ULTRASONOGRAPHY

Chiari 2 Malformation

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Chiari 2 Malformation

KEY FACTS Terminology • Hindbrain compression with cerebellar herniation through foramen magnum • Open spina bifida present in almost every case Imaging • Posterior fossa compression is key finding ○…

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Carotid Stenosis/Occlusion

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Carotid Stenosis/Occlusion

KEY FACTS Imaging • Characterization of plaques ○ Uniformly echolucent or predominantly echolucent; fatty or fibrofatty; ↑ risk of embolization ○ Uniformly/mildly echogenic and predominantly echogenic; fibrous; ↓ risk of…

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Congenital Diaphragmatic Hernia

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Congenital Diaphragmatic Hernia

KEY FACTS Imaging • Congenital diaphragmatic hernias (CDH) are most commonly left sided (80-90% of cases) through posterior foramen of Bochdalek ○ Stomach usually in chest ○ Deviation of heart…

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Epididymitis/Orchitis

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Epididymitis/Orchitis

KEY FACTS Terminology • Inflammation of epididymis &/or testis Imaging • Grayscale US ○ Epididymis enlarged and hypoechoic ○ Testes mildly heterogeneous • Color Doppler US ○ Diffuse or focal…

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Peritoneal Inclusion Cyst

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Peritoneal Inclusion Cyst

KEY FACTS Terminology • Synonyms: Peritoneal pseudocyst, benign cystic mesothelioma • Not true cyst but peritoneal or ovarian fluid trapped by peritoneal adhesions Imaging • Unilocular or multilocular pelvic cystic…

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Hydrosalpinx

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Hydrosalpinx

KEY FACTS Imaging • Thin-walled, distended tube; tube wall < 3 mm • Convoluted or S-shaped, oval or pear-shaped, more dilated at fimbriated end • Separate from uterus and ovaries…

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Malignant Cervical Lymph Nodes

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Malignant Cervical Lymph Nodes

KEY FACTS Imaging • Location: Levels I-VI • Head and neck squamous cell cancers: Most common in upper neck, at level II • Thyroid cancers: Most common at levels VI,…

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Anaplastic Thyroid Carcinoma

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Anaplastic Thyroid Carcinoma

KEY FACTS Imaging • Ill-defined, hypoechoic tumor diffusely involving entire lobe or gland, often invading adjacent structures • Background of multinodular goiter or differentiated thyroid cancer • Typically > 5…

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Muscle Injury

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Muscle Injury

KEY FACTS Terminology • Mechanisms of injury ○ Overuse: Strenuous exercise results in diffuse muscular edema ○ Stretch: Causes torn muscle fibers + hematoma ○ Direct: Usually blunt trauma causes…

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Vertebral Stenosis/Occlusion

Nov 10, 2024 by in ULTRASONOGRAPHY Comments Off on Vertebral Stenosis/Occlusion

KEY FACTS Imaging • Plaque formation: Proximal vertebral artery (VA) > distal VA • Grayscale imaging ○ Chronic occlusion: Contracted vessel caliber; VA may be hard to demonstrate • Spectral…

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