Thursday, April 15, 2021


A mid part of the GB or gallbladder shows changes of adenomyomatosis. 
Suggesting segmental involvement. 

Thursday, March 11, 2021

Ureteral calculus with renal calculi

Rt ureteral calculus 7mm. in
mid Rt ureter. Twinkle artefact present from this ureteral calculus. 

Note the dilated ureter without flow  separate from adjacent Rt iliac artery.

Moderate Rt hydronephrosis with right renal calculi 

Tuesday, March 2, 2021

Focal steatosis or focal fatty infiltration liver

Young male of 16 years shows:
= echogenic lesion anterior to the portal vein in the liver 
= few vessels seen passing through the lesion 
= no mass effect on adjacent structures seen
All these point to focal fatty infiltration liver or focal steatosis 
An important d/d is: hemangioma 

Friday, February 26, 2021


This scrotal ultrasound shows classic features of torsion of left appendix testis in a 12 year old male. 
= left appendix testis swollen measuring 1 cms. Non vascular.
= tenderness over appendix testis 
= increased vascularity of left epididymis and testis 
= small hydrocele left 
See more:

Tuesday, February 16, 2021


 All the typical features of mild or early Hashimoto's thyroiditis:

= heterogenous echotexture

= hypoechoic nature of thyroid

= normal vascularity (early Hashimoto's thyroiditis may show normal vascularity)

= a small hypoechoic colloid nodule present in left lobe

Sunday, February 14, 2021


The Mirena/ Eloira is an IUCD or IUD (intra-uterine device) useful to control excessive menstrual bleeding during peri- menopausal periods. 
Frequently it may be mal-positioned and descend into the cervix. 
Shown here are 2 images: 
1st in the normal position in body and fundus 

2nd is mal-positioned in the cervix:

This position of the IUD/ Eloira can result in poor effectiveness in control of bleeding. 
For more on sonography of uterus:


 Interesting case: this young lady was initially diagnosed with possible hemorrhagic cyst or endometrioma of the ovaries.

Transabdominal usg scan did not given a clear diagnosis.

TVS scan revealed a totally different picture: both ovaries showed a full blown PCOD (polycystic ovaries disease) pattern. 

Moral: always try to do a TVS scan whenever possible.

Transabdominal scan pic:

TVS scan:

See more on this topic:


Thursday, February 4, 2021


Middle aged female with polymenorrhoea. 
# Mirena IUD (Eloira being Indian version) inserted into uterine cavity as remedy. Response was excellent for 2 years.
# now Mirena/ Eloira IUCD appears displaced to lower part of uterus. 
# Mirena or Eloira is often difficult to image on sonography unlike the copper T 
# Mirena or Eloira IUCD has medical coating with gradual release into endometrial tissue. 
# colour Doppler shows no twinkle artefacts or significant appearance 

Monday, January 25, 2021

Normal fetal Doppler 3rd trimester

A normal fetal Doppler at 34 weeks. 
MCA or middle cerebral artery and umbilical artery show nothing remarkable. 

But is the ductus venosus really normal. Perhaps the diastolic flow appears to be reduced. A follow up Doppler ultrasound is advisable. 

Sunday, January 10, 2021

Polycystic kidneys with pelvic left kidney

Left kidney in pelvis near the urinary bladder. Both kidneys show changes of autosomal dominant polycystic kidneys. The liver shows a few cysts also. 
See more:

Friday, January 1, 2021


These ovaries show all ultrasound  features of PCOD or polycystic ovaries:
= enlarged; more than 10 cc volume 
= multiple small follicles along the peripheral regions