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/

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. 

See more on fetal Doppler:

https://www.ultrasound-images.com/fetus-general/

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:

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

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 

See more:

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