Report templates

Ultrasound report templates ready to copy

The normal report for each exam, an abnormal example written the right way and what must not be left out. Copy, adapt and, if you want it to write itself, try Laudário.

Early obstetric (5 to 10 weeks) The first ultrasound of pregnancy answers three questions: is the pregnancy intrauterine, is it viable and what is the gestational age. The template … See the template

1st trimester anatomy scan Between 11 and 14 weeks, the exam combines dating, screening for aneuploidies and preeclampsia and an early anatomical assessment. The template below… See the template

2nd and 3rd trimester obstetric The routine second and third trimester obstetric scan follows growth, fluid and placenta. What matters most in the report is the weight percentile, c… See the template

2nd trimester anatomy scan Between 20 and 24 weeks, the anatomy scan assesses fetal anatomy system by system. A report organized this way makes clear what was seen and what was… See the template

Complete abdomen The most requested exam in daily practice. The template below describes each organ in one sentence, with "normal appearance" as the standard for norm… See the template

Transvaginal pelvic The most requested gynecologic ultrasound. The template below follows the structure uterus, endometrium, ovaries and cul-de-sac, with the clinical da… See the template

Thyroid The thyroid report has two parts: the parenchyma (volume and texture) and the nodules. The template below shows the normal thyroid and the example of… See the template

Breast The breast report follows the BI-RADS lexicon: each lesion with shape, orientation, margins, echo pattern, clock-face location and distance from the … See the template

Kidneys and urinary tract The urinary tract ultrasound measures the kidneys, assesses the parenchyma, looks for stones and dilatation and, when requested, calculates the post-… See the template

Lower limb venous Doppler When deep vein thrombosis is suspected, the report must state, vein by vein, whether it is compressible and has flow. The template below is the exam … See the template

The templates are a starting point and follow Laudário's writing standard. Each report must reflect the exam performed and the guidelines adopted by your practice.

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