Thrombus CFV
Images by Genevieve Carbonatto CFV DVT. Partially compressible CFV, tip of thrombus visible at maximum compression. Colour Doppler outlines the thrombus
Thrombosis to CFV, leg oedema
Images by Genevieve Carbonatto. A patient presented with a swollen left leg Thrombus visible in CFV FV Popliteal vein Dual screen shows CFV not coapting with compression. Common femoral vein Femoral vein – note oedema of subcutaneous tissues Thrombus in common femoral vein. Tip of thrombus visible Popliteal Read more about Thrombosis to CFV, leg oedema[…]
Synechiae in femoral vein
Images by Genevieve Carbonatto Recanalisation of a vein post acute deep venous thrombosis involves remodeling of the thrombus. This is a complex process of adhesion of the thrombus to the wall of the vein, an inflammatory response of the vessel wall leading to organization and subsequent contraction of the thrombus, neovascularization and spontaneous lysis of Read more about Synechiae in femoral vein[…]
Gallbladder wall thickening – not cholecystitis
Images by Genevieve Carbonatto The gall bladder wall can be thickened in a number of different situations other than cholecystitis. This is important when assessing someone in Emergency with a thickened GB wall. The clinical situations needs to be taken into account before determining that the GB wall thickening is due to cholecystitis. The GB Read more about Gallbladder wall thickening – not cholecystitis[…]
Adenomyomatosis
Images by Genevieve Carbonatto. Hourglass gallbladder (GB) . One of the 3 types of GB wall thickening seen in adenomyomatosis There is focal mural segmental thickening of the mid body of the gallbladder. This has been referred to as hourglass gallbladder .
Adenomyomatosis
Images by Genevieve Carbonatto These are reverberation artifacts produced because sound waves reverberate between the cholesterol crystals and the wall of the gallbladder. Colour Doppler: The wall of the GB seems to light up like a christmas tree due to these reverberation artifacts. Read more about Adenomyomatosis[…]
Cholecystitis
Images by Genevieve Carbonatto Ultrasound is the best imaging modality to diagnose cholecystitis. Cholecystitis is a frequent presentation to the Emergency department. The hall marks include Thickening of the gallbladder wall > 3mm Gallstones Impacted stones in the cystic duct or gall bladder neck Pericholecystic fluid +ve Murphy’s sign Hyperaemic gallbladder wall on colour or power Read more about Cholecystitis[…]
Gallstone + tumification of sludge
Images by Tina Cullen A patient presents with abdominal pain. Examination of the gall bladder using ultrasound shows a solid rounded looking “tumified” sludge in the gallbladder. The stone casts an acoustic shadow and is in the neck of the gallbladder. Colour Doppler can be used to look to confirm this is not a tumour. There Read more about Gallstone + tumification of sludge[…]
Gallstones
Images by Genevieve Carbonatto Gallstones are commonplace. Ultrasound is highly sensitive in identifying gallstones. The appearance of gallstones is variable. They vary in size,shape and number. They may be associated with sludge. Stones and polyps may coexist. They are echogenic and cast an anechoic shadow (acoustic shadow). Gallstones that are less than 5 mm may not Read more about Gallstones[…]
Polyp and stone in GB
Images by Genevieve Carbonatto Both a polyp and a stone can be seen in the ballbladder. This is best visualised when panning through the gallbladder rather than with a still image The stone casts a shadow, the polyp does not. While the stone is in the most dependent portion of the gallbladder , the polyp Read more about Polyp and stone in GB[…]