Sunday, September 21, 2008

Ultrasound images of retrocaecal appendix

the fluid filled caecum is easily visualized

the normal appendix (long section) seen posterior to the caecum

the appendix in cross section lying posterior to the caecum (retrocaecal appendix).
All 3 images taken using a Philips IU22 ultrasound system, courtesy of Dr. Ravi Kadasne, UAE.
For more images of the appendix, visit our website at:

Friday, August 01, 2008

Intratesticular varicocele

Intratesticular varicocele is the presence of a dilated vein within the testes, usually with coexisting extratesticular varicocele. In these nice ultrasound and color doppler images, Shlomo Gobi, Israel demonstrates an intratesticular varicocele of the left testes. The affected vessel (seen on color flow images) shows typical venous spectral flow pattern and reflux on Valsalva manoevre. The patient, in this case also had an extratesticular varicocele (not shown in these images). See the link: for more on this topic.
Also see: for sonographic images and ultrasound case studies of the scrotum.
Images in this case are taken using an ATL HDI 3000 color doppler machine.

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: (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:

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.


Also see the link: for more sonographic images of fatty liver and other hepatic metabolic diseases.

Thursday, July 03, 2008


In this newest page of my gallery of ultrasound images, I have added some pictures of nephrocalcinosis in neonate. Check:
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: ). 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.

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: 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:
Adobe reader can be downloaded for free from
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.
Visit the page: 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 (kidney stones)

Just added some great images of renal calculi (commonly known as kidney stones)..from the usual to the unusual staghorn calculi. Just visit: 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.

Sunday, June 08, 2008

Multinodular goiter

These ultrasound images of a middle aged female patient reveal: a) multiple solid nodules of varying sizes in both lobes of the thyroid gland b) coarsening of the echotexture of the thyroid gland c) cystic lesions scattered throughout the gland d) diffuse increase in size of the thyroid.
e) color doppler imaging reveals moderate augmentation of the vascularity of the thyroid. These findings suggest multinodular goiter of the thyroid. For more ultrasound images of thyroid pathology, visit:
-- Editor

Saturday, June 07, 2008

Cystic lesions of the thyroid

Thyroid cyst with nodule within it:

Ultrasound images of the thyroid revealed a large cystic lesion with an irregular solid nodule along the margin of the cyst. Doppler imaging shows absence of significant vascularity in the nodule. This means that the nodule may be formed by debris within the cystic mass, typically seen in colloid cysts of the thyroid. For more such interesting ultraound images and case studies of the thyroid, visit:
Images courtesy of Dr. Ravi Kadasne, UAE.

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Saturday, May 31, 2008

Ultrasound images of retrosternal goiter

Xray images show a large rounded opacity in the upper mediastinum.

Ultrasound images of the thyroid show a huge gland, with inhomogenous appearance and calcification, extending to the retrosternal region. The thyroid measures more than 5 x 8 cms. These images by Mr. Shlomo Gobi of Israel were taken using the endocavity probe to better visualize the retrosternal extension of the thyroid goiter. Xray images show the goiter in the retrosternal region. You can view more such intersting ultrasound images of thyroid diseases at:

Friday, May 16, 2008

Interesting ultrasound images of the thyroid:

I have added some really nice sonographic images of the thyroid in my ultrasound image gallery.
See: Among the cases (and ultrasound pictures) I have discussed here are: 1) multinodular goitre 2) Hashimoto's thyroiditis 3) thyrotoxicosis 4) hemithyroidectomy 5) sublingual thyroid. The last is a rare enitity and I have added 6 high res. images of this lesion.
Hashimoto's thyroiditis is a common condition that afflicts a large percentage of the populace here in S. India.

Saturday, April 26, 2008

Endometrial hyperplaisa in a child

These ultrasound images of the uterus in a 12 yr. old female child with intermittent bleeding per vagina reveal- a) markedly thickened endometrium (3.3 cms). b) color doppler images reveal vascularity within the thickened endometrium. These images suggest endometrial hyperplasia (benign) in a child. The cause is presumably, increased oestrogen activity. Images courtesy of Dr. Richa Dikshit, India.
Visit: for interesting pediatric and neonatal sonography images.

Thursday, March 27, 2008

Fetus nibbling its own cord

The fetus is seen nibbling the umbilical cord in this 3D ultrasound image courtesy of Dr. Arun Mahajan, Delhi, India.

A few moments later the cord falls away.

For more such images visit: