Home
Lab Name:
Address Line 1:
Address Line 2:
Date of Service:
Last Name:
First Name:
Date of Birth:
MRN:
Upper Extremity Arterial Duplex - Bilateral
Indication:
Ordering Provider:
Technologist:
Pertinent History:
Technique
The upper extremity arteries were evaluated from the shoulder through the level of the forearm with high frequency medical ultrasound. Images and waveforms were recorded.
Findings
Right
Left
B-mode Appearance
Prox SCA:
Normal
Calcfied
Plaque Visualized
OCCLUDED
PATENT STENT
OCCLUDED STENT
See Comments
Dist SCA:
Normal
Calcfied
Plaque Visualized
OCCLUDED
PATENT STENT
OCCLUDED STENT
See Comments
Axill A:
Normal
Calcfied
Plaque Visualized
OCCLUDED
PATENT STENT
OCCLUDED STENT
See Comments
Mid Brach A:
Normal
Calcfied
Plaque Visualized
OCCLUDED
PATENT STENT
OCCLUDED STENT
See Comments
Rad A:
Normal
Calcfied
Plaque Visualized
OCCLUDED
PATENT STENT
OCCLUDED STENT
See Comments
Uln A:
Normal
Calcfied
Plaque Visualized
OCCLUDED
PATENT STENT
OCCLUDED STENT
See Comments
Prox SCA:
Normal
Calcfied
Plaque Visualized
OCCLUDED
PATENT STENT
OCCLUDED STENT
See Comments
Dist SCA:
Normal
Calcfied
Plaque Visualized
OCCLUDED
PATENT STENT
OCCLUDED STENT
See Comments
Axill A:
Normal
Calcfied
Plaque Visualized
OCCLUDED
PATENT STENT
OCCLUDED STENT
See Comments
Mid Brach A:
Normal
Calcfied
Plaque Visualized
OCCLUDED
PATENT STENT
OCCLUDED STENT
See Comments
Rad A:
Normal
Calcfied
Plaque Visualized
OCCLUDED
PATENT STENT
OCCLUDED STENT
See Comments
Uln A:
Normal
Calcfied
Plaque Visualized
OCCLUDED
PATENT STENT
OCCLUDED STENT
See Comments
Doppler Measurements
Prox SCA:
cm/s
Dist SCA:
cm/s
Axill A:
cm/s
Mid Brach A:
cm/s
Rad A:
cm/s
Uln A:
cm/s
Prox SCA:
cm/s
Dist SCA:
cm/s
Axill A:
cm/s
Mid Brach A:
cm/s
Rad A:
cm/s
Uln A:
cm/s
Impression
Right
Left
Prox SCA:
Normal
Calcfied
< 50% Stenosis
50 - 99% Stenosis
OCCLUDED
See Comments
Dist SCA:
Normal
Calcfied
< 50% Stenosis
50 - 99% Stenosis
OCCLUDED
See Comments
Axill A:
Normal
Calcfied
< 50% Stenosis
50 - 99% Stenosis
OCCLUDED
See Comments
Mid Brach A:
Normal
Calcfied
< 50% Stenosis
50 - 99% Stenosis
OCCLUDED
See Comments
Rad A:
Normal
Calcfied
< 50% Stenosis
50 - 99% Stenosis
OCCLUDED
See Comments
Uln A:
Normal
Calcfied
< 50% Stenosis
50 - 99% Stenosis
OCCLUDED
See Comments
Prox SCA:
Normal
Calcfied
< 50% Stenosis
50 - 99% Stenosis
OCCLUDED
See Comments
Dist SCA:
Normal
Calcfied
< 50% Stenosis
50 - 99% Stenosis
OCCLUDED
See Comments
Axill A:
Normal
Calcfied
< 50% Stenosis
50 - 99% Stenosis
OCCLUDED
See Comments
Mid Brach A:
Normal
Calcfied
< 50% Stenosis
50 - 99% Stenosis
OCCLUDED
See Comments
Rad A:
Normal
Calcfied
< 50% Stenosis
50 - 99% Stenosis
OCCLUDED
See Comments
Uln A:
Normal
Calcfied
< 50% Stenosis
50 - 99% Stenosis
OCCLUDED
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