Varicose Veins Doppler Ultrasound Report Example | Lower Limb Venous Insufficiency Sonography USG

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Varicose Veins Doppler Ultrasound Report Example | Lower Limb Venous Insufficiency Sonography USG
Doppler Ultrasound Report:
Age: 45 years
Gender: Male
Indications: The patient presents with complaints of pain, swelling, and visible varicosities along the course of the great saphenous vein in the right leg. There is a history of prolonged standing at work and a family history of chronic venous insufficiency.
Equipment Used: High-resolution ultrasound system with Doppler capability.
Technique: The examination was performed with the patient in both standing and reverse Trendelenburg positions to adequately assess venous reflux. A combination of grayscale, color Doppler, and spectral Doppler imaging techniques was utilized to evaluate the deep and superficial venous systems of the right lower extremity, focusing on the great saphenous vein (GSV).
Findings:
Great Saphenous Vein (GSV): The GSV is dilated with a maximum diameter of 7.5 mm (normal: Less than 3 mm). There is evidence of valvular incompetence at the saphenofemoral junction and along multiple points of the GSV, characterized by reflux lasting more than 0.5 seconds during Valsalva maneuver and with distal compression.
Deep Venous System: There is no evidence of deep venous thrombosis. The deep veins show normal phasicity with respiration and competent valves.
Perforator Veins: Incompetent perforator veins with a diameter greater than 3.5 mm were noted in the medial aspect of the calf, showing reflux.
Other Superficial Veins: The small saphenous vein (SSV) is normal in caliber with competent valves.
Impression:
Primary varicose veins of the right lower extremity secondary to great saphenous vein incompetence with significant reflux at the saphenofemoral junction and along the vein.
Incompetent perforator veins contributing to venous hypertension and varicose vein formation in the medial calf.
No evidence of deep venous thrombosis (DVT).
Recommendations:
Consideration for minimally invasive endovenous therapy, such as endovenous laser ablation (EVLA) or radiofrequency ablation (RFA), targeting the incompetent GSV and perforator veins.
Compression therapy to manage symptoms and prevent progression of chronic venous disease.
Follow-up ultrasound in 6 months to assess treatment efficacy and venous hemodynamics post-intervention.