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 - Right Upper Quadrant (Abnormal)

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

IMPRESSION:

Findings consistent with [cholelithiasis with/without evidence of gallbladder wall thickening/pericholecystic fluid and other findings suggestive of cholecystitis].

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

Ultrasound - Pelvis (No Clear IUP)

Ultrasound: Pelvic

A focused [transabdominal/transvaginal] ultrasound of the pelvis 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 short views of the uterus were obtained including the pouch of Douglas.  The right and left adnexa [were/were not] visualized [and were normal/notable for a right-/left-sided cyst].  There was [no evidence/a small amount] of free fluid present.  

No clear evidence of a definitive intrauterine pregnancy (IUP) was identified in the uterus.

IMPRESSION:

No clear evidence of IUP identified.  [No/Minimal] free fluid noted.

https://www.wikem.org/wiki/Ultrasound:_Pelvic

Ultrasound - Pelvis (IUP Identified)

Ultrasound: Pelvic

A focused [transabdominal/transvaginal] ultrasound of the pelvis 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 short views of the uterus were obtained including the pouch of Douglas.  The right and left adnexa [were/were not] visualized [and were normal/notable for a right-/left-sided cyst].  There was [no evidence/a small amount] of free fluid present.  

A definitive intrauterine pregnancy (IUP) was identified based on evidence of [a gestational sac (GS)/yolk sac (YS)/fetal pole].  Fetal heart rate [was/was not] measured [at ### beats per minute].  Gestational age was estimated at [##] weeks and [##] days [by crown-rump length (CRL)/biparietal diameter (BPD)].

IMPRESSION:

IUP measuring consistent with a gestational age of [##] weeks and [##] days. No evidence of free fluid noted.

https://www.wikem.org/wiki/Ultrasound:_Pelvic

Ultrasound - Soft Tissue (Abscess)

Ultrasound: Soft Tissue

A focused soft tissue ultrasound of the [location] 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 [location] were obtained.  Fluid collection consistent with an abscess was noted with a size of [## x ## cm].  Cobble-stoning suggestive of cellulitis [was/was not] present.  A foreign body [was/was not] noted.

IMPRESSION:

Findings consistent with an abscess measuring [## x ## cm] to the [location].

https://www.wikem.org/wiki/Ultrasound:_Soft_tissue