Protocols
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 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
Medical Productivity 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 Productivity
Medical Reports DICOM worklist and DICOM SR: the patient on the scanner and the measurements straight into the report
With the DICOM worklist, the scheduled patient appears on the ultrasound scanner on its own. With DICOM SR, the measurements made on the scanner drop … 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 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
Practical Tips
Protocols 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
Protocols
Medical Reports Diagnostic hysteroscopy: how to describe polyps, submucosal fibroids and adhesions in the report
What the hysteroscopy report needs to say: cervical canal, cavity and ostia, endometrium, polyps, submucosal fibroids by the Wamsteker and Lasmar (STE… October 1, 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
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 Complete guide
Medical Reports 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
Medical Reports
Protocols 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
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
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
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 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
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 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 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
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
Practical Tips 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
Practical Tips
Medical Reports 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
Medical Reports Complete guide
Protocols 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
Protocols Complete guide
Practical Tips 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
Practical Tips
Medical Reports Peripheral nerve ultrasound: carpal tunnel syndrome and the value of cross-sectional area
Cross-sectional area is the core of peripheral nerve ultrasound, but the absolute value rarely suffices. See the cutoffs by nerve and site, the wrist-… July 16, 2026 · 12 min read
Medical Reports
Medical Reports Fetal echocardiography screening: from situs to outflow tracts, with z-scores
The four-chamber view alone detects fewer than half of congenital heart defects. Review the full sequential segmental analysis (situs, four chambers, … July 15, 2026 · 14 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 Deep endometriosis mapping: how to structure the report by compartment according to the IDEA consensus
The IDEA consensus organizes endometriosis mapping into four steps and anatomical compartments. See how to report nodules, the sliding sign, the dista… July 8, 2026 · 15 min read
Medical Productivity
Practical Tips 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
Practical Tips
Practical Tips Prostate ultrasound: how to structure the report for prostate volume, BPH and nodules
A useful prostate report gives the three measurements, the volume by the ellipsoid formula (D1 x D2 x D3 x 0.52) with the enlargement range, the media… June 23, 2026 · 12 min read
Practical Tips
Practical Tips Abdominal aorta ultrasound: how to structure the report for aneurysm screening and assessment of dilatations
Abdominal aorta ultrasound is the method of choice for screening for abdominal aortic aneurysm (AAA) and following known dilatations. See how to struc… June 22, 2026 · 9 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
Medical Reports 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
Medical Reports
Medical Reports 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
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
Practical Tips 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
Practical Tips
Medical Reports 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 Reports
Medical Reports Abdominal wall hernia ultrasound: how to structure the report and avoid ambiguous findings
How to standardize the abdominal wall hernia ultrasound report: Valsalva technique, description of the defect, hernia contents and suggested managemen… May 31, 2026 · 5 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 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 Liver ultrasound and hepatic steatosis: how to describe, grade and standardize the report
Hepatic steatosis has gone from an incidental finding to one of the most frequent abnormalities in routine abdominal ultrasound. With the marked rise … May 25, 2026 · 5 min read
Medical Reports
Medical Reports Kidney and urinary tract ultrasound: how to structure the report from renal measurements to stone evaluation
Kidney and urinary tract ultrasound is one of the most requested exams in clinical practice, from the initial workup of low back pain to the follow-up… May 9, 2026 · 6 min read
Medical Reports