Targeted ultrasound report template
A structured targeted ultrasound report template used for single-organ study, follow-up / targeted abdominal study, parotid / salivary glands, ultrasound axilla, superficial lump / soft tissue, abdominal wall / groin examination, shoulder ultrasound, knee ultrasound, ankle / foot ultrasound, other targeted joint / tendon, chest / pleural ultrasound, paediatric cranial ultrasound, paediatric hip ultrasound, ultrasound appendix / right iliac fossa, other paediatric targeted examination. It covers 4 sections and 12 fields.
Technique
Targeted ultrasound of the region of clinical concern.
What to include: sections and measurements
Region examined
- Site examined
- Side: right · left · bilateral · midline
- Findings
Focal lesions
- Focal lesion: none seen · present
Lesion repeatable
- Location
- Size 1 (mm)
- Size 2 (mm)
- Depth from skin (mm)
- Appearance: cystic · solid · mixed · collection
- Vascularity: absent · present · not assessed
- Description
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.