Lower-limb arterial Doppler report template
A structured lower-limb arterial doppler report template used for lower-limb arterial doppler. It covers 26 sections and 180 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
Grey-scale, colour and angle-corrected spectral Doppler (angle ≤ 60°) ultrasound of the lower-limb arteries from the common femoral artery to the ankle.
What to include: sections and measurements
Right lower limb
- Ankle–brachial index
Right common femoral artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right profunda femoris artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right superficial femoral artery - proximal
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right superficial femoral artery - mid
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right superficial femoral artery - distal
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right popliteal artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right tibioperoneal trunk
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right anterior tibial artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right posterior tibial artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right peroneal artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right dorsalis pedis artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left lower limb
- Ankle–brachial index
Left common femoral artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left profunda femoris artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left superficial femoral artery - proximal
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left superficial femoral artery - mid
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left superficial femoral artery - distal
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left popliteal artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left tibioperoneal trunk
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left anterior tibial artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left posterior tibial artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left peroneal artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left dorsalis pedis artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Study notes
- Technical notes / limitations
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.