Ultrasound thyroid report template
A structured ultrasound thyroid report template used for ultrasound thyroid, neck and cervical lymph nodes. It covers 7 sections and 27 fields, and includes a one-click normal preset.
Technique
High-frequency linear transducer ultrasound of the thyroid and neck.
Sample normal ultrasound thyroid 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 thyroid and neck.
Findings
Right lobe
Right lobe echotexture is homogeneous with normal vascularity.
Left lobe
Left lobe echotexture is homogeneous with normal vascularity.
Nodules
No thyroid nodule is seen.
Cervical lymph nodes
No abnormal-appearing cervical lymph node is seen.
What to include: sections and measurements
Right lobe
- Length (cm)
- Width (cm)
- AP (cm)
- Volume (mL) calculated
- Echotexture: homogeneous · heterogeneous
- Vascularity: normal · increased · decreased
Left lobe
- Length (cm)
- Width (cm)
- AP (cm)
- Volume (mL) calculated
- Echotexture: homogeneous · heterogeneous
- Vascularity: normal · increased · decreased
Isthmus
- Thickness (mm)
Nodules
- Nodules: none seen · present
Nodule repeatable
- Location: right lobe · left lobe · isthmus
- Position within lobe
- Length (mm)
- Width (mm)
- AP (mm)
- Composition: cystic · spongiform · mixed cystic and solid · solid
- Echogenicity: anechoic · hyperechoic · isoechoic · hypoechoic · very hypoechoic
- Shape: wider-than-tall · taller-than-wide
- Margin: smooth · ill-defined · lobulated or irregular · extra-thyroidal extension
- Echogenic foci: none · large comet-tail artifacts · macrocalcifications · peripheral (rim) calcifications · punctate echogenic foci
Cervical lymph nodes
- Lymph nodes: no abnormal-appearing nodes seen · abnormal-appearing nodes
- 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.