Saturday, July 26, 2008

Ultrasound imaging in colitis:



This is a nice ultrasound image of colitis in a child. Observe the grossly thickened wall of the caecum and the associated mesenteric lymph node enlargement. This child also had other findings including round worm infestation and appendicitis.

See: http://www.ultrasound-images.com/colon.htm (for full case and more ultrasound images).

Image courtesy of Dr. Gunjan Puri, Surat, India.






Thursday, July 24, 2008

Gastric wall thickening















These ultrasound images of the stomach wall show considerable thickening of the pyloric wall (13 to 16 mm. thickness). Such thickening of stomach wall is seen in infiltrative lesions sucha s adenocarcinoma of the stomach and lymphoma. Images courtesy of Dr. Ravi Kadasne, UAE.
For more images of the stomach and GIT visit: http://www.ultrasound-images.com/git.htm



Monday, July 21, 2008

Focal fatty change of liver:



Focal fatty change of the liver is caused by the combined effect of steatosis with hepatic ischemia. This ultrasound image shows a typical focal fatty infiltration of the right lobe of liver. Note the absence of mass effect which distinguishes focal fatty change from other space occupying lesions of the liver. Image courtesy of Dr. ravi Kadasne, UAE. The ultrasound machine used here is the IU 22 from Philips.

Reference: http://www.ncbi.nlm.nih.gov/pubmed/7350047

Also see the link: http://www.ultrasound-images.com/metabolic.htm for more sonographic images of fatty liver and other hepatic metabolic diseases.




Thursday, July 03, 2008

Nephrocalcinosis

In this newest page of my gallery of ultrasound images, I have added some pictures of nephrocalcinosis in neonate. Check: http://www.ultrasound-images.com/ped-abdomen.htm
The images are self explanatory and show a relatively common problem in neonates following long term (weeks or months) of parenteral therapy besides certain medications. On another page, I describe the same disease in adults (see: http://www.ultrasound-images.com/renal-calculi.htm ). But it is in neonates that the pathology is so clearly evident on sonography, the reason being the better visualization of the pediatric abdomen and also the extent of involvement of the kidneys. In fact, it is often difficult to distinguish nephrocalcinosis from renal calculi, so dense is the extent of calcification.
Editor.



Monday, June 30, 2008

An update of the newest additions to my website


Dear readers,

Just added a nice case, of pelvic kidney in a neonate at: http://www.ultrasound-images.com/ped-abdomen.htm The child had an imperforate anus with suspected recto-uterine fistula. Placed the high resolution ultrasound probe on the pelvis and saw a pelvic kidney, the left kidney not being seen in the left renal fossa. A clear example of renal ectopia! I have added 7 ultrasound images for this case of pelvic kidney at the link above. This page is freshly created and devoted to pediatric abdomen. What was interesting was that the pelvic kidney appeared round or oval in shape, suggestive of some degree of malrotation of the renal axis.

Thursday, June 26, 2008

A sonographic atlas of the appendix-in ebook format

Here is a great (e-book) Atlas of sonographic images (version 1.0) of the appendix in Microsoft Power Point (.pps format). Covering almost all major pathologies of the appendix, this will be useful as a guide to normal and the abnormal appendix. It contains more than 25 high resolution ultrasound images, all of which are well labelled and captioned, leaving little to the imagination. Among the topics covered in this e-book are 1) normal appendix 2) acute appendicitis 3) chronic appendicitis 4) subhepatic and pelvic locations of the appendix 5) perforation 6) color doppler imaging of the appendix 7) appendicolith etc. It can be downloaded instantly for a mere $ 5.0 via secure site.
Or perhaps you might want to download another version 2.0 of this sonographic Atlas priced at a mere $ 7.0 at this secure site. This e-book (version 2.0) is in .pdf (adobe acrobat reader) format and can be downloaded at:
https://www.regnow.com/softsell/nph-softsell.cgi?item=16637-3
Adobe reader can be downloaded for free from http://www.adobe.com/
Version 2.0 contains more than 40 high res ultrasound images of appendicular pathology.





Sunday, June 22, 2008

Gall bladder sludge in neonate:






























These ultrasound images of a neonatal abdomen show a large amount of dense sludge in the gall bladder. Such sludge formation in neonates is often seen following parenteral nutrition and is usually self resolving.
Reference: http://www.jultrasoundmed.org/cgi/content/abstract/6/5/243
Visit the page: http://www.ultrasound-images.com/pediatric.htm for ultrasound images of pediatric and neonatal diseases. At present I have added a few cases of neonatal intracranial/ germinal matrix hemorrhage and its complications, notably porencephaly. There is also a nice case of inguinal hernia containing ovary.



A web page of ultrasound images of renal calculi

Just added some great images of renal calculi..from the usual to the unusual staghorn calculi. Just visit: http://www.ultrasound-images.com/renal-calculi.htm Staghorn calculi or triple phosphate calculi can be silent until they reach phenomenal proportions like this calculus which occupied half of the kidney. Luckily, in the case described at the link above, there was only mild hydronephrosis of the affected kidney.
Editor.
http://www.ultrasound-images.com/index.html