THYROID ULTRASOUND – SONOGRAPHER WORKSHEET Patient Name: __________________ Patient MRN: __________________ (Your Hospital Logo) THYROID ULTRASOUND – SONOGRAPHER WORKSHEET Current Date: __________ Comparison Date: __________ Age: ________ Sex: F M RT : ___ x ___ x ___ mm ( ___ mL) Isth: ___ mm LT : ___ x ___ x ___ mm ( ___ mL) Parenchyma: Homogeneous or Coarse Contour: Smooth or Nodular RIGHT LEFT Notes INDEX NODULE #1 Size: ____ (AP) x ____ (trv) x ____ (CC) mm Size: AP < Trv AP > Trv Composition: Mostly Cystic Spongiform Cystic & Solid Mostly Solid Echogenicity: Anechoic Hyperechoic Isoechoic Hypoechoic Very hypoechoic Margin: Smooth Ill-defined Lobulated Irregular Extra-thyroid extension Echogenic Foci: None Comet-tail Ca2+ shadowing Ca2+ rim/periph Punctate echogenic foci RIGHT LEFT 2b 3 4 5 1 6 7 2a 2b 3 4 5 1 6 7 2a Add’l Thyroid Nodules or Lymph Nodes Features #2: ____ x ____ x ____mm #3: ____ x ____ x ____mm #4: ____ x ____ x ____mm