Corpus luteum ruptured, sonography

This corpus luteum has ruptured.

Ultrasound imaging shows the remnants of the corpus luteum. 

For more on this visit:

Sonography of ovaries

Severe varicose vein disease with leg ulcers

This patient had severe varicose veins disease. 

Causes: 1) Sapheno-femoral junction incompetence. Pretty severe. More than 3 seconds of reversed flow on valsalva. 

2) Cockett perforators incompetence in lower 3rd of leg. Two perforators showed dilation and reversed flow on color Doppler ultrasound. Seen as red color on color Doppler ultrasound. 

Result:

Inguinal lymphadenitis:

See more at:

Color Doppler ultrasound in varicose veins disease

Ultrasound imaging of liver calcification

This adult male has a calcific focus in the right lobe. 

Focal calcification is usually due to old granulomatous infection like tuberculosis or other such infections. 

The above ultrasound image shows such a calcification and has little clinical significance. 

For more on this:

Sonography of liver lesions

My first book and in print format, hard copy, Sonographic Atlas of the thyroid and appendix

 My first print book is a Sonographic atlas of the thyroid and appendix.

It's an ultrasound image atlas of the thyroid. A short section on sonography of the appendix follows:

Sonography of the thyroid

Hemochromatosis of liver, sonography

This adult male is a known case of hemochromatosis. 

#Hemochromatosis is characterized by increased absorption and storage of liver in body organs especially the liver. 

# Hemochromatosis is diagnosed by blood tests and Ultrasound imaging. 

# Ultrasound images below show coarse echotexture of liver with increased echogenicity 

# Ultrasound appearance of liver is similar to cirrhosis liver 

Coarse echotexture liver 👆

Portal vein shows normal flow on spectral Doppler 👆

Color Doppler 👆 ultrasound image: centripetal normal flow towards the liver in portal vein. Later in the hemochromatosis disease, it can show reverse flow 

Mild splenomegaly👆

For more visit:

Sonography of liver

Abscess leg: ultrasound imaging

This patient has a painful swelling of the anterior aspect of the leg. 

Ultrasound images show a complex hypoechoic collection in subcutaneous plane. 

Snap of the affected leg👆👆

Ultrasound images show the subcutaneous complex collection.

Ultrasound imaging of the leg shows complex collection with irregular margins and debris as well as thick fluid. 

Color Doppler ultrasound image above 👆

shows the surrounding vascularity. 

Final diagnosis: ultrasound and color Doppler ultrasound findings suggest superficial abscess of the leg.

For more on musculoskeletal ultrasound visit:

Musculoskeletal sonography

A complete fetal echo study

A complete fetal echo study of the fetal heart should include all these views:

Not my images. Source Facebook. Unknown. 

Mass of pancreatic head: carcinoma or lymph node?

This patient had non specific complaints. 

Ultrasound imaging showed a hypoechoic mass at the head of pancreas. 

Diagnostic possibilities: 

Carcinoma head of pancreas 

D/d: pancreatic lymph node

Observe the small mass near or on the pancreas head 

Liver was normal.

Color Doppler ultrasound images show a vessel entering the mass.

CT scan was advised. 

For more visit:

sonography of pancreas

Pregnancy in sub-septate uterus

A partial septum divides the uterus partially. 

Most of the fetus is in the upper compartment. But the fetal legs 🦵 are in the lower one. 

The above ultrasound image show a pregnancy, 2nd trimester, with fetal parts in both segments of the sub-septate uterus. 

Patient needs follow up ultrasound. 

For more on this topic:

Sonography of pregnancy

Dystrophic calcification uterus, sonography

Dystrophic calcification uterus seen in above ultrasound image. Color Doppler ultrasound is not useful here. 

Just an incidental finding of little importance. Generally, it doesn't require treatment. 

But, it must be mentioned in the sonography report. 

For more on this topic:

Sonography of uterus

Subacute appendicitis with inflamed omental fat, ultrasound images

This young adult has pain in right iliac fossa. 

Ultrasound images below show inflammation of the appendix, with surrounding inflamed omental fat sealing the affected appendix. 

Final diagnosis:The ultrasound images show

Subacute appendicitis with inflammation of fat.

See 👀 more on this topic at:

GIT ultrasound

Also on sonography of appendix:

ultrasound imaging of appendix

The swollen appendix shown in above ultrasound image.

Observe the echogenic omental fat surrounding the inflammation of the appendix in above ultrasound pictures. 

Color Doppler ultrasound pictures show marked surrounding vascularity. 

Focal epididymitis head epididymis

This head of epididymis shows a focal hypoechoic lesion with tenderness and pain. 

Color Doppler ultrasound shows mild increase in vascularity in the lesion. 

Findings suggest focal epididymitis of head of epididymis. 

This is a relatively rare finding.

For more on this topic:

Sonography of scrotum

A small hemorrhagic cyst ovary

Small hemorrhagic cyst ovary. Painful and tender on probe pressure. Young lady. Color Doppler shows no flow within the cyst. Transvaginal ultrasound imaging not possible. 

Focal or isolated caliectasis of upper calyx kidney, ultrasound imaging

This patient has a dilation of the upper calyx alone. Solitary or focal caliectasis is due to stricture of the calyceal neck, usually due to infections such as Kochs. Ultrasound images below show solitary dilation of the upper calyx of right kidney. 

For more on this topic:

kidney ultrasound imaging

The color Doppler ultrasound image above shows normal vascularity s/o no surrounding inflammation. 

Final diagnosis: isolated caliectasis upper calyx right kidney, due to Kochs 

D/d: stricture of calyx due to passage of renal calculus 

Small fibroid uterus

Small fibroid uterus? Or is an adenomyoma?

Ultrasound images of the uterus show a small isoechoic mass with thin borders near the endometrial stripe in a 45 year old female. 

Most likely a developing fibroid. Adenomyoma is less likely at this age. 

Final diagnosis: fibroid of uterus. 

For more this topic:

Sonography of uterine lesions

AVM of uterus, Color Doppler ultrasound imaging

This patient had a D&C procedure some time ago. Ultrasound and color Doppler revealed an area of increased vascularity with a mesh of vessels in posterior uterine wall. 

This appearance of focal increased vascularity is suggestive of an AVM or arterio-venous malformation. In young women, the commonest cause is post procedural. 

For more on uterine ultrasound visit:

Sonography of uterus

Two retroplacental hematomas in 2nd trimester pregnancy

This 2nd trimester pregnancy has an anterior placenta on ultrasound imaging. 

Patient had a history of bleeding and pain. 

But look at the hypoechoic collection in the lower part of placenta:

It's small, but the ultrasound image above suggests a retroplacental hematoma 👆.

Another image of the hematoma 👆.

Let's have a look at the upper margin of the placenta: see ultrasound images below:

Another area of retroplacental hemorrhage. Color Doppler ultrasound shows no flow in area. 

Rules out a mass or venous lake. 

For more, visit:

Sonography of placenta