Imaging Study Online Free Webinar
Topic: Ultrasound Cases
Date: 20 December 2024, Friday
Time: 8:30pm-10:00pm BDT (GMT +6)
9:30am, New York
2:30pm, London
4:30pm, South Africa
5:30pm, East Africa
7:30pm, Pakistan
8:00pm, India
10:30pm, Singapore
11:30pm, Tokyo
Speaker: Dr. Mir Mahin Ashraf, MBBS, MD
Language: English (Suitable for foreigners)
** Facebook live only on the Imaging Study Facebook Page!
Don't forget to follow Imaging Study on Facebook:
https://www.facebook.com/ImagingStudyChannel
No Registration is required
Objectives:
In this 1.5-hour-long session, we will share some interesting ultrasound cases from our regular practice with a brief discussion.
Targeted participants:
- Doctors, Radiologists, Sonologists, GPs
- Doctors planning to make a career in Radiology or planning to practice ultrasound
- Has got training or practising but wants to improve theoretically
- Have a good internet connection
- Have free time to attend
Recorded Video Link:
https://youtu.be/nnO_epZj93o
Imaging Study Free Webinar to celebrate #IDoR2024
Topic: Ultrasound Cases
Date: 08 November 2024, Friday
Time: 8:30pm-10:30pm BDT (GMT +6)
9:30am, New York
2:30pm, London
8:00pm, India
10:30pm, Singapore
11:30pm, Tokyo
Speaker: Dr. Mir Mahin Ashraf, MBBS, MD
Language: English (Suitable for foreigners)
** Facebook live only on the Imaging Study Facebook Page!
Don't forget to follow Imaging Study on Facebook:
https://www.facebook.com/ImagingStudyChannel
No Registration is required
Objectives:
- To celebrate the International Day of Radiology, Imaging Study is going to arrange a free online webinar on 08 November 2024.- In this 2-hour-long session, we will share some interesting ultrasound cases from our regular practice with a brief discussion.
- To celebrate the International Day of Radiology, Imaging Study is going to arrange a free online webinar on 08 November 2024.
- In this 2-hour-long session, we will share some interesting ultrasound cases from our regular practice with a brief discussion.
Targeted participants:
- Doctors, Radiologists, Sonologists, GPs
- Doctors planning to make a career in Radiology or planning to practice ultrasound
- Has got training or practising but wants to improve theoretically
- Have a good internet connection
- Have free time to attend
Recorded Video Link:
https://youtu.be/6PauwJ1NJSQ
Clinical Features:
A 31-year-old male patient came with penile trauma.
Ultrasound Features:
- Irregular mixed echogenic area is noted in the right corpora cavernosum near the root with adjacent tunica albuginea disruption & perialbugineal extension.
- Color Doppler shows no vascularity within this mixed echogenic area.
- Cavernosal artery appears intact.
- Overlying skin appears thickened, and edematous with fat-plane irregularity with increased skin vascularity indicating inflammatory changes.
Remember:
Penile Fracture Grading:
Grade 0: Intact tunica albuginea. Hematoma superficial or deep to Buck's fascia
Grade I: Defect in the tunica albuginea and/or corpora cavernosa
Grade II: Defect in the tunica albuginea and/or corpora cavernosum. Associated peri-albugineal and/or cavernosal hematoma
Grade III: Defect in the tunica albuginea, Buck fascia (with hematoma) and the corpus spongiosum
Grade IV: Involvement of corpus spongiosum with urethra and/or vascular injury, with any vascular malformation
Ultrasound Diagnosis:
Grade II penile fracture
Ultrasound Images:
Irregular mixed echogenic area is noted in right corpora cavernosum near the root with adjacent tunica albuginea disruption & perialbugineal extension.
Clinical Features:
A 70-year-old male patient came with right upper abdominal pain.
Ultrasound Features:
Generalized gallbladder wall thickening with multiple areas showing intramural hyperechoic foci and comet tail artifacts.
Remember:
- The high frequency ultrasound may help better visualization of comet tail artifacts & wall thickening.
- Search for mass lesion & calculus.
Ultrasound Diagnosis:
Chronic cholecystitis with adenomyomatosis of gallbladder.
Ultrasound Images:
Generalized gallbladder wall thickening with multiple areas showing intramural hyperechoic foci and comet tail artifacts.
Clinical Features:
11-year-old female patient came with severe right lower abdominal pain.
Ultrasound Features:
- Right iliac fossa shows an irregular thick-walled complex collection with internal low-level echoes.
- Vermiform appendix is not separately visualized.
- Surrounding thickened fat layer is seen.
- Adjacent bowel loops show sluggish movements.
- Color Doppler shows prominent perilesional vascularity.
- The lesion compresses adjacent psoas muscle with no intrapsoas abnormality at present.
- Adjacent multiple prominent lymph nodes are seen.
Remember:
Peritoneal collection adjacent to a gangrenous appendix or abscess may suggest perforation.
Ultrasound Diagnosis:
Appendicular Abscess
Ultrasound Images:
Appendicular abscess
Clinical Features:
A young married female patient came with
- Amenorrhoea for 2 months.
- Pervaginal small bleeding.
- Lower abdominal pain.
Ultrasound Features:
- About 9-10 weeks of single intrauterine dead embryo.
- No cardiac activity, even on Doppler.
Remember:
Ultrasound Diagnosis:
Missed abortion of about 9-10 weeks size.
Ultrasound Images:
9-10 weeks of single intrauterine dead embryo with no cardiac activity, even on Doppler.
Clinical Features:
A 35-year-old female patient came with
- Dysmenorrhoea
- Menorrhagia
Ultrasound Features:
- Uterus is enlarged & globular with asymmetric myometrial thickening.
- Myometrium is inhomogeneous with irregular junctional zone, subendometrial tiny cystic spaces along with echogenic lines & islands & fan-shaped shadowing without any translesional abnormal vascularity.
Remember:
Check two journals for studying adenomyosis:
1.Van den Bosch, T., Dueholm, M., Leone, F.P.G., Valentin, L., Rasmussen, C.K., Votino, A., Van Schoubroeck, D., Landolfo, C., Installé, A.J.F., Guerriero, S. and Exacoustos, C., 2015. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound in Obstetrics & Gynecology, 46(3), pp.284-298.
2. Van den Bosch, T., De Bruijn, A.M., De Leeuw, R.A., Dueholm, M., Exacoustos, C., Valentin, L., Bourne, T., Timmerman, D. and Huirne, J.A.F., 2019. Sonographic classification and reporting system for diagnosing adenomyosis. Ultrasound in obstetrics & gynecology: the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, 53(5), pp.576-582.
Ultrasound Diagnosis:
Uterine Adenomyosis
Ultrasound Images:
Enlarged & globular uterus with inhomogeneous asymmetric myometrium showing irregular junctional zone, subendometrial tiny cystic spaces along with echogenic lines & islands & fan-shaped shadowing without any translesional abnormal vascularity.
A small nabothian cyst is also seen.
Clinical Features:
A middle-aged married female patient came with right lower abdominal pain.
Ultrasound Features:
- A well-defined cystic area with incomplete septations is noted at the right adnexa.
- Color Doppler shows no abnormal vascularity.
Remember:
Acute severe pain in a case of hydrosalpinx may seek attention to exclude torsion.
Ultrasound Diagnosis:
Right sided hydrosalpinx.
Ultrasound Images:
A well-defined cystic area with incomplete septations is noted at the right adnexa.
Clinical Features:
A 32-year-old male patient came with a small right testis.
Ultrasound Features:
Small & heterogeneously hypoechoic right testis & epididymis with diminished vascularity on Doppler.
Remember:
Any focal heterogeneous area in a case of acute epididymo-orchitis should be assessed carefully with Doppler to exclude abscess.
Ultrasound Diagnosis:
Right sided chronic epididymo-orchitis.
Ultrasound Images:
Small & heterogeneously hypoechoic right testis & epididymis with diminished vascularity on Doppler.
