Postmenopausal endometrium — normal limit?

Asymptomatic patients: endometrial thickness ≤ 11 mm is generally accepted as the upper limit. With postmenopausal bleeding, ≤ 4–5 mm reasonably rules out malignancy; higher values warrant histology.

Best cycle phase for elective pelvic US?

For endometrial and myometrial assessment, early proliferative phase (days 5–10). For ovulation monitoring, serial exams from day 10.

When to indicate US for deep endometriosis?

Transvaginal US with bowel prep is the initial imaging modality for suspected deep endometriosis — assesses anterior and posterior compartments, rectosigmoid, cul-de-sac and uterosacral ligaments.

Report template — Ultrasound of obstetrico 1 trimestre

When to use

Pelvic US evaluates uterus, adnexa and cul-de-sac; transvaginal is the standard for detailed endometrial and follicular analysis. Indicated for pelvic pain, abnormal bleeding, infertility, ovulation monitoring, IUD assessment and adnexal mass workup.

What to evaluate

Uterus: position, size, contour, myometrial echotexture.
Endometrium: thickness and pattern (cycle phase / post-menopause); focal findings.
Ovaries: size, volume, antral follicles; cysts/masses.
IUD (if applicable): type, position and fundal distance.
Cul-de-sac and free fluid.

Interactive template

Fill the blanks0/13

Exame realizado em caráter de urgência no pronto-socorro, por via transvaginal. - Bexiga: com repleção parcial. - Útero: globoso e levemente aumentado. - Colo uterino: de aspecto preservado, com comprimento estimado em cm. - Ovários e regiões anexiais: sem particularidades. Provável corpo lúteo de cm no ovário direito esquerdo. - Saco gestacional: tópico, único e de contornos regulares, medindo cerca de x x mm (DMSG = mm). Não se observam coleções / hematomas perigestacionais ou áreas de descolamento ovular. - Vesícula vitelínica: esférica, regular, medindo mm. - Embrião / feto: único, com batimentos cardíacos evidentes à frequência de (BCF): bpm. CCN = mm. Conclusão: - Gestação tópica e única, com embrião vivo e de idade gestacional estimada em semanas e dias pela biometria atual. Obs: O exame obstétrico de pronto-atendimento tem como objetivo primordial o de avaliar a vitalidade imediata da gestação, não se destinando à pesquisa de malformações fetais nem substituindo os exames de rotina do pré-natal.

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

Postmenopausal endometrium — normal limit?: Asymptomatic patients: endometrial thickness ≤ 11 mm is generally accepted as the upper limit. With postmenopausal bleeding, ≤ 4–5 mm reasonably rules out malignancy; higher values warrant histology.
Best cycle phase for elective pelvic US?: For endometrial and myometrial assessment, early proliferative phase (days 5–10). For ovulation monitoring, serial exams from day 10.
When to indicate US for deep endometriosis?: Transvaginal US with bowel prep is the initial imaging modality for suspected deep endometriosis — assesses anterior and posterior compartments, rectosigmoid, cul-de-sac and uterosacral ligaments.

References

IDEA Group Consensus, 2016.
ACR Practice Parameter for the Performance of Pelvic Ultrasound.