Biliary Ducts

CYSTIC STRUCTURE IN REGION OF CBD

Choledochal cyst Duodenal duplication Mesenteric cyst Pancreatic pseudocyst

Duodenum Duplication Cyst

BILIARY DUCTAL WALL THICKENING

Cholangitis

Sclerosing—also see strictures

AIDS cholangiopathy—looks exactly like sclerosing cholangitis Oriental cholangiohepatitis—stones Ascending Cholangiocarcinoma Pancreatitis

INTRAHEPATIC BILIARY DUCTAL DILATATION

Stone

Benign stricture—chronic pancreatitis Pancreatic head mass Klatskin tumor

PANCREAS SOLID PANCREATIC MASS

Adenocarcinoma

Focal pancreatitis—calcifications

Lymphoma

Metastasis

Islet cell tumor

Peripancreatic lymph node

CYSTIC PANCREATIC MASS

Pseudocyst

Macrocystic = mucinous cystadenoma/ carcinoma (middle-aged women) Microcystic = serous cystadenoma (middle-aged women) Solid and papillary epithelial neoplasm (young women) IPMT—dilated side branches, 85% malignant Aneurysm or pseudoaneurysm (pancreatitis)

Orietal Cholangiohepatitis

CYST ADJACENT TO MEDIAL ASPECT OF SPLEEN

Pancreatic pseudocyst Renal cyst

REi^

REi^

SPLEEN CYSTIC SPLENIC MASS

Pseudocyst—acquired from prior trauma or infarct; most common

Epidermoid cyst—congenital

Lymphangioma

Hematoma

Abscess

SOLID SPLENIC MASS

Hemangioma—hyperechoic Lymphoma—may be multiple Infarct—wedge shaped Abscess—Candida gives multiple microabscesses Sarcoidosis—multiple

SPLENOMEGALY

Portal hypertension Splenic vein thrombosis Leukemia/lymphoma Mononucleosis Glycogen storage disease Myelofibrosis

THYROID THYROID MASS

CATCH

Carcinoma—microcalcifications

Adenoma

Thyroiditis

Colloid Cyst

Hyperplasia (Parathyroid gland)

LT KID LONG M10

Genitourinary Ultrasound

KIDNEY HYDRONEPHROSIS

Obstruction Reflux

Active diuresis Congenital megacalyces

Acute tubular necrosis Renal vein thrombosis Obstruction

Complication in transplanted kidney = rejection, perinephric collection, cyclosporin toxicity

MEDULLARY NEPHROCALCINOSIS

Renal tubular acidosis Medullary sponge kidney Hyperparathyroidism

Von Hippel Lindau Nodules Ultrasound

CORTICAL NEPHROCALCINOSIS

Chronic glomerulonephritis Healed pyelonephritis XGP TB

Von Hippel Lindau Nodules Ultrasound

PAPILLARY NECROSIS

NSAID

NSAID Sickle cell Analgesics Infection (TB) Diabetes

Von Hippel Lindau Nodules UltrasoundVon Hippel Lindau Nodules Ultrasound

CYSTIC STRUCTURES ADJACENT TO RENAL HILUM

Hydronephrosis Peripelvic cysts Papillary necrosis Dilated renal vein

Von Hippel Lindau Nodules Ultrasound

BILATERAL MULTIPLE RENAL CYSTS

Acquired cystic disease of dialysis—small kidneys, increased risk of RCC ADPKD—enlarged kidneys, liver cysts, berry aneurysms

Von-Hippel Lindau—pancreatic cysts, increased risk of RCC, CNS hemangioblastomas, pheos

Tuberous sclerosis in kids—AMLs, cortical tubers, giant cell astrocytomas, periventric ular nodules, cardiac rhabdomyomas, pulmonary LAM

HYPERECHOIC RENAL MASS

Stone (shadow)

Lobar nephroma

ECHOGENIC KIDNEYS

GLAD

Glomerulonephritis

Lupus

AIDS

Diabetes

Was this article helpful?

0 0

Post a comment