YOUR DIAGNOSTIC CENTRE

Centre Address, City, State, PIN Code

Phone: 0000000000 | Email: example@email.com

Patient Details

Patient Name:

Age / Sex:

Patient ID:

Referred By:

Study Date:

Report Date:

Ultrasound Findings

Liver

Normal Hepatomegaly Fatty Liver Cirrhotic Changes Liver Cyst Liver Mass / SOL

Gallbladder

Normal Gallstones Cholecystitis Gallbladder Polyp

Pancreas

Normal Pancreatitis Pancreatic Mass

Spleen

Normal Splenomegaly Splenic Lesion

Kidneys

Normal Renal Calculus Hydronephrosis Renal Cyst

Urinary Bladder

Normal Bladder Wall Thickening Vesical Calculus Bladder Mass

Prostate

Normal Prostatomegaly Prostatic Calcification

Impression

Recommendation

Final Report

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YOUR DIAGNOSTIC CENTRE

Centre Address

Phone Number

Ultrasound Findings

Impression

Recommendation

Scan for Report Verification

This report is based on the ultrasound examination performed and should be interpreted in correlation with clinical findings and other relevant investigations.

Dr. Name

MBBS, MD / DNB (Radiology)