Advanced Pelvic Ultrasound For Endometriosis Worksheet (Leonardi Technique)

Endometriosis Standardized Worksheet

Standardized reporting based on Leonardi compartment approach.

Indication

Common indications (tick all that apply):

Technique
Comparison
Obstetric History (GPA)
Menstrual History
Surgical History
Medical Treatment
Symptoms

Findings

Middle Compartment — Uterus & Adnexa

Uterus

Enter uterine dimensions (cm):

Definitive Adenomyosis Features

Secondary / Suggestive Adenomyosis Signs

Other Uterine Findings

Fibroids — Three Largest

Enter dimensions in cm. Volume auto-calculates (0.523 × L × W × H).

Fibroid 1

Fibroid 2

Fibroid 3

Fallopian Tubes

Ovaries

Right Ovary

Left Ovary

Free Fluid

Posterior Compartment

For each structure: choose NAD or suspected endometriosis lesion and record size if present.

Posterior vaginal fornix
Torus uterinus
Uterosacral ligament — right
Uterosacral ligament — left
Rectum
Rectosigmoid junction
Sigmoid colon
Rectovaginal septum
Rectouterine pouch (pouch of Douglas)
Anterior Compartment

Bladder, ureters and ureterovesical region.

Bladder
Ureter — right
Ureter — left
Ureterovesical junction region
Impression / Additional Comments

This text will appear after the structured impression.

Generated Report