Friday, March 30, 2012

Ultrasound report template- color Doppler kidneys and renal artery


COLOR DOPPLER/ POWER DOPPLER REPORT

ULTRASOUND and DOPPLER IMAGING of the KIDNEYS was done.
 
1)KIDNEYS:
LT.--    10.3 x 5.5 cms ;
RT.--    9.5 x 4.7 cms  ;
Both kidneys appear normal. No pelvicalyceal dilation is seen.
Renal parenchymal thickness: Lt.-   1.9 cms          Rt.—1.7 cms
Perirenal spaces are normal.
Renal cysts--

2) COLOR DOPPLER IMAGING:
A) Renal parenchymal flow:
(Intrarenal vasculature)
Lt:-- normal.
Rt:-- normal.
B) Segmental arterial flow:
1) Any damping of spectral tracing:
2) RI (normal is < 0.7): Lt:
                                      Rt:
C) Renal arterial flow:
1) RI (RESISTANCE INDEX) –renal arteries
Lt: 0.47
Rt: 0.55
2) PEAK SYSTOLIC VELOCITY (PSV) (renal artery): (NORMAL = 74-127 cms./sec).
LT:
RT:
3) Width= Lt. renal artery: 0.6 cms. (near hilum).
              Right renal artery: 0.58 cms. (near hilum)
4) RAR (RENAL ART PSV/AORTIC PSV. Normal RAR is <3.3):
Lt:
Rt:



5) Spectral waveform pattern of renal arteries:
Lt: normal.
Rt: normal.


6) Any evidence of AV fistulae or malformation:
Nil.

URINARY BLADDER:
Distension—normal
Any trabeculation: no evidence of trabeculation seen.
Calculus: no calculus is present
Diverticulum: no diverticulum is seen.

Liver shows mild fatty change.
Pancreas, gall bladder and spleen appear normal.

OPINION:

COLOR DOPPLER scan suggests
  • Both kidneys appear normal. Urinary bladder appears normal.
  • The visualized parts of the renal arteries (near renal hilum) appear normal.
  • Normal intrarenal vasculature is noted.
  • RAR (renal/aortic ratio), PSV of renal arteries and RI of intrarenal (segmental) arteries appear normal.  
  • SUGGEST: clinical correlation and follow up.
  • CT or MR angiography of the renal arteries should be done to confirm these findings.
    Note:
    (REFERENCE: RENAL ART. STENOSIS:
    If PSV in renal art > 200cms./sec)
    If RI in both kidneys differ by more than >0.05à Stenosis in Kid with lower RI).
     

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