Transrectal ultrasound of the prostate report template
A structured transrectal ultrasound of the prostate report template used for transrectal ultrasound. It covers 6 sections and 26 fields, and includes a one-click normal preset.
Technique
Transrectal ultrasound of the prostate and seminal vesicles in transverse and sagittal planes with colour Doppler.
Sample normal transrectal ultrasound of the prostate 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
Transrectal ultrasound of the prostate and seminal vesicles in transverse and sagittal planes with colour Doppler.
Findings
Prostate
The transition zone is normal for age.
The prostatic capsule is smooth and intact.
No focal peripheral zone lesion is seen.
Seminal vesicles and ejaculatory ducts
The seminal vesicles are symmetrical and normal; no ejaculatory duct abnormality.
Bladder base and rectal wall
The bladder base and visualized rectal wall are normal.
Impression
No focal prostatic abnormality on transrectal ultrasound. A normal ultrasound does not exclude prostate cancer.
What to include: sections and measurements
Prostate
- Transverse (cm)
- Anteroposterior (cm)
- Craniocaudal (sagittal) (cm)
- Volume (mL) calculated
- Serum PSA (entered) (ng/mL)
- Transition zone: normal for age · enlarged with nodular hyperplasia
- Median lobe / intravesical projection: none · present
- Capsule: smooth and intact · focal bulge / irregularity · suspected breach
- Calcification: corpora amylacea / periurethral · diffuse
- Peripheral zone focal lesion: none seen · present
Prostate lesions repeatable
- Side: right · left · midline
- Level: base · mid-gland · apex
- Zone: peripheral zone · transition zone · central zone
- Size 1 (mm)
- Size 2 (mm)
- Echogenicity: hypoechoic · isoechoic · hyperechoic · cystic
- Colour Doppler: no increased flow · increased flow
- Relation to capsule: capsule intact · abuts capsule · capsular bulge / irregularity
Seminal vesicles and ejaculatory ducts
- Seminal vesicles: symmetrical, normal · dilated · asymmetric · cyst · not visualized (one or both)
- Ejaculatory ducts / midline: normal · calculus · midline (utricular / müllerian) cyst · dilated
- Description
Bladder base and rectal wall
- Bladder base: normal · wall thickened / trabeculated · lesion
- Visualized rectal wall: normal · abnormal
- Description
Procedure note
- Biopsy / aspiration details (if performed)
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.