Images by Genevieve Carbonatto Characteristics of normal cervical nodes on ultrasound include Size < 6mm Flat or oval shape Hypoechoic echotexture Hilum is present and can be seen with colour Doppler if the node is > 5mm Veins and efferent lymphatics leave the node through the hilum while arteries enter the node Read more about Large cervical node[…]
Images by Genevieve Carbonatto A patient presented to the Emergency with a very painful right buttock. There was no area of erythema and the buttock was not enlarged . It was however intensely painful to move the right leg. To investigate what might be happening beneath the subcutaneous tissue, ultrasound was used. This is a Read more about Deep buttock abscess.[…]
Images and text by Genevieve Carbonatto A patient presents with a small painful breast lump. This is her ultrasound The cyst is well circumscribed , is associated with posterior acoustic shadowing and has a number of internal echos suggesting sediment. Cyst measures I.48 cm X 2.31cm Discussion Features of sebaceous cysts on ultrasound (1) Located in Read more about Infected breast sebaceous cyst[…]
Images Genevieve Carbonatto Severely unwell febrile 2 year old presenting with abdominal tenderness and rebound Features of appendicitis Thickened appendix Faecolith Free fluid in RLQ indicating rupture incompressible ” creeping fat” hyperechoic mesentary Incompressible appendix. a complex structure abuts the appendix ? abscess . Appendicolith appears just at the end of the clip with free Read more about 2 year old, ruptured appendix[…]
Images by Genevieve Carbonatto Features of appendicitis Thickened appendix which measures 1.o5cm Target sign – hypoechoic walls Appendicolith Non compressible appendix Lack of peristalsis “creeping fat” or hyperechoic mesentery surrounding appendix Increased vascularity of wall of appendix
Images by Genevieve Carbonatto M mode Pneumothorax, stratosphere sign Right lung : Note absent lung sliding. If unsure in trauma change to linear probe to better visualise pleural line. Left lung: Note absent lung sliding.
Images by Genevieve Carbonatto Splenic laceration and fractured rib. Free fluid below and above the diaphragm. Note diaphragm separates the fluid which is below the diapgragm from that which is in the chest above it.
Images by Genevieve Carbonatto Free fluid in Morrison’s pouch Fluid in LUQ
Images by Genevieve Carbonatto Pedestrian vs car, ruptured spleen. Free fluid in Morrison’s pouch.
Images by Genevieve Carbonatto M mode shows stratosphere sign No lung sliding, left lung Lung sliding + occasional B lines , right lung