Mesenteric cyst epigastric region: sonography

A cyst in epigastric region, not vascular on color Doppler ultrasound 👆👆

Is it a pancreatic pseudo cyst? 

The pancreas appears normal on ultrasound 👆👆

The mysterious cyst is 2.5 cms in size. 

Final diagnosis: mesenteric cyst 

Advised CT scan confirmation 👍. 

For more on this visit: GIT ultrasound imaging

Multiple right VUJ calculi

Rt VUJ calculi, there are 2 of them. 

A poor twinkle artefact present 👆👆

Right ureteral jet of urine visualized 👆 suggesting partial or little obstruction.

Let's have a look at the right kidney and ureter. 

Right hydronephrosis and hydroureter hydroureter, both mild👆👆

Partial obstruction confirmed. 

For more on ureteral calculi disease visit:

ultrasound imaging ureteral calculi

Large ventral hernia in adult female

This middle aged female had a large mass in anterior abdominal wall. Ultrasound imaging showed a large ventral hernia of 7 x 5 cms size. 

The abdominal wall defect measured 2 cms. 

For more on this topic visit:

musculoskeletal ultrasound

The ultrasound images below were taken with both convex and linear high frequency probes.

Fetal heart echocardiography at 20 weeks

One method I use for fetal echocardiography using color Doppler ultrasound:

• Zoom the fetal heart maximum, without losing the resolution of the image 
• Fetal heart color Doppler: Increase the PRF of the Doppler ultrasound maximum possible until color Doppler flow is just right and filling out the cardiac ventricles and aorta. 

In the image below, color gain is too high or PRF is too low to get a good flow study of fetal heart:

Now, I've increased the PRF, see below:

Flow signals are optimal: 4 chamber view, fetal heart:

Always see the 3 major vessels:

SVC, aorta,  pulmonary artery SAP in short. 

Finally have a look at the trachea and it's bifurcation:

Normal ovaries on transvaginal ultrasound, but?

These ovaries are apparently normal on transvaginal ultrasound imaging. But are they really?

Though ovarian volume is within normal limits, they are on the higher side of normal. 

Also, there are multiple follicles along the rim of the ovaries. 

The maximum size of the dominant follicles is also on the borderline of normal. 

This patient may be headed for polycystic ovary disease or PCOD and needs follow up sonography. 

For more visit: sonography of ovaries 

Adenomyosis uterus TVS ultrasound scan

A typical case of adenomyosis uterus:

1. Bulky, globular uterus 
2. Dirty shadows on B mode ultrasound 
3. Increased vascularity 

See 👀 the transvaginal sonography images below:

Soft tissue, chronic hematoma mimicking tumor of forearm

This middle aged male had a history of trauma to forearm.

Even after 2.5 months, there was a persistent swelling.

Ultrasound confirmed presence of mass like hypoechoic lesion in subcutaneous plane of forearm.

Ultrasound images below suggest a chronic hematoma. Color Doppler shows absent vascularity ruling out a neoplasm.

Final diagnosis: chronic soft tissue hematoma of forearm.

Large parathyroid adenoma

The upper pole of left lobe thyroid, shows a large, hypoechoic mass posteriorly on ultrasound. 

Mild internal and rim vascularity present. 

Elevated parathyroid hormone levels present. For more on parathyroid visit: Thyroid gland and parathyroid sonography

Ultrasound Diagnosis: parathyroid adenoma 

A large, simple cyst of the kidney

The left kidney has a huge cyst filling up the lower half and it's more than 5 cms in size 🥸

Possible dangers of complications like hemorrhage or infection.

See 👀 the ultrasound images below:

Sonography edematous pancreas

This pancreas shows an antero-posterior thickness of almost 24 mm in the pancreatic body. Mildly thickened, possibly edematous. 

For more on ultrasound of pancreas, visit:

sonography of pancreas 

See the pancreas ultrasound images below showing pancreatic thickening:

Sonography in cystocele urinary bladder:

This elderly female shows descent of the urinary bladder downwards. Funneling of the lower part of the bladder seen best on sagittal section is characteristic of cystocele in the ultrasound images below.

For more on ultrasound imaging of urinary bladder visit:

sonography of urinary bladder 

Ultrasound images of cystocele 👇