Advanced Pelvic Ultrasound For Endometriosis Worksheet (Leonardi Technique) Endometriosis Standardized Worksheet Standardized reporting based on Leonardi compartment approach. Indication Free-text indication: Common indications (tick all that apply): Pelvic pain Dysmenorrhea Dyspareunia Dysuria Dyschezia Infertility Other: Technique Technique used: -- Select technique -- Transabdominal only Endovaginal only Both transabdominal and endovaginal Comparison Comparison study date: No prior pelvic ultrasound / not applicable Obstetric History (GPA) Gravida (G): Para (P): Abortions (A): Menstrual History Amenorrhea Normal periods Pre-menarche Post-menarche Perimenopausal Postmenopausal Heavy periods Painful periods Other: Surgical History Right oophorectomy Left oophorectomy Bilateral salpingo-oophorectomy (BSO) Hysterectomy Myomectomy Other: Medical Treatment Oral contraceptive pill Intrauterine device (IUD) GnRH agonist/antagonist therapy NSAIDs / analgesia Other: Symptoms Pelvic pain Dysmenorrhea Dyspareunia Dyschezia Dysuria Infertility Bloating / distension Fatigue Other: Findings Middle Compartment — Uterus & Adnexa Uterus Enter uterine dimensions (cm): Length (cm): AP (cm): Transverse (cm): Definitive Adenomyosis Features Echogenic subendometrial lines and buds Myometrial cysts Hyperechoic islands Secondary / Suggestive Adenomyosis Signs Globular uterus Asymmetric thickening Translesional vascularity Irregular junctional zone Interrupted junctional zone Fan-shaped shadowing Other Uterine Findings Heterogeneous myometrium Bicornuate uterus Subseptate uterus Septate uterus Other description: Fibroids — Three Largest Enter dimensions in cm. Volume auto-calculates (0.523 × L × W × H). Fibroid 1 Length: Width: Height: Volume: Location: -- Select location -- Anterior wall Posterior wall Fundus Left wall Right wall Type: -- Select type -- Intramural Subserosal Submucosal Pedunculated Fibroid 2 Length: Width: Height: Volume: Location: -- Select location -- Anterior wall Posterior wall Fundus Left wall Right wall Type: -- Select type -- Intramural Subserosal Submucosal Pedunculated Fibroid 3 Length: Width: Height: Volume: Location: -- Select location -- Anterior wall Posterior wall Fundus Left wall Right wall Type: -- Select type -- Intramural Subserosal Submucosal Pedunculated Fallopian Tubes Right Tube: NAD Hydrosalpinx Hematosalpinx Pyosalpinx Size (if abnormal): Left Tube: NAD Hydrosalpinx Hematosalpinx Pyosalpinx Size (if abnormal): Ovaries Right Ovary Mobility: -- Mobile Reduced mobility Fixed Length: Width: Height: Calculated Volume: Follicle Pattern: -- Select -- Normal Suggestive of polycystic ovary Cysts Present? -- No Yes If cyst present — ORADS features: Suspected endometrioma Vascularity: -- None Peripheral Central Left Ovary Mobility: -- Mobile Reduced mobility Fixed Length: Width: Height: Calculated Volume: Follicle Pattern: -- Select -- Normal Suggestive of polycystic ovary Cysts Present? -- No Yes If cyst present — ORADS features: Suspected endometrioma Vascularity: -- None Peripheral Central Free Fluid Free fluid in right adnexa Free fluid in left adnexa Posterior Compartment For each structure: choose NAD or suspected endometriosis lesion and record size if present. Posterior vaginal fornix NAD Suspected endometriosis lesion Torus uterinus NAD Suspected endometriosis lesion Uterosacral ligament — right NAD Suspected endometriosis lesion Uterosacral ligament — left NAD Suspected endometriosis lesion Rectum NAD Suspected endometriosis lesion Rectosigmoid junction NAD Suspected endometriosis lesion Sigmoid colon NAD Suspected endometriosis lesion Rectovaginal septum NAD Suspected endometriosis lesion Rectouterine pouch (pouch of Douglas) NAD Suspected endometriosis lesion Anterior Compartment Bladder, ureters and ureterovesical region. Bladder NAD Suspected endometriosis lesion Ureter — right NAD Suspected endometriosis lesion Ureter — left NAD Suspected endometriosis lesion Ureterovesical junction region NAD Suspected endometriosis lesion Impression / Additional Comments This text will appear after the structured impression. Clear worksheet Generate report Generated Report