Tuesday, December 6, 2022

Severe saphenous incompetence varicose veins color Doppler ultrasound

severe sapheno-femoral incompetence is seen in the B mode and color Doppler ultrasound images above. 
Also B mode ultrasound shows smoke sign of severe turbulence in the SFJ,  Sapheno-femoral junction.
The valsalva maneuvere shows more than 3 seconds of reversed flow on spectral Doppler ultrasound in the SFJ. 
The calf region shows large superficial varicose veins. 

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Ultrasound imaging dermoid cyst ovary

Patient of left pelvic pain.
Ultrasound images show left ovarian mass with cystic and solid components. An echogenic mass seen within cystic area. This could be fatty tissue. 
Dermoid cyst contains fluid, fat and mucinous areas. Forming complex mass.
color Doppler ultrasound shows poor or no vascularity.
Consistent with dermoid cyst ovary. 
D/d: hemorrhagic cyst ovary 

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Saturday, December 3, 2022

Hypoechoic mass face: sonography

A small hypoechoic mass lesion on the side of the face in this patient. 
It is not vascular on color Doppler ultrasound. 
The most likely possibilities include:
Sebaceous cyst 
Vs dermoid cyst 
Vs lymph node: this is less likely,  being non vascular.
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Thursday, December 1, 2022

Unilateral mild dilation of fetal lateral ventricle

Sometimes, borderline or minimal dilation of fetal lateral ventricle poses a dilemma for management of the pregnancy. 
In this case the left fetal lateral ventricle appears mildly dilated at 10 to 11 mm.
Usually, the fetus will proceed to full term pregnancy  without issues. Follow up ultrasound is sufficient. If the dilation of the lateral ventricle progresses, then termination is the option. 
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Ulrtasound imaging: Spleen hemangioma

This echogenic lesion in the spleen is most likely a hemangioma.
A mass formed by tiny blood vessels. 
The other differential diagnosis:
metastasis 

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Wednesday, November 30, 2022

Corpus luteum ruptured, sonography

This corpus luteum has ruptured.
Ultrasound imaging shows the remnants of the corpus luteum. 
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Sunday, November 27, 2022

Severe varicose vein disease with leg ulcers

This patient had severe varicose veins disease. 
Causes: 1) Sapheno-femoral junction incompetence. Pretty severe. More than 3 seconds of reversed flow on valsalva. 
2) Cockett perforators incompetence in lower 3rd of leg. Two perforators showed dilation and reversed flow on color Doppler ultrasound. Seen as red color on color Doppler ultrasound. 
Result:
Inguinal lymphadenitis:
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