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