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Patient information:
Patient Name: [Patient’s Name]
Age/Sex: [Age] / Female
Referring Physician: [Doctor’s Name]
Date of Examination: [DD/MM/YYYY]
Indication: [Screening / Palpable Lump / Follow-up of Mammographic Finding]
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Contrast-Enhanced Ultrasound (CEUS) with Elastography of Right Breast
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Examination Performed
- Modality: Contrast-Enhanced Ultrasound (CEUS) and Elastography
- Contrast Agent: [Contrast name, e.g., Sonovue (sulfur hexafluoride microbubbles)]
- Injection Dose: [Dose in mL]
- Mode of Imaging: Grayscale, Doppler, Contrast-Enhanced Ultrasound, and Elastography
Findings
Grayscale and CEUS Findings
- Location: [Clock-face position, quadrant, depth, distance from nipple]
- Size: [Length × Width × Height in mm]
- Shape: [Oval, round, irregular]
- Margins: [Circumscribed, indistinct, microlobulated, spiculated]
- Echogenicity: [Hypoechoic, isoechoic, hyperechoic, complex]
- Posterior Features: [Enhancement, shadowing, none]
- Vascularity (CEUS): [Peripheral, central, absent, diffuse]
- Enhancement Pattern: [Rapid wash-in/wash-out, persistent, plateau]
- Kinetics: [Early arterial phase enhancement, delayed wash-out, non-enhancing]
Elastography Findings
Elastography Findings
- Strain Ratio: [Value]
- Shear-Wave Velocity (m/s): [Value]
- Elasticity Score (1-5): [Score]
- 1: Soft, entirely green
- 2: Mostly soft, some blue areas
- 3: Mixed green/blue
- 4: Mostly stiff, blue with some green
- 5: Very stiff, entirely blue
- Lesion Stiffness: [Soft, intermediate, hard]
- Shear Wave Elastography (SWE) Stiffness Values:
- Max: [kPa or m/s]
- Mean: [kPa or m/s]
- Min: [kPa or m/s]
- Ratio (Lesion-to-Fat Stiffness): [Value]
- Elastographic Appearance: [Homogeneous, heterogeneous, stiff periphery, soft center]
- Malignancy Likelihood (Elastography-Based): [Low, intermediate, high]
Axillary Lymph Nodes
- Size: [mm]
- Cortical Thickness: [mm]
- Hilum: [Preserved/Absent]
- Elastography Stiffness: [Soft/Stiff]
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Impression
- [Benign, probably benign, suspicious, highly suspicious, or malignant features]
- BI-RADS Category: [0-6]
