Suspected testicular torsion — what to assess first?

Color Doppler for absent or markedly reduced intratesticular flow versus the contralateral side. Within a 6-h window, viability is high — imaging should be immediate.

Post-void residual — normal?

Typical adult: 100 mL suggest significant retention. Compute after recent voluntary voiding.

Enlarged prostate — when multiparametric MRI?

Elevated/abnormal PSA, clinical suspicion of cancer, suspicious sonographic finding, or pre-biopsy. PI-RADS is the categorization system.

Report template — Ultrasound of abdomen total and prostate

When to use

Urinary tract and male genital US assesses kidneys, urinary tract, bladder, prostate and scrotum. Indicated for urolithiasis workup, hematuria, BPH, suspected mass, acute scrotum, varicocele and testicular nodule. Suspected testicular torsion is an absolute emergency.

What to evaluate

Kidneys: size, contour, parenchyma (thickness, echogenicity), pelvis, calyces.
Urinary tract: dilatation, stones, intraluminal tumors.
Bladder: wall, content, post-void residual volume.
Prostate: volume (V = c × w × h × 0.52), central/peripheral zones, nodules.
Testes: volume, echotexture, Doppler flow (rule out torsion and tumor); epididymis; varicocele.

Interactive template

Fill the blanks0/9

Exame realizado pela via suprapúbica. - Fígado: com dimensões normais, contornos regulares e bordas finas. Ecotextura parenquimatosa hepática homogênea. - Veias porta e hepáticas: com calibres preservados. - Vesícula biliar: tópica, normodistendida, com paredes finas e regulares e conteúdo anecogênico, sem cálculos. - Vias biliares intra e extra-hepáticas: sem dilatações - Pâncreas: com dimensões, contornos e ecogenicidade normais. - Baço: com dimensões normais, homogêneo. - Rins: tópicos, de dimensões normais, com espessura e ecogenicidade parenquimatosas preservadas, sem hidronefrose ou cálculos detectáveis ao método. - Aorta abdominal: com calibre normal. - Peritôneo e retroperitôneo: ausência de líquido livre ou coleções detectáveis. - Bexiga: com repleção satisfatória, paredes regulares e conteúdo anecogênico. Volume estimado em mL. - Próstata: com forma habitual, medindo cerca de x x cm; massa estimada estimada em gramas. - Protrusão prostática intravesical (IPP): de cerca de cm. - Vesículas seminais: simétricas e com ecotextura preservada. - Resíduo vesical pós-miccional: estimado em mL. Conclusão: - Próstata com massa estimada em gramas. - Resíduo pós-miccional estimado em mL. Restante do exame sem particularidades.

Template in Brazilian Portuguese (clinical reporting language). Adapt to your service protocol. Not medical advice — the physician reviews, edits and signs.

How to use

Replace each [...] with the exam's measurement or descriptor.
Adapt the conclusion to your service protocol before signing.
Use the template as a starting point — not a replacement for physician review.
In Laudos.AI, dictate findings in natural speech and the AI structures text in this format for review.

Frequently asked

Suspected testicular torsion — what to assess first?: Color Doppler for absent or markedly reduced intratesticular flow versus the contralateral side. Within a 6-h window, viability is high — imaging should be immediate.
Post-void residual — normal?: Typical adult: < 50 mL. Volumes > 100 mL suggest significant retention. Compute after recent voluntary voiding.
Enlarged prostate — when multiparametric MRI?: Elevated/abnormal PSA, clinical suspicion of cancer, suspicious sonographic finding, or pre-biopsy. PI-RADS is the categorization system.

References

ACR Practice Parameter for the Performance of Scrotal Ultrasound.
PI-RADS v2.1, 2019.