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Summarise the report in detail

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how to interpret ultrasound report images importance radiologist written impression patient guidance

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abdominal ultrasound reporting

This photograph contains ultrasound image printouts only, not the written radiology report. I cannot see a readable Findings, Impression, or Conclusion section, which is the part that states whether anything is normal or abnormal.

What is visible

  • It appears to be an adult abdominal ultrasound series.
  • Multiple ultrasound frames show different abdominal organs or areas, but the labels identifying each organ are not readable enough to confirm them reliably.
  • Some on-screen measurements appear to be recorded, including approximately:
    • 11.85 cm
    • 9.55 cm and 3.51 cm
    • 7.06 cm
    • 10.11 cm and 4.39 cm
  • These numbers alone do not establish a diagnosis. Ultrasound measurements must be interpreted together with the exact organ being measured, image orientation, symptoms, blood tests, and the radiologist's written assessment.

What cannot be determined from this image

From these photo printouts alone, I cannot reliably tell whether there are:
  • Gallstones or gallbladder inflammation
  • Fatty liver, liver enlargement, or liver lesions
  • Kidney stones, cysts, swelling, or obstruction
  • Pancreatic or spleen abnormalities
  • Fluid in the abdomen
  • A normal versus abnormal result overall
The radiologist is the clinician who interprets the images and provides the signed report. The Impression is the key summary for decision-making, as explained by RadiologyInfo.

What to send for a useful detailed summary

Please upload a clear photograph or scan of the page that includes:
  1. Findings
  2. Impression / Conclusion
  3. Any Advice / Recommendation
I can then translate it into plain language, explain each organ finding, identify what is normal or abnormal, and outline appropriate follow-up questions for your doctor.

According to final impression all are okay but patient have pain in left upper region of abdominal pain

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left upper quadrant abdominal pain normal ultrasound when to seek care official guidance

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abdominal pain diagnostic approach

A normal abdominal ultrasound is reassuring, especially for many visible abnormalities of the liver, gallbladder, kidneys, spleen, and major abdominal structures. But it does not explain every cause of left upper abdominal pain, and it does not rule out all conditions.

Possible causes despite a normal ultrasound

Pain under the left ribs or in the left upper abdomen may come from:
  • Stomach or acid-related problems: acidity, gastritis, peptic ulcer, indigestion, reflux. Pain may relate to meals, burning, nausea, belching, or use of painkillers such as ibuprofen/diclofenac.
  • Gas or bowel-related pain: constipation, trapped gas, irritable bowel syndrome, or colonic spasm. This may fluctuate and improve after passing stool or gas.
  • Muscle, rib, or chest-wall pain: pain after lifting, coughing, exercise, awkward posture, or injury. It is often worse with movement, twisting, deep breathing, or pressing on the spot.
  • Pancreatic disease: ultrasound can have limited views of the pancreas because bowel gas may obscure it. Significant pancreatic pain is usually severe and may go through to the back, with vomiting.
  • Left kidney/urinary causes: pain is more often toward the side or back, possibly with urine burning, blood in urine, fever, or urinary frequency. A urine test may help.
  • Less commonly, spleen-related or chest causes: spleen enlargement is usually visible on ultrasound, but sudden severe pain after trauma or pain with breathlessness needs urgent assessment. The medical text notes that splenic enlargement can cause left upper-quadrant pain, while splenic infarction may cause pain that radiates to the left shoulder. In this case, a normal ultrasound makes enlargement less likely.
Ultrasound is useful for abdominal organs, but it is not the best test for the stomach lining, bowel gas-related conditions, ribs/muscles, or some pancreatic and intestinal problems. MedlinePlus explains that abdominal ultrasound evaluates organs such as the liver, gallbladder, pancreas, and kidneys.

What to do next

Arrange a review with a clinician, particularly if the pain persists beyond a few days, keeps recurring, or affects eating or sleep. They may consider:
  • Examination of the abdomen, ribs, spine, and chest
  • Blood tests such as CBC, liver tests, kidney function, and possibly lipase if pancreatic pain is suspected
  • Urine routine examination
  • Acid-reducing treatment or testing for H. pylori if symptoms suggest gastritis/ulcer
  • CT scan, upper endoscopy, ECG, or chest evaluation only if the history and examination indicate it
Keep a short symptom record: exact location, severity, relation to food, bowel motions, movement, deep breathing, urine symptoms, fever, nausea/vomiting, and medicines used. This helps identify the cause.

Seek urgent medical care now if there is

  • Sudden severe or steadily worsening pain
  • Fever, repeated vomiting, a rigid/swollen abdomen, fainting, or marked weakness
  • Blood in vomit, black stools, or blood in stool/urine
  • Chest pain, shortness of breath, sweating, or pain spreading to shoulder, back, arm, or jaw
  • Pain after an injury or fall
  • Unintentional weight loss, loss of appetite, or persistent worsening symptoms
A normal scan is good news, but persistent left upper abdominal pain still deserves a clinical examination rather than assuming it is harmless.
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