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 2 and 3 trimestres

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 blanks0/18

Exame realizado em caráter de urgência no pronto-socorro, por via suprapúbica (abdominal). - Bexiga: com repleção parcial. - Útero: gravídico, globoso. - Colo uterino: de aspecto aparentemente preservado. - Feto: único, em situação longitudinal transversa, com apresentação cefálica pélvica e dorso à direita esquerda. - Batimentos cardíacos (BCF): bpm. - Placenta: com implantação corporal anterior posterior fúndica e de espessura de até mm. Grau de maturação ( Grannum ): . - Cordão umbilical: de aspecto habitual. - Líquido amniótico: em quantidade normal. Maior bolsão vertical (MBV) estimado em mm ILA estimado em cm. Medidas: Cabeça: DBP = mm; PC = mm. Abdome: CA = mm. Fêmur: CF = mm. Peso fetal estimado ( Hadlock ): g (variação de ± 15%). Conclusão: - Gestação tópica e única, com feto 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.