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:

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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. 
Inguinal lymphadenitis:
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Saturday, November 26, 2022

Ultrasound imaging of liver calcification

This adult male has a calcific focus in the right lobe. 
Focal calcification is usually due to old granulomatous infection like tuberculosis or other such infections. 
The above ultrasound image shows such a calcification and has little clinical significance. 
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My first book and in print format, hard copy, Sonographic Atlas of the thyroid and appendix

 My first print book is a Sonographic atlas of the thyroid and appendix.

It's an ultrasound image atlas of the thyroid. A short section on sonography of the appendix follows:

Sonography of the thyroid

Thursday, November 17, 2022

Hemochromatosis of liver, sonography

This adult male is a known case of hemochromatosis. 
#Hemochromatosis is characterized by increased absorption and storage of liver in body organs especially the liver. 
# Hemochromatosis is diagnosed by blood tests and Ultrasound imaging. 
# Ultrasound images below show coarse echotexture of liver with increased echogenicity 
# Ultrasound appearance of liver is similar to cirrhosis liver 
Coarse echotexture liver 👆
Portal vein shows normal flow on spectral Doppler 👆
Color Doppler 👆 ultrasound image: centripetal normal flow towards the liver in portal vein. Later in the hemochromatosis disease, it can show reverse flow 
Mild splenomegaly👆
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