Case 102: Splenic Cyst || Ultrasound

    

Clinical Features:

A 9-year-old female patient with ASD came for a pre-surgical abdominal ultrasound scan.

Ultrasound Features:

A well-defined small round anechoic cystic structure with posterior acoustic enhancement & internal fine septation is noted within the splenic parenchyma without any surrounding architectural distortion.

Remember:

Post-traumatic, post-infarction & infective cysts should be excluded by the history and internal & surrounding findings.

Ultrasound Diagnosis:

Splenic cyst.

Ultrasound Images:

A well-defined small round anechoic cystic structure with posterior acoustic enhancement & internal fine septation is noted within the splenic parenchyma without any surrounding architectural distortion.

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Case 33: Chronic Liver Disease (CLD)

 

Chronic Liver Disease (CLD)

Clinical History:

• 25 years old female with HBV infection

USG Findings:

• Chronic liver disease (Early changes: mild irregularity & decreasing portal venous flow)
• Thickened gallbladder wall
• Gallbladder sludge
• Mild splenomegaly
• Splenunculus (Accessory spleen)
• Displaced IUCD
• Huge ascites (No bladder seen here)
• Bilateral pleural effusion (Lt not shown here)

 Fig: Mild hepatic margin irregularity, thickened gallbladder wall with luminal sludge, huge ascites, right sided pleural effusion

Fig: Mild splenomegaly with splenunculus (Accessory spleen)

Fig: Decreasing portal venous flow (Patient on the post-prandial state)

Fig: Displaced IUCD at the lower uterine cavity, huge ascites 

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