Parametric Imaging CEUS of Breast Ultrasound report sample

 

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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Parametric Imaging CEUS of Breast Ultrasound

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Examination Technique

Contrast-enhanced ultrasound (CEUS) of the breast was performed using parametric imaging. A bolus of [contrast agent, e.g., SonoVue (sulfur hexafluoride microbubbles)] was administered intravenously, followed by real-time imaging to assess vascularization patterns and enhancement characteristics of the lesion.

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Findings

1. Lesion Characteristics:

   • Location: [Clock position, quadrant, and depth]
   • Size: [Dimensions in mm]
   • Shape: [Oval, round, irregular]
   • Margins: [Circumscribed, indistinct, microlobulated, spiculated]
   • Echogenicity: [Hypoechoic, hyperechoic, heterogeneous, isoechoic]

2. CEUS Findings:

   • Contrast Enhancement Pattern: [Homogeneous, heterogeneous, rim enhancement, rapid wash-in, wash-out characteristics]
   • Time-Intensity Curve (TIC) Analysis:
     • Peak Enhancement: [High, moderate, low]
     • Wash-in Rate: [Rapid, intermediate, slow]
     • Wash-out Rate: [Rapid, intermediate, slow]
     • Time to Peak (TTP): [Milliseconds]
     • Relative Perfusion Parameters: [Compared to surrounding tissue]

3. Parametric Imaging Analysis:

   • Color Mapping: [Color-coded representation of contrast kinetics]
   • Vascular Architecture: [Disorganized, regular, centripetal/peripheral enhancement]
   • Lesion Perfusion Characteristics: [Hypervascular, hypovascular, avascular]

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Impression

[Example: A well-defined lesion in the upper outer quadrant of the right breast measuring 15 mm × 12 mm, exhibiting rapid contrast wash-in with mild wash-out and homogeneous enhancement. Findings suggestive of a benign lesion, likely a fibroadenoma. BI-RADS classification: 3 (probably benign). Follow-up ultrasound recommended in 6 months.]

BI-RADS Category: [0, 1, 2, 3, 4A/B/C, 5]

Recommendations

• Follow-up Imaging: [Short-term follow-up, routine follow-up, or additional imaging required]
• Intervention: [Fine-needle aspiration, core biopsy, surgical consultation]