Ultrasound quiz for PGs

1. ULTRASOUND QUIZ
DEPARTMENT OF RADIOLOGY
GOVT.MEDICAL COLLEGE
AURANGABAD
DR G J KHADSE PROFF.AND HEAD
DR ANJALI KULKARNI - WASADIKAR
DR VARSHA ROTE – KAGINALKAR
DR VARSHA DESHMUKH

2. 20 year female.
H/o 1 ½ months amenorrhoea.
C/o bleeding p/v-painless.

4. CLUE
♦Painless bleeding
♦Normal Uterus &
endothelial thickness

5. DIAGNOSIS
♦CERVICAL ECTOPIC
PREGNANCY

6. DIFFERENTIAL DIAGNOSIS
♦Incomplete abortion
♦Cervical cyst

7. DISCUSSION
♦Distension and thinning of cervix
♦Decidual reaction
♦Painless bleeding
♦Uterus : Normal with normal
endothelial thickness

8. HISTORY
♦30 year female
♦C/o pain in right iliac fossa
♦Clinical diagnosis: Acute
Appendicitis

10. CLUE
♦Rapid enlargement
♦Acute presentation
♦No flow on doppler

11. DIAGNOSIS
♦TORSION OF RIGHT OVARY

12. DIFFERENTIAL DIAGNOSIS
♦Hemorrhagic ovarian cyst
♦PCOD
♦PID
♦Autoimmune oophoritis

13. DISCUSSION
♦Acute presentation
♦Peripheral small follicular cysts
♦Solid appearance
♦Size more than 5 cm
♦Frequently seen on right side.
(3:2)

14. HISTORY
♦30 years female
♦Menorrhagia

16. CLUE
♦SPOT DIAGNOSIS

17. DIAGNOSIS
♦ENDOMETRIAL HYPERPLASIA

18. DIFFERENTIAL
DIAGNOSIS
♦Polyp
♦Vesicular mole
♦Incomplete abortion
♦Carcinoma of endometrium

20. COMMENTS
♦Normal endometrium measures
between 4 to 14 mm.

21. HISTORY
♦35 years female
♦Lower abdominal pain
♦Menorrhagia

23. CLUE

24. DIAGNOSIS
♦BROAD LIGAMENT FIBROID

25. DIFFERENTIAL DIAGNOSIS
♦Solid ovarian mass
♦Tubo-ovarian mass

26. DISCUSSION
♦Solid mass
♦Cystic degeneration
♦E/o increased through transmission

27. HISTORY
♦25 years female with BOH

29. CLUE
♦Congenital anomaly

30. DIAGNOSIS
♦BICORNUATE UTERUS

31. DIFFERENTIAL DIAGNOSIS
♦Uterus didelphys-rare
♦Septate uterus

35. DISCUSSION
♦Deep fundal notch
♦Better seen in secretary phase
♦Single cervix
♦Separate myometrial covering for
each endometrial cavity

36. HISTORY
♦Young females of with 25 and 30
weeks gestation
♦Normal scan
EXCEPT

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39. CLUE
♦Isolated congenital anomaly

40. DIAGNOSIS
♦UNILATERAL FETAL PLEURAL
EFFUSION

41. DIFFERENTIAL DIAGNOSIS
♦Pseudo-ascitis

42. DISCUSSION
♦Prognostic indicators
–Size - small is better
–Mediastinal shift - less is better
–Hydrops – none is best

44. HISTORY
♦30 years female
♦8 months amenorrhoea
♦Polyhydramnios

46. CLUE
♦Open neural tube defect

47. DIAGNOSIS
♦OCCIPITAL ENCEPHALOCELE

48. DIFFERENTIAL DIAGNOSIS
♦Cystic hygroma
♦Scalp oedema
♦Teratoma – nasal

49. DISCUSSION
♦Herniation of meninges or/& brain
tissue through the defect in bony
calvarium
♦Site: occipital region
♦Open neural tube defect

50. HISTORY
♦32 Years female
♦Married since 15 years
♦H/o IUD 12 years back
♦Infertility since then

52. CLUE
♦Chronic lower abdominal
pain

53. DIAGNOSIS
♦BILATERAL HYDROSALPINX

54. DIFFERENTIAL DIAGNOSIS
♦Multiloculated ovarian cyst
♦Fluid filled bowel
♦Pelvic veins

56. DISCUSSION
♦Normal tube measurement 1-4
mm
♦Dilatation s/o chronic infection

57. HISTORY
♦21 years female
♦6 months amenorrhoea for routine
USG
♦Polyhydramnios
♦Both parents are of normal stature

59. OBSERVATIONS
♦All limbs are short – length
reduction less than 2.5 percentile
♦No corresponding interval growth
♦Thoracic circumference less than 2.5
percentile

60. DIAGNOSIS
♦ MUSCULOSKELETAL DYSPLASIA –
LETHAL
♦ THANATOPHORIC DWARFISM

61. DIFFERENTIAL DIAGNOSIS
♦Severe IUGR
♦Homozygous achondroplasia
♦Achondrogenesis
♦Osteogenesis imperfecta

62. MESSAGE
♦Femur length is the single and
most helpful parameter in
identification of most of short
limb lethal dysplasias

63. HISTORY
♦26 weeks gestation in a young female
♦Oligo to anhydramnios

66. CLUE
♦Congenital anomaly only seen in
male

67. DIAGNOSIS
♦BLADDER OUTLET
OBSTRUCTION-POSTERIOR
URETHRAL VALVES

68. DIFFERENTIAL DIAGNOSIS
♦Urethral atresia

69. DISUSSION
♦Associated renal dysplasia

70. HISTORY
♦26 years primigravida
♦Oligo to anhydramnios
♦20 weeks of gestation

74. CLUE
♦E/O amniotic fluid in first
trimester
♦Anhydramnios at present

75. DIAGNOSIS
♦B R A
(BILATERAL RENAL ATRESIA)

76. DIFFERENTIAL
DIAGNOSIS
♦Severe IUGR
♦Bilateral renal dysplasia

77. COMMENTS
♦ Classical triad
– Severe oligohydramnios
– Persistent nonvisualization of urinary bladder
– Renal nonvisualization
♦ Associations
– Potters facies
– Pulmonary hypoplasia
– Limb deformities
– Familial recurrence in 3 to 5%