Ultrasound imaging: February 2021

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

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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

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:

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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

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