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ULTRASOUND QUIZ
DEPARTMENT OF RADIOLOGYGOVT.MEDICAL COLLEGE
AURANGABAD
DR G J KHADSE PROFF.AND HEAD
DR ANJALI KULKARNI - WASADIKAR
DR VARSHA ROTE – KAGINALKAR
DR VARSHA DESHMUKH
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20 year female.
H/o 1 ½ months amenorrhoea.
C/o bleeding p/v-painless.
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CLUE
♦Painless bleeding ♦Normal Uterus & endothelial thickness
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DIAGNOSIS
♦CERVICAL ECTOPIC PREGNANCY
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DIFFERENTIAL DIAGNOSIS
♦Incomplete abortion♦Cervical cyst
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DISCUSSION
♦Distension and thinning of cervix♦Decidual reaction ♦Painless bleeding ♦Uterus : Normal with normal
endothelial thickness
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HISTORY
♦30 year female ♦C/o pain in right iliac fossa♦Clinical diagnosis: Acute
Appendicitis
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CLUE
♦Rapid enlargement ♦Acute presentation ♦No flow on doppler
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DIAGNOSIS
♦TORSION OF RIGHT OVARY
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DIFFERENTIAL DIAGNOSIS
♦Hemorrhagic ovarian cyst♦PCOD♦PID♦Autoimmune oophoritis
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DISCUSSION
♦Acute presentation♦Peripheral small follicular cysts♦Solid appearance ♦Size more than 5 cm ♦Frequently seen on right side.
(3:2)
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HISTORY
♦30 years female♦Menorrhagia
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CLUE
♦SPOT DIAGNOSIS
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DIAGNOSIS
♦ENDOMETRIAL HYPERPLASIA
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DIFFERENTIAL DIAGNOSIS
♦Polyp ♦Vesicular mole♦Incomplete abortion♦Carcinoma of endometrium
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COMMENTS
♦Normal endometrium measures between 4 to 14 mm.
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HISTORY
♦35 years female ♦Lower abdominal pain ♦Menorrhagia
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DIAGNOSIS
♦BROAD LIGAMENT FIBROID
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DIFFERENTIAL DIAGNOSIS
♦Solid ovarian mass♦Tubo-ovarian mass
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DISCUSSION
♦Solid mass ♦Cystic degeneration♦E/o increased through transmission
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HISTORY
♦25 years female with BOH
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CLUE
♦Congenital anomaly
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DIAGNOSIS
♦BICORNUATE UTERUS
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DIFFERENTIAL DIAGNOSIS
♦Uterus didelphys-rare ♦Septate uterus
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DISCUSSION
♦Deep fundal notch ♦Better seen in secretary phase♦Single cervix♦Separate myometrial covering for
each endometrial cavity
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HISTORY
♦Young females of with 25 and 30 weeks gestation
♦Normal scan
EXCEPT
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CLUE
♦Isolated congenital anomaly
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DIAGNOSIS
♦UNILATERAL FETAL PLEURAL EFFUSION
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DIFFERENTIAL DIAGNOSIS
♦Pseudo-ascitis
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DISCUSSION
♦Prognostic indicators
–Size - small is better
–Mediastinal shift - less is better
–Hydrops – none is best
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HISTORY
♦30 years female ♦8 months amenorrhoea ♦Polyhydramnios
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CLUE
♦Open neural tube defect
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DIAGNOSIS
♦OCCIPITAL ENCEPHALOCELE
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DIFFERENTIAL DIAGNOSIS
♦Cystic hygroma ♦Scalp oedema ♦Teratoma – nasal
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DISCUSSION
♦Herniation of meninges or/& brain tissue through the defect in bony calvarium
♦Site: occipital region ♦Open neural tube defect
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HISTORY
♦32 Years female ♦Married since 15 years ♦H/o IUD 12 years back ♦Infertility since then
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CLUE
♦Chronic lower abdominal pain
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DIAGNOSIS
♦BILATERAL HYDROSALPINX
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DIFFERENTIAL DIAGNOSIS
♦Multiloculated ovarian cyst ♦Fluid filled bowel ♦Pelvic veins
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DISCUSSION
♦Normal tube measurement 1-4 mm
♦Dilatation s/o chronic infection
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HISTORY
♦21 years female ♦6 months amenorrhoea for routine
USG♦Polyhydramnios ♦Both parents are of normal stature
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OBSERVATIONS
♦All limbs are short – length reduction less than 2.5 percentile
♦No corresponding interval growth♦Thoracic circumference less than 2.5
percentile
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DIAGNOSIS
♦ MUSCULOSKELETAL DYSPLASIA –LETHAL
♦ THANATOPHORIC DWARFISM
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DIFFERENTIAL DIAGNOSIS
♦Severe IUGR♦Homozygous achondroplasia ♦Achondrogenesis ♦Osteogenesis imperfecta
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MESSAGE
♦Femur length is the single and most helpful parameter in identification of most of short limb lethal dysplasias
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HISTORY
♦26 weeks gestation in a young female♦Oligo to anhydramnios
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CLUE
♦Congenital anomaly only seen in male
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DIAGNOSIS
♦BLADDER OUTLET OBSTRUCTION-POSTERIOR URETHRAL VALVES
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DIFFERENTIAL DIAGNOSIS
♦Urethral atresia
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DISUSSION
♦Associated renal dysplasia
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HISTORY
♦26 years primigravida ♦Oligo to anhydramnios♦20 weeks of gestation
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CLUE
♦E/O amniotic fluid in first trimester
♦Anhydramnios at present
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DIAGNOSIS
♦B R A(BILATERAL RENAL ATRESIA)
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DIFFERENTIAL DIAGNOSIS
♦Severe IUGR♦Bilateral renal dysplasia
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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%