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Search reports…KVoice Report - 06/03/2026 Saved 122 min agov1
1 phrase 1 Critical

US ABDOMEN COMPLETE WITH DUPLEX DOPPLER

EXAM DATE: June 3, 2026

CLINICAL INDICATION: Evaluation for portal hypertension and patency of the portal venous system.

COMPARISON: None available.

TECHNIQUE: Real-time B-mode and color Duplex Doppler sonographic evaluation of the complete abdomen was performed according to standard institutional protocol.

FINDINGS:

LIVER: Normal dimensions, regular contours, and homogeneous echotexture. No focal hepatic masses or fluid collections visualized.

BILIARY SYSTEM: Intrahepatic and extrahepatic bile ducts are of preserved caliber. The gallbladder is thin-walled, with no stones, sludge, or pericholecystic fluid.

PANCREAS: Evaluation is limited secondary to overlying bowel gas interposition. Visualized portions demonstrate no gross abnormalities or mass lesions.

SPLEEN: Enlarged in size, consistent with splenomegaly. Echotexture is homogeneous throughout.

PORTAL VENOUS SYSTEM: The main portal vein is dilated, measuring 1.8 cm in diameter. There is a clear intraluminal filling defect visualized on color Doppler mapping within the main portal vein, compatible with thrombosis causing venous obstruction. Evaluation of the splenic vein demonstrates reversal of flow direction (hepatofugal flow).

KIDNEYS: Both kidneys are of preserved dimensions and echogenicity. No hydronephrosis, pyelocaliceal dilation, or discrete masses.

BLADDER: Thin-walled and anechoic content.

VASCULATURE: The abdominal aorta and inferior vena cava are of preserved caliber.

FREE FLUID: Absence of free fluid within the abdominal cavity.

IMPRESSION:

1. Portal vein thrombosis associated with dilation of the main portal vein caliber (1.8 cm) and an intraluminal filling defect causing venous obstruction.

2. Splenomegaly and reversed (hepatofugal) flow within the splenic vein, findings highly reflective of portal hypertension.

PRIORITY FINDING

CRITICAL FINDING: Portal vein thrombosis with venous obstruction. Finding communicated directly to the referring clinical team per institutional critical results protocol.

1.834 caracteres   231 palavras FORMAT: Arial 12
CFM 2.314/2022LGPD compliantCRIT-readyHL7 / DICOMNVIDIA Inception ProgramAMCHAM Arena 2026Web Summit Rio 2026 · Beta

Radiologists spend 40% of the workday on
formatting and typing.

The queue never stops, PACS lagging,
a critical finding traveling as a screenshot in the on-call group.

Worklist · PACS
Pending exams0
Oldest in queue3h42
Red priority4
Dictation · audioprocessing
“sten·osis” · “efu·sion” · “li·ver”transcription splitting terms mid-word…
Productivity
Average TAT14min
Rework / corrections12%
Manual typinghigh
RIS · on-call
Abdominal US · #IMG-8842
open for 9 min · no report
Old template · docs

Report template – Brain MRI

Updated 11 months ago · author no longer on staff
  1. Copy the technique block
  2. Delete the previous patient’s findings
  3. Fix gender and laterality by hand
Report · draftpasted
ovary described in a male patient
laterality swapped · R↔L
text from the previous patient wasn’t cleared
12 tabs open
PACSRISHISWordWhatsApp Web+7
On-call
03:47
In queue0
shift still climbing · fatigue
WHA
“Rad On-Call” group
A CT screenshot with possible PE circulating outside the workflow. No trail, no owner, no audit.
RIS
On-call
6 more exams just entered the queue.
!
Critical finding · unconfirmed
Possible PE on CT angio. The ordering provider never opened WhatsApp — no one saw it.
Report returned
Rework: missed describing an incidental adrenal finding

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