic) · pulsatile, increased · biphasic (loss of a-wave reversal) · monophasic / flat
- Intrahepatic IVC: patent · narrowed · thrombus
Spleen, collaterals and ascites
- Spleen length (cm)
- Portosystemic collaterals: none seen · recanalized paraumbilical vein · left gastric (coronary) vein · splenorenal shunt · multiple collaterals / varices
- Ascites: none · small · moderate · large
TIPS
- Shunt PSV - portal end (cm/s)
- Shunt PSV - mid (cm/s)
- Shunt PSV - hepatic end (cm/s)
- Intrahepatic portal flow direction / note
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.