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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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Quantitative Contrast-Enhanced Ultrasound (CEUS) right breast
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Examination Details
- Modality: Contrast-Enhanced Ultrasound (CEUS)
- Contrast Agent Used: [Contrast Agent Name, e.g., Sonovue (sulfur hexafluoride microbubbles)]
- Dose Administered: [Dose] mL
- Injection Method: [Bolus injection/Continuous infusion]
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Findings
Lesion Characteristics
- Location: [Quadrant & clock position, e.g., Upper outer quadrant, 2 o’clock]
- Size: [Size in mm]
- Shape: [Oval, Round, Irregular]
- Margins: [Circumscribed, Indistinct, Spiculated]
- Internal Echo Texture: [Homogeneous, Heterogeneous]
Quantitative CEUS Parameters
| Parameter | Measurement | Interpretation |
|---|---|---|
| Peak Enhancement (PE) | [Value] | [Low/Intermediate/High] |
| Wash-in Rate (WIR) | [Value] | [Slow/Moderate/Rapid] |
| Wash-out Rate (WOR) | [Value] | [Gradual/Rapid] |
| Time to Peak (TTP) | [Value] sec | [Delayed/Intermediate/Early] |
| Area Under the Curve (AUC) | [Value] | [Low/High] |
| Perfusion Index (PI) | [Value] | [Reduced/Normal/Increased] |
Enhancement Pattern Analysis
- Type of Enhancement: [Homogeneous, Heterogeneous, Rim, Peripheral, Non-enhancing]
- Wash-in Dynamics: [Rapid, Moderate, Slow]
- Wash-out Dynamics: [Persistent, Plateau, Rapid]
Comparison with Previous Imaging (if available):
[Describe any changes in size, enhancement, or perfusion]
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Impression
- CEUS Characteristics Suggestive of: [Benign/Malignant/Indeterminate]
- BI-RADS Category: [BI-RADS 3, 4A, 4B, 4C, 5]
- Recommended Next Steps: [Follow-up, Biopsy, MRI, etc.]
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