Guidelines For Professional Working Standards Ultrasound Practice

Referral for menorrhagia
Vaginal scan with patient consent.
25 days post LMP. Irregular cycle 4-6 weeks.
Retroverted uterus containing several submucosal fibroids on the anterior wall, the largest of which is
Xmm in diameter. Ultrasound appearances of both ovaries are normal with a corpus luteum in the left
ovary.
Referral for deep dyspareunia
Patient declined a vaginal scan.
LMP - unsure six weeks ago. Irregular cycle.
Anteverted uterus with endometrial thickness Xmm.
Ultrasound appearances of the left adnexa are normal but left ovary not demonstrated - absent (patient
unsure of this when questioned.)
The right ovary demonstrates normal ultrasound appearances. Adjacent to this ovary is a complex
structure measuring YxYxYmm containing low level echoes.
Small amount of fluid noted in the Pouch of Douglas.
These ultrasound appearances are consistent with pyosalpinx, tubo-ovarian abscess or ectopic
pregnancy.
Referral for suspected pelvic mass
Transabdominal scan.
Patient says she has had a partial abdominal hysterectomy in December, 1986.
There is an irregular complex mass arising out of the pelvis measuring 15 cm in diameter.
It contains several solid highly vascular areas. Ovaries not demonstrated.
The ultrasound appearances of the liver are normal but there is bilateral hydronephrosis and ascites is
present. These ultrasound appearances are consistent with ovarian malignancy. In view of these findings
a CT examination may be helpful for staging purposes.
Referral for Hy-Co-Sy examination:
Examination carried out according to departmental guidelines.
Day 6 of 30 day cycle.
Transabdominal and vaginal scans carried out prior to the procedure.
Anteverted uterus with a thin endometrium consistent with early proliferative phase of the cycle.
Both ovaries demonstrated.
No abnormal pelvic ultrasound appearances.
Ultrasound contrast media introduced into uterine cavity. Ultrasound appearances of the cavity are
normal. Both Fallopian tubes patent. No filling defect demonstrated.
Normal ultrasound appearances.
Examination carried out according to departmental guidelines.
Day 14 of 28 day irregular cycle.
Transabdominal and vaginal scans carried out prior to the procedure.
Uterus is normal in size, shape and texture.
Endometrium measures ….mms, preliminary in appearance. Endometrial measurements where A …mm; C…..mm:
E…..mm.
Rt ovary (state the 3 dimensions); Lt ovary (state 3 dimensions) it contains a dominant follicle of …cm in
diameter.
Hycosy - Xmls of contrast agent used. Spontaneous flow demonstrated, with spill over both ovaries.
Bilateral tubal patency.
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