RipotAbdominal ultrasound report template
A reusable abdominopelvic ultrasound structure for organ findings, measurements and impression.
Contributor: Ripot · Starter template
Preview and use →Radiology · Contributor: Ripot
Pelvic / Transvaginal Ultrasound template
A pelvic ultrasound structure for technique, uterine and endometrial assessment, ovaries, adnexa and fluid, with measurements and limitations.
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PELVIC / TRANSVAGINAL ULTRASOUND Patient: ________________ Identifier: ________________ Date: ________________ CONTEXT Indication: ________________ Relevant menstrual / menopausal history: ________________ Technique, consent and chaperone: ________________ Image quality / limitations: ________________ UTERUS AND CERVIX Position and contour: ________________ Uterine length (mm): ________________ Uterine AP diameter (mm): ________________ Uterine transverse diameter (mm): ________________ Myometrium / focal lesions: ________________ Endometrial thickness (mm): ________________ Endometrial appearance / cavity: ________________ Cervix: ________________ OVARIES AND ADNEXA Right ovary: three dimensions and appearance: ________________ Left ovary: three dimensions and appearance: ________________ Adnexal lesions: side, size and morphology: ________________ Doppler findings where indicated: ________________ Cul-de-sac / free fluid: ________________ CONCLUSION Comparison: ________________ Impression: ________________ Recommendations / communication: ________________ Clinician: ________________ Signature: ________________
Pelvic / Transvaginal Ultrasound
Patient: ________________
Identifier: ________________
Date: ________________
Context
Indication: ________________
Relevant menstrual / menopausal history: ________________
Technique, consent and chaperone: ________________
Image quality / limitations: ________________
Uterus and cervix
Position and contour: ________________
Uterine length (mm): ________________
Uterine AP diameter (mm): ________________
Uterine transverse diameter (mm): ________________
Myometrium / focal lesions: ________________
Endometrial thickness (mm): ________________
Endometrial appearance / cavity: ________________
Cervix: ________________
Ovaries and adnexa
Right ovary: three dimensions and appearance: ________________
Left ovary: three dimensions and appearance: ________________
Adnexal lesions: side, size and morphology: ________________
Doppler findings where indicated: ________________
Cul-de-sac / free fluid: ________________
Conclusion
Comparison: ________________
Impression: ________________
Recommendations / communication: ________________
Clinician: ________________
Fictional example text
A demonstration of the layout using invented observations. It is not a patient report, normal-report default or clinical reference.
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PELVIC / TRANSVAGINAL ULTRASOUND FICTIONAL EXAMPLE - NOT FOR CLINICAL USE Illustrative content only; not a clinical reference. Patient: FICTIONAL PATIENT Identifier: DEMO-001 Date: 01 January 2026 CONTEXT Indication: Pelvic discomfort (fictional). Relevant menstrual / menopausal history: Premenopausal; cycle day 8 in this fictional example. Technique, consent and chaperone: Transabdominal and transvaginal views; consent and chaperone recorded. Image quality / limitations: Both ovaries visualised. UTERUS AND CERVIX Position and contour: Anteverted; smooth contour. Uterine length (mm): 78 Uterine AP diameter (mm): 36 Uterine transverse diameter (mm): 45 Myometrium / focal lesions: No focal lesion identified in this fictional example. Endometrial thickness (mm): 6 Endometrial appearance / cavity: Smooth appearance; no cavity fluid seen. Cervix: No focal finding documented. OVARIES AND ADNEXA Right ovary: three dimensions and appearance: 30 x 18 x 20 mm; follicles present. Left ovary: three dimensions and appearance: 28 x 17 x 19 mm; follicles present. Adnexal lesions: side, size and morphology: No adnexal mass identified. Doppler findings where indicated: Not performed. Cul-de-sac / free fluid: Trace simple fluid. CONCLUSION Comparison: No prior study available. Impression: No focal pelvic lesion identified in the acquired images. Recommendations / communication: Correlate with symptoms and referring assessment. Clinician: DEMONSTRATION ONLY - NOT SIGNED FICTIONAL EXAMPLE - NOT FOR CLINICAL USE
Pelvic / Transvaginal Ultrasound
FICTIONAL EXAMPLE - NOT FOR CLINICAL USE
Illustrative content only; not a clinical reference.
Patient: FICTIONAL PATIENT
Identifier: DEMO-001
Date: 01 January 2026
Context
Indication: Pelvic discomfort (fictional).
Relevant menstrual / menopausal history: Premenopausal; cycle day 8 in this fictional example.
Technique, consent and chaperone: Transabdominal and transvaginal views; consent and chaperone recorded.
Image quality / limitations: Both ovaries visualised.
Uterus and cervix
Position and contour: Anteverted; smooth contour.
Uterine length (mm): 78
Uterine AP diameter (mm): 36
Uterine transverse diameter (mm): 45
Myometrium / focal lesions: No focal lesion identified in this fictional example.
Endometrial thickness (mm): 6
Endometrial appearance / cavity: Smooth appearance; no cavity fluid seen.
Cervix: No focal finding documented.
Ovaries and adnexa
Right ovary: three dimensions and appearance: 30 x 18 x 20 mm; follicles present.
Left ovary: three dimensions and appearance: 28 x 17 x 19 mm; follicles present.
Adnexal lesions: side, size and morphology: No adnexal mass identified.
Doppler findings where indicated: Not performed.
Cul-de-sac / free fluid: Trace simple fluid.
Conclusion
Comparison: No prior study available.
Impression: No focal pelvic lesion identified in the acquired images.
Recommendations / communication: Correlate with symptoms and referring assessment.
Clinician: DEMONSTRATION ONLY - NOT SIGNED
View all included fields
- Context
- Indication
- Relevant menstrual / menopausal history
- Technique, consent and chaperone
- Image quality / limitations
- Uterus and cervix
- Position and contour
- Uterine length
- Uterine AP diameter
- Uterine transverse diameter
- Myometrium / focal lesions
- Endometrial thickness
- Endometrial appearance / cavity
- Cervix
- Ovaries and adnexa
- Right ovary: three dimensions and appearance
- Left ovary: three dimensions and appearance
- Adnexal lesions: side, size and morphology
- Doppler findings where indicated
- Cul-de-sac / free fluid
- Conclusion
- Comparison
- Impression
- Recommendations / communication
Using this reporting structure
Context and technique
Document the relevant menstrual or menopausal context and whether the examination was transabdominal, transvaginal or both. Record the applicable consent, chaperone and image-quality details.
Measurements and findings
Use the uterine, endometrial, ovarian and adnexal fields to describe the examination. Keep dimensions and units explicit, and record non-visualisation or other limitations. The impression should reflect the actual findings and context rather than treating an isolated measurement as a diagnosis.
Documentation help, not clinical guidance. Use current specialty guidance and local protocols. Review every report before signing or sharing.
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