Guidelines and Standards for Performance of a Pediatric Echocardiogram: A Report from the Task Force of the Pediatric Council of the American Society of Echocardiography J Am Soc Echocardiogr 20-1430. Guidelines and Recommendations for Digital Echocardiography J Am Soc Echocardiogr 2005;18:287-97. National Education Curriculum for. Echocardiogram Report Name: Normal Echo, Sample ID: 44444 Age: 54 Study Date: 8:46:53 Reasons: DOB: Priority: routine abnormal stress test Height: 180.3 In/out: In ICD9. Access z-score packages and finalize a pediatric report wherever you are Web-based echo report template editor Generate a report using user-configurable templates that allow you to format the data in a way most meaningful to you.
Normal (Young patient)
Box 3.1 Sample Diagnostic Shoulder Ultrasound Report: Normal, Complete Examination: Ultrasound of the Shoulder Date of Study: March 11, 2017 Patient Name: Juan Atkins Registration Number: 8675309 History: Shoulder pain, evaluate for rotator cuff abnormality Findings: No evidence of joint effusion. Pediatric Echocardiogram Editable Word Doc. All available Echocardiography, Vascular Ultrasound and General Ultrasound Worksheets. Savings of over 50% compared to purchasing individual worksheets. Available for immediate download and edit.
Normal left ventricular size and systolic function (EF 60 %). Normal diastolic function
Normal right ventricular size and systolic function
Normal valve structure and function
Normal (Elderly patient)
Normal left ventricular size and systolic function (EF 60 %)
Normal right ventricular size and systolic function
Sclerodegenerative valve disease with normal function
CAD with RWMA:
Normal left ventricular size with preserved systolic function (EF 60 %). Regional wall motion abnormalities are suggestive of coronary artery disease
Normal right ventricular size and systolic function
Sclerodegenerative valve disease with normal function
Hypertensive patient with LVH:
Mild concentric left ventricular hypertrophy with normal cavity size and preserved systolic function (EF 60 %)
Normal right ventricular size and systolic function
Sclerodegenerative valve disease with normal function
Dilated cardiomyopathy:
Mildly dilated left ventricle with *** reduced systolic function. Regional wall motion abnormalities are suggestive of coronary artery disease OR Mild global hypokinesis of the left ventricle
Mildly dilated right ventricle with mildly reduced systolic function
Mild secondary mitral regurgitation due to inadequate leaflet coaptation related to papillary muscle dysfunction and dilated mitral annulus
Grade II diastolic dysfunction with elevated left atrial filling pressure
Biatrial enlargement
Elevated right ventricular systolic pressure suggestive of *** pulmonary hypertension
RVSP to mPAP Calculator:
Commonly Used Conclusions:
– The images from the prior study dated *** were reviewed. There is no significant change
– The prior report dated *** was reviewed. Compared to the prior study, there is no significant change
-The prior report dated *** was reviewed. Compared to the prior study, …….. is newly noted.
– Sclerodegenerative valve disease with mild mitral regurgitation
– Sclerodegenerative valve disease with mild aortic stenosis
– Sclerodegenerative valve disease with trivial aortic regurgitation
– Mild tricuspid regurgitation with mild pulmonary hypertension
– Mildly dilated right ventricle with normal systolic function
– Severely calcified aortic valve with *** aortic stenosis (AVA *** cm2, mean gradient *** mmHg, dimensionless index ***)
– Inadequate tricuspid leaflet coaptation resulting in *** tricuspid regurgitation
– Well-seated bioprosthetic/mechanical valve in the *** position with normal function
– Mildly dilated ascending aorta
Commonly Used Summary Statements:
– Indeterminate diastolic function
– Mild mitral annular calcification
– Inadequate tricuspid regurgitation jet to estimate right ventricular systolic pressure.
– Right ventricular systolic pressure could be underestimated
– Diastolic dysfunction is likely present, however, the grade cannot be determined due to atrial fibrillation/ significant mitral annular calcification/ significant mitral regurgitation.
– Focal basal inferior wall motion abnormality of unclear clinical significance
– Elevated pulmonary artery end-diastolic pressure suggestive of elevated left atrial pressure
– No evidence of inter-atrial shunt on agitated saline study
Examination: Ultrasound of the Shoulder
Date of Study: March 11, 2017
Patient Name: Juan Atkins
Registration Number: 8675309
History: Shoulder pain, evaluate for rotator cuff abnormality
Findings: No evidence of joint effusion. The biceps brachii long head tendon is normal without tendinosis, tear, tenosynovitis, or subluxation/dislocation. The supraspinatus, infraspinatus, subscapularis, and teres minor tendons are also normal. No subacromial-subdeltoid bursal abnormality and no sonographic evidence for subacromial impingement with dynamic maneuvers. The posterior labrum is unremarkable. Additional focused evaluation at site of maximal symptoms was unrevealing.
Impression: Unremarkable ultrasound examination of the shoulder. No rotator cuff abnormality.
Examination: Ultrasound of the Shoulder
Date of Study: March 11, 2017
Patient Name: Chazz Michael Michaels
Registration Number: 8675309
History: Shoulder pain, evaluate for rotator cuff abnormality
Findings: There is a focal anechoic tear of the anterior, distal aspect of the supraspinatus tendon measuring 1 cm short axis by 1.5 cm long axis. The anterior margin of the tear is adjacent to the rotator interval. There is no involvement of the subscapularis, infraspinatus, or rotator interval. A moderate amount of infraspinatus and supraspinatus fatty degeneration is present. There is a small joint effusion distending the biceps brachii tendon sheath and moderate distention of the subacromial-subdeltoid bursa. No biceps brachii long head tendon abnormality and no subluxation/dislocation. Mild osteoarthritis of the acromioclavicular joint. Additional focused evaluation at site of maximal symptoms was unrevealing.
Impression: Focal or incomplete full-thickness tear of the supraspinatus tendon with infraspinatus and supraspinatus muscle atrophy.
Examination: Ultrasound of the Elbow
Date of Study: March 11, 2011
Patient Name: Kevin Saunderson
Registration Number: 8675309
History: Elbow pain, evaluate for tendon abnormality
Findings: No evidence of joint effusion or synovial process. The biceps brachii and brachialis are normal. The common flexor and extensor tendons are also normal. No significant triceps brachii abnormality. The anterior bundle of the ulnar collateral ligament and lateral collateral ligament complex are normal. The ulnar nerve, radial nerve, and median nerve at the elbow are unremarkable. No abnormality in the cubital tunnel region with dynamic imaging. Additional focused evaluation at site of maximal symptoms was unrevealing.
Impression: Unremarkable ultrasound examination of the elbow.
Examination: Ultrasound of the Elbow
Date of Study: March 11, 2011
Patient Name: Ricky Bobby
Registration Number: 8675309
History: Elbow pain, evaluate for tendon abnormality
Findings: There is a partial-thickness tear of the distal biceps brachii tendon involving the superficial short head tendon with approximately 2 cm of retraction but with intact long head. Dynamic evaluation shows continuity of the long head excluding full-thickness tear. No joint effusion. The triceps brachii, common extensor, and common flexor tendons are normal. The ulnar, radial, and median nerves are unremarkable, including dynamic evaluation of the ulnar nerve. Unremarkable ulnar and lateral collateral ligaments. No bursal distention.
Impression: Partial-thickness tear of the distal biceps brachii tendon.
Pediatric Echo Report Template Sample
Examination: Ultrasound of the Wrist
Date of Study: March 11, 2011
Patient Name: Derrick May
Registration Number: 8675309
History: Numbness, evaluate for carpal tunnel syndrome
Findings: The median nerve is unremarkable in appearance, measuring 8 mm 2 at the wrist crease and 7 mm 2 at the pronator quadratus. No evidence of tenosynovitis. The radiocarpal, midcarpal, and distal radioulnar joints are normal without effusion or synovial hypertrophy. The wrist tendons are normal without tear or tenosynovitis. Normal dorsal component of the scapholunate ligament. No dorsal or volar ganglion cyst. Unremarkable Guyon canal. Additional focused evaluation at site of maximal symptoms was unrevealing.
Impression: Unremarkable ultrasound examination of the wrist.
Examination: Ultrasound of the Wrist
Date of Study: March 11, 2011
Patient Name: Jacobim Mugatu
Registration Number: 8675309
History: Numbness, evaluate for carpal tunnel syndrome
Findings: The median nerve is hypoechoic and enlarged, measuring 15 mm 2 at the wrist crease and 7 mm 2 at the pronator quadratus. No evidence for tenosynovitis. The radiocarpal, midcarpal, and distal radioulnar joints are normal without effusion or synovial hypertrophy. The wrist tendons are normal without tear or tenosynovitis. Normal dorsal component of the scapholunate ligament. No dorsal ganglion cyst. A 7-mm volar ganglion cyst is noted between the radial artery and flexor carpi radialis tendon. Unremarkable Guyon canal. Additional focused evaluation at site of maximal symptoms was unrevealing.
Impression:
- 1.
Ultrasound findings compatible with carpal tunnel syndrome.
- 2.
A 7-mm volar ganglion cyst.
- 1.
Examination: Ultrasound of the Right Hip
Date of Study: March 11, 2016
Patient Name: Jack White
Registration Number: 8675309
History: Hip pain, evaluate for bursitis
Findings: The hip joint is normal without effusion or synovial hypertrophy. Limited evaluation of the anterior labrum is unremarkable. No evidence of iliopsoas bursal distention or snapping iliopsoas tendon with dynamic imaging. The remaining anterior tendons, including the rectus femoris and sartorius, as well as the adductors, are normal.
Evaluation of the lateral hip is normal. No evidence of abnormal bursal distention around the greater trochanter. The gluteus minimus and medius tendons are normal. No abnormal snapping with dynamic evaluation.
Impression: Unremarkable ultrasound examination of the hip.
Examination: Ultrasound of the Right Hip
Date of Study: March 11, 2016
Patient Name: Brennan Huff
Registration Number: 8675309
History: Hip pain, evaluate for tendon tear
Findings: There is a partial tear of the adductor longus origin at the pubis. No evidence of full-thickness tear or tendon retraction. The common aponeurosis and rectus abdominis tendon are normal, as is the pubic symphysis.
The hip joint is normal without effusion or synovial hypertrophy. There is a possible tear of the anterior labrum. No paralabral cyst. No evidence of iliopsoas bursal distention or snapping iliopsoas tendon with dynamic imaging.
Evaluation of the lateral hip is normal. No evidence of abnormal bursal distention around the greater trochanter. The gluteus minimus and medius tendons are normal. No abnormal snapping with dynamic evaluation.
Impression:
- 1.
Partial-thickness tear of the proximal adductor longus.
- 2.
Possible anterior labral tear. Consider MR arthrography if indicated.
- 1.
Examination: Ultrasound of the Right Knee
Date of Study: March 11, 2016
Patient Name: Meg White
Registration Number: 8675309
History: Trauma
Findings: The extensor mechanism, including the quadriceps tendon, patella, and patellar tendon, is normal without bursal abnormalities. No significant joint effusion or synovial hypertrophy. The medial collateral and lateral collateral ligaments are normal. Unremarkable iliotibial tract, biceps femoris, popliteus tendon, and common peroneal nerve. No Baker cyst. Limited evaluation of the menisci is unremarkable.
Impression: Unremarkable ultrasound examination of the right knee.
Pediatric Echo Report Template Example
Pediatric Echo School
Examination: Ultrasound of the Right Knee
Date of Study: March 11, 2016
Patient Name: Frank Ricard
Registration Number: 8675309
History: Pain, evaluate for cyst
Findings: The extensor mechanism, including the quadriceps tendon, patella, and patellar tendon, is normal. There is a moderate-sized joint effusion and no synovial hypertrophy or intra-articular body. The medial and lateral collateral ligaments are normal, as is the iliotibial tract, biceps femoris, popliteus tendon, and common peroneal nerve. There is medial compartment joint space narrowing and osteophyte formation with mild extrusion of the body of the medial meniscus, which is abnormally hypoechoic. No parameniscal cyst. There is a Baker cyst measuring 2 × 2 × 6 cm. Abnormal hypoechogenicity is noted at the inferior margin of the Baker cyst. There is also a hypoechoic cleft involving the posterior horn of the medial meniscus, which extends to the articular surface.
Impression:
- 1.
Baker cyst with evidence for rupture.
- 2.
Medial compartment osteoarthritis with moderate joint effusion.
- 3.
Suspect posterior horn medial meniscal tear. Consider MRI for confirmation if indicated.
- 1.