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Normal Appendix Ultrasound Report Template

Normal appendix ultrasound report template: graded-compression wording with appendiceal diameter, plus the non-visualized-appendix variant note.

EXAMINATION: Ultrasound of the right lower quadrant (appendix).

CLINICAL HISTORY: [indication]

COMPARISON: None available.

TECHNIQUE: Graded-compression grayscale and color Doppler imaging of
the right lower quadrant.

FINDINGS:
Appendix: Visualized at the site of maximal tenderness as a
blind-ending, compressible tubular structure measuring [x] mm in
maximal outer diameter. No wall thickening, mural hyperemia,
appendicolith or periappendiceal fluid.
Periappendiceal fat: Normal echogenicity. No echogenic inflamed fat.
Right lower quadrant: No free fluid, abscess or enlarged mesenteric
lymph nodes.
Bowel: No wall thickening of the visualized cecum or terminal ileum.

IMPRESSION:
1. Normal, compressible appendix measuring [x] mm in diameter. No
sonographic evidence of acute appendicitis.

Dictation notes

When the appendix is not seen, say exactly that — “appendix not visualized; no secondary signs of appendicitis” — and keep “normal” out of the impression: a non-visualized appendix plus persistent concern earns CT or MRI, and the report should offer it.
The 6 mm outer-diameter threshold applies under compression — at borderline diameters let wall thickening, hyperemia and echogenic fat make the call, not the number alone.
An appendicolith with focal tenderness is actionable even when the diameter is equivocal — name it in the impression.

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This is a reference implementation of a published guideline, for use by qualified clinicians. It does not account for patient-specific factors and is not a substitute for clinical judgment or a formal radiology consultation. Templates are generic scaffolds for licensed radiologists; verify wording against your own practice standards. See our full disclaimer.