Protocols
Protocols
Medical Reports Penile Doppler in erectile dysfunction: the protocol, the velocities and how to report arterial and venous insufficiency
How Doppler is performed after intracavernosal injection, which measurements to record and at what times, peak systolic and end-diastolic velocity val… September 22, 2026 · 3 min read
Medical Reports
Practical Tips Ovarian torsion on ultrasound: the signs that matter and why normal Doppler does not exclude it
Enlarged and edematous ovary, peripheral follicles, whirlpool sign and associated mass: the findings that support the suspicion, the Doppler pitfalls … August 3, 2026 · 3 min read
Practical Tips
Medical Reports Carotid and vertebral Doppler: how to structure the report when assessing stroke risk and carotid stenosis
How to structure the carotid and vertebral Doppler report: segment-by-segment description, plaque characterization, velocities (PSV, EDV, ICA/CCA rati… June 21, 2026 · 11 min read
Medical Reports
Practical Tips Scrotal ultrasound with Doppler: how to structure the report for pain, varicocele and testicular masses
The scrotal ultrasound report should always follow the same sequence (technique, testes, epididymides, tunicae, pampiniform plexus and Doppler) and en… June 17, 2026 · 7 min read
Practical Tips
Practical Tips Lower extremity venous Doppler: how to structure the report when DVT is suspected
The lower extremity venous Doppler report for suspected DVT should walk the deep system segment by segment, assessing compressibility, spontaneous flo… June 15, 2026 · 7 min read
Practical Tips
Protocols Lower extremity arterial Doppler ultrasound: how to structure the report in peripheral artery disease
How to structure the lower extremity arterial Doppler report when investigating PAD: segments to assess, spectral Doppler parameters, stenosis grading… June 9, 2026 · 4 min read
Protocols
Practical Tips Temporal artery Doppler in giant cell arteritis: the halo sign and the report
Why ultrasound has become the first exam when giant cell arteritis is suspected, how to look for the halo sign and the compression sign, which segment… October 10, 2026 · 3 min read
Practical Tips
Medical Reports Renal artery Doppler: stenosis, renal-aortic ratio and intrarenal indices
Peak systolic velocity, renal-aortic ratio, the tardus parvus pattern in the intrarenal arteries and what the resistive index really tells you. How to… August 26, 2026 · 5 min read
Medical Reports
Medical Reports Obstetric Doppler: umbilical artery, middle cerebral artery, cerebroplacental ratio, and ductus venosus
Each index by percentile for gestational age, the absent end-diastolic flow that cannot be buried in the middle of the text, the cerebroplacental rati… July 29, 2026 · 5 min read
Medical Reports
Medical Reports Hepatic Doppler and portal hypertension: how to structure the report, from portal flow to TIPS
Portal vein caliber is the weakest sign of the exam and may even decrease in advanced disease. See what really informs: flow direction, hepatic vein w… July 17, 2026 · 9 min read
Medical Reports Complete guide
Medical Reports Obstetric ultrasound: the three-trimester guide, from dating to Doppler
Each trimester answers a different question, and the report needs to know which one. See the complete sequence (dating, chorionicity, nuchal transluce… July 16, 2026 · 6 min read
Medical Reports
Protocols Third-trimester obstetric ultrasound: how to structure the report for fetal well-being, amniotic fluid and Doppler
Third-trimester obstetric ultrasound is one of the most sensitive studies in routine obstetrics and gynecology: the fetus is fully formed, the finding… May 22, 2026 · 6 min read
Protocols
Medical Reports Uterine artery Doppler in first-trimester preeclampsia screening: technique and report
How to obtain the uterine artery pulsatility index at 11 to 13 weeks, why it is not enough on its own, how it enters the combined risk calculation and… August 24, 2026 · 3 min read
Medical Reports
Practical Tips Fetal growth restriction: the Delphi consensus criteria and what to write in the report
The difference between a small-for-gestational-age fetus and growth restriction, the Delphi consensus criteria for the early and late forms, and how D… October 3, 2026 · 2 min read
Practical Tips
Practical Tips Lower Limb Venous Mapping: Varicose Veins, Reflux and the CEAP Classification
Reflux testing only counts when the patient is standing: supine, incompetent valves look competent. See the maneuvers, the 0.5 and 1.0 second cutoffs,… July 17, 2026 · 9 min read
Practical Tips
Protocols Fetal biophysical profile: how to structure the report for fetal well-being assessment
The fetal biophysical profile (BPP) is one of the most widely used exams for assessing fetal well-being in the third trimester, mainly in high-risk pr… June 18, 2026 · 7 min read
Protocols
Medical Reports Peyronie disease and penile fracture on ultrasound: plaques, curvature and what to report
How to describe Peyronie disease plaques, what ultrasound says about active and stable phases, when to add pharmacologically induced Doppler and what … October 8, 2026 · 3 min read
Medical Reports Complete guide
Medical Reports Musculoskeletal Ultrasound: The Complete Guide, Joint by Joint
The principles that apply to any joint (compartments, laterality, measurements, dynamic exam, Doppler and the limits of the method) and the roadmap fo… September 28, 2026 · 4 min read
Medical Reports
Medical Productivity Hashimoto Thyroiditis on Ultrasound: Parenchyma, Pseudonodules and the Differential with Graves
Diffuse hypoechogenicity, micronodular pattern and fibrous septa, the pseudonodules that should not receive a TI-RADS category, the Doppler that separ… September 19, 2026 · 4 min read
Medical Productivity
Medical Productivity Trisomy and Preeclampsia Risk Calculated Inside the First-Trimester Report
Calculating risk in another program and copying the result into the report is slow and leaves room for error. In Laudário, trisomy and preeclampsia ri… October 21, 2026 · 3 min read
Medical Productivity
Medical Reports Live ultrasound for the family: how BabyLive works
With BabyLive, family members who could not come to the clinic watch the obstetric ultrasound live on their phones, chat with the physician and later … October 21, 2026 · 3 min read
Medical Reports
Medical Reports Intussusception in children: the target sign, what to measure and what to report
How to look for ileocolic intussusception on ultrasound, the target and pseudokidney signs, how to tell it from transient small bowel intussusception … October 17, 2026 · 3 min read
Medical Reports
Practical Tips Gynecomastia on ultrasound: the patterns, pseudogynecomastia and when to suspect cancer
How to distinguish true gynecomastia from pseudogynecomastia on ultrasound, what the nodular, dendritic and diffuse patterns are, the signs that raise… October 13, 2026 · 3 min read
Practical Tips
Practical Tips Follicular monitoring on ultrasound: what to measure and how to record progress
How to plan the serial studies of follicular monitoring, how to measure the dominant follicle and the endometrium, which signs indicate ovulation and … October 9, 2026 · 3 min read
Practical Tips
Practical Tips Bladder Ultrasound: Volume, Postvoid Residual and What to Describe in the Wall
How to calculate bladder volume and postvoid residual, when the residual is significant, what to measure in the wall, trabeculation and diverticula, a… October 5, 2026 · 2 min read
Practical Tips
Ultrasound Elbow Ultrasound: Epicondylitis, Ulnar Nerve and the Distal Biceps Tendon
What the elbow report needs to describe: lateral and medial epicondylitis, distal biceps tear, ulnar nerve in the cubital tunnel, joint effusion and o… October 4, 2026 · 2 min read
Ultrasound
Practical Tips Biliary tract on ultrasound: dilatation, common bile duct measurement and choledocholithiasis
How to measure the common bile duct, the normal limits and what changes with age and after cholecystectomy, the signs of intrahepatic dilatation, chol… October 4, 2026 · 2 min read
Practical Tips
Medical Reports Renal Cyst on Ultrasound: The Simple Cyst, the Bosniak Classification and When to Order CT
Which criteria define a simple renal cyst on ultrasound, why the Bosniak classification was built for CT and MRI, and how to report a cyst that is not… October 2, 2026 · 2 min read
Medical Reports
Medical Reports Transthoracic echocardiogram: ejection fraction, mass and left ventricular geometry in the report
The reference values that appear most in the echocardiogram report: ejection fraction by Simpson, indexed mass, relative wall thickness, the four left… September 30, 2026 · 3 min read
Medical Reports Complete guide
Practical Tips Gynecologic ultrasound: the complete guide, from uterus to ovaries
The gynecologic study organized around the questions it needs to answer: fibroids by FIGO, adenomyosis by MUSA, endometrium in context, polycystic ova… September 27, 2026 · 5 min read
Practical Tips
Medical Reports Baker cyst on ultrasound: the sign that confirms it, rupture and what is not a cyst
The neck between the semimembranosus and the medial gastrocnemius, the ruptured cyst that mimics thrombosis, the popliteal aneurysm that must not be m… September 26, 2026 · 4 min read
Medical Reports
Medical Reports Spleen and abdominal lymph node ultrasound: splenomegaly, focal lesions and what to measure
How to measure the spleen and relate splenomegaly to the rest of the exam, tell an accessory spleen from a nodule, describe infarct, abscess and lymph… September 23, 2026 · 5 min read
Medical Reports
Medical Reports Twin pregnancy: chorionicity, amnionicity, discordance and twin-twin transfusion in the report
Chorionicity is the information that defines all follow-up. The lambda and T signs, consistent fetal identification, weight discordance, Quintero stag… September 16, 2026 · 5 min read
Medical Reports
Medical Reports Salivary gland ultrasound: parotid, submandibular, stones, Sjögren and nodules
The lobe of the parotid nodule relative to the retromandibular vein, the stone's location in the duct, the Sjögren score per gland and the signs that … September 9, 2026 · 5 min read
Medical Reports
Practical Tips Placenta on ultrasound: previa, low-lying placenta, accreta and what the grade does not tell you
The distance to the internal os in millimeters, the new terminology for placenta previa and low-lying placenta, signs of accreta in patients with a pr… September 5, 2026 · 4 min read
Practical Tips
Medical Reports Ankle and foot ultrasound: Achilles, peroneal tendons, plantar fascia and Morton neuroma
The compartment-based study, insertional and non-insertional Achilles tendinopathy, peroneal longitudinal tears, sprain, plantar fascia thickness and … September 2, 2026 · 5 min read
Medical Reports
Medical Reports Ectopic pregnancy on ultrasound: adnexal signs, hemoperitoneum and atypical locations
An empty uterus is not an ectopic pregnancy. The mass separate from the ovary, the tubal ring, fluid in the hepatorenal space and interstitial, cervic… August 29, 2026 · 4 min read
Medical Reports
Medical Reports Fetal Biometry and Estimated Fetal Weight: Scan Planes, Formulas and Which Chart to Use in the Report
The correct planes for head circumference, abdominal circumference and femur, the error margin of estimated weight, why the pregnancy is not redated b… August 17, 2026 · 3 min read
Medical Reports
Medical Reports Thickened endometrium and endometrial polyp: what to measure, the right cutoffs and what to recommend
Endometrial thickness only makes sense with the cycle phase and menopausal status. The 4 mm cutoff and when it applies, the polyp's vascular pedicle, … August 15, 2026 · 4 min read
Medical Reports
Practical Tips Ultrasound for appendicitis: direct criteria, indirect findings and the appendix that was not seen
Diameter above 6 mm, compressibility, appendicolith and inflamed fat, signs of perforation and, above all, how to write the study in which the appendi… August 12, 2026 · 4 min read
Practical Tips
Medical Reports Amniotic fluid on ultrasound: AFI or deepest vertical pocket, and how to report oligohydramnios and polyhydramnios
How to measure the amniotic fluid index and the deepest vertical pocket, why the pocket is preferred for diagnosing oligohydramnios, the cutoffs, and … August 10, 2026 · 3 min read
Medical Reports
Medical Reports Adenomyosis on ultrasound: MUSA criteria, extent and the differential with fibroids
Direct and indirect signs by the MUSA consensus, diffuse or focal type, layer involved and extent, and the four elements that separate adenomyosis fro… August 8, 2026 · 4 min read
Medical Reports
Practical Tips Nuchal Translucency and First-Trimester Screening: How to Measure, Describe Markers and Report Risk
CRL between 45 and 84 mm, NT measurement by FMF criteria, nasal bone, ductus venosus and tricuspid regurgitation, the combined risk and preeclampsia s… August 5, 2026 · 5 min read
Practical Tips
Medical Reports Gallbladder polyps on ultrasound: what to measure and when to recommend follow-up
How to tell a polyp from a stone and from biliary sludge, why morphology matters as much as size, and what the SRU and European consensus statements s… July 27, 2026 · 3 min read
Medical Reports
Practical Tips FIGO classification of fibroids: types 0 to 8 on ultrasound, mapping, and reporting
The FIGO classification of fibroids type by type, from 0 to 8: how many there are, where they are, and how much each invades the cavity. How to number… July 24, 2026 · 4 min read
Practical Tips
Medical Reports Hand and Wrist Ultrasound: De Quervain, Trigger Finger, Ganglion Cyst and Carpal Tunnel
The four complaints behind most hand and wrist ultrasound requests and what the report needs for each: the De Quervain septum, the A1 pulley, the orig… July 21, 2026 · 6 min read
Medical Reports
Medical Reports Focal liver lesions on ultrasound: cyst, hemangioma, FNH, metastasis and what to write in the report
How to recognize the simple cyst and the typical hemangioma, when a nodule calls for CT or MRI, what changes in the oncology and cirrhosis patient, an… July 20, 2026 · 3 min read
Medical Reports
Medical Reports Axillae and lymph nodes: how to structure the axillary staging report
Size is not a criterion: metastasis starts in the cortex. See the 3 mm that decide the study, why the hilum is the strongest axis, the Berg levels, an… July 17, 2026 · 7 min read
Medical Reports
Medical Reports Infertility: sonohysterography and HyCoSy in the evaluation of the cavity and the tubes
Three questions, three exams, one window of the cycle that is not negotiable. See sonohysterography with Lasmar STEPW and FIGO, HyCoSy with the Cotte … July 17, 2026 · 9 min read
Medical Reports Complete guide