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Reporting Ultrasound Diagnosis and Findings

  • Anna Ciechomska
Chapter

Abstract

The ultrasound report forms a part of medical documentation. It is a legal document and should be composed according to standards of best practice and included in patient’s medical records. The purpose of the ultrasound report is communication of the relevant ultrasound findings. The information should be concise and targeting clinical question.

The report should be supplemented with ultrasound images to illustrate the described findings.

Keywords

Ultrasound report Reporting ultrasound Image capture Image transfer Picture archiving Medical documentation 

References

  1. 1.
    Royal College of Radiologists: Standards for the communication of radiological reports and fail-safe alert notification. Clin Radiol. 2016;BFCR(16)4. https://www.rcr.ac.uk/publication/standards-communication-radiological-reports-and-fail-safe-alert-notification. Accessed 1 Jun 2016.
  2. 2.
    Royal College of Radiologists: Standards for the provision of an ultrasound service. Clin Radiol. 2014;BFCR(14)17. https://www.rcr.ac.uk/publication/standards-provision-ultrasound-service. Accessed 5 Dec 2014.
  3. 3.
    Royal College of Radiologists: Standards for interpretation and reporting of imaging investigations. 2nd ed. Clin Radiol. 2018;BFCR(18)1. https://www.rcr.ac.uk/publication/standards-interpretation-and-reporting-imaging-investigations-second-edition. Mar 2018.

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Anna Ciechomska
    • 1
  1. 1.University Hospital WishawWishawUK

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