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The RSNA radiology reporting initiative is improving reporting practices by creating a library of clear and consistent report templates.

Supported in part by the National Institute of Biomedical Imaging and Bioengineering (NIBIB).

US First Trimester

 

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This page demonstrates the templates as a synoptic and hierarchical report, with the initial view showing only the template title and the major section headers of the report. By clicking on the section headers it is possible to drill into the content of the template.

Report
Procedure
US
Pelvis
Technique
Transabdominal [ ______ ]
Transvaginal [ ______ ]
Transabdominal and transvaginal
Reason
Evaluation of uterus [ ______ ]
Evaluation of ovaries [ ______ ]
[ ______ ]
Clinical information
LMP
Unknown [ ______ ]
date
Beta hCG
Unknown [ ______ ]
nonNegativeInteger
"mIU"
Pelvic pain [ ______ ]
Vaginal bleeding [ ______ ]
[ ______ ]
Comparison
None [ ______ ]
[ ______ ]
Findings
Uterus
Not seen [ ______ ]
Orientation
Anteverted [ ______ ]
Retroverted [ ______ ]
[ ______ ]
Size
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Gestations
None [ ______ ]
Count [{nonNegativeInteger} ]
0+ Gestation
positiveInteger
Diameter
Mean
Value [{decimal} ]
Gestational age
Out of range
Mean [{positiveInteger} days]
Standard deviation [{positiveInteger} days]
[ ______ ]
0+ Yolk sac
Not seen
Normal [ ______ ]
Abnormal [ ______ ]
0+ Embryo
Not seen
Crown-rump length
Measurement [{decimal} ]
Gestational age
Out of range
Mean [{positiveInteger} days]
Standard deviation [{positiveInteger} days]
[ ______ ]
Subchorionic hemorrhage
None [ ______ ]
Mild [ ______ ]
Moderate [ ______ ]
Severe [ ______ ]
[ ______ ]
Cervix
Normal [ ______ ] //Default
[ ______ ]
Right ovary
Not seen [ ______ ]
Normal [ ______ ]
Size
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Ovarian lesions
None [ ______ ]
0+ Simple cyst [ ______ ]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
0+ Complex cyst [ ______ ]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
0+ Solid mass [ ______ ]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
[ ______ ]
Left ovary
Not seen [ ______ ]
Normal [ ______ ]
Size
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Ovarian lesions
None [ ______ ]
0+ Simple cyst [ ______ ]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
0+ Complex cyst [ ______ ]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
0+ Solid mass [ ______ ]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
[ ______ ]
Right adnexa
Normal [ ______ ]
Simple cyst [ ______ ]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Complex cyst [ ______ ]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Solid mass [ ______ ]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
[ ______ ]
Left adnexa
Normal [ ______ ]
Simple cyst [ ______ ]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Complex cyst [ ______ ]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Solid mass [ ______ ]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
Measurement [{decimal} mm | cm]
[ ______ ]
Free fluid
None [ ______ ]
Small [ ______ ]
Moderate [ ______ ]
Large [ ______ ]
Other findings [ ______ ]
Impression
[ ______ ]
Recommendation [ ______ ]