76856/76830 or 76815/76817????
INDICATION: 683.1. Ectopic pregnancy. Patient has history of tubal ligation, with
positive pregnancy test.
TECHNIQUE: Ultrasound evaluation of the pelvis was performed using transabdominal
and transvaginal technique. Static images are submitted for review. COMPARISON: None.
FINDINGS: The uterus measures 9.5 x 3.7 x approximately 4.0 cm. The endometrium
measures 1.7 cm in thickness, LMP 6/25/10. No gestational sac is seen within the uterus. The right adnexa could not be seen transvaginally. It also was not seen transabdominally. On transvaginal exam, the left ovary is seen adjacent to the uterine fundus, measuring
2.6 x 1.5 x 2.3 cm. There is no pelvic free fluid identified. In the left adnexa, there is a focal hypoechoic structure, with echogenic rim measuring 2.0
x 1.6 x 1.9 cm. On color Doppler, there is prominent vascular flow in the periphery of
this structure. Ectopic pregnancy is suspected.
IMPRESSION: 1. No gestational sac is seen within the uterus. Nonvisualization of the right ovary. No
gross right adnexal mass is seen. 2. The left ovary appears separate from a hypoechoic structure with echogenic rim and
prominent peripheral vascular flow, measuring 1.9 x 2.0 x 1.6 cm, suspicious for an
ectopic pregnancy in the left adnexa. Additional evaluation is recommended. 3. Please note the patient by LMP 6/25/10, should be 6 weeks, 0 days gestation. The above was discussed with Doctor Penney, covering for Doctor Conley, 8/06/10, 8:40
a.m. The patient was instructed to go to Riverview Medical Center Emergency Room at
INDICATION: 683.1. Ectopic pregnancy. Patient has history of tubal ligation, with
positive pregnancy test.
TECHNIQUE: Ultrasound evaluation of the pelvis was performed using transabdominal
and transvaginal technique. Static images are submitted for review. COMPARISON: None.
FINDINGS: The uterus measures 9.5 x 3.7 x approximately 4.0 cm. The endometrium
measures 1.7 cm in thickness, LMP 6/25/10. No gestational sac is seen within the uterus. The right adnexa could not be seen transvaginally. It also was not seen transabdominally. On transvaginal exam, the left ovary is seen adjacent to the uterine fundus, measuring
2.6 x 1.5 x 2.3 cm. There is no pelvic free fluid identified. In the left adnexa, there is a focal hypoechoic structure, with echogenic rim measuring 2.0
x 1.6 x 1.9 cm. On color Doppler, there is prominent vascular flow in the periphery of
this structure. Ectopic pregnancy is suspected.
IMPRESSION: 1. No gestational sac is seen within the uterus. Nonvisualization of the right ovary. No
gross right adnexal mass is seen. 2. The left ovary appears separate from a hypoechoic structure with echogenic rim and
prominent peripheral vascular flow, measuring 1.9 x 2.0 x 1.6 cm, suspicious for an
ectopic pregnancy in the left adnexa. Additional evaluation is recommended. 3. Please note the patient by LMP 6/25/10, should be 6 weeks, 0 days gestation. The above was discussed with Doctor Penney, covering for Doctor Conley, 8/06/10, 8:40
a.m. The patient was instructed to go to Riverview Medical Center Emergency Room at