SPHP

US for Symptoms

• Unilateral or bilateral breast US survey, document each quadrant and retroareolar region, radial & antiradial images, axilla
  
• Targeted US can be performed if ordered by MD or if recent dense breast US survey
• RT AXILLA, RT UOQ, RT LOQ, RT LIQ, RT UIQ, RT RETRO; LT AXILLA, LT UOQ, LT LOQ, LT LIQ, LT UIQ, LT RETRO
• Any mass should have 3 measurements, document clock position and distance from nipple
  
• Any palpable cyst should have 3 measurements, document clock position and distance from nipple
• Provide representative images of  asymptomatic cysts for each quadrant 
  
• Areas of postsurgical scar should be linear and extend to skin (no measurements)
• Document Doppler flow on masses and complicated cysts
• Indicate clock face or quadrant positions for symptoms, as indicated by position ("PAIN," "PALP," "SKIN DISCOLORATION")

US for Mammographic Abnormality

• Unilateral or bilateral breast US survey, document each quadrant and retroareolar region, radial & antiradial images, axilla
  
• Targeted US can be performed if ordered by MD or if recent dense breast US survey
• RT AXILLA, RT UOQ, RT LOQ, RT LIQ, RT UIQ, RT RETRO; LT AXILLA, LT UOQ, LT LOQ, LT LIQ, LT UIQ, LT RETRO
• Any mass should have 3 measurements, document clock position and distance from nipple
  
• Any palpable cyst should have 3 measurements, document clock position and distance from nipple
• Provide representative images of  asymptomatic cysts for each quadrant 
  
• Areas of postsurgical scar should be linear and extend to skin (no measurements)
• Document Doppler flow on masses and complicated cysts

Screening Breast US (Density C & D)

• Bilateral breast US survey, document each quadrant and retroareolar region, radial & antiradial images, axilla
• RT AXILLA, RT UOQ, RT LOQ, RT LIQ, RT UIQ, RT RETRO; LT AXILLA, LT UOQ, LT LOQ, LT LIQ, LT UIQ, LT RETRO
• Any mass should have 3 measurements, document clock position and distance from nipple
  
• Provide representative images of cysts for each quadrant, measurements generally not needed for asymptomatic cysts
  
• Areas of postsurgical scar should be linear and extend to skin (no measurements)
• Document Doppler flow on masses and complicated cysts