Report template

Report template — Ultrasound of Doppler abdomen upper

Ultrasound report template for Doppler abdomen upper — clinical body in pt-BR with [...] placeholders for exam-specific findings.

When to use

MSK US evaluates tendons, muscles, ligaments, bursae and superficial collections. Real-time dynamic study is a key advantage — useful for impingement, instability, partial tears and procedure guidance. Limited for bone and deep structures; MRI completes the workup when indicated.

What to evaluate

  • Tendons: thickness, echotexture, contours, tendinosis/partial or full tear signs.
  • Muscles: fibrillar architecture, tears, hematomas, muscular herniation.
  • Bursae: distention, content, Doppler vascularity.
  • Joint: effusion, synovitis, loose bodies, cartilage (limited).
  • Superficial collections and masses: size, echogenicity, vascularity.

Interactive template

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- Fígado: com dimensões normais, contornos regulares e bordas finas. Ecotextura parenquimatosa hepática homogênea. - 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. Ao estudo Doppler: - Artéria hepática: pérvia, com fluxo bifásico de boa amplitude. - Veia porta (tronco e ramos intrahepáticos ): pérvia, de calibre normal, apresentando fluxo hepatopetal com velocidades no tronco em torno de 20 cm/s. - Veias esplênica e mesentérica superior: pérvias, de calibre normal, com fluxo de sentido preservado. - Veias hepáticas: pérvias, de calibres preservados e distribuição habitual, apresentando fluxo multifásico hepatofugal. - Veia cava inferior: pérvia. Conclusão: - Exame sem alterações significativas.
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

When prefer MRI over MSK ultrasound?
When there is suspicion of bone injury, marrow edema, deep structures (acetabulum, nucleus pulposus), deep intra-articular lesions or complex pre-surgical planning. US excels at tendons, soft tissue and dynamic study.
Useful for guided injections?
Yes — US guidance for intra-articular, peritendinous and bursal injections increases accuracy and safety compared to blind technique.

References

  • ACR–AIUM–SRU Practice Parameter for the Performance of the Musculoskeletal Ultrasound Examination.

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