Type of exam

etype eq 0}checked{/if}> 2D TAS

etype eq 1}checked{/if}> 2D TVS

etype eq 2}checked{/if}> Combined 2D/3D TAS

Patient Name

{$patientData->wifename}

Patient ID

{$patientData->id}

Date of Birth

{$patientData->dateofbirth}

Referring Physican

Date of Exam

Sonographer

Referral indication

Technical conditions

tcondition eq 0}checked{/if}> Good

tcondition eq 1}checked{/if}> Limited by

tcondition neq 1}style="display:none"{/if}>

UTERUS

Position

position eq 0}checked{/if}> AVF

position eq 1}checked{/if}> RVF

Measurments

Endometrial thickness

Transitional zone

tz eq 0}checked{/if}> clear

tz eq 1}checked{/if}> absent

tz eq 2}checked{/if}> irregular

Myometrium

myo eq 0}checked{/if}> homogeneous

myo eq 1}checked{/if}> non uniform

myo eq 2}checked{/if}> focal lesion

Myometrial walls

myowall eq 0}checked{/if}> symmetrical

myowall eq 1}checked{/if}> asymmetrical

Focal lesion

Rt. Ovary

Size

Shape

follicles

Lt. Ovary

Size

Shape

follicles

omentum

Douglas Pouch

douglas eq 0}checked{/if}> free

douglas eq 1}checked{/if}> abnormal

douglas neq 1}style="display:none"{/if}>

any pelvic masses

lymph node

Doppler Study

Uterine arteries

Rt. Ut. a.

Lt. Ut. a.

subendometrial space

IOTA score of ovarian mass

Any mass

Conclusion

conclusion eq 0}checked{/if}> Normal pelvic sonogram conclusion neq 0}style="display:none;"{else}style="display:inline;"{/if} id="normalcon" placeholder="" data-id="{$ultrasoundgynaData->id}" data-colName="normalcon" data-tableName="ultrasoundgyna" value="{$ultrasoundgynaData->normalcon}">

conclusion eq 1}checked{/if}> abnormal conclusion neq 1}style="display:none;"{else}style="display:inline;"{/if} id="abnormalcon" placeholder="" data-id="{$ultrasoundgynaData->id}" data-colName="abnormalcon" data-tableName="ultrasoundgyna" value="{$ultrasoundgynaData->abnormalcon}">