Dos and don’ts for a clinically useful gynaecology scan and report

A clinically useful gynaecological ultrasound scan and report is pivotal to the patient’s ongoing management. The referring clinician should have their clinical question answered, a diagnosis given for any abnormal findings and, where appropriate, recommendation for further investigation or referral to a specialist team. This is particularly pertinent with regards to the gynaecological patient. A significant number of patients are seen in both primary and secondary care with dysfunctional bleeding and unscheduled bleeding on hormone replacement therapy (HRT). NHS resources must be used effectively to ensure best patient outcomes and to limit waiting times.

Operators, particularly from a non-medical background, often find it daunting to report beyond a description of the anatomy. This article will consider some dos and don’ts, with examples on how to best provide a clinically useful report.

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