Carotid Doppler- format or template- carotid plaque

Color Doppler ultrasound study of the carotid arteries was done:

Template for color Doppler study- carotid plaque

  

	RT. CCA	RT. ICA	RT. ECA	LT. CCA	LT. ICA	LT. ECA
Normal PSV (reference) cms./sec	< 100	54-88	77-115	<100	54-88	77-115
PSV Cms/sec.	87	38	49	69	52	68
EDV End diast. vel. (cms./sec.)	24	8	2	13	22	12
ICA/CCA PSV ratio (normal= <2)
% of stenosis
PLAQUE APPEARANCE					1.7 mm. Plaque
IMT (intima medial thickness). Normal= <0.9 mm.	0.7 mm.			0.8 mm.

	RT. VERTEBRAL ART.	LT. VERTEBRAL ART.
PSV (cms./sec)
DIRECTION	Antegrade	Antegrade

OPINION:

USG scan suggests –  No evidence of stenosis in carotid arteries, vertebral arteries of both sides.

Normal intima-medial thickness seen in common carotid arteries.

Normal flow seen in carotid and vertebral arteries.

A small plaque of 1.7 mm. thickness seen in 2 mm. area of the lateral aspect of the left internal carotid artery close to origin. No significant stenosis is present.

SUGGEST: clinical correlation and follow up.

CT or MRI angiography may be done to confirm these findings.

Carotid Doppler ultrasound report format or template:

Ultrasound and color Doppler study of the carotid arteries was done:

  

	RT. CCA	RT. ICA	RT. ECA	LT. CCA	LT. ICA	LT. ECA
Normal PSV  (reference) cms./sec	< 100	54-88	77-115	<100	54-88	77-115
PSV Cms/sec.	97	47	70	68	53	74
EDV End diast. vel. (cms./sec.)	46	28	16	25	32	12
ICA/CCA PSV ratio (normal= <2)
% of stenosis	Nil.	nil	nil	nil	nil	Nil
PLAQUE APPEARANCE	Nil	nil	Nil	nil	nil	Nil
IMT (intima medial thickness). Normal= <0.9 mm.	1.0 mm.			0.7 mm.

	RT. VERTEBRAL ART.	LT. VERTEBRAL ART.
PSV (cms./sec)
DIRECTION	Antegrade	Antegrade

OPINION:

USG scan suggests –  No evidence of stenosis in carotid arteries, vertebral arteries of both sides.

Normal intima-medial thickness seen in carotid arteries.

Normal flow seen in carotid and vertebral arteries.

SUGGEST: clinical correlation and follow up.

CT or MRI angiography may be done to confirm these findings.

REFERENCE:

CRITERIA FOR CAROTID STENOSIS :

PSV:

·  Normal: ICA PSV <125 cm/s and no plaque or intimal thickening is visible.

·  <50% stenosis: ICA PSV <125 cm/s and plaque or intimal thickening is visible.

·  50-69% stenosis: ICA PSV is 125-230 cm/s and plaque is visible.

·  >70% stenosis to near occlusion: ICA PSV >230 cm/s and visible plaque and lumen narrowing are seen      

Report format or template- Doppler ultrasound atrophic kidney

Ultrasound and color Doppler report template/ format of atrophic left kidney

 

1)KIDNEYS:

RT.--    8.4 x 4.0 cms ;

LT.--    4.9 x 3.2 cms  ;

Left kidney appears normal. No pelvicalyceal dilation is seen.

Rt. Kidney appears small and atrophic with very poor vascularity.

3 to 4 small caluli of 2 to 5 mm. are seen in right kidney.

Renal parenchymal thickness: Lt.-   1.9 cms          Rt.—1.0 cms

Perirenal spaces are normal.

2) COLOR DOPPLER IMAGING:

A) Renal parenchymal flow:

(Intrarenal vasculature)

Lt: normal.

Rt: very poor vasularity seen in whole of right kidney.

B) Segmental arterial flow:

1) Any damping of spectral tracing: marked dampening of flow seen in right kidney.

2) RI (normal is < 0.7): Lt: 0.7

                                      Rt: 0.4

C) Renal arterial flow:

1) RI (RESISTANCE INDEX) –renal arteries

Lt: 0.6

Rt: Rt. renal artery is not visualized clearly.

2) PEAK SYSTOLIC VELOCITY (PSV) (renal artery): (NORMAL = 74-127 cms./sec).

LT: 38 to 40

RT: not visualized.

3) Width= Lt. renal artery-- 0.6 cms. (near hilum).

              Right renal artery-- ??. (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-- ??

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 –

• Left kidney/ left renal artery appear normal. No pelvicalyceal dilation is seen.
• Rt. Kidney appears small and atrophic with very poor vascularity.
• 3 to 4 small caluli of 2 to 5 mm. are seen in right kidney.
• Very poor vasularity seen in whole of right kidney.
• Marked dampening of flow seen in right kidney
• Rt. renal artery is not visualized clearly.

SUGGEST: clinical correlation and follow up.

CT or MR angiography of the renal arteries should be done to confirm these findings.

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).
   
  

Ultrasound report format or template- female abdomen

USG SCAN of the abdomen was done.

Liver:

Echogenicity: normal

Echotexture: normal

Mass lesions:nil

Portal vein: 11 mm diameter.

GALL BLADDER:

Shape and size: well distended.

SPLEEN:

Shape and size: normal

Mass:-- nil.

PANCREAS:

Normal appearance.

KIDNEYS:

LT.--  8.4 x 4.9 cms.       ; no pelvicalyceal dilation seen.

RT.--  8.5 x 4.5 cms.      ; no pelvicalyceal dilation seen.

Renal parenchymal thickness: Lt.-   1.7 cms         Rt.— 1.5 cms

Perirenal spaces are normal.

Renal cysts—nil.

PARAAORTIC REGIONS:

Any mass/ lymph nodes:-- nil.

 

URINARY BLADDER:

Distension— moderately distended.

Any trabeculation: -- no evidence of trabeculation seen.

Calculus:-- no evidence of calculus seen

Diverticulum:-- no diverticulum is present

UTERUS:

Size of uterus:

Endometrial thickness:

No evidence of uterine mass seen.

ovaries- size:

No evidence of ovarian mass or cysts seen.

OPINION:

USG scan suggests à

• normal appearance of both kidneys.
• The liver appears normal.
• No evidence of uterine mass seen.