Introduction: When radiologists are not available, sonographers may be able to provide an interim report, especially for patients referred from emergency or in remote clinics. The aim of this study was to compare the agreement of diagnostic findings between sonographers and radiologists for patients referred from the emergency department for pelvic ultrasound. Methods: Sonographer findings and corresponding radiologists' reports of consecutive pelvic ultrasound examinations referred from the emergency department were compared prospectively over a 7-month period. Paediatric cases were excluded. Diagnostic agreement was scored by an independent investigator into the following: grade 1-agree with radiologist report; grade 2-minor discrepancy, unlikely to impact patient management; grade 3-major discrepancy, likely to impact patient management but does not lead to adverse outcomes for the patient; and grade 4-major discrepancy, findings likely to result in significantly adverse outcome for the patient.
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