Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions

Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements

Image labeled with exam date, patient identification, image orientation, and image views of the target area

Image showing needle in the target structure or orthogonal images of the target structure before and after injection

Internal-use probes are considered semi-critical devices and require low-level disinfection after each use.

Internal-use probes are considered critical devices and require sterilization after each use.

External probes, when used without a cover for ultrasound-guided injections or aspiration, are considered semi-critical devices and require low-level disinfection after each use.

External probes that come into contact with intact skin are considered noncritical devices and require cleaning with low-level disinfectants after each use.

3.3 mm

5.3 mm

7.3 mm

9.3 mm

Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27

Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine

Asymptomatic hand and wrist joints with bony deformities present in a 60-year-old female with a positive rheumatoid factor and CCP antibody but normal sedimentation rate and C-reactive protein level

Knee in a 72-year-old female with unilateral knee pain, no swelling on examination, and medial narrowing of the joint space on knee radiograph

A

B

C

D

Risk of electrical shock

Artifact in the B-Mode image

Increased risk of the spread of infection

No impact on image acquisition

Iliopsoas bursitis in longitudinal view

Hip effusion in longitudinal view

Hip synovitis in longitudinal view

Normal longitudinal view of the hip

There must be provisions for the storage and retrieval of examination records of all studies that are documented in the medical chart.

Ultrasound studies must be saved in a DICOM (Digital Imaging and Communications in Medicine) format.

The physician's report on the ultrasound examination must be stored in a physically separate location from the machine.

All images must be part of the electronic or paper patient file.

Osteophytes and meniscal cyst

Osteophytes and rupture of the medial collateral ligament

Osteophytes and distension and calcification of the medial collateral ligament

Osteophytes, distension of the medial collateral ligament, and meniscal degeneration

An effusion of the suprapatellar recess

Normal anatomy for age

Quadriceps tendinopathy with acoustic shadow

Chondromalacia of the patella