Carotid Ultrasound Worksheet Final 091808

q This study is [normal, mildly abnormal, abnormal]
' Right Side
v. 091808 D5
EXTRACRANIAL CEREBROVASCULAR
DUPLEX ULTRASOUND STUDY WORKSHEET
PHG MD:
TECH:
SUMMARY
q The common carotid artery is [irregular, stenotic, totally occluded].
q The common carotid artery has increased intimal-media thickness (no stenosis).
q The native internal carotid artery is normal.
q The native internal carotid artery is irregular (no stenosis).
q The native internal carotid artery has a [

v. 091808 D5
' Other
q Scattered nonobstructive [heterogeneous, homogeneous] plaque is present.
q [Heterogeneous, Homogeneous] plaque is present.
q The vertebral artery flow is antegrade.
q The carotid arteries are elongated and tortuous.
q Subclavian steal is present on the [left, right] side with a ___________ mm Hg pressure
drop.
q Systemic hypertension is present.
q No technical difficulties were encountered.
q Technical issues encountered included [suboptimal image quality, acoustic shadowing,
tortuosity, recent surgery, patient discomfort, short neck, _______________________].
q No prior studies were available for comparison
q Comparison with previous study dated [____________________]:
q Comments:
q Recommendation:
q Plan:
q The patient was notified of results
q Send copy of report to the patient
____________________ (Reading MD)