30 years female patient c/o acute RIF pain .. WBCs = 9000.

44 years old female presented with slow growing painful palpable masses since 1 year at the left lower abdomen and groin. #Echo_Tech

@DrKintaro

@DrKintaro If just hypertension you will see low vlocity <10cm and venous like waveform will be noted associated with respiratory phasicity , but here there is abnormal pulsatile arterial like waveform which indicate cardiac reflections

Hypertrophied column of bertin(normal anatomical variant), may mimicking Neoplasm or duplex kidney. US Features of it : - isoechoic to the renal cortex because its extension of it. -normal vascularity (no angiogenesis) -between the two pyramid. #Echo_Tech

Exactly 🤝

Agree 👍

@Chickoo275 🤝

@Chickoo275 Ok We suspect arteriovenous fistula if we see a typical arterial waveform incthe vein , but this seems to be just reflection for other condition.

Occluded left ICA likely of embolic etiology (look for the pulsatile sign). Note this🪧 if you see a healthy intima media with no signs of atherosclerosis and the vessele is occluded so its mostly embolic as well as you may see a flow in the periphery. #Echo_Tech

@LucasPoletti Did you suggest that is embolic or atherosclerotic ?

@alishoalan @hippo89794764 @Omkolsoumyahoo1 @Shaman___S @Shadi_H94 انا مبتدئ Mirror image artifact

Reported as that and highly recommended for followup.

4 years male patient presented by diffuse neck swelling no redness , no pain, no fever at the time of exam. Ultrasound revealed innumerable enlarged cervical lymphnodes in both sides more in the submandibular region This is the largest lymphnode. Your opinion? #Echo_Tech

@lily21392 I will 👍🌺

@lily21392 Thanks for your valuable opinion 🤝

@lily21392 I think ultrasound is good for this diagnosis and the clinican will be able to get the right diagnosis when he correlate the ultrasound findings with lab and clinical exam.