Abdominal and Pelvic Venous Duplex for the Evaluation of Reflux

Indication:
Ordering Provider:
Technologist:
Pertinent History:

Technique

Findings

B-Mode Appearance

Prox IVC:
Dist IVC:
Right CIV:
Left CIV:
Right IIV:
Left IIV:
Left Renal V:
Right Outflow from Pelvis:
Left Outflow from Pelvis:

B-Mode Measurements

Right OV:mm
Left OV:mm
Parauterine Veins:mm

Doppler Waveforms

Prox IVC:
Dist IVC:
Right CIV:
Left CIV:
Right IIV:
Left IIV:
Left Renal V:
Right OV:
Left OV:

Impression

Prox IVC:
Dist IVC:
Right CIV:
Left CIV:
Right IIV:
Left IIV:
Left Renal V:
Right OV:
Left OV:

Comparison to Prior Exam

Recommendation

Comments