Sono
Weekend Sono Rules
You can always show residents and attendings any exam you are concerned about!
Exams to Show in Person
FAST exams (need to have resident call trauma)
Any Peds
Any OB
Any Pelvic
Any doppler in the abdomen
Exams to Worksheet
Abdomen non-dopplers (liver, renal, spleen, abdomen...)
Extremity and carotid vessels (DVT and arteries)
Thyroid
Normal Biophysical
High Yield Links
Ovary cyst follow up Guidelines
Note that these guidelines do not apply to hemorrhagic ovarian cysts.
Premenopausal women
≤3 cm: no need to report; if described, consider calling a "follicle" rather than a "cyst" to reduce patient anxiety
impression: normal ovaries/adnexa
recommendation: no follow-up
>3 to ≤5 cm: report presence of simple cyst(s) and largest cyst diameter
impression: benign finding in the physiologic size range
recommendation: no follow-up
>5 cm: report with all cyst diameters
impression: benign simple cyst
recommendation:
>5 to ≤7 cm: follow-up either in 2-6 months for resolution/re-characterization or in 6-12 months for growth rate assessment, but no follow up is needed if the cyst is exceptionally well-visualized/characterized and documented with confidence by the imager
>7 cm: follow-up either in 2-6 months for resolution/re-characterization or in 6-12 months for growth rate assessment
follow-up of cyst (previously >5 cm): describe in report with all cyst diameters if not resolved
decreased in size
impression: benign inconsequential finding; decrease in size excludes neoplasm
recommendation: no further follow-up needed
similar in size
impression: benign simple cyst with stability over ≥12 months, most likely nonneoplastic or very slow growing benign neoplasm
recommendation: follow-up at 2 years from initial study to document stability and understand growth rate
increased in size
impression: enlarging simple cyst, most likely a benign neoplasm
recommendation: follow-up in 1 year to evaluate any further changes in size
Postmenopausal women
≤1 cm: no need to report
impression: normal ovaries/adnexa
recommendation: no follow-up
>1 to ≤3 cm: report presence of simple cyst(s) and largest cyst diameter
impression: benign inconsequential finding
recommendation: no follow-up
>3 cm: report with all cyst diameters
impression: benign simple cyst
recommendation:
>3 to ≤5 cm: follow-up either in 3-6 months for resolution/re-characterization or in 6-12 months for growth rate assessment, but no follow up is needed if the cyst is exceptionally well-visualized/characterized and documented with confidence by the imager
>5 cm: follow-up either in 3-6 months for resolution/re-characterization or in 6-12 months for growth rate assessment
follow-up of cyst (previously >3 cm): describe in report with all largest cyst diameters if not resolved
decreased in size
impression: benign simple cyst; decrease in size excludes neoplasm
recommendation: no further follow-up needed
similar in size
impression: benign simple cyst
recommendation: follow-up at 2 years from initial study to document stability
increased in size
impression: enlarging simple cyst, most likely a benign neoplasm
recommendation: follow-up in 1 year to evaluate any further changes in size
O-RADS Calculator: https://radathand.com/radiology-calculators/women-imaging/orads-calculator/
