Dear all As we are now in 2015,  medical science &  technology is advanced  & as in routine practice  surgeon are getting  patients with  ultrasound  sound report. CPA  is there too &  patient also demanding, What is surgeon's emergency  at present on ultrasound report? 1. On ultrasound free fluid in pelvis in any sex in symptomatic patient . Yes go for DPL , if vegetable  fibres present  laparotomy must if not patient can be put on conservation & observe.

2. Normal ultrasound  report  but  patient is symptomatic ,  in abdominal case  urine test / profile  & stool test & blood  counts  & plain x-ray chest in stading position /plain X ray lumbosacral spine should be done. In normal  ultrasound  these simple tests can be helpful to make a diagnosis / screen a patient. 3. For big things like stones / organ locations & diameters in abdomen ,  any mass , USG is helpful but it can miss…