Torsion-of-left-appendix-testis

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:

https://www.ultrasound-images.com/scrotum/

Hashimoto's-thyroiditis

 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

Mirena-Eloira-IUD-malpositioned

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:

https://www.ultrasound-images.com/uterus/

Polycystic-ovaries-in-young-woman

 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:

sonography of ovaries

 

Mirena-or-Eloira-IUCD-ultrasound

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 

See more:

https://www.ultrasound-images.com/uterus/