Radiology Coding Alert

Sample Report:

Learn the Ins and Outs of US/Doppler Using This Case

Review the sample below, and then turn to p. 81 for the expert analysisOrder: Transvaginal pelvic ultrasound, check endometriosisReport: Pelvic UltrasoundClinical: History of endometrial biopsyTransabdominal as well as transvaginal including color Doppler evaluation of the pelvis was performed. The uterus is normal in size. The uterus is midline and anteverted and measures 8.8 x 3.2 x 5.6 cm. There is no intramural, endometrial or subserosal mass. The endometrial stripe is within the upper limits of normal measuring 6 mm. The cervix and vagina appear normal.The uterus does contain multiple small fibroids. The largest fibroid measures 9 x 8 mm and involves the posterior body.The left ovary is enlarged. The left ovary measures 3.5 x 2.5 x 2.3 cm. The left ovary is enlarged secondary to a complex left ovarian cyst measuring 2.7 x 2.2 cm. This is predominantly cystic but does have a nodular density within its base. The nodular [...]
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