There is an evidence that inadequate clinical information is associated with an increased level of inaccurate reports. In our practice, we have noticed that sonography requests sometimes do not contain enough information to aid to better sonography report. The aim of this study is to analyze the requests for sonography examination in the Emergency Department of Algamhuria Modern General Hospital –Aden- Republic of Yemen, and to determine if requests provide adequate information for sonographers. We have retrospectively reviewed 250 randomly selected request forms received by the ultrasound unit of Radiology Department, at the Emergency Department. The ultrasound most frequently requested by area is the abdominal and pelvic ultrasound, being 80.8% of the analyzed requests while one (0.4%) did not have the specific part of the body area to be investigated written on the request form. Four requests (1.6%) with no patient's name (s) and seven (2.8%) with no father name (s). Eighty eight requests (35.2%) did not have date of request on it. One hundred and twenty seven (50.8%) of the request form did not have the age of the patient. Patient status wasn't mentioned in almost all except 9 /250 (3.6%). Clinical and laboratory information were absent in 128(51.2%) of the requests forms. Only 10 (4%) had information of previous radiographic investigations, while 240 (96%) did not have any previous radiographic information.. Two hundred and nine (83.6%) of the request forms had the doctors names and signatures on the request. Our audit’s data analysis revealed that only two of the 250 requests reviewed were completed in full. We found that requests for sonography examination in the Emergency Department of our hospital haven't provided adequate information for sonographers.

However, while thyroid nodules are common, thyroid malignancy is relatively rare, constituting about 1% of all malignancies. The main point of the approach of the thyroid nodule is the detection of the malignant nodules and deciding for the surgical treatment. Ultrasonography (US) plays a crucial role in the diagnostic management of thyroid nodules. The aim was to assess the reliability of using hypoechoic, solid and ill-defined margin as independent predictors for the identification of malignant thyroid nodules on US. We retrospectively analysed the three suspicious US features of malignancy for 145 patients with 255 thyroid nodules who underwent thyroid resection. We used histological results as gold standard reference test. Of the 255 surgical resected nodules; hypoechoic nodules had a sensitivity of 66.7%, and positive predictive value (PPV) of 8.7%. Solid nodules had a sensitivity of 33.3% and PPV of 3.7%. Ill-defined margins nodules had a sensitivity of 66.7% and PPV of 6.9% in predicting malignancy. The present study adds further evidence on the poor PPV in our results, indicated, that individual US features are not reliable used as independent predictors for the identification of malignant potential thyroid nodules on US.