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Ultrasound image gallery 2016 (2)

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ULTRASOUND IMAGE GALLERY

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Ultrasound image gallery 2016 (2)

  1. 1. Dr Arun Gupta Director imaging Dr Rakhee gupta Dr Vinayak Mittal Dr Niharika Mahajan Dr Gaurav Sharma Dr Ritesh Mahajan ADVANCED USG LOUNGE
  2. 2. ULTRASOUND IMAGE GALLARY  INTRACAPSULAR RUPTURE OF BREAST IMPLANT .  STRANGULATED UMBILICAL HERNIA  DIVERTICULITIS.  AGGRESSIVE PERIOSTEAL REACTION ON USG .  ECTOPIC FETAL KIDNEY.  EJACULATORY DUCT CYST.
  3. 3. BREAST IMPLANT RUPTURE ( INTRACAPSULAR) STEP LADDER SIGN ON ULTRASOUND IN CASE OF INTRACAPSULAR BREAST IMPLANT RUPTURE
  4. 4. Breast implant ruptures are a recognized complication of a breast implant. It can be intra- or extracapsular. Pathology After implantation of a silicone or saline breast implant, a fibrous capsule (scar) forms around the implant shell. Implant ruptures may be intracapsular(~85%) or extracapsular (~15%) . Intracapsular rupture An intracapsular rupture occurs when the shell of the implant ruptures but the fibrous capsule formed by the breast remains intact. Silicone does not freely extravasate.This makes it difficult to detect on clinical exam or mammography. Intracapsular rupture is best seen on MRI. Extracapsular rupture An extracapsular rupture can lead to a change in the implant contour and may be detected on clinical examination or mammography. An extracapsular rupture implies intracapsular rupture as well.
  5. 5. The stepladder sign is a sonographic sign indicating an intra- capsular breast implant rupture. It is considered the most reliable ultrasonographic finding in silicone gel breast implant intra-capsular rupture. It is identified as multiple, discontinuous, parallel, linear echoes in the lumen, and is analogous to the linguine sign at MRI. Normal Contour/ core Of the implant
  6. 6. Multiple, discontinuous, parallel, linear echoes in the lumen of the breast implant
  7. 7. STRANGULATED UMBILICAL HERNIA
  8. 8. There is a mechanical bowel obstruction associated with the hernia and/or if there is evidence of strangulation, i.e. constriction to the vascular supply of the hernial sac contents at the level of the neck. In this case there is apparent inflammation in the herniated fat strongly suggesting that strangulation is present. Hernia sac with gut as content • Mural edema appreciated in gut . • Inflammation in the sac contents appreciated • Sac contents are irreducible on probe insinuation
  9. 9. PERIOSTEAL REACTION ON USG ( AGGRESSIVE) Periosteal reaction, also known as a periostitis/periosteitis, is a non specific radiographic finding that occurs with periosteal irritation. Periosteal reactions may be broadly characterized as benign or aggressive, or more specifically broken down by pattern.
  10. 10. Benign periosteal reaction Low-grade chronic irritation allows time for the formation of normal or near-normal cortex. The cortex will be thick and dense and have a wavy or uniform appearance. Benign periosteal reactions can be seen in callus formation in a fracture or with slowly growing tumours. Aggressive periosteal reaction Rapid irritative processes do not allow the periosteum time to lay down and consolidate new bone to form normal cortex. The cortex may appear lamellated, amorphous, or sunburst-like. Aggressive periosteal reactions can not only be seen with malignant tumours, but also with more benign processes like infection , eosiophilic granuloma , ABC , osteoid osteoma and trauma .
  11. 11. Cortical break PERIOSTEAL REACTION Interrupted / onion skin type Periosteal reaction ( aggressive)
  12. 12. DIVERTICULITIS Diverticulitis is one of the presentations of diverticular disease and is most often a complication of colonic diverticulosis.
  13. 13. On imaging, a non-complicated diverticulitis is characterised by a focal fat stranding adjacent to a colonic diverticulum, usually the sigmoid. A small amount of extraluminal fluid and gas locules may be present. DIVERTICULA APPRECIATED AS OUTPOUCHING WITH ASSOCIATED REACTIONARY INFLAMMATORY STRANDING SEEN AS INCREASED ECHOGENICITY OF THE ADJACENT PERIDIVERTICULAR FAT PLANES .
  14. 14. FETAL PELVIC KIDNEY
  15. 15. FETAL PELVIC KIDNEY Fetal kidneys Migrate to renal fossa after crossing the Arterial fork formed from the Umbilical arteries . Sometimes these kidneys fail to Cross this arterial fork And remain in pelvis only close to Common iliac arteries . This process of ascent is completed by 10wks Hence diagnosis of the fetal pelvic kidney Can be made as early as in first trimester also .
  16. 16. EJACULATORY DUCT ECTASIA
  17. 17. DILATED EJACULATORY DUCT
  18. 18. REFERENCE DIAGNOSTIC ULTRASOUND FOURTH EDITION Carol M. Rumack, MD, FACR J. William Charboneau, MD, FACR Deborah Levine, MD, FACR Ultrasound of Congenital Fetal AnomaliesDifferential Diagnosis and Prognostic Indicators Dario Paladini MD Head, Fetal Cardiology Unit Department of Obstetrics and GynecologyUniversity Federico II of NaplesNaplesItaly Paolo Volpe MD Head, Fetal Medicine Unit Department of Obstetrics and GynecologyHospital Di Venere Bari
  • AzadeHashemi1

    Jun. 1, 2021
  • JasmeenAli

    Aug. 28, 2018
  • reiznee

    Aug. 12, 2018

ULTRASOUND IMAGE GALLERY

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