SOFT TISSUE ULTRASOUND

                                      MYOCYSTICERCOSIS

CASE 1 -  A  case with small tender swelling right pectoral region

Fig 1-  High resolution US scan of right pectoral region shows a well defined rounded cystic lesion within pectoralis major  muscle with eccentric echogenic nidus - consistent with myocysticercosisi [ vesicular stage ] with subtle hypoechoic halo/edema around .  


                                                                CASE 2
 A young female presented with small  slightly painful nodule left breast

Fig 1 - High resolution US image of left breast showing a well defined round to oval slightly thick walled cystic lesion with eccentric echogenic mural nodule  , the findings are consistent with cysticercosis 

Fig 2- High resolution US & Elastography image of the breast cysticercus cyst   , with classical BGR pattern seen on elastography  

ULTRASOUND IN RIGHT ILIAC FOSSA PATHOLOGIES

ULTRASOUND IN POST APPENDECTOMY FECAL FISTULA


CASE - A case with RIF discharging  lesion . H/O -  appendectomy a month back .

 Fig 1 - High resolution right iliac fossa US scan - shows a well defined hypoechoic track like lesion with central echogenicitis [ arrows ] indicative of air foci extending from cecal area to open externally through abdominal wall, s/o fecal fistula.  The lumen of lesion is connected with lumen of cecum.  

TESTICULAR DOPPLER ; VARICOCELES - COLOR & SPECTRAL DOPPLER

CASE - A young man with mild left hemiscrotal swelling and dull ache !

Fig 1- Color doppler scrotal scan showing dilated & tortuous venous vessels  [ structures with red & blue color filled signals]

Fig 2- Spectral doppler display of scrotal veins showing blood flow augmentation & reversal [ paired arrows]on valsalva maneuver , and return to normal spectrum post release .