Ultrasound - FAST Exam (Normal)

Ultrasound: FAST Exam

A FAST exam was performed by [myself/Dr. Resident under my supervision/independently with images reviewed by myself] in the evaluation of patient with [describe trauma]. 

The peritoneal spaces were assessed in the subphrenic, Morrison’s pouch, splenorenal, superior colic gutters, and retrovesicular spaces for free fluid.  Cardiac views were also obtained to assess for cardiac activity and the presence of fluid in the pericardial sac. 

No intraperitoneal free fluid was noted.  No pericardial effusion was noted.

IMPRESSION:

Normal FAST exam.

https://www.wikem.org/wiki/FAST_exam

Ultrasound - FAST Exam (Positive)

Ultrasound: FAST Exam

A FAST exam was performed by [myself/Dr. Resident under my supervision/independently with images reviewed by myself] in the evaluation of patient with [describe trauma]. 

The peritoneal spaces were assessed in the subphrenic, Morrison’s pouch, splenorenal, superior colic gutters, and retrovesicular spaces for free fluid.  Cardiac views were also obtained to assess for cardiac activity and the presence of fluid in the pericardial sac. 

Free fluid was noted in the [right/left upper quadrant/subxiphoid/bladder] view concerning for intraperitoneal hemorrhage.

IMPRESSION:

Positive FAST exam in the [right/left upper quadrant/subxiphoid/bladder] view.

https://www.wikem.org/wiki/FAST_exam

Ultrasound - Right Upper Quadrant (Normal)

Ultrasound: Right Upper Quadrant

A focused ultrasound exam of the right upper quadrant was performed by [myself/Dr. Resident under my supervision/independently with images reviewed by myself] in the evaluation of patient with [describe complaint].  Long and transverse views of the gallbladder were obtained. 

Sonographic Murphy’s sign was noted to be [absent/present].  The patient was noted to have [no evidence of gallstones/a single gallstone measuring ## mm/several small gallstones/sludge in the gallbladder without clear stone].  The patient was noted to have no evidence of pericholecystic fluid.  The anterior gallbladder wall was noted to measure <3 mm.  The common bile duct [was/was not] visualized [and noted to measure </>7 mm].

IMPRESSION:

Normal gallbladder study with no evidence of cholelithiasis or cholecystitis.

https://www.wikem.org/wiki/Biliary_ultrasound

Ultrasound - Abdominal Aortic Aneurysm (Normal)

Ultrasound: Abdominal Aortic Aneurysm

A focused ultrasound of the aorta was performed by [myself/Dr. Resident under my supervision/independently with images reviewed by myself] in the evaluation of patient with [describe complaint].  

The abdominal aorta was examined in both transverse and longitudinal views from the diaphragmatic hiatus to the aortic bifurcation.

Measurements of the proximal, middle, and distal aorta were all noted to be <3 cm.

IMPRESSION:

Normal abdominal aorta exam with no evidence of aneurysm.

https://www.wikem.org/wiki/Aortic_ultrasound