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).