Practical Tips
Practical Tips
Medical Productivity 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
Medical Productivity
Protocols Voice dictation with AI: speak and watch the structured report fill itself in
In Laudário dictation, the physician speaks and AI marks the fields of the structured report instead of dumping free text. You can dictate from a phon… October 21, 2026 · 3 min read
Protocols
Medical Reports Ultrasound-guided breast core biopsy and clip placement: what to record in the report
Indications for ultrasound-guided percutaneous core needle biopsy, when to place the metallic clip, how to document the needle in the lesion, the numb… October 16, 2026 · 3 min read
Medical Reports
Medical Reports 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
Medical Reports
Ultrasound Liver fat quantification by ultrasound: ATI, UGAP, UDFF and how to report
How ultrasound liver fat quantification techniques work, the acquisition protocol that makes the number reliable, why cutoffs vary by vendor and what … October 6, 2026 · 4 min read
Ultrasound
Medical Reports 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
Medical Reports
Medical Reports 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 Reports
Practical Tips 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
Practical Tips
Medical Reports Baby's sex on ultrasound: how many weeks it is reliable and how to record it in the report
The genital tubercle angle in the first trimester, direct visualization from 16 weeks, the most common errors, respecting those who do not want to kno… September 12, 2026 · 4 min read
Medical Reports
Practical Tips Pancreas ultrasound: acute and chronic pancreatitis, cysts and what to write in the report
The pancreas is the organ that ultrasound sees only halfway most often. How to describe the limitations, look for the biliary cause of pancreatitis, c… August 19, 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
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
Protocols 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
Protocols
Medical Reports Nodule elastography: breast, thyroid and prostate, from the Itoh score to shear wave
Elastography is not one exam: it is two techniques with different scales and units. See the Itoh score, the strain ratio, why kPa and m/s cannot be co… July 17, 2026 · 8 min read
Medical Reports Complete guide
Medical Reports Abdominal Ultrasound: A Guide to the Findings That Actually Change Management
The most requested exam in routine practice is also the most underused. See the abdomen organized by the findings that drive management, from the live… July 16, 2026 · 5 min read
Medical Reports Complete guide
Protocols 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
Protocols Complete guide
Medical Reports Standardized classifications in the report: a guide to BI-RADS, TI-RADS and O-RADS
BI-RADS, TI-RADS and O-RADS are three different systems built on the same reasoning: a closed lexicon, a composition rule and a management recommendat… July 16, 2026 · 7 min read
Medical Reports
Protocols O-RADS on ultrasound: how to classify adnexal masses and stop reporting "complex cyst"
ACR O-RADS replaces "complex cyst" with an objective lexicon and five categories with defined risk and management. See the descriptors, the 1 to 4 col… July 13, 2026 · 11 min read
Protocols
Medical Productivity Liver Elastography: From the Rule of 4 to Confounding Factors in Noninvasive Fibrosis Staging
The 2020 SRU consensus Rule of 4 classifies liver stiffness into five ranges, from ≤ 5.0 kPa to > 17.0 kPa. See the ranges, the 2A/2B modulation, the … July 10, 2026 · 14 min read
Medical Productivity
Medical Reports Ultrasound report standardization: why it is essential and how to implement it in your routine
Standardizing ultrasound reports means always applying the same structure, terminology and classification criteria. The gains are diagnostic safety, c… June 24, 2026 · 5 min read
Medical Reports
Practical Tips Neck ultrasound: how to structure the report for cervical lymph nodes and masses
Neck ultrasound is one of the most requested imaging studies in outpatient practice and serves as the entry point for investigating lymphadenopathy, p… June 20, 2026 · 8 min read
Practical Tips
Medical Reports 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
Medical Reports
Practical Tips BI-RADS in breast ultrasound: how to describe lesions and standardize the report
How to describe breast lesions on ultrasound using the BI-RADS lexicon (shape, orientation, margin, echo pattern and posterior features) and close the… June 11, 2026 · 7 min read
Practical Tips
Medical Reports Thyroid Ultrasound and TI-RADS: How to Describe and Classify Nodules in the Report
ACR TI-RADS scores five morphologic categories of the thyroid nodule and assigns a TR1 to TR5 level, which, combined with lesion size, indicates FNA, … June 10, 2026 · 8 min read
Medical Reports
Medical Reports Soft Tissue Ultrasound: How to Structure the Report for Subcutaneous Nodules Clearly
How to structure the soft tissue ultrasound report, describe subcutaneous nodules, lipomas, cysts and collections clearly, and standardize the diagnos… May 29, 2026 · 6 min read
Medical Reports
Medical Reports Second-Trimester Anatomy Scan: How to Structure a Complete and Safe Report
How to structure the second-trimester anatomy scan report, from fetal biometry to markers, with clarity, standardization and safety. May 28, 2026 · 6 min read
Medical Reports
Medical Reports Knee ultrasound: how to structure the musculoskeletal report from tendons to Baker cyst
How to structure the knee ultrasound report clearly: tendons, collateral ligaments, joint recesses, Baker cyst, and dynamic maneuvers. May 27, 2026 · 5 min read
Medical Reports
Medical Reports Gallbladder ultrasound and cholelithiasis: how to describe, classify and standardize the report
How to structure the gallbladder ultrasound report: describing stones, biliary sludge, polyps and signs of cholecystitis, and correlating with the cli… May 26, 2026 · 6 min read
Medical Reports