Ultrasound Campus

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22/04/2022

🎯The B-mode examination delimitates a hyperechoic liver lesion in segment V, measuring 14mm.

🚥The color Doppler examination depicted internal hypervascularization.

♾️On the additional elastography, the lesion shows increassed stiffness.

🔑CEUS: Following the intravenous administration of contrast agent, an eccentric vascular arterial supply is depicted in the arterial phase.

⏳️Portal-venous and delayed phase: The lesion shows hyperenhancement.
No wash-out was detected.



✅️Final diagnosis: Focal nodular hyperplasia (FNH).

13/04/2022

🎯The B-mode sonography delimitates a hypoechoic liver lesion in segment VII - VIII, measuring 10 cm.

🔑Following the intravenous administration of contrast agent, the lesion shows a moderate arterial uptake.

⏳️Portal-venous phase and delayed phase: The lesion is bordered by an increasing wash-out, in comparison to the rest oft he liver parenchyma.

✅️Final diagnosis: Hepatocellular carcinoma (HCC).

🔬The histopathology report confirmed the diagnosis.

🎯En la ecografía en modo B se delimita en parénquima hepático una imágen hipoecoica, segmento VII – VIII, de 10 cm.

⏳️Posterior a la administración intraveosa de medio de contraste, la lesión muestra moderada captación en fase arterial.

⏳️Fase venosa-portal y fase tardía: La lesión se demarca por un progresivo lavado del contraste, en comparación con el resto del parénquima hepático.

✅️DxRx: Carcinoma hepatocelular.

🔬El reporte histopatológico confirmó el diagnóstico.

11/04/2022

🎯The B-mode examination delimitates a bulky splenic mass.

🚥The color Doppler examination depicted no signs of hypervascularization.

🔑Following the intravenous administration of contrast agent, the lesion shows enhancement during the arterial phase.

⏳️The delayed phase shows increasing wash-out, in comparison to the rest of the splenic parenchyma.

🔬The patient underwent splenectomy and the histopathology report revealed the diagnosis of splenic lymphoma.

✅️Final diagnosis: Splenic lymphoma.

08/04/2022

🎯The baseline splenic sonography shows an ill-defined hypoechoic area.

🚥Color Doppler and MFI-HD examination: The lesion shows a lack of evidence of intraparenchymal blood flow.

🔑After the intravenous administration of contrastagent, CEUS confirmed the avascular nature of the suspected areas.

✅️Final diagnosis: Splenic infarction.

🔬The patient underwent further examinations and the diagnosis of Myelodysplastic/myeloproliferative neoplasm (MDS/MPN) was revealed.







🎯En la ecografía en modo-B se observa en parénquima esplénico, un área hipoecogénica mal definida.

🚥Doppler color y MFI-HD: la lesión muestra ausencia de señal de flujo intraparenquimatoso.

🔑Tras la administración intravenosa de medio de contraste, CEUS confirmó la naturaleza avascular de el área sospechosa.

✅️Diagnóstico final: Infarto esplénico.

🔬Se realizaron exámenes complementarios y se reveló el diagnóstico de neoplasia mielodisplásica/mieloproliferativa.

ICUS Society

05/04/2022

🔎A 61-year-old male patient with clinical history of renal cell carcinoma, nephrectomy of the left kidney and additional partial nephrectomy of the right kidney.

➡️An abdominal CT-scan follow-up was carried out, where a small liver lesion was detected.

✔️In order to get more information and better assessment / definition of the liver lesion, the examination is performed with a high resolution 18 Mhz .

📢What do you see? What is your diagnosis❓️

(The answer will be posted tomorrow.)



02/03/2022

🎯The grayscale examination delimitates a subcapsular hypoechoic lesion, measuring 3.4 cm.

🚥The color Doppler examination depicts no internal blood flow signal.

🔑CEUS: Following the intravenous administration of the contrast agent, the lesion shows no uptake during the entire examination.

✅Final diagnosis: Amoebic liver abscess.

🧪Serological titers detected the presence of elevated antibody titers against amoebae.

🎯En la ecografía en escala de grises se delimita una imágen hipoecoica subcapsular de 3.4 cm.

🚥A la aplicación Doppler color no se observa vascularidad intralesional.

🔑CEUS: Tras la administración intravenosa de Sonovue, la lesión muestra ausencia de captación durante todo el estudio.

✅DxRx: Absceso hepático amebiano

🧪En el estudio serológico se detectó la presencia de niveles elevados contra ameba.

ICUS Society

23/02/2022

🔑The B-mode sonography delimitates a subcapsular, inhomogeneous lesion in the right lobe of the liver.

🔑The color Doppler sonography depicted no blood flow signal.

🔑CEUS: Following the intravenous administration of contrast agent, the lesion shows peripheral, discontinuous nodular enhancement with progressive, centripetal partial fill-in and no washout during the entire examination.

✅Final diagnosis: Partially thrombosed hepatic hemangioma.



🎯En la ecografía basal se delimita una imágen subcapsular, de ecogenicidad heterogenéa en lóbulo hepático derecho.

🚥A la coloccación Doppler color no se observa señal intralesional.

🔑CEUS: Posterior a la administración de medio de contraste, la lesión muestra realce nodular periférico, progresivo, en dirección centrípeta y llenado parcial. No se observa lavado del contraste durante todo el estudio.

✅DxRx: Hemangioma hepático parcialmente trombosado.

10/02/2022

📢Join us to the next free live CME accredited ICUS webinar with the topic:

📣“Cardiovascular CEUS -- From Fundamentals to Perfusion”

Register today and earn FREE CME!

🗓Date: February 12, 2022.
⏰️Time: 2:00 pm - 3:30 pm GMT.

🗣Speakers:

👤Mark Monaghan - Professor of Cardiac Imaging, Kings College Hospital, London.
👤Tom Porter - Chair of Cardiology and Professor of Internal Medicine, University of Nebraska Medical Center.

✔Register here:👇🏽👇🏽
http://icus-society.org/event/cardiovascular-ceus-from-fundamentals-to-perfusion/

ICUS Society

09/02/2022

🎯The B-mode examination delimitates multiple, disperse hypoechoic liver lesions.

🚥The color Doppler examination depicted no signs of hypervascularization.

🔑 : Following the intravenous administration of SonoVue, the lesions show moderate uptake and a marked wash-out in the portal-venous and late phase.

✅Final diagnosis: Liver metastases.

🔬The histopathology report confirmed the diagnosis.

🎯En la ecografía basal se delimitan múltiples imágenes hipoecoicas, dispersas en el parénquima hepático.

🚥A la aplicación Doppler color, sin datos de hipervascularización.

🔑CEUS: Posterior a la administración intravenosa de medio de contraste, las lesiones presentan una moderada captación del contraste en la fase arterial y un marcado lavado en las fases venosa-portal y tardía.

✅Dx.Rx: Metástasis hepaticas.

🔬El reporte histopatológico confirmó el diagnóstico.

ICUS Society

07/02/2022

🎯The B-mode examination shows in the pre-existing liver cirrhosis, a hyperechoic lesion in the segment VIII of the liver, measuring 1.2 cm.

🚥The color Doppler examination depicted no internal blood flow signal.

🔑CEUS revealed arterial-phase hyperenhancement of the lesion.

⏱️Portal-venous phase shows persistent hyperenhancement of the lesion.

⏳️Late phase: after 4 min 11 sec, the lesion shows wash-out.

✅Final diagnosis: CEUS LI-RADS-4 (probably HCC), confirmed as HCC.





🎯La ecograía en modo B delimita en la cirrosis hepática preexistente, una imágen hiperecoica en segmento hepático VIII, de 1.2 cm.

🚥A la colocación Doppler color no se observan senal color intralesional.

🗝️CEUS reveló hiperrealce de la lesión en fase arterial.

⏱️En la fase venosa-portal se observa la lesión con hiperrealce persistente.

⏳️Fase tardía: después de 4 min 11 seg, las lesión muestra lavado del contraste.

✅Diagnóstico final: CEUS LI-RADS-4 (probablemente HCC), confirmado como HCC.

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