Thursday, June 17, 2010

An interesting case of mass in Riedel's lobe of liver















At first, ultrasound imaging of the right kidney shows a possible mass in the lower pole of kidney.














The above ultrasound image seems to confirm this possibility.














Imaging of the right lobe of liver shows the mass to be connected to a tongue of liver tissue extending from the right lobe of liver. The mass is at the tip of the long beak of liver tissue draped over the anterior surface of right kidney. This is the typical appearance of a Riedel's lobe of liver with a mass located in its tip.






























The gall bladder is normal.
For more on this topic see:
http://www.ultrasound-images.com/liver.htm

Monday, June 14, 2010

Large serous cystadenoma of ovary:










































































This patient complained of a swelling of the abdomen and vague pain. Ultrasound imaging of the pelvis showed a huge, cystic mass measuring 14 x 9 cms., with few septae traversing through it. No solid tissue was present within this cyst. The fluid within the cyst appeared to be clear serous type with scanty particulate matter within it. The kidneys appeared normal suggesting no pressure effects on the ureters despite the large size of the cystic tumor. The bladder was clearly identified separate from the cyst, thus ruling out a diverticulum of the bladder. Color Doppler image showed no significant vascularity in the septae. Final diagnosis from these ultrasound images was serous cystadenoma of ovary. With such large masses/ cysts it is not possible to determine the exact origin of the lesion/ or the side from which it originates.

For more on this topic see:
http://www.ultrasound-images.com/ovarian-masses.htm

Sunday, June 06, 2010

Seminal vesicle calculus and hemospermia:















Seminal vesicle calculi are a known cause of passage of blood in semen. This patient had hemospermia. TRUS images show a calculus in right seminal vesicle. Possibly such calculi cause irritation and trauma to the delicate walls of the seminal vesicle resulting in hemorrhage. But surgery may be the final alternative in this case.
View more images of a similar case at:
http://www.ultrasound-images.com/prostate.htm

Wednesday, May 26, 2010

Fibroid of cervix in 19 week pregnancy:






These two ultrasound video clips show a large fibroid involving the lower uterine segment and upper cervix in a 19 week pregnancy. The fetal head is seen towards the left with the urinary bladder seen towards the right of the video. The mass was poorly vascular and affected the anterior wall of the cervix. The fetus showed normal body movements and appeared healthy.
See: http://www.ultrasound-images.com/uterus.htm for more similar/ different types of fibroids of the uterus.
(fet= fetus; fibr= fibroid of the cervix; bl= urinary bladder). This video shows a sagittal section of the uterus and cervix.

Monday, May 17, 2010

3-D ultrasound image of appendix of testis:

B- mode ultrasound image shows the appendix of the testis with surrounding tunica vaginal fluid (a small hydrocele). The testicular appendage appendage is seen projecting into the fluid.















3- Dimensional ultrasound image shows the appendix testis (A) between the head of epididymis and testis. (Images are courtesy of Ravi Kadasne, MD, UAE).

Wednesday, April 28, 2010

3D ultrasound- an interesting perspective:

These 3 dimensional ultrasound images show various pathologies of the urinary bladder, providing a whole new "dimension" to sonographic imaging.

3- D ultrasound image of ureterocele:
The Rt. ureterocele is seen as a small sac bulging in from the posterior wall of the bladder.















3-D ultrasound image of bladder diverticulum:
A small right sided vesical diverticulum. (UB= urinary bladder)














Vesical calculus:
This 3-D ultrasound image of a vesical calculus shows that 3-D imaging must be used in conjunction with 2-D B-mode imaging to identify pathology. This bladder calculus is difficult to distinguish from (see topmost image) ureterocele purely on 3-D ultrasound. Perhaps a cross sectional image would show the internal structure better. (All images courtesy of Ravi Kadasne, MD, UAE).
For more images of urinary bladder diseases/ conditions see:
http://www.ultrasound-images.com/urinary-blad
der.htm















Other interesting applications of 3-D ultrasound imaging:

Benign prostatic hypertrophy- showing the enlarged median lobe














A musculoskeletal 3- D ultrasound image- Baker cyst in Right popliteal fossa: