A 55 year-old woman with 5kg weight loss for 3 month as dysphagia.
Ultrasound detected cervical esophagial dilatation and positive bird beak sign of the cardial esophagus. It existed no tumor outside of the cardia of the stomach but having only a liver hemangioma in the left lobe.
Barium swallow on X-ray noted a rat's tail sign and esophagial dilatation that proved achalasia.
MSCT confirmed the achalasia.
The patient will going through a cardioesophagial ballooning and medical management.
A 83 year-old diabetic woman with flatulence for 2 months. No jaundice nor fever and negative sonoMurphy sign were noted.
Ultrasound detected GB stone and GB deformation which became a complexe heteroechoic vascular mass #68x45mm.
A 24 year-old girl with a swollen painful right leg for 3 days. She used to be taken a contraceptive drug for 4 months as her acnea. Two weeks after ceasing the drug her right leg got being swollen.
Right leg : 23-37-54mm
Left leg : 20-31-47mm
Ultrasound B -mode and Doppler detected thrombosis of her right leg vein, right iliac vein and in a part of the IVC. No thrombus into the right cardiac chamber.
A 49 year-old man with 14 day fever and epigastric pain and vomiting. Two times of ultrasound examination in another hospitals were nothing but failed in gastritis management.
Ultrasound in Medic Center detected an enlarged echogenic mesenteric vein diameter # 11mm and no flow in its lower part.
MSCT confirmed a thrombosis of a part of the mesenteric vein.
Lab data showed increased the platelets #544 H, WBC = 10,400 and positive Dengue fever Ig G.
As it exists no sign of bowel infarction a medical management was made. The pain was reduced for some days with a new generic of anticoagulant.
A 81 year-old diabetic woman with abdominal aortic stent graft came into emergency as epigastric pain. TA:160/100 mmHg; HR: 100p/min. The woman was in uneasiness and throwing.
Ultrasound B-mode detected stent leak into the repaired AAA. Doppler technic showed aliasing in the stent graft and in the AAA which means that any rupture of the repaired AAA may appear soon [endoleak type II].
No free fluid outside the repaired AAA and in the abdominal cavity.
A 18 year-old woman with PID and RUQ pain from HV hospital asked for a pelvic MRI at Medic Center.
MRI with CE detected PID both two sides and thickening of hepatic capsule as perihepatic inflammation that supposed a case of Fitz-Hugh- Curtis syndrome.
MRI and MSCT with CE could detect FHC but ultrasound determined the perihepatic inflammation while it exists the fluid enough around the liver.
Violon-strings [pseudo septa] adhesions between liver surface and abdominal wall and fluid may be seen in two cases of Van Dongen.
FHC was described since 1930 as PID and painful perihepatic area inflammation which had been managed with antibiotics for some days. The hepatic pain may due to infected from Chlamydia, Gonococcus, Trichomonas or TB genital peritoneum in pelvic region that were going up to the hepatic peritoneum but the hepatic tissue and bile ducts being intact.
REFERENCE
1. https://www.sciencedirect.com/science/article/abs/pii/002822439390181B
2. CASE 351: A Case of FHC syndrome.
https://www.ultrasoundmedicvn.com/2015/12/case-351acute-abdomen-post-partum-dr.html
Case 01:
A 50 year-old diabetic woman with chest pain and cough for one week.
TB lung was revealed on chest XRay film.
Breast ultrasound detected a right breast tumor, BI-RADS 4B. And a right axillary lymph node.
REFERENCE:
https://medicalguidelines.msf.org/en/viewport/TUB/english/2-2-extrapulmonary-tuberculosis-20320217.html
A 60 year-old woman with an erosive inflamed right nipple and bad feelings of searing, prutitus, hemorrhagia for one year which was failed in treatment.
Ultrasound revealed the right nipple swollen and edema of the tissue underneath but no tumor of the right breast. A right axillary lymph node was noted.
Paget's disease of the breast is difficult to diagnose by physical exam alone due to its resemblance to dermatitis and eczema. One helpful differentiator is that eczema tends to affect the areola first, and then the nipple, whereas Paget's disease of the breast typically begins at the nipple and spreads outwards. In addition, nipple eczema is typically responsive to topical steroid application, while Paget's disease of the breast will not improve with topical steroid use.[4]
Mammogram and biopsy with cytopathology are common confirmatory tests.[11] In biopsy, a tissue sample removed from the affected area is then examined under the microscope by a pathologist, who distinguishes Paget cells from other cell types by staining tissues to identify specific cells (immunohistochemistry).[5]
CASE 1 :A 20 year-old girl in a check-up.
Ultrasound detected many vascularized lymph nodes into her abdomen.
Abdomen MSCT confirmed a case of Castleman disease with vascularized lymph node which CE captured strongly.
Anapath result of the specimen was the Castleman disease of the lymph node.
CASE 2:
A 40 year-old man in annual check-up.
Ultrasound detected vascularized lymph node close by the pancreas head.
But MSCT noted a retroperitoneal tumor.
Surgery was done and the latest result post op also a case of the Castleman disease.
