Sunday, January 26, 2020

Severe-hydronephrosis

This middle-aged woman presented with gynecological complaints. 
But has severe left hydronephrosis!!
3D ultrasound images show the extent of the pathology. 
Moderate right hydronephrosis also. 








Almost 170 cc of residual urine. Suggests she has lower urinary tract obstruction.







Saturday, January 25, 2020

Calculous-cholecystitis-or-carcinoma-GB

This gallbladder looked ominous with a calculus lodged at the neck of gallbladder. More calculi may be present. 
Vascularity is increased with wall thickening. 
This looks like calculous cholecystitis. But carcinoma of gallbladder cannot be excluded. 





Thursday, January 23, 2020

IJV-ectasia

Young male with normal variant 
Called ectasia of IJV or internal jugular veins bilateral.
See:

Saturday, January 18, 2020

Diffuse-goiter-right-lobe-thyroid

Diffuse enlargement of right lobe thyroid due to hashimotos thyroiditis 
Female patient who had swelling over right side of neck. 

Angiomyolipoma-of-right-kidney

AML or angiomyolipoma 
Is usually asymptomatic and an incidental finding. 
Small brightly echogenic mass lesion of kidney 
= usually in renal cortex 
= this patient was a middle-aged female 
= non vascular 
= larger angiomyolipoma can cause severe hematuria (see link below)

Friday, January 17, 2020

Duplex-kidney-with-calculus

Left kidney with duplication of collecting system. 
Lower moiety shows PUJ or UPJ calculus with hydronephrosis. 
See:








Saturday, January 11, 2020

Colloid-nodules-thyroid

A large cystic complex colloid nodule seen right lobe thyroid. Poorly vascular. Likely benign. Fnac needed to confirm. Smaller solid colloid nodule in isthmus. 

Popliteal-artery-thrombosis

Total occlusion of left popliteal artery. Collaterals seen emerging proximal to occlusion. 
Collaterals supplying left posterior tibial artery and left peroneal artery. 


Markedly dampened tardus parvus flow in posterior tibial, peroneal and dorsalis pedis arteries.