16  Doppler Template

16.1 Normal CCUS (Thigh + Calf)

EMERGENCY DOPPLER US OF THE ___ LOWER EXTREMITY

HISTORY: A ___ female known case of __ presented with dyspnea with __ leg swollen for __ day (D-dimer = ?). She was sent for R/O DVT.

TECHNIQUES: Gray-scale, compression US of the lower extremities was performed from the common femoral vein (CFV), femoral vein (FV) down to popliteal vein at every 1-2 cm intervals.

COMPARISON: None.

FINDINGS:

• CFV: Normal compressibility. No filling defect.
• SFJ: No filling defect.
• DFV: No filling defect.
• Proximal FV: Normal compressibility. No filling defect.
• Mid FV: Normal compressibility. No filling defect.
• Distal FV: Normal compressibility. No filling defect.
• Popliteal vein: Normal compressibility. No filling defect.
• Visualized calf veins: Patent.
• Augmentation: Normal pulsed wave Doppler responses in the CFV, FV and popliteal vein with calf augmentation.

Soft tissues: Normal

Contralateral CFV (screening): Normal compressibility. No filling defect.

(CFV = common femoral vein, SFJ = sphenofemoral junction, DFV = deep femoral vein, FV = femoral vein)

IMPRESSION:

• No evidence of acute deep vein thrombosis.

16.2 Chronic DVT

Thick wall & Small size: Add Diffuse small size with wall thickening to respective veins.

IMPRESSION:

• Likely chronic DVT along the ___ vein.