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Lab Name:
Address Line 1:
Address Line 2:
Date of Service:
Last Name:
First Name:
Date of Birth:
MRN:
Upper Extremity Venous Duplex - Bilateral
Indication:
Ordering Provider:
Technologist:
Pertinent History:
Technique
The upper extremity veins were evaluated from the base of the neck through the level of the forearm with high frequency medical ultrasound. Images and waveforms were recorded.
Findings
Right
Left
B-mode Appearance
Prox SCV:
Visualized without intraluminal material
Hypoechoic Intraluminal material visualized
Hyperechoic Intraluminal material visualized
Not Visualized
See Comments
Dist SCV:
Visualized without intraluminal material
Hypoechoic Intraluminal material visualized
Hyperechoic Intraluminal material visualized
Not Visualized
See Comments
Axill V:
Visualized without intraluminal material
Hypoechoic Intraluminal material visualized
Hyperechoic Intraluminal material visualized
Not Visualized
See Comments
Brach V:
Visualized without intraluminal material
Hypoechoic Intraluminal material visualized
Hyperechoic Intraluminal material visualized
Not Visualized
See Comments
Ceph V:
Visualized without intraluminal material
Hypoechoic Intraluminal material visualized
Hyperechoic Intraluminal material visualized
Not Visualized
See Comments
Bas V:
Visualized without intraluminal material
Hypoechoic Intraluminal material visualized
Hyperechoic Intraluminal material visualized
Not Visualized
See Comments
Prox SCV:
Visualized without intraluminal material
Hypoechoic Intraluminal material visualized
Hyperechoic Intraluminal material visualized
Not Visualized
See Comments
Dist SCV:
Visualized without intraluminal material
Hypoechoic Intraluminal material visualized
Hyperechoic Intraluminal material visualized
Not Visualized
See Comments
Axill V:
Visualized without intraluminal material
Hypoechoic Intraluminal material visualized
Hyperechoic Intraluminal material visualized
Not Visualized
See Comments
Brach V:
Visualized without intraluminal material
Hypoechoic Intraluminal material visualized
Hyperechoic Intraluminal material visualized
Not Visualized
See Comments
Ceph V:
Visualized without intraluminal material
Hypoechoic Intraluminal material visualized
Hyperechoic Intraluminal material visualized
Not Visualized
See Comments
Bas V:
Visualized without intraluminal material
Hypoechoic Intraluminal material visualized
Hyperechoic Intraluminal material visualized
Not Visualized
See Comments
Doppler Measurements
Prox SCV:
Normal
ABSENT
Continuous
Not Applicable
See Comments
Dist SCV:
Normal
ABSENT
Continuous
Not Applicable
See Comments
Axill V:
Normal
ABSENT
Continuous
Not Applicable
See Comments
Prox SCV:
Normal
ABSENT
Continuous
Not Applicable
See Comments
Dist SCV:
Normal
ABSENT
Continuous
Not Applicable
See Comments
Axill V:
Normal
ABSENT
Continuous
Not Applicable
See Comments
Impression
Right
Left
Prox SCV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Dist SCV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Axill V:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Brachial V:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Cephalic V:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Basilic V:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Prox SCV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Dist SCV:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Axill V:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Brachial V:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Cephalic V:
Normal
ACUTE DVT
SUB-ACUTE DVT
CHRONIC DVT
See Comments
Basilic 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