Suggesting segmental involvement.
Thursday, April 15, 2021
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
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:
Tuesday, February 16, 2021
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
Sunday, February 14, 2021
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:
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:
Thursday, February 4, 2021
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
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
PCOD-in-teenage-girl-sonography
These ovaries show all ultrasound features of PCOD or polycystic ovaries:
= enlarged; more than 10 cc volume
= multiple small follicles along the peripheral regions
