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Lab Name:
Address Line 1:
Address Line 2:
Date of Service:
Last Name:
First Name:
Date of Birth:
MRN:
Lower Extremity Venous Duplex for the Evaluation of Patency - Bilateral
Indication:
Ordering Provider:
Technologist:
Pertinent History:
Technique
The lower extremity veins were evaluated from the groin through the level of the calf with high frequency medical ultrasound. Images and Doppler waveforms were recorded.
Findings
Right
Left
B-mode Appearance
CFV:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
SFJ:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
DFV:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
Prox FV:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
Mid FV:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
Dist FV:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
Pop V:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
PTV:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
Peron V:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
CFV:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
SFJ:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
DFV:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
Prox FV:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
Mid FV:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
Dist FV:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
Pop V:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
PTV:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
Peron V:
Compressible without intraluminal material
PARTALLY compressible with intraluminal material
INCOMPRESSIBLE with intraluminal material
Not Visualized
See Comments
Doppler Measurements
CFV:
Normal
ABSENT
Continuous
Reflux
Not Applicable
See Comments
Mid FV:
Normal
ABSENT
Continuous
Reflux
Not Applicable
See Comments
Pop V:
Normal
ABSENT
Continuous
Reflux
Not Applicable
See Comments
CFV:
Normal
ABSENT
Continuous
Reflux
Not Applicable
See Comments
Mid FV:
Normal
ABSENT
Continuous
Reflux
Not Applicable
See Comments
Pop V:
Normal
ABSENT
Continuous
Reflux
Not Applicable
See Comments
Impression
Right
Left
CFV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
SFJ:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
DFV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Prox FV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Mid FV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Dist FV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Pop V:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
PTV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Peron V:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
CFV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
SFJ:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
DFV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Prox FV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Mid FV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Dist FV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Pop V:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
PTV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Peron V:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Comparison to Prior Exam
No prior study available for comparison
No change since prior study
Findings are worse than on the prior study
Findings are improved since the prior study
Recommendation
No follow up required
Follow up with repeat ultrasound in 1 year
Follow up with repeat ultrasound in 6 months
Follow up with vascular consultation
Comments