Abdominal Ultrasound Report



Abdominal Ultrasound Report.

Medicos para la Familia, 09 Sep 2015 [wmr]

3030 Covington Pike, Memphis, TN 38138

Name:____________________________________ ID#:______________ DATE__________

DOB:__________________ Age:______________ Physician:_________________________

REASON FOR SCAN:

( Pain (location):__________________________________________________________________

( Abnormal labs (specify):__________________________________________________________

( Abnormal physical findings (describe):_____________________________________________

( Other:_________________________________________________________________________

FINDINGS: N = Normal Abnormal = Ab NV = Not Visualized

|Liver Size |N |Ab |NV |Parenchyma |N |Ab |NV |

|Wall Thickness Normal? |No Yes |Edema? |No |Yes |Normal? |No |Yes |

|Inferior Vena Cava |N |Ab |

| |Stones? |Yes No |

|Lt Kidney: Location/Size/Parenchyma |Hydronephrosis? |Yes No |

| |Stones? |Yes No |

|Ascites present? |Yes No |Other: |

|Technical Quality: Good Fair Poor |Repeat Needed? |Yes No |

| |

-----------------------

Comments:

Sonographer:_____________________ Physician:___________________

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download