Ultrasound

Edited by Leslie M. Scoutt, Ulrike M. Hamper, and Teresita L. Angtuaco

Over 1,700 high-quality images provide a visual resource for honing diagnostic skills
Succinctly summarizes radiologic findings, differential diagnosis, teaching points, and next steps in management
Includes gynecologic, obstetrical, abdominal, small parts, and vascular pathologies
Presented in question and answer format for self-assessment

Ultrasound

Edited by Leslie M. Scoutt, Ulrike M. Hamper, and Teresita L. Angtuaco

Description

In 187 cases that feature over 1,700 high-quality images, Ultrasound provides a succinct review of clinically relevant cases covering the full range of clinical problems and diagnoses in this subspecialty of radiology. Pathologies are grouped into Gynecologic, Obstetrical, Abdominal, Small Parts, and Vascular sections. The volume follows the easy-to-use format of question and answer in which the patient history is provided on the first page of the case, and radiologic findings, differential diagnoses, teaching points, and next steps in management, followed by suggestions for further reading. Ultrasound is an essential resource for radiology residents and practicing radiologists alike.

Ultrasound

Edited by Leslie M. Scoutt, Ulrike M. Hamper, and Teresita L. Angtuaco

Section I. Gynecology
1. Hydrosalpinx
2. Bilateral Tubo-Ovarian Abscess
3. Postmenopausal Ovarian Cyst
4. Mucinous Ovarian Cystadenoma
5. Serous Cystadenocarcinoma of the Ovary
6. Bilateral Krukenberg Tumors
7. Adenomyosis of the Uterus
8. Lipoleiomyoma
9. Endometrial Cancer
10. Uterine Arteriovenous Malformation
11. Hemorrhagic Cyst
12. Endometrioma
13. Dermoid Cyst
14. Peritoneal Inclusion Cyst
15. Ovarian Fibrothecoma
16. Ovarian Torsion
17. Endometritis
18. Misplaced IUD
19. Endometrial Polyp
20. Endometrial Hyperplasia
21. Pedunculated Subserosal Leiomyoma
22. Septate Uterus
23. Cervical Cancer
Section II. First Trimester
24. Intradecidual Sign
25. First Trimester Perigestational Hemorrhage
26. Anembryonic Gestation
27. Twin Chorionicity
28. Open Rhombencephalon
29. Physiologic Gut Herniation
30. Tubal Ectopic Pregnancy
31. Interstitial Ectopic Pregnancy
32. Ovarian Hyperstimulation Syndrome with Heterotopic Pregnancies
33. Pregnancy in C-Section Scar
34. Incomplete Abortion
35. Coexistent Molar Gestation
36. Nuchal Translucency
Section III. Second Trimester
37. Cervical Incompetence
38. Placenta Previa
39. Placenta Percreta
40. Placental Abruption
41. Hydranencephaly
42. Alobar Holoprosencephaly
43. Vein of Galen Malformation
44. Dandy Walker Malformation
45. Agenesis of the Corpus Callosum
46. Chiari II Malformation
47. Cleft Lip and Palate
48. Congenital Pulmonary Airway Malformation (CPAM)
49. Hypoplastic Left Heart Syndrome
50. Transposition of the Great Arteries
51. Omphalocele
52. Gastroschisis
53. Congenital Diaphragmatic Hernia
54. Esophageal Atresia
55. Duodenal Atresia
56. Multicystic Dysplastic Kidney
57. Ureteropelvic Junction Obstruction
58. Autosomal Recessive Polycystic Kidney Disease
59. Posterior Urethral Valves
60. Renal Agenesis
61. Beckwith Wiedemann Syndrome
62. Trisomy 21
63. Trisomy 18
64. Trisomy 13
65. Twin Transfusion Syndrome
66. Meconium Pseudocyst
67. Osteogenesis Imperfecta Type II
Section IV. Abdomen
68. Liver Abscess
69. Focal Nodular Hyperplasia
70. Gallbladder Wall Thickening Due to Hepatitis
71. Adenomyomatosis
72. Caroli Disease
73. Acute Pancreatitis
74. Appendicitis
75. Intussusception
76. Prostatic Abscess
77. Renal Angiomyelolipoma
78. Horseshoe Kidney
79. Crossed Fused Renal Ectopia
80. Emphysematous Pyelonephritis
81. Perinephric Hematoma
82. Medullary Nephrocalcinosis
83. Focal Fatty Sparing of Liver
84. Cavernous Hemangioma
85. Liver Metastases
86. Hepatocellular Carcinoma with Portal Vein Thrombosis
87. Hydatid Disease
88. Von Meyenburg Complexes
89. Tumefactive Sludge
90. Advanced Cholecystitis
91. Emphysematous Cholecystitis
92. Porcelain Gallbladder
93. Gallbladder Adenocarcinoma
94. Choledocholithiasis
95. Cholangiocarcinoma
96. Chronic Pancreatitis
97. Pancreatic Pseudocyst
98. Pancreatic Adenocarcinoma
99. Intraductal Papillary Mucinous Neoplasm (IPMN)
100. Splenic Mass
101. Peritoneal Carcinomatosis
102. Retroperitoneal Lymphadenopathy
103. Adrenal Hemorrhage
104. Adrenal Myelolipoma
105. HIV Nephropathy
106. Lithium Nephropathy
107. Staghorn Calculus
108. Cystic Nephroma (CN) or Mixed Epithelial and Stromal Tumor (MEST)
109. Complex Renal Cyst
110. Renal Cell Carcinoma
111. Renal Lymphoma
112. Pyonephrosis
113. Left Ureterovesical Junction (UVJ) Calculus
114. Ureteral Urothelial Tumor
115. Urothelial Carcinoma Of The Urinary Bladder
116. Emphysematous Cystitis
Section V. Small Parts
117. Dilated Rete Testis
118. Post Vasectomy Changes
119. Epididymitis
120. Testicular Torsion
121. Testicular Rupture
122. Mixed Germ Cell Tumor
123. Testicular Seminoma
124. Epidermoid Cyst
125. Adenomatoid Tumor
126. Peyronie Disease
127. Baker's Cyst
128. Foreign Body
129. Tenosynovitis
130. Thyroglossal Duct Cyst
131. Colloid Cyst
132. Graves' Disease
133. Hashimoto Thyroiditis
134. Papillary Thyroid Cancer
135. Metastatic Lymph Nodes From Papillary Thyroid Cancer
136. Parathyroid Adenoma
137. Lymphoma
138. Adrenal Rests
139. Testicular Sarcoidosis
140. Scrotal Hernia
141. Fournier Gangrene
142. Rib Fracture
143. Rotator Cuff Tear
144. Achilles Tendon Tear
145. Ruptured Plantaris Tendon
146. Muscle Tear
147. Soft Tissue Mass
Section VI. Vascular
148. Unilateral Flat Venous Waveform Due to Cephalad Occlusion
149. Tricuspid Regurgitation on Lower Extremity Venous
150. Chronic Deep Venous Thrombosis (DVT)
151. >70% Stenosis of the Right Internal Carotid Artery (ICA)
152. Internal Carotid Artery In- Stent Restenosis
153. Distal Occlusion: High Resistance Waveforms
154. Aortic Stenosis: Tardus Parvus Waveforms
155. Left Ventricular Assist Device (LVAD) on Carotid US
156. Left Common Carotid Dissection
157. Pre-Steal Vertebral Artery Waveform
158. Abdominal Aortic Aneurysm
159. Aortic Rupture
160. Endoleak
161. Aortic Dissection
162. Popliteal Artery Aneurysm
163. Popliteal Arterial Insufficiency
164. Peripheral Arterial Disease: Thrombosis
165. Superficial Femoral Artery Stenosis
166. Graft Restenosis
167. Pseudoaneurysm from Right Common Femoral Artery
168. Arteriovenous Fistula in Groin
169. Failure of Maturation of Hemodialysis Fistula
170. Superior Mesenteric Artery (SMA) Dissection
171. Mesenteric Ischemia
172. Median Arcuate Ligament Syndrome
173. Renal Artery Stenosis
174. Aortic Co-Arctation on Renal Doppler
175. Renal Arteriovenous Malformation (AVM)
176. False Positive Portal Vein Thrombosis Due to Poor Technique
177. Portal Venous Gas
178. TIPS Stenosis
179. Hepatic Artery Pseudoaneurysm
180. Renal Vein Thrombosis in Renal Transplant
181. Acute Tubular Necrosis in Renal Transplant
182. Renal Artery Stenosis in Renal Transplant
183. Arteriovenous Fistula in Renal Transplant
184. Pseudoaneurysm post renal transplant biopsy
185. Hepatic Artery Thrombosis in Liver Transplant
186. Hepatic Artery Stenosis in Liver Transplant
187. Portal Vein Stenosis in Liver Transplant

Ultrasound

Edited by Leslie M. Scoutt, Ulrike M. Hamper, and Teresita L. Angtuaco

Author Information

Edited by Leslie M. Scoutt, Professor of Radiology, Yale University School of Medicine, Edited by Ulrike M. Hamper, Professor of Radiology, Johns Hopkins University School of Medicine, and Edited by Teresita L. Angtuaco, Professor of Radiology, University of Arkansas for Medical Sciences

Leslie M. Scoutt is a Professor of Diagnostic Radiology and Vascular Surgery, Vice Chair of Education, Department of Diagnostic Radiology, Chief of the Ultrasound Section, Medical Director of the Non-Invasive Vascular Laboratory, and the Associate Program Director in the Department of Radiology and Biomedical Imaging at the Yale University School of Medicine in New Haven, Connecticut. Ulrike M. Hamper is a Professor of Radiology, Urology, and Pathology and the Director of the Ultrasound Division in the Russell H. Morgan Department of Radiology and Radiological Science at the Johns Hopkins University School of Medicine in Baltimore, Maryland Teresita L. Angtuaco is the Director of the Division of Body Imaging and the Chief of Ultrasound in the Department of Radiology at the University of Arkansas for Medical Sciences in Little Rock, Arkansas

Contributors:

Sindhura Alapati, MD
Resident
Department of Radiology
University of Arkansas for Medical Sciences
Little Rock, Arkansas
Placenta Previa
Omphalocele
Agenesis of the Corpus Callosum (ACC)
Esophageal Atresia
Autosomal Recessive Polycystic Kidney Disease (ARPKD)

Michael J. Angtuaco, MD
Assistant Professor
Department of Pediatrics
Division of Pediatric Cardiology
University of Arkansas for Medical Sciences
Little Rock, Arkansas
Hypoplastic Left Heart Syndrome (HLHS) />Transposition of the Great Vessels (TGA)

Melanie Atkins, MD
Attending Radiologist
Fairfax Radiological Consultants, PC
Fairfax, Virginia
Former Instructor of Radiology
Russell H. Morgan Department of Radiology and Radiologic Science
Johns Hopkins University, School of Medicine
Baltimore, Maryland
Hydrosalpinx
Hemorrhagic Cyst
Endometrioma
Dermoid Cyst
Ovarian Fibroma

Claire B. Beaumont, MD
Resident
Department of Radiology
University of Arkansas for Medical Sciences
Little Rock, Arkansas
Anembryonic Gestation
Normal Pregnancy (Intradecidual Sign)
Dandy Walker Malformation (DWM)
Posterior urethral valves (PUV)
Trisomy 18

Marcus M. Brown, MD
Resident
Department of Radiology
University of Arkansas for Medical Sciences
Little Rock, Arkansas
Cervical Incompetence
Perigestational hemorrhage
Ureteropelvic junction obstruction (UPJ)
Trisomy 13
Trisomy 21

Linda C. Chu, MD
Assistant Professor
Russell H. Morgan Department of Radiology and Radiologic Science
Johns Hopkins University, School of Medicine
Baltimore, Maryland
Liver Abscess
Focal Nodular Hyperplasia
Focal Fatty Sparing of Liver
Cavernous Hemangioma
Metastases
Hepatocellular Carcinoma with Portal Vein Thrombosis

Stephanie Coquia, MD
Assistant Professor
Russell H. Morgan Department of Radiology and Radiological Science
Johns Hopkins University, School of Medicine
Baltimore, Maryland
Benign Cystic Epithelial Neoplasm
Uterine Arteriovenous Malformation />Adenomyomatosis
Horseshoe Kidney
Metastases

Nafisa K. Dajani, MD
Associate Professor
Department of Obstetrics and Gynecology
Division of Maternal Fetal Medicine
University of Arkansas for Medical Sciences
Little Rock, Arkansas
Placenta Percreta
Placental Abruption

Swati Deshmukh, MD
Resident
Russell H. Morgan Department of Radiology and Radiological Science
Johns Hopkins University, School of Medicine
Baltimore, Maryland
Acute Pancreatitis
Chronic Pancreatitis />Pancreatic Pseudocyst
Pancreatic Adenocarcinoma
Intraductal Papillary Mucinous Neoplasm (IPMN)

Melissa Durand, MD, MS
Assistant Professor
Department of Radiology and Biomedical Imaging
Yale University School of Medicine
New Haven, Connecticut
Tubo-ovarian Abscess
Serous Cystadenocarcinoma of the Ovary
Lipoleiomyoma
Peritoneal Inclusion Cyst
Septate Uterus

Gowthaman Gunabushanam, MD
Assistant Professor
Department of Radiology and Biomedical Imaging
Yale University School of Medicine
New Haven, Connecticut
Hydatid Disease
Retroperitoneal Lymphadenopathy/Lymphoma
Staghorn Calculus and Xanthogranulomotous Pyelonephrosis
Peyronnies Disease
Testicular Sarcoid
Muscle Tear
Ruptured Abdominal Aortic Aneurysm
Dissection of Abdominal Aortic Aneurysm
Abnormal Ankle Brachial Index (ABI) due to Peripheral Artery Disease
Peripheral Artery Disease
Stenosis of Arterial Bypass Graft
Pseudoaneurysm in Groin
Renal Artery Stenosis
False Positive Diagnosis of Portal Vein Thrombosis
Pseudoaneurysm in Renal Transplant

Brian M. Hass, MD
Resident
Department of Diagnostic Radiology
Yale University School of Medicine
New Haven, Connecticut
Ovarian Hyperstimulation Syndrome & Ectopic Pregnancy
Emphysematous Pyelonephritis
Staghorn Calculus and Xanthogranulomatous Pyelonephritis
Emphysematous Cystitis
Post - Vasectomy Changes
Foreign Body
Ruptured Plantaris Tendon
Pseudoaneurysm in Groin
Aortic-Co-arctation
Portal Vein Gas
Hepatic Artery Pseudoaneurysm
Popliteal Artery Aneurysm

Steffen Huber, MD
Assistant Professor
Department of Radiology and Biomedical Imaging
Yale University School of Medicine
New Haven, Connecticut
Flat Venous Waveform
Pre-Steal Vertebral Artery Waveform
Superficial Femoral Artery Stenosis
Superior Mesenteric Artery Dissection
Renal Arteriovenous Malformation

Christopher Jones, MD
Assistant Professor
Russell H. Morgan Department of Radiology and Radiological Science
Johns Hopkins University, School of Medicine
Baltimore, Maryland
Prostatic Abscess />Perinephric Hematoma
Urothelial Carcinoma of the Urinary Bladder
Papillary Thyroid Cancer

Jonathan D. Kirsch, MD
Assistant Professor
Department of Radiology and Biomedical Imaging
Yale University School of Medicine
New Haven, Connecticut
Hepatocellular Carcinoma with Portal Vein Thrombosis
Porcelain Gallbladder
Hashimoto's Thyroiditis
Papillary Thyroid Cancer
Parathyroid Adenoma
Arteriovenous Fistula in Groin
Median Arcuate Ligament Syndrome
Portal Vein Gas

Amanda Lackey, MD
Resident
Department of Radiology
University of Arkansas for Medical Sciences
Little Rock, Arkansas
Open Rhombencephalon
Physiologic Bowel Herniation
Osteogenesis Imperfecta (OI)
Hydranencephaly

Igor Latich, MD
Assistant Professor
Department of Radiology and Biomedical Imaging
Yale University School of Medicine
New Haven, Connecticut
Abnormal Venous Waveform: Tricuspid Regurgitation
Acute and Chronic Deep Venous Thrombosis
Distal Internal Carotid Artery Occlusion
Abnormal Carotid Artery Waveform: Left Ventricular Assist Device
Hemodialysis Access Complications
Hepatic Artery Thrombosis in a Liver Transplant

Mahan Mathur, MD
Assistant Professor
Department of Radiology and Biomedical Imaging
Yale University School of Medicine
New Haven, Connecticut
Caroli's Disease
Cholangiocarcinoma
Renal Lymphoma
Epididymitis
Seminoma
Hepatic Artery Stenosis in a Liver Transplant

Vijayanadh Ojili, MD
Associate Professor
Department of Radiology
University of Texas Health Center at San Antonio
San Antonio, Texas
Pyelonephrosis
Adenomatoid Tumor
Fournier Gangrene
Peripheral Artery In-Stent Restenosis
Abdominal Aortic Aneurysm
Renal Vein Thrombosis in Renal Transplant
Acute Tubular Necrosis in Renal Transplant

Jay K. Pahade, MD
Assistant Professor
Department of Radiology and Biomedical Imaging
Yale University School of Medicine
New Haven, Connecticut
Pedunculated Subserosal Leiomyoma
Angiomyolipoma
Cholecystitis
Gallbladder Cancer
Ureterovesicle Calculus />
Kristin Porter, MD, PhD
Assistant Professor
Russell H. Morgan Department of Radiology and Radiological Science
Johns Hopkins University, School of Medicine
Baltimore, Maryland
Misplaced Intrauterine Device (IUD)
Appendicitis
Intussusception
Urothelial Carcinoma of the Urinary Bladder
Testicular Torsion

Madhavi Raghu, MD
Assistant Professor
Department of Radiology and Biomedical Imaging
Yale University School of Medicine
New Haven, Connecticut
Grave's Disease
> 70% Internal Carotid Artery Stenosis
Abnormal Carotid Artery Waveform: Aortic Stenosis
Carotid Artery Dissection
Portal Vein Stenosis in a Liver Transplant

Siva P. Raman, MD
Assistant Professor
Russell H. Morgan Department of Radiology and Radiological Science
Johns Hopkins University, School of Medicine
Baltimore, Maryland
Dilated Rete Testis
Colloid Cyst
Transjugular Intrahepatic Portosystemic Shunt (TIPS) Stenosis
Renal Artery Stenosis in Renal Transplant
Post Biopsy Arteriovenous Fistula in Renal Transplant

Balaji Rao, MD
Assistant Professor
Department of Radiology and Biomedical Imaging
Yale University School of Medicine
New Haven, Connecticut
Hydatid Disease
Peritoneal Carcinomatosis
Tenosynovitis
Mesenteric Ischemia

Ananth K. Ravi, MD
Resident
Department of Radiology
University of Arkansas for Medical Sciences
Little Rock, Arkansas
Cleft Lip
Renal Agenesis
Twin Chorionicity
Twin Transfusion Syndrome

Margarita V. Revzin, MD, MS
Assistant Professor
Department of Radiology and Biomedical Imaging
Yale University School of Medicine
New Haven, Connecticut
Krukenberg Tumors
Endometrial Cancer
Endometrial Hyperplasia
Cervical Cancer
Crossed Fused Renal Ectopia
Von Meyenberg Complexes
Emphysematous Cholecystitis
Choledocholithiasis
Cholangiocarcinoma
Adrenal Hemorrhage
Adrenal Myelolipoma
HIV Nephropathy
Lithium Nephropathy
Cystic Nephroma (CN) or Mixed Epithelial and Stromal Tumor (MEST)
Complex Renal Cyst
Renal Cell Carcinoma
Urothelial Carcinoma of the Collecting System
Ruptured Testes

William M. Reyenga, MD
Resident
Department of Radiology
University of Arkansas for Medical Sciences
Little Rock, Arkansas
Pregnancy in Cesarean Section Scar
Tubal Ectopic Pregnancy
Holoprosencephaly
Chiari II Malformation

Charles D. Sessions, MD
Resident
Department of Radiology
University of Arkansas for Medical Sciences
Little Rock, Arkansas
Molar Pregnancy
Congenital Diaphragmatic Hernia (CDH)
Gastroschisis />Incomplete Abortion
Congenital Pulmonary Airway Malformation (CPAM)

Sheila Sheth, MD
Associate Professor
Russell H. Morgan Department of Radiology and Radiological Science
Johns Hopkins University, School of Medicine
Baltimore, Maryland
Adenomyosis
Ovarian Torsion
Endometrial Polyp
Gallbladder Wall Thickening Due to Hepatitis
Medullary Nephrocalcinosis
Splenic Mass
Mixed Germ Cell Tumor
Epidermoid Cyst

Artur Velcani, MD
Assistant Professor
Department of Radiology and Biomedical Imaging
Yale University School of Medicine
New Haven, Connecticut
Rib Fracture
Rotator Cuff Tear
Achilles Tendon Tear
Endoleak Following Endovascular Aortic Repair (EVAR)

Susanna Catherina Sucari Vlok, MD
Resident
Department of Radiology
Tygerberg Hospital
Cape Town, South Africa
Meconium Cyst
Hydatid Disease

Andrew West, MD
Resident
Department of Radiology
University of Arkansas for Medical Sciences
Little Rock, Arkansas
Duodenal Atresia />Nuchal Translucency
Vein of Galen malformation
Multicystic Dysplastic Kidney (MCDK)