Chapter 8: Clinical Sonography
Topic 1: Abdomen
1
๐ Liver
๐ Gall Bladder
๐ CBD (Common Bile Duct)
๐ Spleen
๐ Pancreas
๐ Kidneys
๐ Ureter
๐ Adrenal Glands
๐ Abdominal Aorta & IVC
๐ Stomach
๐ Small Bowel
๐ Colon
๐ Appendix
๐ Peritoneum
๐ Retroperitoneum
๐ Abdominal Wall
๐ CEUS for Renal Masses
๐ CEUS for Liver Tumors
๐ Urinary Bladder
๐ Prostate
๐ Uterus
๐ Ovary
๐ Adnexa
๐ Sequence of pelvic inflammatory disease
LIVER
๐
๐ NORMAL VARIANT LIVER
4๐ Focal Fatty Infiltration
5๐ Accessory Hepatic Lobe
6๐ Diaphragmatic Slip Impression
7๐ Prominent Portal Vein Radicles
8๐ Mild Lobulated Liver Surface
9๐ Recessed Gallbladder Fossa
10๐ Agenesis of Left Hepatic Lobe
๐ CONGENITAL & CHROMOSOMAL LIVER DISORDERS (USG)
1 ๐ Biliary Atresia
2 ๐ Choledochal Cyst
3 ๐ Congenital Hepatic Fibrosis
4 ๐ Caroli Disease
5 ๐ Caroli Syndrome
6 ๐ Polycystic Liver Disease
7 ๐ Congenital Portosystemic Shunt
8 ๐ Abernethy Malformation
9 ๐ Neonatal Hepatitis
10 ๐ Alagille Syndrome
11 ๐ Glycogen Storage Disease
12 ๐ Niemann-Pick Disease
13 ๐ Gaucher Disease
14 ๐ Congenital Hepatic Cyst
15 ๐ Accessory Hepatic Lobe
16 ๐ Agenesis of Hepatic Lobe
17 ๐ Hypoplastic Hepatic Lobe
18 ๐ Down Syndrome with Hepatobiliary Abnormality
19 ๐ Trisomy 18 with Hepatic Abnormality
GALL BLADDER
๐
๐ NORMAL AND PHYSIOLOGICAL (≈10)
1 ๐ Normal gallbladder (thin wall ≤3 mm, anechoic lumen)
2 ๐ Physiologic distension (fasting state)
3 ๐ Contracted gallbladder (post-meal)
4 ๐ Physiologic sludge layering (transient)
5 ๐ Normal variant — Phrygian cap
6 ๐ Normal septate gallbladder
7 ๐ Normal junctional fold
8 ๐ Post-prandial wall thickening (transient)
9 ๐ Posture-dependent bile layering
10 ๐ Physiologic gas or microbubbles (artifact)
๐ CHOLELITHIASIS AND RELATED (≈20)
1 ๐ Simple gallstones (mobile, shadowing)
2 ๐ Multiple gallstones (gravel)
3 ๐ Impacted neck/cystic duct stone
4 ๐ Giant solitary stone
5 ๐ Floating cholesterol stones
6 ๐ Microcalculi / microlithiasis
7 ๐ Sludge balls (non-shadowing echogenic material)
8 ๐ Layering biliary sludge
9 ๐ Tumefactive sludge (mass-like, no shadow)
10 ๐ Gallstone with bile–sludge complex
11 ๐ Porcelain gallbladder (calcified wall)
12 ๐ Contracted stone-filled gallbladder (WES sign)
13 ๐ Milk-of-calcium bile (echogenic bile with shadow)
14 ๐ Postural change test (stone mobility)
15 ๐ Gallbladder wall echo-shadow complex
16 ๐ Cystic duct stone
17 ๐ Bouveret syndrome (gastric outlet obstruction)
18 ๐ Mirizzi syndrome (extrinsic CBD compression)
19 ๐ Gallstone ileus (ectopic stone in bowel)
20 ๐ Stone impaction with perforation
๐ INFLAMMATORY AND INFECTIVE CHOLECYSTITIS (≈30)
1 ๐ Acute calculous cholecystitis (thick wall, stones, hyperemia)
2 ๐ Acute acalculous cholecystitis (critically ill, sludge, wall thickening)
3 ๐ Chronic cholecystitis (fibrotic, contracted, thick wall)
4 ๐ Gangrenous cholecystitis (irregular wall, intraluminal membranes)
5 ๐ Emphysematous cholecystitis (air foci, dirty shadow)
6 ๐ Suppurative cholecystitis (abscess formation)
7 ๐ Necrotizing cholecystitis
8 ๐ Hemorrhagic cholecystitis
9 ๐ Post-infective chronic cholecystitis
10 ๐ Xanthogranulomatous cholecystitis (XGC)
11 ๐ Eosinophilic cholecystitis
12 ๐ Follicular cholecystitis
13 ๐ Tuberculous cholecystitis
14 ๐ Typhoid cholecystitis
15 ๐ Parasitic cholecystitis (Ascaris / Clonorchis)
16 ๐ Fungal cholecystitis (Candida, Aspergillus)
17 ๐ Viral cholecystitis (CMV, EBV)
18 ๐ Post-radiation cholecystitis
19 ๐ Chronic adhesive cholecystitis
20 ๐ Post-stent inflammatory reaction
21 ๐ Chemical cholecystitis (post-contrast injury)
22 ๐ Autoimmune cholecystitis (IgG4-related)
23 ๐ Post-trauma wall inflammation
24 ๐ Diabetic cholecystitis (often emphysematous)
25 ๐ Cholecystitis in sickle cell crisis (ischemic)
26 ๐ Cholecystitis in pregnancy (biliary stasis-related)
27 ๐ Post-cholecystostomy infection
28 ๐ Bacterial empyema
29 ๐ Sepsis-related wall thickening
30 ๐ Chronic catarrhal cholecystitis
๐ COMPLICATIONS OF CHOLECYSTITIS (≈20)
1 ๐ Pericholecystic abscess
2 ๐ Gallbladder perforation — localized (contained)
3 ๐ Gallbladder perforation — generalized (peritonitis)
4 ๐ Intraluminal hemorrhage / clot
5 ๐ Pericholecystic fluid collection
6 ๐ Cholecystohepatic fistula
7 ๐ Cholecystoduodenal fistula
8 ๐ Cholecystocolic fistula
9 ๐ Cholecystocutaneous fistula (abdominal wall tract)
10 ๐ Empyema (pus-filled gallbladder)
11 ๐ Phlegmonous cholecystitis
12 ๐ Sepsis with portal pyaemia
13 ๐ Bile leak / biliary peritonitis
14 ๐ Hepatic abscess secondary to perforation
15 ๐ Subhepatic abscess
16 ๐ Peritoneal abscess from rupture
17 ๐ Septic thrombophlebitis (portal)
18 ๐ Chronic fibrotic adhesion to liver
19 ๐ Post-perforation biloma
20 ๐ Peritoneal pseudocyst from bile leak
๐ GALLBLADDER POLYPS AND BENIGN TUMOROID LESIONS (≈15)
1 ๐ Cholesterol polyp (<10 mm, echogenic, non-shadowing)
2 ๐ Adenomatous polyp
3 ๐ Inflammatory polyp
4 ๐ Hyperplastic polyp
5 ๐ Fibroepithelial polyp
6 ๐ Multiple small polyps (cholesterolosis)
7 ๐ Sessile broad-based polyp (adenoma)
8 ๐ Polyp with vascular stalk (Doppler flow visible)
9 ๐ Polypoid adenomyomatous nodule
10 ๐ Granulomatous polyp (TB/sarcoid)
11 ๐ Lipomatous polyp (rare)
12 ๐ Pseudopolyp in XGC
13 ๐ Post-inflammatory polyp
14 ๐ Villous adenoma (rare)
15 ๐ Solitary benign polyp (stable on follow-up)
๐ ADENOMYOMATOSIS AND VARIANTS (≈10)
1 ๐ Segmental adenomyomatosis
2 ๐ Fundal adenomyomatosis
3 ๐ Diffuse adenomyomatosis
4 ๐ Rokitansky–Aschoff sinuses (comet-tail artifact)
5 ๐ Cholesterolosis (strawberry gallbladder)
6 ๐ Adenomyoma (localized thickening)
7 ๐ Adenomatous hyperplasia
8 ๐ Xanthogranulomatous focus
9 ๐ Post-inflammatory adenomyomatous change
10 ๐ Adenomyomatosis with stones
๐ GALLBLADDER NEOPLASIA — BENIGN (≈10)
1 ๐ Adenoma (precursor lesion)
2 ๐ Papilloma (intraluminal echogenic mass)
3 ๐ Myxoma
4 ๐ Leiomyoma
5 ๐ Lipoma
6 ๐ Hemangioma
7 ๐ Fibroma
8 ๐ Granular cell tumor
9 ๐ Lymphangioma
10 ๐ Hamartoma
๐ GALLBLADDER NEOPLASIA — MALIGNANT (≈25)
1 ๐ Adenocarcinoma (most common primary)
2 ๐ Papillary adenocarcinoma
3 ๐ Mucinous adenocarcinoma
4 ๐ Signet-ring cell carcinoma
5 ๐ Squamous carcinoma
6 ๐ Adenosquamous carcinoma
7 ๐ Undifferentiated carcinoma
8 ๐ Small cell carcinoma (neuroendocrine)
9 ๐ Large cell carcinoma
10 ๐ Sarcomatoid carcinoma
11 ๐ Cholangiocarcinoma invading gallbladder
12 ๐ Mixed adeno-neuroendocrine carcinoma
13 ๐ Metastatic carcinoma (melanoma, renal, breast)
14 ๐ Lymphoma involving gallbladder
15 ๐ Metastatic hepatic carcinoma infiltration
16 ๐ Carcinoma in situ (dysplastic mucosa)
17 ๐ Post-chronic cholecystitis carcinoma
18 ๐ Porcelain gallbladder carcinoma
19 ๐ Gallbladder cancer with liver invasion
20 ๐ Gallbladder cancer with bile duct invasion
21 ๐ Gallbladder cancer with duodenal invasion
22 ๐ Gallbladder cancer with hepatic hilum involvement
23 ๐ Gallbladder cancer with peritoneal metastases
24 ๐ Gallbladder cancer with lymphatic spread
25 ๐ Recurrent carcinoma (post-surgery bed)
๐ CYSTIC AND NON-NEOPLASTIC LESIONS (≈10)
1 ๐ Simple cyst of gallbladder wall
2 ๐ Intramural cystic degeneration
3 ๐ Cystic adenomyoma
4 ๐ Parasitic cyst (Echinococcus in wall)
5 ๐ Pericholecystic cyst (bile or seroma)
6 ๐ Cystic duct cyst (Type II choledochal cyst)
7 ๐ Gallbladder duplication cyst
8 ๐ Intraluminal cystic mass (retention cyst)
9 ๐ Mucocoele (overdistended mucus-filled gallbladder)
10 ๐ Giant mucocoele with compression effect
๐ TRAUMATIC, POST-SURGICAL AND IATROGENIC (≈20)
1 ๐ Blunt trauma with wall hematoma
2 ๐ Lacerated gallbladder wall
3 ๐ Intraluminal blood clot
4 ๐ Post-cholecystectomy fluid collection
5 ๐ Post-cholecystectomy stump inflammation
6 ๐ Post-cholecystectomy abscess
7 ๐ Post-drain tract infection
8 ๐ Post-biliary stent migration
9 ๐ Post-T-tube sinus tract
10 ๐ Post-ERCP cholangitis with GB distension
11 ๐ Post-sphincterotomy bile reflux
12 ๐ Post-portal vein embolization ischemic GB
13 ๐ Post-radiofrequency ablation thermal injury
14 ๐ Post-laparoscopy gas artifact
15 ๐ Post-cholecystectomy stump carcinoma
16 ๐ Postoperative adhesive phlegmon
17 ๐ Iatrogenic perforation
18 ๐ Post-mesh inflammatory reaction
19 ๐ Post-surgical fibrosis and scar
20 ๐ Residual cystic duct stone
๐ CONGENITAL AND DEVELOPMENTAL (≈15)
1 ๐ Agenesis of gallbladder
2 ๐ Hypoplasia
3 ๐ Duplication (double gallbladder)
4 ๐ Septate gallbladder
5 ๐ Phrygian cap deformity
6 ๐ Bilobed gallbladder
7 ๐ Floating gallbladder (mesenteric variant)
8 ๐ Left-sided gallbladder
9 ๐ Intrahepatic gallbladder
10 ๐ Ectopic gallbladder (suprahepatic, retrohepatic, retropancreatic)
11 ๐ Accessory gallbladder (rare duplication type)
12 ๐ Cystic duct anomaly (low insertion / multiple ducts)
13 ๐ Anomalous pancreaticobiliary junction (APBJ)
14 ๐ Choledochal cyst (type I–V involvement)
15 ๐ Gallbladder diverticulum
๐ VASCULAR, ISCHEMIC AND HEMORRHAGIC (≈10)
1 ๐ Ischemic cholecystitis (arterial occlusion)
2 ๐ Venous congestion (portal hypertension)
3 ๐ Cystic artery thrombosis
4 ๐ Wall infarction (necrosis)
5 ๐ Portal pyaemia (secondary infection)
6 ๐ Post-embolization ischemia
7 ๐ Wall varices (portal hypertension)
8 ๐ Hemorrhagic wall necrosis
9 ๐ Subserosal hematoma
10 ๐ Arteriovenous malformation (rare)
๐ SYSTEMIC, SECONDARY AND EXTRA-CORPOREAL (≈20)
1 ๐ Ascites-related wall thickening
2 ๐ Cirrhotic edema of GB wall
3 ๐ CHF-related gallbladder wall edema
4 ๐ Renal failure with hypoalbuminemic wall edema
5 ๐ Sepsis-related diffuse wall thickening
6 ๐ Hypoproteinemia-related distension
7 ๐ Portal hypertension with pericholecystic varices
8 ๐ Hepatitis-associated wall edema
9 ๐ Pancreatitis causing secondary cholecystitis
10 ๐ Pericholecystic abscess secondary to hepatic abscess
11 ๐ Duodenal ulcer perforation affecting GB wall
12 ๐ Colon carcinoma invading gallbladder fossa
13 ๐ Hepatocellular carcinoma invading gallbladder
14 ๐ Cholangiocarcinoma spreading to gallbladder
15 ๐ Ovarian carcinoma invading via peritoneum
16 ๐ Pancreatic carcinoma compressing cystic duct
17 ๐ Metastatic peritoneal implants near GB
18 ๐ GB wall thickening from adjacent hepatic abscess
19 ๐ Post-radiation cholecystopathy
20 ๐ Peritoneal carcinomatosis involving GB surface
๐ RARE AND MISCELLANEOUS (≈10)
1 ๐ GB torsion (floating GB with absent flow)
2 ๐ GB volvulus (rotation of cystic duct/artery)
3 ๐ GB herniation into diaphragm
4 ๐ Post-infarct GB rupture
5 ๐ Cholecystoenteric fistula without stones
6 ๐ GB distension from prolonged fasting
7 ๐ GB pseudomass (artifact)
8 ๐ Subserosal edema (systemic)
9 ๐ GB wall calcinosis (porcelain variant)
10 ๐ GB cholesterol polyposis
CBD (COMMON BILE DUCT)
๐
๐ NORMAL AND PHYSIOLOGICAL (≈8)
1 ๐ Normal CBD (diameter within age-specific limits; <7 mm adult, allowance post-cholecystectomy)
2 ๐ Physiologic respiratory caliber change of CBD
3 ๐ Post-prandial transient dilation (physiologic)
4 ๐ Age-related mild CBD dilation (elderly)
5 ๐ Post-cholecystectomy compensated dilation (expected)
6 ๐ CBD with normal periductal fat / no wall thickening
7 ๐ Patent distal bile duct with normal flow on Doppler (no color filling defect)
8 ๐ Refluxing sludge into CBD (transient, physiologic in some)
๐ CHOLEDOCHOLITHIASIS AND INTRADUCTAL SLUDGE (≈20)
1 ๐ Single mobile CBD stone (shadowing, mobility)
2 ๐ Multiple CBD stones (stacked / conglomerate)
3 ๐ Impacted stone at distal CBD / ampulla (non-mobile, obstructive)
4 ๐ Mirizzi-type pattern with cystic duct stone compressing CBD
5 ๐ Sludge in CBD (non-shadowing, layering)
6 ๐ Tumefactive sludge (mass-like intraductal echogenicity)
7 ๐ Sludge ball causing intermittent obstruction (ball-valve)
8 ๐ Pigment stones (small, mobile, variable shadowing)
9 ๐ Cholesterol stones in CBD (usually small)
10 ๐ Migrated gallstone from gallbladder into CBD
11 ๐ Residual post-ERCP stone
12 ๐ Retained post-op stone (post-cholecystectomy)
13 ๐ Choledocholithiasis with upstream biliary dilation
14 ๐ Parallel channel calculus (intra- and extrahepatic mixed)
15 ๐ Stone with acoustic shadow masked by surrounding gases (difficult)
16 ๐ Stone in common hepatic duct (proximal CBD extension)
17 ๐ Intra-CBD microlithiasis (high-res/HDUS detectable)
18 ๐ Sludge-related cholestasis (obstructive function)
19 ๐ Impacted periampullary stone (may mimic ampullary mass)
20 ๐ Floating stone attached to mucosal plaque
๐ EXTRINSIC COMPRESSION AND OBSTRUCTION (≈18)
1 ๐ External compression from pancreatic head carcinoma
2 ๐ Compression by ampullary carcinoma (distal obstruction)
3 ๐ Periportal lymph node compression (metastatic or inflammatory)
4 ๐ Mirizzi syndrome — cystic duct/gallbladder neck stone compressing CBD
5 ๐ Choledochal cyst causing mass effect on distal CBD (adjacent type)
6 ๐ Duodenal mass/ulcer with secondary compression of CBD
7 ๐ Hepatic artery pseudoaneurysm compressing proximal duct
8 ๐ Portal vein cavernoma with biliary compression (portal biliopathy)
9 ๐ Gallbladder carcinoma invading the hepatocystic triangle and compressing CBD
10 ๐ Pancreatic pseudocyst with pressure on distal CBD
11 ๐ Metastatic deposit at porta hepatis compressing CBD
12 ๐ Periampullary duodenal diverticulum (Lemmel’s syndrome) compressing CBD
13 ๐ Post-inflammatory periductal fibrosis encasing CBD
14 ๐ Omental / omental-cake mass pressing on extrahepatic duct
15 ๐ Adhesional band / scar tissue at porta compressing duct
16 ๐ Hepatic hydatid cyst at porta compressing CBD
17 ๐ Retroperitoneal mass (e.g., lymphoma) compressing distal CBD
18 ๐ Cystic lesion of porta hepatis causing extrinsic narrowing
๐ INTRINSIC STRICTURES AND FIBROSIS (≈16)
1 ๐ Benign biliary stricture — post-cholecystectomy (anastomotic)
2 ๐ Benign biliary stricture — post-ERCP / instrumentation
3 ๐ Primary sclerosing cholangitis (PSC) — extrahepatic dominant strictures
4 ๐ Secondary sclerosing cholangitis (ischemic, infective, autoimmune)
5 ๐ Ischemic biliary stricture (post-transplant ischemia)
6 ๐ Post-radiation biliary stricture
7 ๐ IgG4-related sclerosing cholangitis (autoimmune)
8 ๐ Chronic pancreatitis–related fibrotic distal stricture
9 ๐ Traumatic transection with resultant stricture
10 ๐ Recurrent cholangitis leading to scarring and stricture
11 ๐ Post-biliary surgery anastomotic stricture
12 ๐ Periductal scarring from tuberculosis (fibrotic stricture)
13 ๐ Post-ERCP papillotomy stenosis with CBD narrowing
14 ๐ Chemical injury induced stricture (caustic injury)
15 ๐ Biliary-enteric surgical anastomosis narrowing (hepaticojejunostomy stricture)
16 ๐ Congenital ductal ring / stenosis (rare pediatric intrinsic narrowing)
๐ CHOLANGIOCARCINOMA AND INTRADUCTAL MALIGNANCY (≈18)
1 ๐ Distal extrahepatic cholangiocarcinoma (distal Klatskin type)
2 ๐ Hilar cholangiocarcinoma (Klatskin tumour — proximal obstruction)
3 ๐ Perihilar cholangiocarcinoma (type I–IV variants)
4 ๐ Intraductal papillary neoplasm of bile duct (IPNB) — intraductal mass with mucin
5 ๐ Intraductal cholangiocarcinoma (papillary/intraductal growth)
6 ๐ Adenocarcinoma arising in choledochal cyst
7 ๐ Metastatic tumor to CBD (rare direct invasion)
8 ๐ Primary squamous or adenosquamous carcinoma of CBD (rare)
9 ๐ Neuroendocrine tumor involving distal CBD (rare)
10 ๐ Carcinoma invading ampulla with upstream CBD dilation
11 ๐ Cholangiocarcinoma with hilar lymph node bulk compressing ducts
12 ๐ Malignant infiltrative periductal thickening (sonographic mural thickening)
13 ๐ Mucin-secreting malignant intraductal tumor (mucin plugs, dilation)
14 ๐ Recurrent cholangiocarcinoma (post-resection bed)
15 ๐ Cystic intraductal neoplasm presenting as focal CBD mass
16 ๐ Adenosarcoma / sarcomatous transformation in biliary tree (rare)
17 ๐ Periductal tumor causing eccentric luminal narrowing
18 ๐ Extensive intraductal tumor with upstream intrahepatic dilation
๐ AMPULLARY AND PERIAMPULLARY LESIONS (≈12)
1 ๐ Ampullary carcinoma (causing distal CBD obstruction)
2 ๐ Ampullary adenoma with malignant potential
3 ๐ Ampullary papilloma / polyp
4 ๐ Ampullary hyperplasia / inflammation (benign)
5 ๐ Ampullary duplication cyst / diverticulum causing obstructive symptoms
6 ๐ Pancreatic head tumor at ampulla compressing CBD
7 ๐ Intraductal papillary mucinous neoplasm (IPMN) with secondary biliary obstruction
8 ๐ Ampullary adenocarcinoma invading CBD lumen
9 ๐ Ampullary carcinoid (neuroendocrine)
10 ๐ Chronic periampullary scarring (post-ERCP / ulcer)
11 ๐ Periampullary duodenal diverticulum with inflamed mucosa
12 ๐ Post-sphincterotomy scar with functional obstruction
๐ CHOLANGITIS AND INFECTIVE CONDITIONS (≈16)
1 ๐ Acute ascending cholangitis (ductal dilation, intraductal debris)
2 ๐ Recurrent pyogenic cholangitis (RPC) / Oriental cholangiohepatitis (intraductal stones & strictures)
3 ๐ Suppurative cholangitis with pus in CBD (complex echoes)
4 ๐ Acalculous cholangitis (infection without stones)
5 ๐ Chronic cholangitis with biliary wall thickening (PSC/secondary)
6 ๐ Pyogenic infection with intraductal gas (pneumobilia with infection)
7 ๐ Emphysematous cholangitis (gas in biliary tree with sepsis)
8 ๐ Fungal cholangitis (Candida in immunocompromised)
9 ๐ Tuberculous cholangitis (fibrotic strictures)
10 ๐ Parasitic cholangitis (Clonorchis, Opisthorchis)
11 ๐ Post-ERCP cholangitis (iatrogenic infection)
12 ๐ Cholangitis in biliary-enteric anastomosis (ascending infection)
13 ๐ Infantile neonatal cholangitis (congenital biliary anomalies)
14 ๐ Post-operative ascending cholangitis (after biliary surgery)
15 ๐ Cholangitis with portal pyaemia (septic thrombosis)
16 ๐ Immunosuppression-related cholangitis (post-transplant)
๐ PARASITIC AND INFESTATIONS (≈10)
1 ๐ Clonorchiasis (Clonorchis sinensis) with CBD filling defects and ductal dilation
2 ๐ Opisthorchiasis (similar distal/extrahepatic involvement)
3 ๐ Fascioliasis (rare, ductal wall inflammation / debris)
4 ๐ Ascariasis (tubular echogenic linear structures in CBD)
5 ๐ Echinococcal daughter cysts in extrahepatic ducts (rare)
6 ๐ Parasitic sludge / balls causing intermittent obstruction
7 ๐ Liver fluke–induced cholangitis and strictures
8 ๐ Parasitic granulomatous periductal reaction (chronic)
9 ๐ Migrating helminth causing transient CBD obstruction
10 ๐ Mixed parasitic-bacterial secondary infection of CBD
๐ IATROGENIC AND POST-PROCEDURAL (≈16)
1 ๐ Post-ERCP retained debris / stone — causing obstruction
2 ๐ Post-ERCP perforation / leak causing periductal collection
3 ๐ Post-sphincterotomy stenosis or scarring (CBD narrowing)
4 ๐ Post-operative biliary leak with biloma tracking along CBD
5 ๐ Biliary stent migration into or through CBD (intraductal tubular echogenicity)
6 ๐ Stent occlusion with sludge within CBD stent
7 ๐ Post-transplant ischemic cholangiopathy (intra/extrahepatic)
8 ๐ Post-cholecystectomy clip-related obstruction at cystic duct remnant
9 ๐ Biliary-enteric anastomotic stricture (hepaticojejunostomy narrowing)
10 ๐ Iatrogenic transection with biloma and stricture formation
11 ๐ Thermal injury (ablation) causing CBD wall necrosis / stricture
12 ๐ Post-ERCP sphincter of Oddi dysfunction (functional CBD dilation)
13 ๐ Post-drainage inflammatory mass around CBD
14 ๐ Port-related hepatic arterial pseudoaneurysm compressing duct (after interventions)
15 ๐ Post-stent cholangitis (infection of stented duct)
16 ๐ Retained surgical gauze / foreign body compressing CBD
๐ TRAUMATIC AND HEMORRHAGIC (≈8)
1 ๐ Traumatic CBD transection (blunt / penetrating trauma)
2 ๐ Post-traumatic CBD hematoma causing luminal narrowing
3 ๐ Hemobilia (blood in biliary tree with echogenic intraductal material)
4 ๐ Post-blunt trauma bile leak with periductal fluid
5 ๐ Iatrogenic bleeding into CBD after ERCP causing echogenic casts
6 ๐ CBD pseudoaneurysm eroding into duct (rare)
7 ๐ Biliary fistula formation secondary to trauma
8 ๐ CBD compression by hematoma in porta hepatis
๐ CONGENITAL AND DEVELOPMENTAL (≈14)
1 ๐ Choledochal cyst — Type I (fusiform CBD dilation)
2 ๐ Choledochal cyst — Type II (diverticulum of CBD)
3 ๐ Choledochal cyst — Type III (choledochocele, intraduodenal)
4 ๐ Choledochal cyst — Type IV (multiple intra + extrahepatic cysts)
5 ๐ Choledochal cyst — Type V (Caroli disease primarily intrahepatic)
6 ๐ Anomalous pancreaticobiliary junction (APBJ) with long common channel
7 ๐ Congenital CBD duplication (rare)
8 ๐ Congenital biliary atresia variants involving extrahepatic duct
9 ๐ Congenital stenosis of CBD (rare)
10 ๐ Ectopic drainage of CBD (anomalies into stomach/duodenum)
11 ๐ Wandering / floating CBD (positional variant)
12 ๐ Accessory bile duct receptors communicating with CBD (ducts of Luschka variants)
13 ๐ Congenital hypoplasia of distal CBD
14 ๐ Neonatal choledocholithiasis (rare sonographically detectable)
๐ VASCULAR AND ISCHEMIC (≈8)
1 ๐ Periductal ischemia causing stricture (post-transplant ischemic cholangiopathy)
2 ๐ Portal biliopathy — portal cavernoma compressing/encasing CBD with periductal collaterals
3 ๐ Cystic artery pseudoaneurysm compressing distal CBD (rare)
4 ๐ Hemobilia from hepatic artery pseudoaneurysm with intraductal echoes
5 ๐ Post-embolization ischemic biliary injury (after hepatic artery embolization)
6 ๐ Biliary varices (periductal collaterals) causing filling defects or extrinsic compression
7 ๐ Venous thrombosis of periductal venous plexus with secondary edema
8 ๐ Periductal hyperemia (inflammatory vascularity on Doppler)
๐ SYSTEMIC, SECONDARY AND EXTRA-CORPOREAL (≈8)
1 ๐ Secondary malignant invasion of CBD from adjacent organs (pancreas, gallbladder, stomach)
2 ๐ Lymphoma encasing porta hepatis and compressing CBD
3 ๐ Metastatic lymph nodes with extrinsic compression (gastric, colon, breast)
4 ๐ Retroperitoneal fibrosis extending to porta causing CBD narrowing
5 ๐ Sarcoidosis with granulomatous periductal disease
6 ๐ Tuberculous periportal lymphadenopathy compressing CBD
7 ๐ Amyloid deposition in biliary wall (rare)
8 ๐ Systemic vasculitis causing ischemic biliary strictures
๐ RARE AND ACADEMIC ENTITIES (≈8)
1 ๐ Intraductal papillary neoplasm (IPNB) with extensive mucin hypersecretion manifested as CBD mucin plugs
2 ๐ Biliary hamartoma prolapsing into extrahepatic duct (rare)
3 ๐ Eosinophilic cholangitis with prominent periductal eosinophilic infiltrate and wall thickening
4 ๐ Plasma cell (IgG4) cholangiopathy predominantly involving extrahepatic duct (isolated IgG4-SC variant)
5 ๐ Mesenchymal tumor of CBD (very rare sarcoma)
6 ๐ Lymphangioleiomyomatosis-like lesion of porta (very rare)
7 ๐ Primary retroperitoneal mucinous tumor invading CBD (case reports)
8 ๐ Benign biliary epithelial proliferation (reactive) mimicking mass
SPLEEN
๐
๐ NORMAL AND PHYSIOLOGICAL (≈10)
1 ๐ Normal spleen (homogeneous, length <12 cm, crescent shape)
2 ๐ Physiologic mild enlargement in tall individuals
3 ๐ Transient hyperemia (post-meal / exercise)
4 ๐ Accessory spleen (splenunculus, near hilum)
5 ๐ Splenosis (post-trauma ectopic splenic nodules)
6 ๐ Wandering spleen (ptotic, mobile spleen)
7 ๐ Normal hilar vessels (radiating pattern on Doppler)
8 ๐ Transient contraction / expansion (volume variation)
9 ๐ Postural change of splenic position
10 ๐ Mild splenic border scalloping (normal variant)
๐ SPLENOMEGALY (≈15)
1 ๐ Mild to moderate splenomegaly (non-specific)
2 ๐ Massive splenomegaly (>20 cm, diffuse disease)
3 ๐ Congestive splenomegaly (portal hypertension, CHF)
4 ๐ Infective splenomegaly (malaria, typhoid, EBV, HIV)
5 ๐ Hematologic splenomegaly (leukemia, lymphoma)
6 ๐ Infiltrative splenomegaly (amyloidosis, Gaucher’s)
7 ๐ Chronic liver disease–related congestive spleen
8 ๐ Tropical splenomegaly syndrome
9 ๐ Autoimmune splenomegaly (SLE, rheumatoid)
10 ๐ Post-transfusion splenomegaly
11 ๐ Post-splenectomy regrowth (splenosis hyperplasia)
12 ๐ Hypersplenism with cytopenia
13 ๐ Sarcoid splenomegaly
14 ๐ Secondary to myelofibrosis
15 ๐ Idiopathic splenomegaly (non-specific)
๐ SPLENIC CYSTIC LESIONS (≈20)
1 ๐ Simple cyst (epithelial, congenital)
2 ๐ Post-traumatic pseudocyst (no epithelial lining)
3 ๐ Hydatid cyst (Echinococcus granulosus)
4 ๐ Multiloculated hydatid cyst (daughter cysts)
5 ๐ Calcified cyst (inactive hydatid)
6 ๐ Epidermoid cyst (true congenital)
7 ๐ Parasitic cyst (other parasites, rare)
8 ๐ Lymphangioma (multicystic, septated)
9 ๐ Hemangiomatous cyst
10 ๐ Pancreatic pseudocyst extension into spleen
11 ๐ Abscess with liquefaction (pseudocyst appearance)
12 ๐ Post-infarct cystic degeneration
13 ๐ Cystic metastasis (ovary, melanoma, rare)
14 ๐ Post-hematoma cystic evolution
15 ๐ Post-splenectomy fluid collection (residual cavity)
16 ๐ Congenital dermoid cyst (rare)
17 ๐ Cystic hamartoma
18 ๐ Cystic necrosis in lymphoma
19 ๐ Subcapsular cystic lesion (hematoma sequela)
20 ๐ Echinococcal rupture with peritoneal spill
๐ SPLENIC ABSCESSES AND INFECTIVE LESIONS (≈25)
1 ๐ Pyogenic abscess (echogenic debris, gas echoes)
2 ๐ Multiple small microabscesses (bacterial/fungal)
3 ๐ Tuberculous abscess (hypoechoic, necrotic nodes)
4 ๐ Fungal abscess (Candida “bull’s-eye” lesions)
5 ๐ Typhoid abscess
6 ๐ Brucella abscess (rare, multiple small lesions)
7 ๐ Parasitic abscess (amoebic / hydatid rupture)
8 ๐ Septic embolic abscess (endocarditis source)
9 ๐ Post-traumatic infected hematoma
10 ๐ Post-splenectomy stump abscess
11 ๐ Post-surgery collection (localized)
12 ๐ HIV-related microabscesses (Mycobacterium avium)
13 ๐ Melioidosis abscess (multiple, target sign)
14 ๐ Salmonella splenic abscess
15 ๐ Tubercular granulomas (hypoechoic nodules)
16 ๐ Syphilitic gummatous lesions (rare)
17 ๐ Typhus-related abscess (rare)
18 ๐ Actinomycotic abscess
19 ๐ Septic pylephlebitis with secondary abscess
20 ๐ Fungal granuloma with calcifications
21 ๐ Post-sepsis splenic microabscesses
22 ๐ Cryptococcal abscess (immunosuppressed)
23 ๐ Post-catheter-related seeding abscess
24 ๐ Splenic abscess secondary to pancreatitis
25 ๐ Post-endocarditis septic emboli
๐ SPLENIC TRAUMA (≈20)
1 ๐ Subcapsular hematoma
2 ๐ Intraparenchymal hematoma
3 ๐ Splenic rupture (capsular breach, free fluid)
4 ๐ Splenic laceration (linear hypoechoic defect)
5 ๐ Splenic fracture (fragmented parenchyma)
6 ๐ Active bleeding (Doppler jet into peritoneum)
7 ๐ Pseudoaneurysm (post-trauma vascular lesion)
8 ๐ Post-traumatic abscess
9 ๐ Post-traumatic infarction
10 ๐ Post-trauma pseudocyst formation
11 ๐ Post-embolization infarct
12 ๐ Delayed rupture (capsule disruption later)
13 ๐ Perisplenic fluid (localized hemoperitoneum)
14 ๐ Hemoperitoneum from splenic rupture
15 ๐ Post-procedure puncture injury
16 ๐ Iatrogenic trauma (biopsy-related)
17 ๐ Post-drain catheter tract injury
18 ๐ Rib fracture–related splenic laceration
19 ๐ Blunt trauma partial tear
20 ๐ Post-traumatic scarring / fibrosis
๐ SPLENIC INFARCTION AND ISCHEMIA (≈15)
1 ๐ Segmental infarction (wedge-shaped hypoechoic area)
2 ๐ Global splenic infarction (no flow on Doppler)
3 ๐ Multiple small infarcts (embolic)
4 ๐ Post-traumatic infarction
5 ๐ Sickle cell–related infarction
6 ๐ Post-embolization infarction
7 ๐ Post-surgery ischemic necrosis
8 ๐ Vasculitic infarction (SLE, PAN)
9 ๐ Portal vein thrombosis with splenic ischemia
10 ๐ Splenic artery thrombosis
11 ๐ Splenic vein thrombosis (backflow stasis)
12 ๐ Splenic torsion (wandering spleen infarct)
13 ๐ Transplant-related infarction
14 ๐ Post-radiation infarction
15 ๐ Post-chemotherapy avascular necrosis
๐ SPLENIC VASCULAR LESIONS (≈20)
1 ๐ Hemangioma (most common benign tumor)
2 ๐ Cavernous hemangioma (heterogeneous echotexture)
3 ๐ Capillary hemangioma (small, echogenic)
4 ๐ Hamartoma (isoechoic, increased Doppler flow)
5 ๐ Littoral cell angioma (multiple small nodules)
6 ๐ Lymphangioma (multicystic lesion)
7 ๐ Angiosarcoma (malignant vascular tumor)
8 ๐ Hemangiopericytoma
9 ๐ Arteriovenous malformation (AVM)
10 ๐ Splenic vein aneurysm
11 ๐ Splenic artery aneurysm
12 ๐ Splenic artery pseudoaneurysm (post-trauma/pancreatitis)
13 ๐ Thrombosed aneurysm
14 ๐ Peliosis lienis (blood-filled spaces)
15 ๐ Splenic varices (portal hypertension)
16 ๐ Splenic congestion (venous stasis)
17 ๐ Splenic steal phenomenon
18 ๐ Post-transplant vascular occlusion
19 ๐ Portal hypertensive splenopathy (collaterals)
20 ๐ Splenic infarct with reperfusion flow
๐ SPLENIC TUMORS — BENIGN (≈15)
1 ๐ Hemangioma (see vascular section)
2 ๐ Hamartoma (splenoma)
3 ๐ Lymphangioma
4 ๐ Lipoma
5 ๐ Fibroma
6 ๐ Myelolipoma
7 ๐ Leiomyoma
8 ๐ Schwannoma
9 ๐ Teratoma (rare)
10 ๐ Hemangiopericytoma (benign type)
11 ๐ Granulomatous pseudotumor (TB/sarcoid)
12 ๐ Focal nodular hyperplasia (ectopic type)
13 ๐ Inflammatory pseudotumor
14 ๐ Calcified benign nodule (old granuloma)
15 ๐ Splenic regenerative nodule (post-infarct)
๐ SPLENIC TUMORS — MALIGNANT (≈25)
1 ๐ Primary lymphoma (focal/multifocal/diffuse)
2 ๐ Secondary lymphoma (most common malignant)
3 ๐ Splenic metastasis (melanoma, lung, breast, ovary, colon)
4 ๐ Angiosarcoma (primary malignant vascular tumor)
5 ๐ Hemangioendothelioma (intermediate malignant)
6 ๐ Malignant fibrous histiocytoma
7 ๐ Fibrosarcoma
8 ๐ Leiomyosarcoma
9 ๐ Osteogenic sarcoma metastasis
10 ๐ Adenocarcinoma metastasis
11 ๐ Choriocarcinoma metastasis
12 ๐ Carcinoid metastasis
13 ๐ Melanoma metastasis (commonest)
14 ๐ Post-chemotherapy recurrent lymphoma
15 ๐ Splenic leukemia infiltration (CML/CLL)
16 ๐ Histiocytic sarcoma
17 ๐ Kaposi sarcoma (HIV-related)
18 ๐ Myeloid sarcoma (chloroma)
19 ๐ Malignant lymphoma with necrotic center
20 ๐ Multiple metastatic nodules (cannonball pattern)
21 ๐ Secondary invasion from left kidney/adrenal/pancreas
22 ๐ Splenic plasmacytoma
23 ๐ Post-radiation sarcoma
24 ๐ Metastatic carcinosarcoma
25 ๐ Splenic carcinoma-like mass (rare)
๐ INFILTRATIVE, STORAGE AND SYSTEMIC (≈20)
1 ๐ Amyloidosis (increased echogenicity, granular)
2 ๐ Gaucher’s disease (coarse echotexture, splenomegaly)
3 ๐ Niemann–Pick disease (hyperechoic)
4 ๐ Myelofibrosis (massive spleen, inhomogeneous)
5 ๐ Leukemic infiltration (diffuse hypo- or hyperechoic)
6 ๐ Lymphoproliferative disorder (homogeneous enlargement)
7 ๐ Sarcoidosis (multiple hypoechoic nodules)
8 ๐ Histiocytosis X
9 ๐ Extramedullary hematopoiesis (hypoechoic foci)
10 ๐ Metabolic storage disorder (glycogen / lipid)
11 ๐ Amyloid nodules with calcifications
12 ๐ Post-chemotherapy fibrotic replacement
13 ๐ Storage disease–related infarction
14 ๐ Post-bone marrow transplant infiltration
15 ๐ Sickle cell disease (autosplenectomy phase)
16 ๐ Portal hypertension–related congestion
17 ๐ Mononucleosis (diffuse enlargement)
18 ๐ AIDS-related splenic disease
19 ๐ Splenic peliosis (blood-filled cavities)
20 ๐ Splenic hemosiderosis (increased echogenicity)
๐ POST-SURGICAL AND IATROGENIC (≈10)
1 ๐ Post-splenectomy residual splenic tissue (splenosis)
2 ๐ Post-splenectomy abscess at bed
3 ๐ Post-embolization infarct
4 ๐ Post-biopsy hematoma
5 ๐ Post-drain infection
6 ๐ Post-transplant vascular occlusion
7 ๐ Post-surgical seroma
8 ๐ Post-trauma residual cavity
9 ๐ Post-radiofrequency ablation scar
10 ๐ Post-chemotherapy atrophic spleen
๐ CONGENITAL AND DEVELOPMENTAL (≈10)
1 ๐ Accessory spleen (splenunculus)
2 ๐ Polysplenia (multiple small spleens)
3 ๐ Asplenia (congenital absence)
4 ๐ Splenic cleft (notch variant)
5 ๐ Wandering spleen (long pedicle)
6 ๐ Ectopic spleen (pelvic, thoracic)
7 ๐ Congenital cyst
8 ๐ Congenital splenic hypoplasia
9 ๐ Double spleen (bilobed)
10 ๐ Situs anomalies (asplenia/polysplenia syndromes)
๐ SYSTEMIC AND SECONDARY (≈15)
1 ๐ Portal hypertension (congestive splenomegaly)
2 ๐ Cirrhosis-related hypersplenism
3 ๐ CHF causing splenic congestion
4 ๐ Renal failure–related splenic edema
5 ๐ Endocarditis (embolic abscesses)
6 ๐ Sepsis (microabscesses)
7 ๐ SLE (vasculitic infarcts)
8 ๐ PAN (multiple infarcts)
9 ๐ Amyloidosis (granular echotexture)
10 ๐ Sarcoidosis (nodular hypoechoic foci)
11 ๐ Malaria (diffuse enlargement, coarse texture)
12 ๐ Kala-azar (visceral leishmaniasis)
13 ๐ HIV-related splenomegaly
14 ๐ Hematologic malignancy (diffuse infiltration)
15 ๐ Portal pyaemia with infarcts
๐ RARE AND MISCELLANEOUS (≈10)
1 ๐ Peliosis lienis (blood-filled cavities)
2 ๐ Splenic torsion (wandering spleen twisted pedicle)
3 ๐ Splenic abscess from pancreatic tail fistula
4 ๐ Splenic metastasis from thyroid (reported)
5 ๐ Splenic rupture during pregnancy (pathologic)
6 ๐ Drug-induced hypersplenism (phenytoin, etc.)
7 ๐ Splenic calcification (old granuloma, healed abscess)
8 ๐ Splenic cyst with daughter cyst (ruptured hydatid)
9 ๐ Splenic involvement in sickle crisis (acute sequestration)
10 ๐ Post-infective splenic fibrosis
PANCREAS
๐
๐ NORMAL AND VARIANTS (≈10)
1 ๐ Normal pancreas (homogeneous, normal echogenicity)
2 ๐ Small/atrophic pancreas (age-related)
3 ๐ Fatty (lipomatous) infiltration of pancreas (increased echogenicity)
4 ๐ Hyperplastic pancreatic head (normal variant)
5 ๐ Pancreas divisum (ductal variant — suspect on indirect signs)
6 ๐ Annular pancreas (circumferential pancreatic tissue around duodenum)
7 ๐ Accessory pancreatic tissue (ectopic)
8 ๐ Short bulky pancreas (morphologic variant)
9 ๐ Focal lobulation (developmental contour)
10 ๐ Prominent pancreatic uncinate process (variant)
๐ ACUTE PANCREATITIS AND EARLY CHANGES (≈30)
1 ๐ Early interstitial edematous pancreatitis (enlarged hypoechoic gland)
2 ๐ Acute necrotizing pancreatitis (non-enhancing / complex areas)
3 ๐ Peripancreatic fat stranding (echogenic fat)
4 ๐ Peripancreatic fluid collections (simple)
5 ๐ Acute peripancreatic phlegmon (ill-defined hypoechoic mass)
6 ๐ Acute hemorrhagic pancreatitis (echogenic foci, heterogeneous)
7 ๐ Acute-on-chronic pancreatitis flare
8 ๐ Edematous tail predominant pancreatitis
9 ๐ Focal pancreatitis (mimics mass)
10 ๐ Mild interstitial pancreatitis (subtle wall thickening, minimal fluid)
11 ๐ Reactive gallbladder wall thickening with pancreatitis
12 ๐ Reactive biliary dilation (transient)
13 ๐ Portal/mesenteric venous thrombosis as complication
14 ๐ Splenic vein thrombosis secondary to pancreatitis
15 ๐ MRCP/US-visible dilated main pancreatic duct in acute setting
16 ๐ Peripancreatic vascular erosion (early)
17 ๐ Acute sterile peripancreatic collection (APC)
18 ๐ Acute infected collection (suspicion on gas/debris)
19 ๐ Early walled-off necrosis formation (sonographic precursor)
20 ๐ Peritoneal fluid / hemoperitoneum in severe pancreatitis
21 ๐ Pancreatic ascites (duct leak)
22 ๐ Pseudocyst formation (early)
23 ๐ Biliary pancreatitis (gallstone-related changes)
24 ๐ Alcohol-related acute pancreatitis pattern
25 ๐ Hyperlipidemic pancreatitis appearance (often similar to other causes)
26 ๐ Iatrogenic acute pancreatitis (post-ERCP)
27 ๐ Traumatic acute pancreatitis (blunt abdominal injury)
28 ๐ Pediatric acute pancreatitis variants
29 ๐ Edematous periportal cuffing (inflammatory spread)
30 ๐ Reactive duodenal wall thickening
๐ COMPLICATIONS OF ACUTE PANCREATITIS (≈25)
1 ๐ Pancreatic pseudocyst (simple / complex)
2 ๐ Walled-off necrosis (WON) — complex heterogeneous collection
3 ๐ Acute necrotic collection (ANC) — non-liquid components
4 ๐ Infected pancreatic necrosis (gas, septations, debris)
5 ๐ Hemorrhagic necrosis / intralesional hemorrhage
6 ๐ Disconnected pancreatic duct syndrome (DPDS) — indirect signs
7 ๐ Pancreatic fistula (pancreatic-cutaneous / internal fistula)
8 ๐ Pancreatic ascites from ductal disruption
9 ๐ Biliary-enteric / pancreatico-enteric fistula
10 ๐ Splenic artery pseudoaneurysm secondary to necrosis
11 ๐ Pseudoaneurysm rupture leading to hemobilia / hemoperitoneum
12 ๐ Portal vein thrombosis from inflammation
13 ๐ Arterial erosion with active bleeding (visible flow)
14 ๐ Compression of adjacent bowel / gastric outlet obstruction
15 ๐ Cholangitis secondary to biliary obstruction from edema
16 ๐ Subphrenic / perihepatic abscess from rupture
17 ๐ Retroperitoneal abscess tracking from collections
18 ๐ External pancreatic fistula after drainage
19 ๐ Sequestration of necrotic debris (walled cavities)
20 ๐ Post-necrosis scarring and calcification
21 ๐ Chronic fluid cavity with epithelialized wall (matures pseudocyst)
22 ๐ Pancreatic duct hemorrhage (hematoma within duct)
23 ๐ Bacterial superinfection of collections
24 ๐ Ischemic bowel from inflammatory thrombosis
25 ๐ Esophageal/gastric variceal formation from splenic vein thrombosis
๐ CHRONIC PANCREATITIS AND LATE CHANGES (≈30)
1 ๐ Chronic calcific pancreatitis (parenchymal echogenic foci with shadowing)
2 ๐ Chronic atrophic pancreas (reduced size, echogenic fibrotic gland)
3 ๐ Dilated main pancreatic duct (MPD) with irregularity / stones
4 ๐ Intraductal calculi (echogenic with shadow)
5 ๐ Branch duct ectasia / irregular side branches
6 ๐ Parenchymal calcifications (punctate → coarse)
7 ๐ Honeycomb / lobulated fibrotic architecture
8 ๐ Pseudotumoral focal chronic pancreatitis (mimics mass)
9 ๐ Autoimmune pancreatitis (diffuse enlargement, hypoechoic, sausage-shaped)
10 ๐ Pancreatic duct strictures (fibrotic)
11 ๐ Multiple pseudocysts from chronic disease
12 ๐ Pancreatic ductal irregularity with upstream atrophy
13 ๐ Chronic inflammatory mass in head (inflammatory mass)
14 ๐ Fibrotic bands and parenchymal heterogeneity
15 ๐ Secondary biliary obstruction (from fibrosis)
16 ๐ Fistulae from chronic inflammation
17 ๐ Steatopancreatitis (fat-related chronic change)
18 ๐ Exocrine pancreatic insufficiency associated changes
19 ๐ Chronic pancreatitis with portal hypertension features
20 ๐ Parenchymal cystic degeneration (chronic)
21 ๐ Pancreaticopleural fistula (pleural effusion with enzyme cause)
22 ๐ Calcified pancreatic ducts (visible on US in late disease)
23 ๐ Chronic pain syndrome with sonographic scarring
24 ๐ Post-lavage/resolution scarring pattern
25 ๐ Chronic operative changes (post-resection fibrotic bed)
26 ๐ Ductal calcifications with shadowing
27 ๐ Diffuse heterogeneous echotexture from chronic injury
28 ๐ Multiple small pseudocysts in chronic setting
29 ๐ Atrophic fibrotic tail with calcified ducts
๐ PANCREATIC DUCTAL AND OBSTRUCTIVE (≈20)
1 ๐ Main pancreatic duct (MPD) dilation (obstructive sign)
2 ๐ Pancreatic duct stones (echogenic intraductal shadows)
3 ๐ Stricture of MPD (benign vs malignant suspicion)
4 ๐ Sphincter of Oddi dysfunction (functional with intermittent dilation)
5 ๐ Mucinous ductal obstruction (IPMN-related mucin)
6 ๐ Ampullary stenosis causing upstream dilation
7 ๐ Double duct sign (concurrent CBD + MPD dilation) — indirect US finding
8 ๐ Branch duct ectasia (side-branch IPMN suspicion)
9 ๐ Obstructive pancreatitis around ductal obstruction
10 ๐ Pancreatolithiasis with upstream parenchymal changes
11 ๐ External compression of MPD by mass / node
12 ๐ Pancreas divisum with dominant dorsal duct dilation indicators
13 ๐ Pancreaticojejunal anastomosis stenosis (post-op)
14 ๐ Intraductal papillary tumor causing filling defects / mucus casts
15 ๐ Choledocho-pancreatic duct anomalies causing recurrent obstruction
16 ๐ Duct leak visualized as peripancreatic fluid from MPD disruption
17 ๐ Pancreatic ductal hypertension with cyst formation
18 ๐ Chronic ductal stricturing with upstream atrophy
19 ๐ Microlithiasis within duct (high-res detection)
20 ๐ False lumen/false passage after instrumentation
๐ PANCREATIC CYSTIC LESIONS (≈30)
1 ๐ Simple retention cyst (anechoic, thin wall)
2 ๐ Pseudocyst (post-inflammatory)
3 ๐ Serous cystadenoma (microcystic / honeycomb)
4 ๐ Mucinous cystic neoplasm (MCN) (macrocystic, septated)
5 ๐ Intraductal papillary mucinous neoplasm (IPMN) — main/branch duct variants
6 ๐ Solid pseudopapillary neoplasm (SPN) with cystic degeneration (young females)
7 ๐ Cystic neuroendocrine tumor (rare)
8 ๐ Cystic metastasis (ovary, etc.)
9 ๐ Lymphoepithelial cyst (rare)
10 ๐ Echinococcal (hydatid) cyst in pancreas (rare)
11 ๐ Cystic lymphangioma of pancreas
12 ๐ Post-traumatic pancreatic pseudocyst (mature)
13 ๐ Hemorrhagic cyst / hematoma cavity
14 ๐ Cystic degeneration in adenocarcinoma (necrotic center)
15 ๐ Mucin plug with ductal dilatation (IPMN sign)
16 ๐ Multiloculated congenital cyst (rare)
17 ๐ Dermoid / teratomatous cystic lesion (rare)
18 ๐ Cystadenofibroma (benign mixed lesion)
19 ๐ Mucinous cyst with mural nodule (suspicious)
20 ๐ Cystic lesion with calcified wall (chronic / parasitic)
21 ๐ Cyst with internal septations and debris (complex cyst)
22 ๐ Branch-duct IPMN cluster of side-branch cysts
23 ๐ Cystic neoplasm with enhancing solid component
24 ๐ Small simple cysts in elderly pancreas
25 ๐ Congenital multilocular cystic lesion
26 ๐ Cystic lymphangiomatous change
27 ๐ Pancreatic pseudocyst with internal debris
28 ๐ Complex cystic mass suspicious for malignancy
29 ๐ Hydatid cyst with daughter cysts in pancreas
๐ EXOCRINE PANCREATIC TUMORS (≈25)
1 ๐ Pancreatic ductal adenocarcinoma (PDAC) — hypoechoic irregular mass
2 ๐ Pancreatic head carcinoma with double-duct sign
3 ๐ Body carcinoma causing upstream atrophy
4 ๐ Tail carcinoma (often late presentation)
5 ๐ Acinar cell carcinoma
6 ๐ Adenosquamous carcinoma
7 ๐ Undifferentiated carcinoma
8 ๐ Colloid (mucinous non-cystic) carcinoma
9 ๐ Intraductal papillary mucinous carcinoma
10 ๐ Mucinous cystadenocarcinoma
11 ๐ Solid pseudopapillary neoplasm (low-grade malignant)
12 ๐ Pancreatoblastoma (pediatric malignant tumor)
13 ๐ Metastatic lesion to pancreas
14 ๐ Recurrent pancreatic carcinoma post-surgery
15 ๐ Locally invasive carcinoma into duodenum
16 ๐ Carcinoma invading portal vein
17 ๐ Carcinoma invading splenic vein
18 ๐ Carcinoma with liver metastases
19 ๐ Carcinoma with peritoneal spread
20 ๐ Carcinoma causing biliary obstruction
21 ๐ Multifocal pancreatic carcinoma
22 ๐ Diffuse infiltrative carcinoma
23 ๐ Necrotic pancreatic malignancy
24 ๐ Cystic degeneration within carcinoma
25 ๐ Advanced unresectable pancreatic cancer
๐ PANCREATIC NEUROENDOCRINE TUMORS (≈15)
1 ๐ Insulinoma (small hypervascular lesion)
2 ๐ Gastrinoma (Zollinger–Ellison syndrome)
3 ๐ Glucagonoma
4 ๐ VIPoma
5 ๐ Somatostatinoma
6 ๐ Non-functioning neuroendocrine tumor
7 ๐ Multiple endocrine neoplasia (MEN-1) associated NETs
8 ๐ Cystic neuroendocrine tumor
9 ๐ Large metastatic NET
10 ๐ Neuroendocrine carcinoma (high grade)
11 ๐ Multifocal pancreatic NETs
12 ๐ Calcified neuroendocrine tumor
13 ๐ Hypervascular tail NET
14 ๐ Neuroendocrine tumor with liver metastases
15 ๐ Recurrent NET after surgery
๐ VASCULAR, HEMORRHAGIC AND ISCHEMIC LESIONS (≈15)
1 ๐ Hemorrhagic pancreatitis
2 ๐ Intrapancreatic hematoma
3 ๐ Splenic artery pseudoaneurysm
4 ๐ Gastroduodenal artery pseudoaneurysm
5 ๐ Pancreatic arteriovenous malformation (AVM)
6 ๐ Portal vein thrombosis secondary to pancreatitis
7 ๐ Splenic vein thrombosis
8 ๐ Superior mesenteric vein thrombosis
9 ๐ Pancreatic infarction (ischemic necrosis)
10 ๐ Post-embolization pancreatic ischemia
11 ๐ Venous congestion of pancreas
12 ๐ Hemobilia from vascular erosion
13 ๐ Active arterial bleeding into pseudocyst
14 ๐ Hemosuccus pancreaticus (bleeding via pancreatic duct)
15 ๐ Post-traumatic vascular injury of pancreas
๐ INFECTIVE AND INFLAMMATORY CONDITIONS (≈15)
1 ๐ Pyogenic pancreatic abscess
2 ๐ Infected pancreatic necrosis
3 ๐ Tuberculous pancreatitis
4 ๐ Fungal pancreatitis (Candida, Aspergillus)
5 ๐ Viral pancreatitis (Mumps, CMV, EBV)
6 ๐ HIV-associated pancreatic disease
7 ๐ Parasitic pancreatitis (Ascaris migration)
8 ๐ Autoimmune pancreatitis (IgG4-related)
9 ๐ Granulomatous pancreatitis
10 ๐ Xanthogranulomatous pancreatitis
11 ๐ Post-septic pancreatic inflammation
12 ๐ Recurrent infective pancreatitis
13 ๐ Pancreatic phlegmon
14 ๐ Pancreatic microabscesses
15 ๐ Chronic infective inflammatory mass
๐ IATROGENIC AND POST-SURGICAL (≈15)
1 ๐ Post-ERCP pancreatitis
2 ๐ Post-pancreatic surgery fluid collection
3 ๐ Post-Whipple procedure changes
4 ๐ Pancreaticojejunostomy anastomotic stricture
5 ๐ Post-operative pancreatic fistula
6 ๐ Post-drainage cavity
7 ๐ Stent-related pancreatic duct obstruction
8 ๐ Stent migration within pancreatic duct
9 ๐ Post-ablation pancreatic injury
10 ๐ Post-biopsy hematoma
11 ๐ Post-transplant pancreatic complications
12 ๐ Post-surgical scar tissue mass
13 ๐ Recurrent collection after surgery
14 ๐ Post-operative biliary obstruction
15 ๐ Iatrogenic duct disruption
๐ TRAUMATIC PANCREATIC LESIONS (≈15)
1 ๐ Blunt pancreatic trauma
2 ๐ Pancreatic laceration
3 ๐ Pancreatic transection
4 ๐ Intrapancreatic hematoma
5 ๐ Traumatic pancreatitis
6 ๐ Post-traumatic pseudocyst
7 ๐ Ductal disruption after trauma
8 ๐ Peripancreatic fluid from injury
9 ๐ Traumatic pancreatic necrosis
10 ๐ Penetrating pancreatic injury
11 ๐ Pancreatic contusion
12 ๐ Delayed traumatic pseudocyst formation
13 ๐ Post-traumatic hemorrhage
14 ๐ Traumatic arteriovenous fistula
15 ๐ Post-traumatic fibrosis and scarring
๐ CONGENITAL AND DEVELOPMENTAL ANOMALIES (≈15)
1 ๐ Pancreas divisum (failure of ductal fusion)
2 ๐ Annular pancreas (encircling duodenum)
3 ๐ Dorsal pancreatic agenesis
4 ๐ Ventral pancreatic agenesis (extremely rare)
5 ๐ Hypoplastic pancreas
6 ๐ Ectopic pancreatic tissue (heterotopic pancreas)
7 ๐ Accessory pancreatic lobe
8 ๐ Congenital pancreatic cyst
9 ๐ Congenital ductal anomaly
10 ๐ Anomalous pancreaticobiliary junction (APBJ)
11 ๐ Choledochopancreatic malunion
12 ๐ Bifid pancreatic duct
13 ๐ Congenital pancreatic lipomatosis
14 ๐ Neonatal pancreatic enlargement syndrome
15 ๐ Developmental lobulation anomaly
๐ SYSTEMIC, METABOLIC AND SECONDARY CONDITIONS (≈15)
1 ๐ Diabetes mellitus–associated pancreatic atrophy
2 ๐ Cystic fibrosis pancreas (fatty replacement)
3 ๐ Hemochromatosis involving pancreas
4 ๐ Amyloidosis of pancreas
5 ๐ Obesity-related fatty pancreas
6 ๐ Hyperlipidemia-associated pancreatitis
7 ๐ Hyperparathyroidism-related pancreatitis
8 ๐ Renal failure–associated pancreatic changes
9 ๐ Systemic lupus erythematosus (SLE) pancreatitis
10 ๐ Polyarteritis nodosa involving pancreas
11 ๐ Sarcoidosis of pancreas
12 ๐ Post-chemotherapy pancreatic injury
13 ๐ Drug-induced pancreatitis
14 ๐ HIV-associated pancreatic disease
15 ๐ Secondary pancreatic involvement by systemic disease
๐ PERIPANCREATIC EXTENSION AND ADJACENT ORGAN INVOLVEMENT (≈15)
1 ๐ Duodenal invasion by pancreatic carcinoma
2 ๐ Gastric invasion from pancreatic mass
3 ๐ Common bile duct compression by pancreatic head lesion
4 ๐ Portal vein encasement by pancreatic carcinoma
5 ๐ Superior mesenteric artery involvement
6 ๐ Splenic vein invasion or thrombosis
7 ๐ Liver metastases from pancreatic malignancy
8 ๐ Peritoneal carcinomatosis secondary to pancreatic cancer
9 ๐ Retroperitoneal extension of pancreatitis
10 ๐ Peripancreatic lymphadenopathy
11 ๐ Splenic hilum invasion
12 ๐ Adrenal gland invasion
13 ๐ Transverse colon invasion
14 ๐ Omental spread from pancreatic malignancy
15 ๐ Multi-organ extension of advanced pancreatic disease
KIDNEYS
๐
๐ NORMAL & VARIANTS (≈15)
1 ๐ Normal kidney (smooth outline, corticomedullary differentiation)
2 ๐ Prominent column of Bertin (normal variant)
3 ๐ Dromedary hump (splenic impression on left kidney)
4 ๐ Junctional parenchymal defect (embryologic cleft)
5 ๐ Fetal lobulation (persistent lobar pattern)
6 ๐ Duplex collecting system (partial or complete duplication)
7 ๐ Extrarenal pelvis (normal variant)
8 ๐ Hypertrophied column of Bertin mimicking mass
9 ๐ Prominent renal sinus fat (elderly, obesity)
10 ๐ Cortical thinning (age-related)
11 ๐ Mild pelviectasis (hydration/physiologic)
12 ๐ Normal asymmetry (right slightly lower)
13 ๐ Pseudomass from renal sinus lipomatosis
14 ๐ Anisotrophic artifact mimicking mass
15 ๐ Malrotated kidney (axis variation)
๐ CONGENITAL & DEVELOPMENTAL (≈25)
1 ๐ Renal agenesis (unilateral/bilateral)
2 ๐ Renal hypoplasia (small but otherwise normal)
3 ๐ Segmental hypoplasia (Ask-Upmark kidney)
4 ๐ Supernumerary kidney (rare)
5 ๐ Crossed fused renal ectopia
6 ๐ Horseshoe kidney (fusion at lower poles)
7 ๐ Pancake / disc kidney (fused in pelvis)
8 ๐ Pelvic kidney (ectopic location)
9 ๐ Thoracic kidney (rare ectopia)
10 ๐ Simple ectopic kidney (malrotated)
11 ๐ Duplicated collecting system (complete/incomplete)
12 ๐ Duplex ureter with ureterocele
13 ๐ Congenital megacalicosis
14 ๐ Congenital megapelvis
15 ๐ Calyceal diverticulum (cystic outpouching)
16 ๐ Ureteropelvic junction (UPJ) obstruction (congenital type)
17 ๐ Congenital renal dysplasia
18 ๐ Multicystic dysplastic kidney (MCDK)
19 ๐ Renal cortical cysts in neonate (simple dysplasia)
20 ๐ Renal agenesis with contralateral hypertrophy
21 ๐ Infantile polycystic kidney disease (ARPKD)
22 ๐ Adult polycystic kidney disease (ADPKD)
23 ๐ Medullary sponge kidney (tubular ectasia)
24 ๐ Nephronophthisis (tubulointerstitial fibrosis)
25 ๐ Cystic dysplasia associated with VUR
๐ CYSTIC RENAL LESIONS (≈25)
1 ๐ Simple cortical cyst (anechoic, thin wall)
2 ๐ Parapelvic cyst (adjacent to renal sinus)
3 ๐ Multiloculated cyst
4 ๐ Hemorrhagic cyst (internal echoes, fluid–fluid level)
5 ๐ Infected cyst (thick wall, debris)
6 ๐ Calcified cyst wall
7 ๐ Septated cyst
8 ๐ Bosniak I cyst (simple)
9 ๐ Bosniak II cyst (thin septa, no enhancement)
10 ๐ Bosniak IIF cyst (complex, requires follow-up)
11 ๐ Bosniak III (indeterminate, possible malignancy)
12 ๐ Bosniak IV (cystic renal carcinoma)
13 ๐ Post-traumatic cyst
14 ๐ Parasitic (hydatid) cyst
15 ๐ Post-surgical cystic change
16 ๐ Cystic nephroma
17 ๐ Cystic RCC
18 ๐ Mixed solid–cystic renal tumor
19 ๐ Lymphocele (post-transplant)
20 ๐ Pseudocyst / urinoma (extrarenal)
21 ๐ Collecting system diverticular cyst
22 ๐ Peripelvic cyst
23 ๐ Cystic sinus lipomatosis variant
24 ๐ Cystic abscess
25 ๐ Cystic renal sinus lesion (anechoic near hilum)
๐ OBSTRUCTIVE UROPATHY (≈25)
1 ๐ Hydronephrosis (graded I–IV)
2 ๐ Hydroureteronephrosis (proximal or complete)
3 ๐ UPJ obstruction (intrinsic or extrinsic)
4 ๐ UVJ obstruction (distal ureteral level)
5 ๐ Vesicoureteral reflux (reflux-related hydronephrosis)
6 ๐ Ureteral stone obstruction
7 ๐ PUJ obstruction by crossing vessel
8 ๐ Pregnancy-related hydronephrosis (physiologic)
9 ๐ Postoperative hydronephrosis
10 ๐ Congenital UPJ obstruction in child
11 ๐ Pelvic mass compression causing hydronephrosis
12 ๐ Retroperitoneal fibrosis with ureteric obstruction
13 ๐ Bladder outlet obstruction causing bilateral dilation
14 ๐ Benign prostatic hyperplasia (secondary obstruction)
15 ๐ Neurogenic bladder with upper tract dilation
16 ๐ External ureteric compression (lymph nodes, tumor)
17 ๐ Retrocaval ureter (obstructive course)
18 ๐ Bilateral hydronephrosis from pelvic malignancy
19 ๐ Post-lithotripsy transient obstruction
20 ๐ Post-surgical stricture
21 ๐ Iatrogenic ureteric injury causing obstruction
22 ๐ Ureteral kink or adhesions
23 ๐ Post-inflammatory stricture
24 ๐ Fibrotic ureteric stenosis (TB or radiation)
25 ๐ Ureterocele-induced obstruction
๐ CALCULOUS DISEASES (≈20)
1 ๐ Nephrolithiasis (renal stones, echogenic with shadow)
2 ๐ Multiple renal calculi
3 ๐ Staghorn calculus
4 ๐ Calyceal microlithiasis
5 ๐ Lower pole stone (dependent)
6 ๐ Pelvic stone (in renal pelvis)
7 ๐ Ureteric stone (proximal, mid, distal)
8 ๐ Mobile vs impacted calculus
9 ๐ Obstructive calculus with hydronephrosis
10 ๐ Non-shadowing small calculus (twinkle artifact on Doppler)
11 ๐ Post-lithotripsy residual stone fragments
12 ๐ Milk of calcium cyst
13 ๐ Nephrocalcinosis (cortical)
14 ๐ Medullary nephrocalcinosis (common in hyperparathyroidism)
15 ๐ Randall’s plaque (subtle echogenic focus)
16 ๐ Post-stent encrustation mimicking stones
17 ๐ Post-surgical calculus recurrence
18 ๐ Infective (struvite) calculi
19 ๐ Cystine stone (smooth echogenic)
20 ๐ Calcium oxalate vs uric acid (sonographic differences)
๐ INFECTIONS & INFLAMMATORY (≈30)
1 ๐ Acute pyelonephritis (enlarged, hypoechoic parenchyma)
2 ๐ Focal pyelonephritis (lobar nephronia)
3 ๐ Acute bacterial nephritis
4 ๐ Chronic pyelonephritis (shrunken, scarring, irregular outline)
5 ๐ Xanthogranulomatous pyelonephritis (XGP)
6 ๐ Emphysematous pyelonephritis (gas echoes, dirty shadowing)
7 ๐ Pyonephrosis (hydronephrosis with internal echoes)
8 ๐ Perinephric abscess
9 ๐ Intrarenal abscess (focal hypoechoic with debris)
10 ๐ Tuberculous pyelonephritis (calcification, cavitation)
11 ๐ Fungal bezoar (echogenic mass, no shadow)
12 ๐ Viral nephritis (diffuse hypoechoic kidney)
13 ๐ HIV-associated nephropathy (echogenic, enlarged kidneys)
14 ๐ Pyelitis (pelvic wall thickening)
15 ๐ Urosepsis with cortical hypoperfusion
16 ๐ Post-obstructive infection (hydronephrotic pus)
17 ๐ Renal carbuncle (focal abscess)
18 ๐ Candidiasis (fungal balls in pelvis)
19 ๐ Schistosomiasis (bladder + renal involvement)
20 ๐ Echinococcosis (hydatid cyst)
21 ๐ Chronic interstitial nephritis
22 ๐ Analgesic nephropathy
23 ๐ Reflux nephropathy
24 ๐ Post-transplant pyelonephritis
25 ๐ Perinephric phlegmon
26 ๐ Radiation nephritis
27 ๐ Sarcoid granulomatous nephritis
28 ๐ Lymphocytic interstitial nephritis
29 ๐ Post-chemotherapy nephritis
๐ VASCULAR DISORDERS (≈25)
1 ๐ Renal artery stenosis (RAS — Doppler PSV >180 cm/s)
2 ๐ Atherosclerotic renal artery stenosis
3 ๐ Fibromuscular dysplasia (string-of-beads appearance)
4 ๐ Renal artery thrombosis
5 ๐ Renal artery embolism
6 ๐ Renal infarction (wedge-shaped hypoechoic area)
7 ๐ Global renal infarction (absent perfusion)
8 ๐ Renal vein thrombosis
9 ๐ Renal artery aneurysm
10 ๐ Renal artery pseudoaneurysm
11 ๐ Arteriovenous fistula (AVF)
12 ๐ Arteriovenous malformation (AVM)
13 ๐ Cortical necrosis (severe ischemia)
14 ๐ Renal vasculitis (polyarteritis nodosa)
15 ๐ Lupus nephritis with vascular involvement
16 ๐ Hypertensive nephrosclerosis
17 ๐ Cholesterol embolic disease
18 ๐ Post-transplant vascular stenosis
19 ๐ Post-biopsy AV fistula
20 ๐ Renal congestion from heart failure
21 ๐ Nutcracker syndrome (left renal vein compression)
22 ๐ Page kidney (subcapsular hematoma compression)
23 ๐ Segmental arterial mediolysis
24 ๐ Ischemic nephropathy
25 ๐ Reperfusion injury after revascularization
๐ BENIGN RENAL TUMORS (≈20)
1 ๐ Angiomyolipoma (AML)
2 ๐ Lipid-poor angiomyolipoma
3 ๐ Oncocytoma (central scar may be present)
4 ๐ Metanephric adenoma
5 ๐ Renomedullary interstitial cell tumor
6 ๐ Juxtaglomerular cell tumor (reninoma)
7 ๐ Leiomyoma
8 ๐ Hemangioma
9 ๐ Lymphangioma
10 ๐ Fibroma
11 ๐ Hamartoma
12 ๐ Adenoma of renal cortex
13 ๐ Mixed epithelial and stromal tumor (MEST)
14 ๐ Benign cystic nephroma
15 ๐ Inflammatory pseudotumor
16 ๐ Xanthogranulomatous mass lesion
17 ๐ Calcified benign renal nodule
18 ๐ Post-traumatic pseudomass
19 ๐ Focal compensatory hypertrophy
20 ๐ Hypertrophied column of Bertin (tumor mimic)
๐ MALIGNANT RENAL TUMORS (≈30)
1 ๐ Clear cell renal cell carcinoma (RCC)
2 ๐ Papillary RCC
3 ๐ Chromophobe RCC
4 ๐ Collecting duct carcinoma
5 ๐ Medullary carcinoma
6 ๐ Multilocular cystic RCC
7 ๐ Sarcomatoid RCC
8 ๐ Unclassified RCC
9 ๐ Wilms tumor (nephroblastoma)
10 ๐ Renal lymphoma (primary)
11 ๐ Secondary renal lymphoma
12 ๐ Transitional cell carcinoma (renal pelvis)
13 ๐ Squamous cell carcinoma of renal pelvis
14 ๐ Metastatic renal tumor
15 ๐ Neuroblastoma invading kidney
16 ๐ Renal sarcoma
17 ๐ Leiomyosarcoma
18 ๐ Angiosarcoma
19 ๐ Primitive neuroectodermal tumor (PNET)
20 ๐ Malignant rhabdoid tumor
21 ๐ RCC with renal vein invasion
22 ๐ RCC with IVC thrombus
23 ๐ Bilateral RCC
24 ๐ Multifocal RCC
25 ๐ Cystic malignant renal neoplasm
26 ๐ Necrotic renal malignancy
27 ๐ Recurrent RCC after nephrectomy
28 ๐ Metastatic RCC to liver/lung
29 ๐ Advanced unresectable renal cancer
30 ๐ Renal tumor with perinephric extension
๐ TRAUMATIC, POST-SURGICAL AND IATROGENIC (≈20)
1 ๐ Renal contusion (focal hypoechoic injury)
2 ๐ Subcapsular hematoma
3 ๐ Perinephric hematoma
4 ๐ Renal laceration (linear parenchymal defect)
5 ๐ Renal
6 ๐ Renal fracture (deep parenchymal disruption)
7 ๐ Collecting system injury with urinary extravasation
8 ๐ Urinoma (perirenal urine collection)
9 ๐ Renal artery injury
10 ๐ Renal vein injury
11 ๐ Traumatic arteriovenous fistula
12 ๐ Post-biopsy hematoma
13 ๐ Post-biopsy AV fistula
14 ๐ Post-PCNL residual tract changes
15 ๐ Post-nephrostomy complications
16 ๐ Post-lithotripsy renal injury
17 ๐ Post-partial nephrectomy scar
18 ๐ Post-radical nephrectomy renal fossa recurrence
19 ๐ Iatrogenic ureteric injury
20 ๐ Delayed traumatic renal scarring
๐ TRANSPLANT KIDNEY PATHOLOGIES (≈20)
1 ๐ Normal renal transplant appearance
2 ๐ Acute rejection (enlarged hypoechoic graft)
3 ๐ Chronic rejection (small echogenic graft)
4 ๐ Acute tubular necrosis (ATN)
5 ๐ Transplant renal artery stenosis
6 ๐ Transplant renal vein thrombosis
7 ๐ Segmental infarction in graft
8 ๐ Perigraft fluid collection
9 ๐ Lymphocele
10 ๐ Urinoma
11 ๐ Hematoma around transplant
12 ๐ Abscess around transplant kidney
13 ๐ BK virus nephropathy
14 ๐ CMV-related transplant nephropathy
15 ๐ Obstructive uropathy in graft
16 ๐ Ureteric stenosis in transplant
17 ๐ Transplant pyelonephritis
18 ๐ Drug toxicity nephropathy
19 ๐ Recurrent native kidney disease in graft
20 ๐ Failed transplant kidney
๐ SYSTEMIC AND SECONDARY RENAL DISEASES (≈25)
1 ๐ Diabetic nephropathy
2 ๐ Hypertensive nephropathy
3 ๐ Lupus nephritis
4 ๐ Amyloidosis
5 ๐ Multiple myeloma kidney
6 ๐ Light-chain deposition disease
7 ๐ Sickle cell nephropathy
8 ๐ Vasculitic nephropathy
9 ๐ Goodpasture syndrome
10 ๐ Hemolytic uremic syndrome (HUS)
11 ๐ Thrombotic thrombocytopenic purpura (TTP)
12 ๐ Sarcoid nephropathy
13 ๐ HIV-associated nephropathy
14 ๐ Hepatorenal syndrome
15 ๐ Cardiorenal syndrome
16 ๐ Pregnancy-related nephropathy
17 ๐ Pre-eclampsia renal changes
18 ๐ Drug-induced nephropathy
19 ๐ Contrast-induced nephropathy
20 ๐ Chemotherapy-related nephrotoxicity
21 ๐ Radiation nephropathy
22 ๐ Gouty nephropathy
23 ๐ Oxalate nephropathy
24 ๐ Chronic systemic inflammatory disease nephropathy
25 ๐ Secondary renal involvement by malignancy
๐ MISCELLANEOUS AND RARE CONDITIONS (≈20)
1 ๐ Page kidney (subcapsular compression causing hypertension)
2 ๐ Renal sinus lipomatosis
3 ๐ Replacement lipomatosis of kidney
4 ๐ Malakoplakia
5 ๐ Renal peliosis
6 ๐ Erdheim–Chester disease involving kidneys
7 ๐ Castleman disease with renal involvement
8 ๐ Retroperitoneal fibrosis affecting renal drainage
9 ๐ Nephroptosis (floating kidney)
10 ๐ Renal endometriosis (rare)
11 ๐ Renal tuberculosis scarred kidney
12 ๐ Bilateral small contracted kidneys
13 ๐ Giant hydronephrosis
14 ๐ Calcified non-functioning kidney
15 ๐ Renal fungal ball obstruction
16 ๐ Cholesterol embolic nephropathy
17 ๐ Radiation-induced renal atrophy
18 ๐ Post-infectious renal scarring
19 ๐ Unilateral enlarged echogenic kidney
20 ๐ Rare idiopathic renal mass lesion
๐ END-STAGE RENAL DISEASE (ESRD) PATTERNS (≈15)
1 ๐ Bilateral small echogenic kidneys (classic ESRD)
2 ๐ Advanced chronic kidney disease (CKD)
3 ๐ Loss of corticomedullary differentiation
4 ๐ Cortical thinning with increased echogenicity
5 ๐ End-stage diabetic nephropathy
6 ๐ End-stage hypertensive nephropathy
7 ๐ ESRD secondary to chronic pyelonephritis
8 ๐ ESRD due to reflux nephropathy
9 ๐ ESRD with acquired cystic kidney disease
10 ๐ Dialysis-associated renal cystic disease
11 ๐ ESRD with secondary hyperparathyroidism
12 ๐ Shrunken scarred kidneys from chronic glomerulonephritis
13 ๐ End-stage polycystic kidney disease
14 ๐ Chronic ischemic nephropathy with renal atrophy
15 ๐ Terminal renal fibrosis with loss of function
URETER
๐
๐ NORMAL AND VARIANTS (≈10)
1 ๐ Normal ureter (non-dilated, thin wall)
2 ๐ Physiological ureteric peristalsis
3 ๐ Mild physiological pelvi-ureteric prominence
4 ๐ Duplicated ureter (partial duplication)
5 ๐ Complete duplex ureter
6 ๐ Retrocaval ureter
7 ๐ Circumcaval ureter
8 ๐ Ectopic ureter
9 ๐ Congenital megaureter
10 ๐ Ureteric kinking (anatomical variant)
๐ CONGENITAL AND DEVELOPMENTAL (≈15)
1 ๐ Primary obstructive megaureter
2 ๐ Primary refluxing megaureter
3 ๐ Congenital ureteral stenosis
4 ๐ Ureteropelvic junction obstruction (UPJ)
5 ๐ Ureterovesical junction obstruction (UVJ)
6 ๐ Ureterocele
7 ๐ Ectopic ureteric insertion
8 ๐ Duplex collecting system with ureterocele
9 ๐ Retrocaval ureter causing obstruction
10 ๐ Congenital ureteral diverticulum
11 ๐ Blind-ending bifid ureter
12 ๐ Congenital ureteric valve
13 ๐ Congenital hydroureter
14 ๐ Segmental ureteric dysplasia
15 ๐ Congenital ureteral atresia
๐ OBSTRUCTIVE URETERIC DISORDERS (≈25)
1 ๐ Hydroureter
2 ๐ Hydroureteronephrosis
3 ๐ Distal ureteric obstruction
4 ๐ Mid-ureteric obstruction
5 ๐ Proximal ureteric obstruction
6 ๐ Obstructing ureteric calculus
7 ๐ Impacted ureteric stone
8 ๐ Bilateral ureteric obstruction
9 ๐ Extrinsic compression by pelvic mass
10 ๐ Retroperitoneal fibrosis
11 ๐ Pregnancy-related ureteric compression
12 ๐ Ureteric stricture
13 ๐ Post-surgical ureteric narrowing
14 ๐ Radiation-induced ureteric stenosis
15 ๐ Tuberculous ureteric stricture
16 ๐ Ureteric clot obstruction
17 ๐ Fungal ball obstruction
18 ๐ Ureteric tumor causing obstruction
19 ๐ Pelvic lymph node compression
20 ๐ Endometriosis causing ureteric obstruction
21 ๐ Cross-vessel ureteric compression
22 ๐ Neurogenic functional obstruction
23 ๐ Post-lithotripsy edema obstruction
24 ๐ Ureteric kinking with obstruction
25 ๐ Complete ureteric occlusion
ADRENAL GLANDS
๐
๐ NORMAL & PHYSIOLOGICAL (≈10)
1 ๐ Normal adult adrenal (thin limb, V-shape)
2 ๐ Normal neonatal/infant adrenal (large, easily visualized)
3 ๐ Physiologic size asymmetry (R>L common)
4 ๐ Age-related cortical thinning
5 ๐ Transient stress-related hypertrophy (neonate/critical illness)
6 ๐ Physiologic postpartum uterine displacement revealing adrenals
7 ๐ Normal peri-adrenal fat echo pattern
8 ๐ Normal adrenal vein/artery flow on Doppler
9 ๐ Respiratory motion artifact mimicking mass (pitfall)
10 ๐ Normal adrenal seen through hepatic “window” (right) or splenic (left)
๐ CONGENITAL & DEVELOPMENTAL (≈20)
1 ๐ Adrenal agenesis (rare)
2 ๐ Unilateral hypoplastic adrenal
3 ๐ Accessory ectopic adrenal rests (peri-renal, spermatic cord, ovary)
4 ๐ Adrenal cortical rests in kidney/liver capsule (ectopia)
5 ๐ Congenital adrenal hyperplasia (CAH) — diffuse enlargement
6 ๐ CAH — nodular hyperplasia
7 ๐ Adrenal cortical dysplasia
8 ๐ Congenital cyst (epithelial/mesothelial)
9 ๐ Fetal adrenal calcification (healed hemorrhage)
10 ๐ Persistent fetal cortex prominence (neonate)
11 ๐ Adrenohepatic fusion (right side variant)
12 ๐ Horseshoe/adherent bilateral adrenals (rare)
13 ๐ Aberrant adrenal vein course (Doppler variant)
14 ๐ Neonatal adrenal insufficiency with small glands
15 ๐ Persistent urogenital sinus with ectopic adrenal rest
16 ๐ Ectopic adrenal tissue in celiac/retrocrural area
17 ๐ Adrenal medullary dysgenesis (rare)
18 ๐ Mitochondrial/adrenoleukodystrophy pattern (small echogenic glands)
19 ๐ Beckwith–Wiedemann–related adrenal enlargement
20 ๐ IMAGe syndrome–related adrenal hypoplasia
๐ ENDOCRINE FUNCTION SYNDROMES (US-ASSOCIATED) (≈15)
1 ๐ ACTH-dependent Cushing phenotype (adrenal hyperplasia)
2 ๐ ACTH-independent Cushing (adenoma/adenomatous hyperplasia)
3 ๐ Primary hyperaldosteronism (Conn) — unilateral adenoma
4 ๐ Bilateral idiopathic hyperaldosteronism (nodular hyperplasia)
5 ๐ Subclinical Cushing (incidentaloma with subtle hypercortisolism)
6 ๐ Androgen-secreting cortical adenoma (virilization)
7 ๐ Estrogen-secreting cortical tumor (feminization in males)
8 ๐ Pheochromocytoma with catecholamine excess
9 ๐ Paraganglioma with catecholamine excess (extra-adrenal)
10 ๐ Nonfunctioning incidentaloma (stable <4 cm typical adenoma)
11 ๐ Primary adrenal insufficiency (Addison) — small/atrophic or enlarged in autoimmune phase
12 ๐ Secondary/tertiary adrenal insufficiency (pituitary/hypothalamic) — small glands
13 ๐ Hyperreninemic states with secondary hyperplasia
14 ๐ MEN1/MEN2 endocrine association with adrenal lesions
15 ๐ VHL/NF1/Tuberous sclerosis associations (multifocal lesions)
๐ ADRENAL CYSTS AND FLUID LESIONS (≈15)
1 ๐ Simple adrenal cyst (anechoic, thin wall)
2 ๐ Endothelial cyst (lymphangiomatous type)
3 ๐ Epithelial adrenal cyst
4 ๐ Pseudocyst (post-hemorrhagic)
5 ๐ Hemorrhagic adrenal cyst
6 ๐ Calcified adrenal cyst
7 ๐ Hydatid cyst of adrenal gland
8 ๐ Multiloculated adrenal cyst
9 ๐ Infected adrenal cyst
10 ๐ Neonatal cystic adrenal hemorrhage
11 ๐ Cystic degeneration within adenoma
12 ๐ Cystic pheochromocytoma
13 ๐ Cystic adrenal metastasis
14 ๐ Post-traumatic adrenal fluid collection
15 ๐ Periadrenal seroma / postoperative collection
๐ ADRENAL HYPERPLASIA, HYPERTROPHY AND ATROPHY (≈20)
1 ๐ Diffuse adrenal hyperplasia
2 ๐ Bilateral nodular adrenal hyperplasia
3 ๐ Macronodular adrenal hyperplasia
4 ๐ Micronodular adrenal hyperplasia
5 ๐ ACTH-dependent bilateral enlargement
6 ๐ Congenital adrenal hyperplasia (CAH)
7 ๐ Stress-induced adrenal hypertrophy
8 ๐ Compensatory hypertrophy after contralateral adrenalectomy
9 ๐ Hyperplasia associated with primary hyperaldosteronism
10 ๐ Nodular cortical hyperplasia
11 ๐ Adrenal enlargement in severe illness
12 ๐ Adrenal atrophy due to chronic steroid therapy
13 ๐ Autoimmune adrenal atrophy
14 ๐ Secondary adrenal insufficiency with small glands
15 ๐ Post-radiation adrenal atrophy
16 ๐ Age-related cortical thinning
17 ๐ Adrenal involution after treatment
18 ๐ Bilateral adrenal atrophy
19 ๐ Adrenocortical dysplasia with enlargement
20 ๐ Mixed hyperplastic–atrophic adrenal pattern
๐ ADRENAL HEMORRHAGE AND TRAUMA (≈20)
1 ๐ Neonatal adrenal hemorrhage
2 ๐ Birth-trauma adrenal hemorrhage
3 ๐ Acute adrenal hemorrhage (echogenic mass)
4 ๐ Subacute adrenal hemorrhage (mixed echogenicity)
5 ๐ Chronic adrenal hematoma
6 ๐ Bilateral adrenal hemorrhage
7 ๐ Waterhouse–Friderichsen syndrome
8 ๐ Anticoagulant-related adrenal hemorrhage
9 ๐ Trauma-related adrenal hematoma
10 ๐ Blunt abdominal trauma with adrenal injury
11 ๐ Adrenal rupture
12 ๐ Periadrenal hematoma
13 ๐ Hemorrhage into adrenal adenoma
14 ๐ Hemorrhage into pheochromocytoma
15 ๐ Postoperative adrenal hemorrhage
16 ๐ Adrenal infarction with hemorrhagic change
17 ๐ Septic adrenal hemorrhage
18 ๐ Adrenal hematoma with calcification
19 ๐ Resolving adrenal hemorrhage
20 ๐ Chronic post-traumatic adrenal scar
๐ BENIGN ADRENAL TUMORS (≈20)
1 ๐ Adrenal cortical adenoma (most common incidentaloma)
2 ๐ Lipid-rich adenoma
3 ๐ Lipid-poor adenoma
4 ๐ Functioning cortisol-secreting adenoma
5 ๐ Aldosterone-producing adenoma (Conn adenoma)
6 ๐ Androgen-secreting adenoma
7 ๐ Myelolipoma (fat-containing benign tumor)
8 ๐ Adrenal ganglioneuroma
9 ๐ Adrenal schwannoma
10 ๐ Adrenal hemangioma
11 ๐ Adrenal lymphangioma
12 ๐ Adrenal leiomyoma
13 ๐ Benign composite adrenal tumor
14 ๐ Nonfunctioning adrenal incidentaloma
15 ๐ Adrenal cortical nodular adenoma
16 ๐ Bilateral adrenal adenomas
17 ๐ Calcified benign adrenal tumor
18 ๐ Cystic adrenal adenoma
19 ๐ Hemorrhagic adenoma
20 ๐ Stable benign adrenal mass on follow-up
๐ PHEOCHROMOCYTOMA & NEUROGENIC TUMORS (≈15)
1 ๐ Pheochromocytoma (classic catecholamine-secreting tumor)
2 ๐ Large heterogeneous pheochromocytoma
3 ๐ Cystic pheochromocytoma
4 ๐ Hemorrhagic pheochromocytoma
5 ๐ Bilateral pheochromocytomas
6 ๐ Familial pheochromocytoma (MEN2, VHL, NF1)
7 ๐ Extra-adrenal paraganglioma
8 ๐ Retroperitoneal paraganglioma
9 ๐ Ganglioneuroma
10 ๐ Ganglioneuroblastoma
11 ๐ Neuroblastoma (adrenal origin)
12 ๐ Composite pheochromocytoma–ganglioneuroma
13 ๐ Multifocal neurogenic adrenal tumors
14 ๐ Recurrent pheochromocytoma after surgery
15 ๐ Metastatic pheochromocytoma
๐ MALIGNANT ADRENAL TUMORS & METASTASES (≈25)
1 ๐ Adrenocortical carcinoma (ACC)
2 ๐ Functional adrenocortical carcinoma
3 ๐ Nonfunctioning adrenocortical carcinoma
4 ๐ Large necrotic adrenal carcinoma
5 ๐ Invasive adrenal cortical carcinoma
6 ๐ Adrenal sarcoma
7 ๐ Angiosarcoma of adrenal gland
8 ๐ Primary adrenal lymphoma
9 ๐ Secondary adrenal lymphoma
10 ๐ Malignant pheochromocytoma
11 ๐ Metastatic lung carcinoma to adrenal
12 ๐ Metastatic breast carcinoma to adrenal
13 ๐ Metastatic renal cell carcinoma to adrenal
14 ๐ Metastatic melanoma to adrenal
15 ๐ Metastatic colorectal carcinoma to adrenal
16 ๐ Bilateral adrenal metastases
17 ๐ Necrotic adrenal metastasis
18 ๐ Hemorrhagic adrenal metastasis
19 ๐ Adrenal metastasis causing insufficiency
20 ๐ Recurrent adrenal malignancy after surgery
21 ๐ Locally invasive adrenal carcinoma
22 ๐ Adrenal tumor invading kidney
23 ๐ Adrenal tumor invading IVC
24 ๐ Multifocal metastatic adrenal disease
25 ๐ Advanced unresectable adrenal malignancy
๐ INFECTIVE, INFLAMMATORY & INFILTRATIVE (≈20)
1 ๐ Adrenal tuberculosis (most common infectious adrenal disease)
2 ๐ Bilateral tuberculous adrenal enlargement
3 ๐ Calcified adrenal tuberculosis (healed stage)
4 ๐ Adrenal histoplasmosis
5 ๐ Disseminated fungal adrenal infection
6 ๐ Adrenal cryptococcosis
7 ๐ Cytomegalovirus adrenalitis
8 ๐ HIV-associated adrenal disease
9 ๐ Bacterial adrenal abscess
10 ๐ Septic adrenal inflammation
11 ๐ Sarcoidosis involving adrenal glands
12 ๐ Amyloid infiltration of adrenal glands
13 ๐ Hemochromatosis involving adrenal tissue
14 ๐ Autoimmune adrenalitis (Addison disease)
15 ๐ Granulomatous adrenalitis
16 ๐ Xanthogranulomatous adrenal inflammation
17 ๐ Adrenal infiltration by leukemia
18 ๐ Adrenal infiltration by lymphoma
19 ๐ Chronic inflammatory adrenal enlargement
20 ๐ Fibrotic end-stage adrenal destruction
๐ VASCULAR, ISCHEMIC & HEMORRHAGIC (≈15)
1 ๐ Adrenal infarction
2 ๐ Bilateral adrenal infarction
3 ๐ Pregnancy-related adrenal infarction
4 ๐ Adrenal vein thrombosis
5 ๐ Adrenal arterial thrombosis
6 ๐ Ischemic adrenal necrosis
7 ๐ Waterhouse–Friderichsen syndrome
8 ๐ Disseminated intravascular coagulation (DIC) adrenal hemorrhage
9 ๐ Antiphospholipid syndrome with adrenal thrombosis
10 ๐ Vasculitic adrenal ischemia
11 ๐ Hemorrhagic adrenal infarction
12 ๐ Adrenal vascular malformation
13 ๐ Adrenal venous congestion
14 ๐ Postoperative adrenal ischemia
15 ๐ Chronic vascular adrenal atrophy
๐ SYSTEMIC, SECONDARY & MISCELLANEOUS (≈20)
1 ๐ Adrenal incidentaloma
2 ๐ Bilateral adrenal incidentalomas
3 ๐ Multiple endocrine neoplasia (MEN)–associated adrenal lesions
4 ๐ Von Hippel–Lindau (VHL) syndrome adrenal lesions
5 ๐ Neurofibromatosis-associated adrenal tumors
6 ๐ Beckwith–Wiedemann syndrome adrenal enlargement
7 ๐ Li-Fraumeni syndrome adrenal carcinoma predisposition
8 ๐ Adrenoleukodystrophy
9 ๐ Wolman disease (adrenal calcification)
10 ๐ Niemann–Pick disease adrenal involvement
11 ๐ Gaucher disease adrenal infiltration
12 ๐ Secondary adrenal insufficiency
13 ๐ Tertiary adrenal insufficiency
14 ๐ Drug-induced adrenal suppression
15 ๐ Post-radiotherapy adrenal changes
16 ๐ Post-adrenalectomy compensatory hypertrophy
17 ๐ Recurrent adrenal lesion after treatment
18 ๐ Bilateral adrenal enlargement of unknown etiology
19 ๐ Idiopathic adrenal mass lesion
20 ๐ End-stage adrenal fibrosis and calcification
๐ POST-SURGICAL, IATROGENIC & FOLLOW-UP CONDITIONS (≈15)
1 ๐ Post-adrenalectomy surgical bed changes
2 ๐ Residual adrenal tissue after partial adrenalectomy
3 ๐ Recurrent adrenal adenoma
4 ๐ Recurrent pheochromocytoma after surgery
5 ๐ Recurrent adrenocortical carcinoma
6 ๐ Postoperative adrenal hematoma
7 ๐ Postoperative seroma
8 ๐ Postoperative abscess in adrenal bed
9 ๐ Post-radiotherapy adrenal fibrosis
10 ๐ Post-ablation adrenal scar
11 ๐ Drug-induced adrenal suppression
12 ๐ Steroid withdrawal adrenal atrophy
13 ๐ Follow-up stable adrenal incidentaloma
14 ๐ Post-treatment calcified adrenal lesion
15 ๐ Long-term surveillance of adrenal mass
๐ RARE, PEDIATRIC & END-STAGE ADRENAL CONDITIONS (≈20)
1 ๐ Neuroblastoma (most common pediatric adrenal malignancy)
2 ๐ Ganglioneuroblastoma
3 ๐ Congenital neuroblastoma
4 ๐ Neonatal adrenal hemorrhage mimicking tumor
5 ๐ Beckwith–Wiedemann syndrome adrenal lesion
6 ๐ Wolman disease (bilateral adrenal calcification)
7 ๐ Adrenoleukodystrophy
8 ๐ IMAGe syndrome adrenal hypoplasia
9 ๐ Familial glucocorticoid deficiency
10 ๐ Triple-A syndrome (Allgrove syndrome)
11 ๐ Adrenal calcification from healed hemorrhage
12 ๐ Adrenal calcification from healed infection
13 ๐ End-stage autoimmune adrenal destruction
14 ๐ End-stage tuberculous adrenal disease
15 ๐ Bilateral adrenal atrophy with Addison disease
16 ๐ Fibrotic calcified adrenal remnant
17 ๐ End-stage adrenal insufficiency
18 ๐ Bilateral shrunken adrenal glands
19 ๐ Idiopathic adrenal fibrosis
20 ๐ Advanced destructive adrenal pathology
ABDOMINAL AORTA & IVC
๐
๐ NORMAL & ANATOMIC VARIANTS (≈12)
1 ๐ Normal abdominal aorta (caliber, pulsatility, triphasic flow in branches)
2 ๐ Normal IVC (collapsible with respiration, anteroposterior diameter variation)
3 ๐ Normal aortic tapering (proximal → distal)
4 ๐ Normal aortic bifurcation anatomy (common iliacs)
5 ๐ Normal IVC confluence and hepatic vein inflow pattern
6 ๐ IVC respiratory variation (collapsibility index) — physiologic
7 ๐ Aortic kinking (tortuosity without pathology, elderly)
8 ๐ Duplicate IVC / persistent left IVC (anatomic variant)
9 ๐ Retroaortic left renal vein (variant affecting IVC imaging)
10 ๐ Aortic ectasia (mild age-related dilation not aneurysmal)
11 ๐ Aortoiliac length/angulation variants (clinical relevance for EVAR)
12 ๐ Prominent venous collaterals (physiologic in some individuals)
๐ AORTIC DILATION & ANEURYSMS (≈30)
1 ๐ Abdominal aortic aneurysm (AAA) — infrarenal classic type
2 ๐ Juxtarenal aortic aneurysm
3 ๐ Pararenal / suprarenal aortic aneurysm
4 ๐ Thoracoabdominal aneurysm extension visualized infradiaphragmatically
5 ๐ Saccular aortic aneurysm
6 ๐ Fusiform aortic aneurysm
7 ๐ Mycotic (infected) aneurysm of aorta (aneurysm with periaortic fluid/gas)
8 ๐ Dissected aneurysm with contained rupture
9 ๐ Inflammatory aortic aneurysm (periaortic fibrotic rind / hypoechoic mantle)
10 ๐ Aneurysm with intraluminal thrombus (mural thrombus layering)
11 ๐ Aneurysm with focal wall calcification / plaque burden
12 ๐ Aneurysm with endoleak post-EVAR (type I–III presentations on duplex)
13 ๐ Giant aneurysm (>10 cm) with mass effect
14 ๐ Rapidly expanding aneurysm (serial growth on surveillance)
15 ๐ Aneurysm with contained retroperitoneal rupture (periaortic hematoma)
16 ๐ Aneurysm with free rupture into peritoneum (massive hemoperitoneum)
17 ๐ Aorto-caval fistula secondary to ruptured AAA (continuous flow, venous turbulence)
18 ๐ Aneurysm compressing adjacent structures (duodenum, IVC, ureter)
19 ๐ Intra-aneurysmal flow patterns (laminar vs turbulent on Doppler)
20 ๐ Penetrating aortic ulcer evolving into saccular aneurysm
21 ๐ Island/false aneurysm (pseudoaneurysm) adjacent to aortic graft or branch
22 ๐ Aortic neck thrombus (relevance for EVAR fixation)
23 ๐ Iliac artery aneurysm (common/extending from aorta)
24 ๐ Isolated iliac aneurysm with aortic sparing
25 ๐ Aortic ectasia after cardiopulmonary disease (diffuse)
26 ๐ Aneurysm with peripheral embolic sequelae (distal hypoechoic thrombus)
27 ๐ Aneurysm with mural calcified plaque producing acoustic shadow
28 ๐ Aneurysm with branch involvement/embolization
29 ๐ End-organ ischemic sequelae from aneurysm thrombus
๐ AORTIC DISSECTION, INTIMAL TEAR & PENETRATING LESIONS (≈18)
1 ๐ Classic aortic dissection with true and false lumen (intimal flap)
2 ๐ Infrarenal aortic dissection (limited to abdominal aorta)
3 ๐ Retrograde dissection extension from thoracic aorta into abdomen
4 ๐ Chronic dissection with thrombosed false lumen
5 ๐ Penetrating atherosclerotic ulcer (PAU) visualized as focal wall defect
6 ๐ Intramural hematoma (crescentic hypoechoic wall thickening)
7 ๐ Dissection causing branch vessel compromise (renal/mesenteric ischemia clues)
8 ๐ Intimal flap oscillation and Doppler differences between lumina
9 ๐ Dissection with secondary aneurysmal dilation of false lumen
10 ๐ Complicated dissection with rupture (peri-aortic fluid/hematoma)
11 ๐ Iatrogenic aortic dissection after endovascular manipulation
12 ๐ Flap-associated thrombus (risk of embolization)
13 ๐ Delayed chronic dissection with aortic remodeling
14 ๐ Dissecting aneurysm communication to IVC (rare aorto-caval fistula)
15 ๐ Mobile intimal flap producing intermittent obstruction (dynamic Doppler effect)
16 ๐ Imaging pitfalls: reverberation/artifact mimicking flap — need color/angle interrogation
17 ๐ Dissection-related pseudoaneurysm at branch origin
18 ๐ Aortic intimal tears with adjacent perivascular hematoma
๐ AORTIC OCCLUSIVE & ATHEROSCLEROTIC DISEASE (≈25)
1 ๐ Aortic atherosclerosis (diffuse plaque disease)
2 ๐ Calcified aortic plaque with acoustic shadowing
3 ๐ Non-calcified aortic plaque
4 ๐ Ulcerated aortic plaque
5 ๐ Mobile aortic thrombus
6 ๐ Mural aortic thrombus
7 ๐ Distal aortic occlusion
8 ๐ Chronic aortoiliac occlusive disease
9 ๐ Leriche syndrome (aortoiliac occlusion)
10 ๐ Acute aortic thrombosis
11 ๐ Embolic aortic occlusion
12 ๐ Aortic stenosis due to plaque burden
13 ๐ Renal artery origin stenosis from aortic plaque
14 ๐ Mesenteric artery origin disease
15 ๐ Aortic bifurcation stenosis
16 ๐ Aortic saddle embolus
17 ๐ Recanalized aortic thrombus
18 ๐ Chronic mural thrombus with calcification
19 ๐ Aortic plaque with distal embolization
20 ๐ Blue toe syndrome source lesion
21 ๐ Diffuse aortoiliac atherosclerotic disease
22 ๐ Near-total aortic lumen occlusion
23 ๐ Chronic ischemic aortic disease
24 ๐ Aortic plaque rupture with thrombosis
25 ๐ End-stage calcific aortic occlusive disease
๐ AORTITIS, VASCULITIS & INFLAMMATORY CONDITIONS (≈20)
1 ๐ Takayasu arteritis involving abdominal aorta
2 ๐ Giant cell arteritis with aortic involvement
3 ๐ Inflammatory aortitis
4 ๐ Idiopathic chronic periaortitis
5 ๐ Retroperitoneal fibrosis around aorta
6 ๐ IgG4-related aortitis
7 ๐ Behรงet disease with aortic involvement
8 ๐ Polyarteritis nodosa affecting major vessels
9 ๐ Lupus-associated aortitis
10 ๐ Rheumatoid vasculitis with aortic changes
11 ๐ Syphilitic aortitis
12 ๐ Tuberculous aortitis
13 ๐ Granulomatous aortic inflammation
14 ๐ Periaortic inflammatory rind
15 ๐ Chronic fibrosing aortitis
16 ๐ Vasculitic aneurysm formation
17 ๐ Aortic wall thickening due to inflammation
18 ๐ Active inflammatory aortic disease
19 ๐ Healed aortitis with calcification
20 ๐ End-stage fibrotic aortic inflammation
๐ INFECTIVE AORTIC & IVC CONDITIONS (≈20)
1 ๐ Mycotic aortic aneurysm
2 ๐ Bacterial aortitis
3 ๐ Salmonella aortitis
4 ๐ Staphylococcal aortic infection
5 ๐ Tuberculous aortic infection
6 ๐ Syphilitic aortic disease
7 ๐ Fungal aortitis
8 ๐ Infected aortic graft
9 ๐ Perigraft abscess
10 ๐ Septic pseudoaneurysm
11 ๐ Gas-forming perigraft infection
12 ๐ Aortoenteric fistula (secondary)
13 ๐ Primary aortoenteric fistula
14 ๐ Septic IVC thrombosis
15 ๐ IVC infection with thrombus formation
16 ๐ Catheter-related IVC infection
17 ๐ Infected caval filter
18 ๐ Chronic infectious aortitis
19 ๐ Healing infected aneurysm
20 ๐ Post-treatment infectious vascular scar
๐ AORTIC & IVC TRAUMA (≈20)
1 ๐ Blunt abdominal aortic injury
2 ๐ Penetrating aortic trauma
3 ๐ Aortic wall contusion
4 ๐ Traumatic aortic pseudoaneurysm
5 ๐ Aortic rupture with retroperitoneal hematoma
6 ๐ Partial aortic transection
7 ๐ Intimal tear after trauma
8 ๐ Traumatic aortic thrombosis
9 ๐ IVC contusion
10 ๐ IVC laceration
11 ๐ Traumatic IVC thrombosis
12 ๐ Pericaval hematoma
13 ๐ Retroperitoneal hemorrhage from vascular injury
14 ๐ Post-traumatic arteriovenous fistula
15 ๐ Aortocaval fistula after trauma
16 ๐ Catheter-induced aortic injury
17 ๐ Catheter-induced caval injury
18 ๐ Postoperative vascular trauma
19 ๐ Chronic post-traumatic pseudoaneurysm
20 ๐ Healed vascular injury with fibrosis
๐ EVAR, GRAFTS & POSTOPERATIVE COMPLICATIONS (≈25)
1 ๐ Normal EVAR appearance
2 ๐ Type I endoleak
3 ๐ Type II endoleak
4 ๐ Type III endoleak
5 ๐ Type IV endoleak
6 ๐ Type V endoleak (endotension)
7 ๐ Graft migration
8 ๐ Graft limb thrombosis
9 ๐ Graft kinking
10 ๐ Graft stenosis
11 ๐ Graft occlusion
12 ๐ Perigraft hematoma
13 ๐ Perigraft seroma
14 ๐ Graft infection
15 ๐ Perigraft abscess
16 ๐ Anastomotic pseudoaneurysm
17 ๐ Aortoenteric fistula after graft surgery
18 ๐ Persistent aneurysm sac enlargement
19 ๐ Sac shrinkage after successful EVAR
20 ๐ Reintervention after EVAR
21 ๐ Open surgical graft surveillance
22 ๐ Patch aneurysm formation
23 ๐ Postoperative aortic stenosis
24 ๐ Chronic graft-related thrombus
25 ๐ Failed aortic graft
๐ IVC THROMBOSIS & OBSTRUCTIVE VENOUS DISEASE (≈25)
1 ๐ Acute IVC thrombosis
2 ๐ Chronic IVC thrombosis
3 ๐ Partial IVC thrombosis
4 ๐ Complete IVC occlusion
5 ๐ Bland thrombus within IVC
6 ๐ Tumor thrombus extending into IVC
7 ๐ Renal cell carcinoma with IVC extension
8 ๐ Hepatocellular carcinoma invading IVC
9 ๐ Septic IVC thrombosis
10 ๐ Catheter-associated IVC thrombosis
11 ๐ IVC filter-associated thrombosis
12 ๐ Chronic post-thrombotic IVC changes
13 ๐ Recanalized IVC thrombus
14 ๐ Caval web causing obstruction
15 ๐ Membranous IVC obstruction
16 ๐ Budd–Chiari syndrome involving IVC
17 ๐ Hepatic vein–IVC junction obstruction
18 ๐ Extrinsic compression of IVC by mass
19 ๐ Pregnancy-related IVC compression
20 ๐ Retroperitoneal fibrosis causing caval narrowing
21 ๐ Collateral venous channel formation
22 ๐ Severe caval stenosis with turbulent flow
23 ๐ Chronic venous hypertension due to IVC obstruction
24 ๐ End-stage fibrotic caval occlusion
25 ๐ Long-segment IVC obstruction
๐ VENOUS HEMODYNAMICS & HEPATIC–CAVAL DISORDERS (≈20)
1 ๐ Normal hepatic vein–IVC junction flow
2 ๐ Increased IVC pulsatility from right heart failure
3 ๐ Elevated central venous pressure (dilated non-collapsible IVC)
4 ๐ Hepatic venous congestion
5 ๐ Congestive hepatopathy
6 ๐ Budd–Chiari syndrome (hepatic venous outflow obstruction)
7 ๐ IVC-related Budd–Chiari syndrome
8 ๐ Membranous obstruction of hepatic IVC
9 ๐ Chronic hepatic venous thrombosis
10 ๐ Recanalized hepatic venous obstruction
11 ๐ Portal hypertension with caval collateralization
12 ๐ Venovenous collateral channels
13 ๐ Caval flow reversal pattern
14 ๐ Severe tricuspid regurgitation affecting IVC waveform
15 ๐ Constrictive pericarditis with dilated IVC
16 ๐ Restrictive cardiomyopathy venous congestion pattern
17 ๐ Chronic caval hypertension
18 ๐ Hepatic vein stenosis
19 ๐ IVC stenosis near right atrium
20 ๐ End-stage hepatic–caval outflow obstruction
๐ COMPRESSION SYNDROMES & EXTRINSIC MASS EFFECTS (≈18)
1 ๐ Nutcracker syndrome (left renal vein compression)
2 ๐ Posterior nutcracker syndrome
3 ๐ May–Thurner syndrome (associated venous obstruction)
4 ๐ Retroperitoneal fibrosis compressing IVC
5 ๐ Retroperitoneal fibrosis compressing aorta and branches
6 ๐ Lymphadenopathy compressing IVC
7 ๐ Pancreatic mass causing IVC compression
8 ๐ Hepatic mass compressing IVC
9 ๐ Renal mass causing caval narrowing
10 ๐ Large abdominal aortic aneurysm compressing IVC
11 ๐ Gravid uterus causing IVC compression
12 ๐ Retroperitoneal tumor encasing aorta
13 ๐ Desmoplastic reaction around major vessels
14 ๐ Postoperative scar tissue causing vascular compression
15 ๐ Extrinsic aortic stenosis
16 ๐ Extrinsic caval stenosis
17 ๐ Chronic compression with collateral formation
18 ๐ Multi-organ retroperitoneal compression syndrome
๐ CONGENITAL, DEVELOPMENTAL & PEDIATRIC AORTA/IVC CONDITIONS (≈20)
1 ๐ Double inferior vena cava
2 ๐ Persistent left-sided IVC
3 ๐ Interrupted IVC with azygos continuation
4 ๐ Absent infrarenal IVC
5 ๐ Congenital IVC web
6 ๐ Membranous IVC obstruction
7 ๐ Congenital aortic hypoplasia
8 ๐ Mid-aortic syndrome
9 ๐ Coarctation-related abdominal collateral circulation
10 ๐ Congenital abdominal aortic stenosis
11 ๐ Pediatric abdominal aortic aneurysm
12 ๐ Connective tissue disorder–related aortic dilation
13 ๐ Marfan syndrome aortic involvement
14 ๐ Loeys–Dietz syndrome vascular abnormalities
15 ๐ Ehlers–Danlos syndrome vascular lesions
16 ๐ Neonatal IVC thrombosis
17 ๐ Umbilical catheter–related caval injury
18 ๐ Congenital venous malformation involving IVC
19 ๐ Pediatric vasculopathy affecting abdominal aorta
20 ๐ Complex congenital aortocaval anomaly
๐ NEOPLASTIC INVASION & TUMOR-RELATED VASCULAR DISEASE (≈20)
1 ๐ Renal cell carcinoma invading IVC
2 ๐ Renal cell carcinoma with supradiaphragmatic IVC extension
3 ๐ Hepatocellular carcinoma invading IVC
4 ๐ Adrenocortical carcinoma extending into IVC
5 ๐ Wilms tumor with caval thrombus
6 ๐ Retroperitoneal sarcoma encasing abdominal aorta
7 ๐ Lymphoma surrounding aorta (“floating aorta” appearance)
8 ๐ Metastatic lymphadenopathy compressing IVC
9 ๐ Pancreatic carcinoma invading major vessels
10 ๐ Cholangiocarcinoma causing caval compression
11 ๐ Retroperitoneal metastatic mass encasing aorta
12 ๐ Tumor thrombus within IVC
13 ๐ Bland thrombus associated with malignancy
14 ๐ Leiomyosarcoma of the IVC
15 ๐ Primary vascular sarcoma of aorta
16 ๐ Secondary invasion of aortic wall by malignancy
17 ๐ Malignant aortocaval fistula
18 ๐ Post-treatment residual tumor thrombus
19 ๐ Recurrent vascular invasion after oncologic surgery
20 ๐ Advanced malignant vascular encasement syndrome
๐ RARE, MISCELLANEOUS & END-STAGE VASCULAR CONDITIONS (≈20)
1 ๐ Aortocaval fistula secondary to ruptured aneurysm
2 ๐ Congenital aortocaval fistula
3 ๐ Idiopathic aortic ectasia
4 ๐ Middle aortic syndrome
5 ๐ Segmental arterial mediolysis
6 ๐ Fibromuscular dysplasia involving abdominal vessels
7 ๐ Erdheim–Chester disease with periaortic coating
8 ๐ Chronic periaortitis
9 ๐ Calcified chronic aortic thrombus
10 ๐ Porcelain aorta (extensive calcification)
11 ๐ Chronic organized IVC thrombus
12 ๐ Recanalized chronic caval occlusion
13 ๐ Massive collateral venous circulation
14 ๐ End-stage aortoiliac occlusive disease
15 ๐ End-stage caval hypertension syndrome
16 ๐ Diffuse vascular fibrosis
17 ๐ Healed aortitis with calcified wall
18 ๐ Chronic post-surgical aortic remodeling
19 ๐ End-stage post-EVAR aneurysm sac fibrosis
20 ๐ Advanced complex aortocaval pathology
STOMACH
๐
๐ NORMAL & PHYSIOLOGICAL STOMACH
1๐ Normal Gastric Wall
2๐ Physiological Gastric Distension
3๐ Normal Gastric Rugae
4๐ Mild Postprandial Gastric Contents
5๐ Normal Gastric Peristalsis
6๐ Air-Fluid Level in Stomach
7๐ Physiological Antral Contractions
8๐ Normal Gastroesophageal Junction
9๐ Normal Pylorus
10๐ Age-related Gastric Wall Changes
๐ GASTRITIS & INFLAMMATORY DISORDERS
1๐ Acute Gastritis
2๐ Chronic Gastritis
3๐ Erosive Gastritis
4๐ Hypertrophic Gastritis
5๐ H. pylori Gastritis
6๐ Autoimmune Gastritis
7๐ Gastric Edema
8๐ Gastric Wall Hyperemia
9๐ Phlegmonous Gastritis
10๐ Eosinophilic Gastritis
๐ PEPTIC ULCER DISEASE
1๐ Gastric Ulcer
2๐ Healing Gastric Ulcer
3๐ Giant Gastric Ulcer
4๐ Penetrating Gastric Ulcer
5๐ Perforated Gastric Ulcer
6๐ Bleeding Gastric Ulcer
7๐ Chronic Ulcer Scar
8๐ Prepyloric Ulcer
9๐ Antral Ulcer
10๐ Multiple Gastric Ulcers
๐ GASTRIC OUTLET & PYLORIC DISORDERS
1๐ Gastric Outlet Obstruction
2๐ Pyloric Stenosis
3๐ Hypertrophic Pyloric Stenosis
4๐ Pyloric Edema
5๐ Pyloric Mass
6๐ Delayed Gastric Emptying
7๐ Functional Gastric Stasis
8๐ Post-ulcer Pyloric Narrowing
9๐ Antral Narrowing
10๐ Gastric Retention
๐ BENIGN GASTRIC MASSES & POLYPS
1๐ Gastric Polyp
2๐ Hyperplastic Polyp
3๐ Fundic Gland Polyp
4๐ Gastric Adenoma
5๐ Gastric Lipoma
6๐ Leiomyoma
7๐ Schwannoma
8๐ Ectopic Pancreas
9๐ Inflammatory Fibroid Polyp
10๐ Gastric Hamartoma
๐ MALIGNANT GASTRIC TUMORS
1๐ Gastric Adenocarcinoma
2๐ Diffuse Gastric Cancer
3๐ Linitis Plastica
4๐ Gastric Lymphoma
5๐ Gastrointestinal Stromal Tumor (GIST)
6๐ Metastatic Gastric Tumor
7๐ Ulcerated Gastric Carcinoma
8๐ Antral Carcinoma
9๐ Fundal Carcinoma
10๐ Recurrent Gastric Malignancy
๐ TRAUMATIC & HEMORRHAGIC CONDITIONS
1๐ Gastric Wall Hematoma
2๐ Intramural Hemorrhage
3๐ Traumatic Gastric Injury
4๐ Gastric Perforation
5๐ Post-biopsy Hemorrhage
6๐ Anticoagulant-related Hemorrhage
7๐ Gastric Contusion
8๐ Penetrating Gastric Injury
9๐ Gastric Wall Defect
10๐ Organizing Intramural Hematoma
๐ CONGENITAL & DEVELOPMENTAL DISORDERS
1๐ Congenital Pyloric Stenosis
2๐ Gastric Duplication Cyst
3๐ Gastric Diverticulum
4๐ Congenital Gastric Outlet Obstruction
5๐ Microgastria
6๐ Gastric Heterotopia
7๐ Developmental Gastric Cyst
8๐ Congenital Antral Web
9๐ Gastric Malrotation
10๐ Developmental Gastric Anomaly
SMALL INTESTINE
๐
๐ NORMAL & PHYSIOLOGICAL SMALL INTESTINE
1๐ Normal Small Bowel Wall
2๐ Normal Jejunum
3๐ Normal Ileum
4๐ Physiological Peristalsis
5๐ Normal Valvulae Conniventes
6๐ Mild Physiologic Fluid-Filled Loops
7๐ Normal Mesenteric Vascularity
8๐ Postprandial Increased Peristalsis
9๐ Physiological Gas within Loops
10๐ Age-related Bowel Wall Changes
๐ INFLAMMATORY & INFECTIOUS DISORDERS
1๐ Crohn Disease
2๐ Terminal Ileitis
3๐ Infectious Enteritis
4๐ Tuberculous Enteritis
5๐ Eosinophilic Enteritis
6๐ Radiation Enteritis
7๐ Neutropenic Enteritis
8๐ Isolated Jejunitis
9๐ Ileal Wall Hyperemia
10๐ Phlegmonous Enteritis
๐ OBSTRUCTION & MOTILITY DISORDERS
1๐ Small Bowel Obstruction
2๐ Partial Small Bowel Obstruction
3๐ Closed Loop Obstruction
4๐ Adhesive Obstruction
5๐ Internal Hernia
6๐ Volvulus of Small Bowel
7๐ Paralytic Ileus
8๐ Functional Ileus
9๐ Pseudo-obstruction
10๐ Atonic Small Bowel Loops
๐ VASCULAR & ISCHEMIC DISORDERS
1๐ Mesenteric Ischemia
2๐ Acute Bowel Ischemia
3๐ Chronic Mesenteric Ischemia
4๐ Mesenteric Venous Thrombosis
5๐ Bowel Wall Infarction
6๐ Reperfusion Enteritis
7๐ Ischemic Ileitis
8๐ Hemorrhagic Ischemia
9๐ Mesenteric Arterial Occlusion
10๐ Venous Congestion of Bowel
๐ BENIGN TUMORS & POLYPS
1๐ Small Bowel Lipoma
2๐ Hamartomatous Polyp
3๐ Adenoma
4๐ Leiomyoma
5๐ Schwannoma
6๐ Lymphangioma
7๐ Inflammatory Fibroid Polyp
8๐ Peutz-Jeghers Polyp
9๐ Brunner Gland Hamartoma
10๐ Benign Submucosal Tumor
๐ MALIGNANT TUMORS
1๐ Small Bowel Adenocarcinoma
2๐ Small Bowel Lymphoma
3๐ Gastrointestinal Stromal Tumor (GIST)
4๐ Neuroendocrine Tumor
5๐ Metastatic Small Bowel Tumor
6๐ Leiomyosarcoma
7๐ Carcinoid Tumor
8๐ Diffuse Lymphomatous Infiltration
9๐ Recurrent Small Bowel Malignancy
10๐ Multifocal Small Bowel Cancer
๐ CONGENITAL & DEVELOPMENTAL DISORDERS
1๐ Meckel Diverticulum
2๐ Intestinal Malrotation
3๐ Duplication Cyst
4๐ Congenital Jejunal Atresia
5๐ Congenital Ileal Atresia
6๐ Vitelline Duct Remnant
7๐ Congenital Bands
8๐ Midgut Volvulus
9๐ Congenital Short Bowel
10๐ Developmental Small Bowel Anomaly
๐ TRAUMATIC & HEMORRHAGIC CONDITIONS
1๐ Small Bowel Trauma
2๐ Intramural Hematoma
3๐ Bowel Wall Contusion
4๐ Traumatic Perforation
5๐ Mesenteric Injury
6๐ Post-biopsy Hemorrhage
7๐ Anticoagulant-related Hemorrhage
8๐ Penetrating Bowel Injury
9๐ Organizing Hematoma
10๐ Delayed Traumatic Stricture
COLON
๐
๐ NORMAL & PHYSIOLOGICAL COLON
1๐ Normal Colonic Wall
2๐ Normal Haustral Pattern
3๐ Physiological Colonic Gas
4๐ Normal Cecum
5๐ Normal Ascending Colon
6๐ Normal Transverse Colon
7๐ Normal Descending Colon
8๐ Normal Sigmoid Colon
9๐ Mild Physiological Fecal Content
10๐ Age-related Colonic Changes
๐ INFLAMMATORY & INFECTIOUS COLITIS
1๐ Acute Colitis
2๐ Chronic Colitis
3๐ Ulcerative Colitis
4๐ Infectious Colitis
5๐ Pseudomembranous Colitis
6๐ Tuberculous Colitis
7๐ Amoebic Colitis
8๐ Neutropenic Colitis
9๐ Radiation Colitis
10๐ Eosinophilic Colitis
๐ DIVERTICULAR DISEASE
1๐ Colonic Diverticulosis
2๐ Acute Diverticulitis
3๐ Complicated Diverticulitis
4๐ Diverticular Abscess
5๐ Perforated Diverticulitis
6๐ Chronic Diverticular Disease
7๐ Sigmoid Diverticulitis
8๐ Right-sided Diverticulitis
9๐ Diverticular Phlegmon
10๐ Recurrent Diverticulitis
๐ OBSTRUCTION & MOTILITY DISORDERS
1๐ Large Bowel Obstruction
2๐ Colonic Ileus
3๐ Colonic Pseudo-obstruction
4๐ Fecal Impaction
5๐ Sigmoid Volvulus
6๐ Cecal Volvulus
7๐ Colonic Stricture
8๐ Post-inflammatory Narrowing
9๐ Functional Constipation
10๐ Megacolon
๐ VASCULAR & ISCHEMIC DISORDERS
1๐ Ischemic Colitis
2๐ Acute Colonic Ischemia
3๐ Chronic Ischemic Colitis
4๐ Mesenteric Venous Congestion
5๐ Colonic Infarction
6๐ Hemorrhagic Colitis
7๐ Reperfusion Injury
8๐ Venous Thrombosis Related Colitis
9๐ Ischemic Stricture
10๐ Segmental Colonic Ischemia
๐ BENIGN TUMORS & POLYPS
1๐ Hyperplastic Polyp
2๐ Adenomatous Polyp
3๐ Villous Adenoma
4๐ Tubulovillous Adenoma
5๐ Colonic Lipoma
6๐ Leiomyoma
7๐ Hamartomatous Polyp
8๐ Juvenile Polyp
9๐ Inflammatory Polyp
10๐ Benign Submucosal Tumor
๐ MALIGNANT COLONIC TUMORS
1๐ Colorectal Carcinoma
2๐ Cecal Carcinoma
3๐ Ascending Colon Carcinoma
4๐ Transverse Colon Carcinoma
5๐ Descending Colon Carcinoma
6๐ Sigmoid Colon Carcinoma
7๐ Mucinous Adenocarcinoma
8๐ Colonic Lymphoma
9๐ Metastatic Colonic Tumor
10๐ Recurrent Colon Cancer
๐ CONGENITAL & DEVELOPMENTAL DISORDERS
1๐ Hirschsprung Disease
2๐ Congenital Megacolon
3๐ Colonic Duplication Cyst
4๐ Colonic Atresia
5๐ Developmental Colonic Stenosis
6๐ Persistent Cloacal Anomaly
7๐ Congenital Colonic Malrotation
8๐ Developmental Colonic Dilatation
9๐ Segmental Colonic Agenesis
10๐ Congenital Colonic Anomaly
APPENDIX
๐
๐ ACUTE & CHRONIC APPENDICITIS
1๐ Acute Appendicitis
2๐ Early Appendicitis
3๐ Suppurative Appendicitis
4๐ Gangrenous Appendicitis
5๐ Chronic Appendicitis
6๐ Recurrent Appendicitis
7๐ Focal Appendicitis
8๐ Retrocecal Appendicitis
9๐ Pelvic Appendicitis
10๐ Subhepatic Appendicitis
๐ COMPLICATED APPENDICITIS
1๐ Perforated Appendicitis
2๐ Appendicular Abscess
3๐ Appendicular Phlegmon
4๐ Ruptured Appendix
5๐ Appendiceal Necrosis
6๐ Periappendiceal Collection
7๐ Periappendiceal Fluid
8๐ Appendicitis with Peritonitis
9๐ Walled-off Appendiceal Abscess
10๐ Septic Appendiceal Collection
๐ APPENDICEAL OBSTRUCTION & LUMINAL LESIONS
1๐ Appendicolith
2๐ Obstructed Appendix
3๐ Fecalith-related Appendicitis
4๐ Appendiceal Mucocele
5๐ Retention Mucocele
6๐ Mucinous Appendiceal Dilatation
7๐ Impacted Appendicolith
8๐ Appendiceal Luminal Distension
9๐ Mucosal Hyperplasia
10๐ Appendiceal Cystic Dilatation
๐ INFLAMMATORY & INFECTIOUS CONDITIONS
1๐ Granulomatous Appendicitis
2๐ Tuberculous Appendicitis
3๐ Crohn-related Appendicitis
4๐ Parasitic Appendicitis
5๐ Actinomycotic Appendicitis
6๐ Eosinophilic Appendicitis
7๐ Xanthogranulomatous Appendicitis
8๐ Fungal Appendicitis
9๐ Chronic Inflammatory Appendix
10๐ Appendiceal Wall Hyperemia
๐ BENIGN APPENDICEAL TUMORS
1๐ Appendiceal Adenoma
2๐ Serrated Appendiceal Lesion
3๐ Villous Adenoma
4๐ Tubular Adenoma
5๐ Benign Mucocele
6๐ Mucinous Cystadenoma
7๐ Appendiceal Lipoma
8๐ Leiomyoma
9๐ Schwannoma
10๐ Benign Appendiceal Polyp
๐ MALIGNANT APPENDICEAL TUMORS
1๐ Appendiceal Adenocarcinoma
2๐ Mucinous Adenocarcinoma
3๐ Neuroendocrine Tumor (Carcinoid)
4๐ Goblet Cell Adenocarcinoma
5๐ Appendiceal Lymphoma
6๐ Signet Ring Cell Carcinoma
7๐ Metastatic Appendiceal Tumor
8๐ Malignant Mucocele
9๐ Pseudomyxoma Peritonei
10๐ Recurrent Appendiceal Malignancy
๐ CONGENITAL & DEVELOPMENTAL DISORDERS
1๐ Appendiceal Duplication
2๐ Congenital Appendiceal Agenesis
3๐ Giant Appendix
4๐ Malpositioned Appendix
5๐ Mobile Cecum with Appendix
6๐ Developmental Appendiceal Anomaly
7๐ Congenital Appendiceal Cyst
8๐ Appendiceal Diverticulum
9๐ Appendiceal Atresia
10๐ Appendiceal Stenosis
๐ TRAUMATIC & POSTOPERATIVE CONDITIONS
1๐ Appendiceal Trauma
2๐ Appendiceal Hematoma
3๐ Post-traumatic Appendiceal Inflammation
4๐ Stump Appendicitis
5๐ Post-appendectomy Collection
6๐ Postoperative Abscess
7๐ Residual Appendicolith
8๐ Appendiceal Stump Leak
9๐ Surgical Site Infection
10๐ Recurrent Right Iliac Fossa Collection
PERITONEUM
๐
๐ NORMAL & PHYSIOLOGICAL PERITONEUM
1๐ Normal peritoneal lining (no free fluid)
2๐ Physiologic small dependent peritoneal fluid
3๐ Minimal physiologic omental fat lobulation
4๐ Physiologic peritoneal reflections
5๐ Normal peritoneal recesses
6๐ Normal peritoneal ligaments
7๐ Transient postprandial mesenteric vascularity
8๐ Temporary peritoneal fat echoes
9๐ Postural redistribution of small ascites
10๐ Age-related increase in echogenic omental fat
๐ FREE FLUID & FLUID COLLECTIONS
1๐ Simple Ascites
2๐ Complex Ascites
3๐ Loculated Ascites
4๐ Hemoperitoneum
5๐ Chylous Ascites
6๐ Urinoperitoneum
7๐ Biloma
8๐ Peritoneal Abscess
9๐ Subphrenic Abscess
10๐ Morison Pouch Collection
11๐ Pelvic Loculated Collection
12๐ Perisplenic Collection
13๐ Paracolic Gutter Loculation
14๐ Post-operative Seroma
15๐ Peritoneal Pseudocyst
16๐ Encysted Postoperative Collection
17๐ Septated Tubercular Ascites
18๐ Organized Hematoma
19๐ Post-traumatic Intraperitoneal Collection
20๐ Peritoneal Urinoma
21๐ Lymphocele
22๐ Eosinophilic Ascites
23๐ Post-procedure Encapsulated Fluid
24๐ Loculated Fluid with Gas
25๐ Transudative Ascites Pockets
๐ INFECTIOUS & INFLAMMATORY PERITONEAL DISEASES
1๐ Diffuse Bacterial Peritonitis
2๐ Secondary Peritonitis
3๐ Tuberculous Peritonitis
4๐ Fungal Peritonitis
5๐ Parasitic Peritonitis
6๐ Peritoneal Phlegmon
7๐ Encapsulating Peritoneal Sclerosis
8๐ Peritoneal Granulomas
9๐ Peritoneal Actinomycosis
10๐ Meconium Peritonitis
11๐ Chemical Peritonitis
12๐ Postoperative Peritoneal Inflammation
13๐ Adhesional Reaction with Localized Fluid
14๐ Peritoneal Exudate with Septations
15๐ Peritoneal Abscess with Hyperemia
๐ PERITONEAL & OMENTAL CYSTIC LESIONS
1๐ Mesenteric Cyst
2๐ Omental Cyst
3๐ Enteric Duplication Cyst
4๐ Mesothelial / Mesenteric Cyst
5๐ Lymphangioma of Mesentery / Omentum
6๐ Pancreatic Pseudocyst
7๐ Urachal Cyst with Peritoneal Extension
8๐ Peritoneal Inclusion Cyst
9๐ Peritoneal Urinoma Pseudocyst
10๐ Epidermoid / Dermoid Cyst
11๐ Cystic Mesothelioma
12๐ Ruptured Hydatid Cyst
13๐ Cystic Lymph Node Conglomerate
14๐ Peritoneal Duplication Cyst
15๐ Omental Pseudocyst
16๐ Peritoneal Serous Cystadenoma
17๐ Multiloculated Mesothelial Cyst
18๐ Encysted Peritoneal Lymphocele
19๐ Gossypiboma
20๐ Peritoneal Cystic Teratoma
๐ OMENTUM & MESENTERY — BENIGN LESIONS
1๐ Omental Lipoma / Lipomatosis
2๐ Omental Infarct
3๐ Omental Torsion
4๐ Epiploic Appendagitis
5๐ Mesenteric Panniculitis
6๐ Sclerosing Mesenteritis
7๐ Omental Heterotopia
8๐ Omental Cystic Lymphangioma
9๐ Omental Calcified Plaque
10๐ Omental Abscess
11๐ Postoperative Omental Adhesion Mass
12๐ Omental Band / Adhesion
13๐ Omental Desmoid
14๐ Mesenteric Cystic Lymphangioma
15๐ Mesenteric Lipodystrophy
16๐ Mesothelial Hyperplasia
17๐ Omental Granuloma
18๐ Reactive Omental Nodule
19๐ Omental Hematoma
20๐ Peritoneal Foreign Body Granuloma
21๐ Omental Pseudotumor
22๐ Mesenteric Fibroma
23๐ Post-embolic Omental Necrosis
24๐ Omental Cystic Degeneration
๐ PERITONEAL & OMENTAL MALIGNANCY
1๐ Peritoneal Carcinomatosis
2๐ Primary Peritoneal Serous Carcinoma
3๐ Peritoneal Mesothelioma
4๐ Omental Cake
5๐ Pseudomyxoma Peritonei
6๐ Peritoneal Metastatic Nodules
7๐ Calcified Peritoneal Metastases
8๐ Peritoneal Sarcomatosis
9๐ Metastatic Lymphangitic Spread
10๐ Peritoneal Lymphomatosis
11๐ Diffuse Malignant Mesothelioma
12๐ Mixed Mรผllerian Tumor Metastasis
13๐ Endometrial Carcinoma Implants
14๐ Breast Carcinoma Peritoneal Deposits
15๐ Gastric Carcinoma Peritoneal Spread
16๐ Colorectal Carcinoma Implants
17๐ Necrotic Peritoneal Metastases
18๐ Metastatic Melanoma Implants
19๐ Recurrent Peritoneal Malignancy
20๐ Ovarian Carcinoma Peritoneal Involvement
21๐ Malignant Omental Tumors
22๐ Desmoplastic Small Round Cell Tumor
23๐ Peritoneal GIST Involvement
24๐ Neuroendocrine Tumor Implants
25๐ Peritoneal Leiomyosarcoma Spread
26๐ Malignant Implant with Ascites
27๐ Carcinomatosis with Bowel Tethering
28๐ Tumor Deposits with Bowel Obstruction
29๐ Post-chemotherapy Necrotic Nodules
30๐ Calcified Treated Tumor Implants
31๐ Peritoneal Lymphangitic Carcinomatosis
32๐ Mixed Histology Metastasis
33๐ Extensive Omental Metastatic Mass
๐ ADHESIONS, TETHERING & MOBILITY ABNORMALITIES
1๐ Peritoneal Adhesions
2๐ Dense Fibrotic Adhesions
3๐ Adhesional Bowel Tethering
4๐ Omental Adhesion Mass
5๐ Parietal Peritoneal Tethering
6๐ Fixed Bowel Loops
7๐ Adhesional Small Bowel Obstruction
8๐ Pelvic Adhesion Complex
9๐ Loculated Ascites due to Adhesions
10๐ Adhesion to Anterior Abdominal Wall
11๐ Adhesional Encapsulation (Abdominal Cocoon)
12๐ Peritoneal Band Causing Internal Hernia
13๐ Epiploic Adhesions
14๐ Adhesive Closed Loop Obstruction
15๐ Post-inflammatory Peritoneal Fibrosis
16๐ Liver-Diaphragm Adhesion
17๐ Pelvic Floor Fixation
18๐ Vascularized Adhesions
19๐ Adhesion with Fixed Tenderness
20๐ Peritoneal Septations Restricting Fluid Mobility
๐ HERNIA & PERITONEAL DEFECTS
1๐ Peritoneal Sac in Inguinal Hernia
2๐ Reducible Hernial Sac with Bowel
3๐ Sliding Hernia
4๐ Richter’s Hernia
5๐ Umbilical Hernia
6๐ Incisional Hernia
7๐ Spigelian Hernia
8๐ Parastomal Hernia
9๐ Femoral Hernia
10๐ Obturator Hernia
11๐ Internal Hernia with Peritoneal Defect
12๐ Omental Hernia Content
13๐ Incarcerated Hernia with Inflammatory Mass
14๐ Littre’s / Richter’s Hernia Recess
15๐ Strangulated Hernia
16๐ Recurrent Hernia with Adhesions
17๐ Hernial Sac with Tumor Implant
18๐ Hernia with Trapped Ascites
19๐ Sliding Bladder Hernia
20๐ Peritoneal Defect with Secondary Volvulus
๐ TRAUMATIC & HEMORRHAGIC CONDITIONS
1๐ Hemoperitoneum (FAST Positive)
2๐ Intraperitoneal Hematoma
3๐ Penetrating Trauma with Peritoneal Breach
4๐ Mesenteric Tear with Hemorrhage
5๐ Post-biopsy Peritoneal Bleeding
6๐ Ruptured Liver / Spleen with Contamination
7๐ Traumatic Peritoneal Air
8๐ Organizing Hemoperitoneum
9๐ Traumatic Peritoneal Pseudoaneurysm
10๐ Traumatic Omental Infarct
11๐ Traumatic Bowel Perforation
12๐ Post-traumatic Peritoneal Adhesions
13๐ Traumatic Urinoperitoneum
14๐ Shrapnel-related Peritoneal Changes
15๐ Peritoneal Compartment Syndrome
๐ VASCULAR, LYMPHATIC & PERFUSION DISORDERS
1๐ Peritoneal Varices
2๐ Mesenteric Venous Thrombosis
3๐ Omental Arteriovenous Malformation
4๐ Peritoneal Capillary Leak Syndrome
5๐ Chylous Ascites due to Lymphatic Obstruction
6๐ Peritoneal Lymphangiectasia
7๐ Peritoneal Vascular Tumor
8๐ Mesenteric Arterial Thrombosis
9๐ Peritoneal Ischemia
10๐ Portal Pyaemia with Peritoneal Congestion
11๐ Peritoneal Venous Thrombosis
12๐ Hyperemic Peritoneal Microabscesses
13๐ Post-embolization Peritoneal Ischemia
14๐ Postoperative Lymphatic Leak
15๐ Tumor-related Peritoneal Vascular Invasion
๐ CONGENITAL & DEVELOPMENTAL PERITONEAL DISORDERS
1๐ Congenital Peritoneal Band (Ladd's Band)
2๐ Congenital Omental / Mesenteric Lymphangioma
3๐ Midgut Malrotation with Ladd's Bands
4๐ Meconium Peritonitis
5๐ Congenital Peritoneal Diverticulum
6๐ Mesenteric Duplication Cyst
7๐ Persistent Vitelline Duct
8๐ Congenital Omental Hernia
9๐ Congenital Peritoneal Adhesions
10๐ Peritoneal Surface Hamartoma
11๐ Congenital Peritoneal Inclusion Around Ovary
12๐ Neonatal Ascites
13๐ Peritoneal Vitelline Cyst
14๐ Congenital Peritoneal Serous Cystadenoma
15๐ Urachal Sinus Communicating with Peritoneum
๐ SYSTEMIC & SECONDARY PERITONEAL DISORDERS
1๐ Cirrhotic Ascites with Peritoneal Nodularity
2๐ Cardiac Failure Related Ascites
3๐ Nephrotic Syndrome Ascites
4๐ Hypoalbuminemia Related Peritoneal Edema
5๐ Peritoneal Sarcoidosis
6๐ Disseminated Tuberculosis with Peritoneal Involvement
7๐ Peritoneal Amyloidosis
8๐ Systemic Malignancy Related Peritoneal Implants
9๐ Lupus Peritonitis
10๐ Post-chemotherapy Peritoneal Changes
11๐ Radiation-induced Peritoneal Fibrosis
12๐ Peritoneal Involvement in Pancreatitis
13๐ Systemic Fungal Disease with Peritoneal Involvement
14๐ Peritonitis Secondary to Bowel Ischemia
15๐ Endocrine Tumor Related Peritoneal Metastasis
16๐ Hematologic Malignancy with Peritoneal Involvement
17๐ Post-transplant Lymphoproliferative Disorder
18๐ Peritoneal Histiocytosis
19๐ Immune Checkpoint Therapy Related Peritoneal Changes
20๐ Secondary Peritoneal Infection in Immunosuppressed Patient
๐ SYSTEMIC, SECONDARY AND EXTRA-CORPOREAL (≈15)
1 ๐ Mesenteric ischemia (secondary to cardiac failure)
2 ๐ Portal hypertension (bowel wall edema)
3 ๐ Hypoalbuminemia-related bowel edema
4 ๐ Congestive heart failure (submucosal edema)
5 ๐ Renal failure with uremic enteropathy
6 ๐ SLE vasculitis with small bowel thickening
7 ๐ Systemic amyloidosis (rigid bowel wall)
8 ๐ Sarcoidosis involving small bowel
9 ๐ Celiac disease secondary to immune disorders
10 ๐ Graft-versus-host enteritis
11 ๐ Diabetic enteropathy
12 ๐ Chemotherapy-induced mucositis
13 ๐ Post-hematologic malignancy infiltration
14 ๐ Immunosuppressed enteritis (HIV, post-transplant)
15 ๐ Systemic sclerosis (atonic loops, pseudo-obstruction)
๐ HEMORRHAGIC AND VASCULAR LESIONS (≈10)
1 ๐ Small bowel hemorrhage (intraluminal echoes)
2 ๐ AV malformation (focal color flow hotspot)
3 ๐ Hemangioma (vascular submucosal lesion)
4 ๐ Dieulafoy’s lesion (rare, upper jejunal)
5 ๐ Post-NSAID ulcer bleeding
6 ๐ Post-radiation telangiectasia
7 ๐ Angiodysplasia of jejunum / ileum
8 ๐ Post-trauma intramural hematoma
9 ๐ Anticoagulant-related hemorrhage
10 ๐ Post-embolization bowel bleed
๐ OTHER AND RARE ENTITIES (≈15)
1 ๐ Pneumatosis cystoides intestinalis (gas cysts in wall)
2 ๐ Lymphangiectasia (hypoechoic mucosal band)
3 ๐ Protein-losing enteropathy (thick mucosa)
4 ๐ Amyloid enteropathy (rigid, hyperechoic wall)
5 ๐ Scleroderma bowel (dilated, atonic loops)
6 ๐ Radiation-induced enteropathy
7 ๐ Sarcoid enteritis
8 ๐ Eosinophilic gastroenteritis (multi-segmental)
9 ๐ MALT lymphoma (thickened, preserved layers)
10 ๐ Graft-versus-host disease (segmental edema)
11 ๐ Celiac crisis (massive luminal dilatation)
12 ๐ Short bowel syndrome (post-resection)
13 ๐ Blind loop syndrome (stagnation)
14 ๐ Post-obstructive bacterial overgrowth
15 ๐ Inflammatory pseudotumor of small bowel
RETROPERITONEUM
๐
๐ NORMAL & PHYSIOLOGICAL RETROPERITONEUM
1๐ Normal retroperitoneal fat planes
2๐ Normal para-aortic region
3๐ Normal psoas muscles
4๐ Normal iliac vessels
5๐ Normal retrocrural space
6๐ Normal perirenal fat
7๐ Physiologic retroperitoneal lymph nodes
8๐ Normal fascial planes
9๐ Symmetric psoas echotexture
10๐ Age-related retroperitoneal fat prominence
๐ FLUID COLLECTIONS & HEMORRHAGE
1๐ Retroperitoneal Hematoma
2๐ Psoas Hematoma
3๐ Retroperitoneal Abscess
4๐ Iliopsoas Abscess
5๐ Urinoma
6๐ Lymphocele
7๐ Postoperative Seroma
8๐ Perirenal Fluid Collection
9๐ Retroperitoneal Biloma
10๐ Infected Fluid Collection
๐ INFECTIOUS & INFLAMMATORY DISORDERS
1๐ Retroperitoneal Fibrosis
2๐ Idiopathic Retroperitoneal Fibrosis
3๐ IgG4-related Retroperitoneal Fibrosis
4๐ Retroperitoneal Cellulitis
5๐ Tuberculous Retroperitoneal Disease
6๐ Fungal Infection
7๐ Actinomycosis
8๐ Inflammatory Fat Stranding
9๐ Xanthogranulomatous Inflammation
10๐ Chronic Fibrosing Inflammation
๐ BENIGN RETROPERITONEAL MASSES
1๐ Lipoma
2๐ Schwannoma
3๐ Neurofibroma
4๐ Ganglioneuroma
5๐ Fibroma
6๐ Leiomyoma
7๐ Mature Teratoma
8๐ Lymphangioma
9๐ Mesenteric / Retroperitoneal Cyst
10๐ Paraganglioma
๐ MALIGNANT RETROPERITONEAL TUMORS
1๐ Liposarcoma
2๐ Leiomyosarcoma
3๐ Malignant Fibrous Histiocytoma
4๐ Undifferentiated Pleomorphic Sarcoma
5๐ Malignant Peripheral Nerve Sheath Tumor
6๐ Retroperitoneal Lymphoma
7๐ Metastatic Retroperitoneal Disease
8๐ Germ Cell Tumor
9๐ Recurrent Retroperitoneal Sarcoma
10๐ Invasive Retroperitoneal Malignancy
๐ LYMPH NODES & LYMPHATIC DISORDERS
1๐ Reactive Retroperitoneal Nodes
2๐ Tuberculous Lymphadenopathy
3๐ Lymphoma Nodes
4๐ Metastatic Para-aortic Nodes
5๐ Necrotic Lymph Nodes
6๐ Calcified Lymph Nodes
7๐ Lymphatic Malformation
8๐ Chylous Leak
9๐ Retroperitoneal Lymphocele
10๐ Diffuse Nodal Conglomerate
๐ VASCULAR DISORDERS
1๐ Abdominal Aortic Aneurysm
2๐ Ruptured Aortic Aneurysm
3๐ Aortic Dissection
4๐ Inferior Vena Cava Thrombosis
5๐ Retroperitoneal Varices
6๐ Iliac Artery Aneurysm
7๐ Pseudoaneurysm
8๐ Arteriovenous Malformation
9๐ Retroperitoneal Hemorrhage from Anticoagulation
10๐ Vascular Tumor Invasion
๐ TRAUMATIC CONDITIONS
1๐ Retroperitoneal Trauma
2๐ Blunt Abdominal Trauma
3๐ Penetrating Retroperitoneal Injury
4๐ Psoas Muscle Tear
5๐ Traumatic Hematoma
6๐ Post-biopsy Hemorrhage
7๐ Retroperitoneal Active Bleeding
8๐ Pelvic Retroperitoneal Injury
9๐ Organ-related Retroperitoneal Contusion
10๐ Chronic Organizing Hematoma
๐ CONGENITAL & DEVELOPMENTAL DISORDERS
1๐ Congenital Retroperitoneal Cyst
2๐ Retroperitoneal Teratoma
3๐ Lymphatic Malformation
4๐ Congenital Lymphangioma
5๐ Developmental Mesenchymal Tumor
6๐ Embryonal Rest Tumor
7๐ Congenital Neurogenic Tumor
8๐ Developmental Fibrous Mass
9๐ Congenital Chylous Cyst
10๐ Complex Developmental Retroperitoneal Lesion
ABDOMINAL WALL
๐
๐ NORMAL AND PHYSIOLOGICAL (≈10)
1 ๐ Normal anterior abdominal wall (intact fascial planes)
2 ๐ Normal rectus abdominis and oblique muscles
3 ๐ Normal linea alba (echogenic midline)
4 ๐ Normal umbilical region (no defect)
5 ๐ Post-exercise muscle thickening (physiologic)
6 ๐ Subcutaneous tissue with normal echogenicity
7 ๐ Physiologic post-meal wall distension
8 ๐ Postpartum laxity (no fascial defect)
9 ๐ Normal scar (post-surgical, fibrotic)
10 ๐ Normal vascular pattern (epigastric vessels visible on Doppler)
๐ INFLAMMATORY AND INFECTIVE (≈25)
1 ๐ Cellulitis (diffuse subcutaneous thickening)
2 ๐ Abscess (localized fluid collection with debris)
3 ๐ Phlegmon (ill-defined echogenic inflammatory mass)
4 ๐ Necrotizing fasciitis
5 ๐ Infected sebaceous cyst
6 ๐ Infected lipoma (abscess formation)
7 ๐ Subcutaneous carbuncle / furuncle
8 ๐ Post-injection abscess
9 ๐ Post-traumatic abscess
10 ๐ Post-surgical abscess (wound infection)
11 ๐ Stitch abscess
12 ๐ Umbilical abscess (omphalitis)
13 ๐ Fungal wall infection (rare)
14 ๐ Tubercular abscess of abdominal wall
15 ๐ Sinus tract (post-surgical or tubercular)
16 ๐ Enterocutaneous fistula
17 ๐ Colocutaneous fistula
18 ๐ Urinocutaneous fistula
19 ๐ Biliary-cutaneous fistula
20 ๐ Pyogenic granuloma (reactive)
21 ๐ Subfascial abscess (deep wall infection)
22 ๐ Periumbilical abscess (infected urachal remnant)
23 ๐ Actinomycosis of wall (rare)
24 ๐ Foreign body granuloma (infected type)
25 ๐ Laparostomy wound sepsis
๐ TRAUMATIC (≈20)
1 ๐ Hematoma (subcutaneous)
2 ๐ Hematoma (rectus sheath)
3 ๐ Hematoma (intramuscular oblique)
4 ๐ Hematoma (preperitoneal)
5 ๐ Post-blunt trauma muscular tear
6 ๐ Muscle contusion (hypoechoic band)
7 ๐ Muscle rupture (discontinuity with hematoma)
8 ๐ Fascial defect post-trauma
9 ๐ Post-surgical hematoma
10 ๐ Port-site hematoma (laparoscopic)
11 ๐ Subfascial seroma
12 ๐ Post-traumatic seroma
13 ๐ Abdominal wall edema (post-injury)
14 ๐ Morel-Lavallรฉe lesion
15 ๐ Crush injury hematoma
16 ๐ Gunshot wound tract
17 ๐ Penetrating wound with retained foreign body
18 ๐ Post-aspiration puncture hematoma
19 ๐ Post-biopsy abdominal wall injury
20 ๐ Chronic calcified hematoma
๐ POST-SURGICAL AND IATROGENIC (≈25)
1 ๐ Post-laparotomy scar
2 ๐ Post-laparoscopic port-site hernia
3 ๐ Post-C-section wound dehiscence
4 ๐ Post-surgery seroma
5 ๐ Post-surgery abscess
6 ๐ Wound infection with fistula
7 ๐ Post-mesh infection
8 ๐ Meshoma (folded surgical mesh mass)
9 ๐ Post-mesh fibrosis / granuloma
10 ๐ Suture granuloma
11 ๐ Post-drain tract sinus
12 ๐ Post-stoma hernia
13 ๐ Post-operative adhesion
14 ๐ Post-surgery fat necrosis
15 ๐ Post-surgery fibrosis band
16 ๐ Post-abdominal wall flap seroma
17 ๐ Post-biopsy tract hematoma
18 ๐ Post-drain site infection
19 ๐ Post-repair scar hypertrophy
20 ๐ Post-radiation fibrosis
21 ๐ Post-radiation necrosis
22 ๐ Post-embolization injection site abscess
23 ๐ Post-abdominoplasty wall fluid
24 ๐ Post-catheter tract infection
25 ๐ Port-site metastasis (malignant seeding)
๐ HERNIAL AND DEFECTIVE CONDITIONS (≈30)
1 ๐ Umbilical hernia
2 ๐ Paraumbilical hernia
3 ๐ Epigastric hernia
4 ๐ Hypogastric hernia
5 ๐ Spigelian hernia (lateral ventral)
6 ๐ Incisional hernia (post-operative)
7 ๐ Parastomal hernia
8 ๐ Lumbar hernia (Grynfelt/Petit)
9 ๐ Obturator hernia (rare, deep)
10 ๐ Inguinal hernia – indirect
11 ๐ Inguinal hernia – direct
12 ๐ Femoral hernia
13 ๐ Oblique hernia (interparietal)
14 ๐ Sliding hernia (colon involvement)
15 ๐ Incarcerated hernia (non-reducible)
16 ๐ Strangulated hernia (ischemic)
17 ๐ Inflamed hernia sac (abscess)
18 ๐ Hernia with bowel obstruction
19 ๐ Hernia with omental infarction
20 ๐ Hernia with ascitic fluid
21 ๐ Hernia with bladder component
22 ๐ Hernia containing appendix (Amyand’s)
23 ๐ Hernia containing Meckel’s diverticulum (Littre’s)
24 ๐ Hernia containing ovary or fallopian tube
25 ๐ Richter’s hernia (partial bowel wall)
26 ๐ Port-site hernia
27 ๐ Recurrent incisional hernia
28 ๐ Epigastric preperitoneal fat hernia
29 ๐ Small trocar-site hernia
30 ๐ Hernia mesh failure
๐ NEOPLASTIC — BENIGN (≈25)
1 ๐ Lipoma (most common benign mass)
2 ๐ Fibroma
3 ๐ Desmoid tumor (fibromatosis)
4 ๐ Leiomyoma (smooth muscle)
5 ๐ Hemangioma
6 ๐ Lymphangioma
7 ๐ Neurofibroma
8 ๐ Schwannoma
9 ๐ Glomus tumor (rare superficial)
10 ๐ Myxoma (fibromyxoid tumor)
11 ๐ Angiomyolipoma (soft tissue variant)
12 ๐ Dermatofibroma
13 ๐ Elastofibroma
14 ๐ Foreign body granuloma
15 ๐ Fibrolipoma
16 ๐ Adenomatoid tumor (rare)
17 ๐ Hemangiopericytoma (benign)
18 ๐ Chondroma (calcified mass)
19 ๐ Ossified fibroma
20 ๐ Post-traumatic pseudotumor
21 ๐ Reactive fibrous nodule
22 ๐ Scar tissue mimicking tumor
23 ๐ Suture granuloma (mass-like)
24 ๐ Post-radiation benign fibroma
25 ๐ Hypertrophic scar nodule
๐ NEOPLASTIC — MALIGNANT (≈25)
1 ๐ Liposarcoma
2 ๐ Fibrosarcoma
3 ๐ Leiomyosarcoma
4 ๐ Rhabdomyosarcoma
5 ๐ Angiosarcoma
6 ๐ Lymphangiosarcoma
7 ๐ Synovial sarcoma
8 ๐ Undifferentiated pleomorphic sarcoma (MFH)
9 ๐ Dermatofibrosarcoma protuberans
10 ๐ Malignant fibrous histiocytoma
11 ๐ Metastasis to abdominal wall (cutaneous/subcutaneous)
12 ๐ Metastasis from colon carcinoma
13 ๐ Metastasis from ovarian carcinoma
14 ๐ Metastasis from pancreatic carcinoma
15 ๐ Metastasis from gallbladder carcinoma
16 ๐ Metastasis from hepatocellular carcinoma
17 ๐ Metastasis from renal cell carcinoma
18 ๐ Malignant desmoid (aggressive fibromatosis)
19 ๐ Post-radiation sarcoma
20 ๐ Post-surgical recurrent sarcoma
21 ๐ Lymphoma involving wall
22 ๐ Leukemic infiltration
23 ๐ Cutaneous melanoma metastasis
24 ๐ Kaposi’s sarcoma (HIV-related)
25 ๐ Angiolipoleiomyosarcoma (rare variant)
๐ VASCULAR LESIONS (≈15)
1 ๐ Superficial varices (epigastric veins)
2 ๐ Inferior epigastric artery pseudoaneurysm
3 ๐ Superior epigastric artery pseudoaneurysm
4 ๐ Post-catheter pseudoaneurysm (femoral/abdominal)
5 ๐ Arteriovenous malformation (AVM)
6 ๐ Venous thrombosis (superficial epigastric vein)
7 ๐ Capillary hemangioma
8 ๐ Cavernous hemangioma
9 ๐ Lymphangioma (cystic vascular lesion)
10 ๐ Angiomyolipoma (vascular variant)
11 ๐ Venous malformation (congenital)
12 ๐ Hematoma with active extravasation
13 ๐ Post-embolization necrosis
14 ๐ Vascular steal from collateral shunts
15 ๐ Post-radiation vascular sclerosis
๐ CONGENITAL AND DEVELOPMENTAL (≈15)
1 ๐ Urachal remnant (fibrous tract)
2 ๐ Urachal cyst
3 ๐ Urachal sinus
4 ๐ Patent urachus
5 ๐ Congenital umbilical hernia
6 ๐ Abdominal wall hypoplasia (Prune-belly syndrome)
7 ๐ Gastroschisis
8 ๐ Omphalocele
9 ๐ Congenital diastasis recti
10 ๐ Congenital muscle aplasia (rectus absence)
11 ๐ Congenital vascular malformation
12 ๐ Ectopic umbilical vessel remnant
13 ๐ Persistent vitelline ligament tract
14 ๐ Umbilical granuloma (neonatal)
15 ๐ Congenital subcutaneous cyst (epidermoid)
๐ SYSTEMIC, METABOLIC AND SECONDARY (≈15)
1 ๐ Edema (cardiac or renal failure-related)
2 ๐ Hypoproteinemia-related wall edema
3 ๐ Myxedema (hypothyroidism)
4 ๐ Anasarca (systemic)
5 ๐ Cirrhotic abdominal wall varices (caput medusae)
6 ๐ Portal hypertension–related collaterals
7 ๐ Parietal wall venous shunts post-TIPS
8 ๐ Chronic renal failure (calcified vessels)
9 ๐ Diabetes-related abscess
10 ๐ Immunosuppressed abscess (HIV)
11 ๐ Amyloidosis of abdominal wall
12 ๐ SLE panniculitis
13 ๐ Rheumatoid nodules (subcutaneous)
14 ๐ Sarcoid granuloma
15 ๐ Metabolic calcification (soft-tissue deposits)
๐ EXTRA-PARIETAL AND SECONDARY CAUSES (≈10)
1 ๐ Intra-abdominal abscess tracking to wall
2 ๐ Peritoneal carcinomatosis invading wall
3 ๐ Colon carcinoma extending to wall
4 ๐ Pancreatic carcinoma infiltrating wall
5 ๐ Gallbladder carcinoma invading wall
6 ๐ Appendiceal abscess tracking to wall
7 ๐ Urachal carcinoma extending to wall
8 ๐ Hepatic metastasis breaching peritoneum
9 ๐ Post-radiation pelvic fibrosis extending anteriorly
10 ๐ Ascitic fluid loculated against wall (pseudo-mass)
CEUS FOR RENAL MASSES
๐
๐ PATHOLOGY
1 ๐ Clear cell renal cell carcinoma (ccRCC)
2 ๐ Papillary renal cell carcinoma (pRCC)
3 ๐ Chromophobe renal cell carcinoma
4 ๐ Multilocular cystic renal neoplasm
5 ๐ Oncocytoma
6 ๐ Angiomyolipoma (AML)
7 ๐ Lipid-poor angiomyolipoma
8 ๐ Renal adenoma
9 ๐ Complex renal cyst (Bosniak IIF)
10 ๐ Complex renal cyst (Bosniak III)
11 ๐ Complex renal cyst (Bosniak IV)
12 ๐ Hemorrhagic renal cyst
13 ๐ Infected renal cyst
14 ๐ Renal abscess
15 ๐ Focal pyelonephritis
16 ๐ Xanthogranulomatous pyelonephritis
17 ๐ Renal infarction
18 ๐ Cortical necrosis
19 ๐ Renal lymphoma
20 ๐ Renal metastasis
21 ๐ Transitional cell carcinoma (renal pelvis)
22 ๐ Wilms tumor
23 ๐ Post-ablation renal lesion
24 ๐ Pseudotumor (hypertrophied column of Bertin)
25 ๐ Renal scar / focal fibrosis
๐ CEUS CHARACTERIZATION PATTERNS
26 ๐ Hyperenhancing renal mass
27 ๐ Isoenhancing renal mass
28 ๐ Hypoenhancing renal mass
29 ๐ Rapid wash-in pattern
30 ๐ Delayed wash-in pattern
31 ๐ Rapid washout pattern
32 ๐ Delayed washout pattern
33 ๐ Homogeneous enhancement
34 ๐ Heterogeneous enhancement
35 ๐ Rim enhancement
36 ๐ Septal enhancement in cystic lesion
37 ๐ Mural nodule enhancement
38 ๐ Non-enhancing necrotic component
39 ๐ Non-enhancing hemorrhagic cyst
40 ๐ Pseudocapsule enhancement
41 ๐ Tumor vascularity on CEUS
42 ๐ Internal septal vascularity
43 ๐ Microvascular perfusion defect
44 ๐ Wedge-shaped perfusion defect (infarction)
45 ๐ Avascular lesion
CEUS FOR LIVER TUMORS
๐
๐ PATHOLOGY
1 ๐ Hemangioma
2 ๐ Focal nodular hyperplasia (FNH)
3 ๐ Hepatocellular adenoma
4 ๐ Focal fatty sparing
5 ๐ Focal fatty infiltration
6 ๐ Regenerative nodule
7 ๐ Dysplastic nodule
8 ๐ Simple hepatic cyst
9 ๐ Hemorrhagic hepatic cyst
10 ๐ Biliary cystadenoma
11 ๐ Hepatocellular carcinoma (HCC)
12 ๐ Early hepatocellular carcinoma
13 ๐ Intrahepatic cholangiocarcinoma
14 ๐ Combined HCC–cholangiocarcinoma
15 ๐ Liver metastasis – colorectal primary
16 ๐ Liver metastasis – pancreatic primary
17 ๐ Liver metastasis – gastric primary
18 ๐ Liver metastasis – breast primary
19 ๐ Liver metastasis – lung primary
20 ๐ Neuroendocrine liver metastasis
21 ๐ Liver abscess (pyogenic)
22 ๐ Amoebic liver abscess
23 ๐ Echinococcal cyst (hydatid disease)
24 ๐ Confluent hepatic fibrosis
25 ๐ Hepatic lymphoma
26 ๐ Inflammatory pseudotumor
27 ๐ Hepatic angiomyolipoma
28 ๐ Epithelioid hemangioendothelioma
29 ๐ Hepatic angiosarcoma
30 ๐ Post-treatment residual/recurrent tumor
URINARY BLADDER
๐
๐ NORMAL AND PHYSIOLOGICAL
1 ๐ Normal distended urinary bladder
2 ๐ Partially filled urinary bladder
3 ๐ Normal bladder wall (<3 mm when distended)
4 ๐ Normal trigone
5 ๐ Bilateral ureteric jets present
6 ๐ Normal post-void residual volume
7 ๐ Physiological bladder folding when underfilled
8 ๐ Normal bladder neck
9 ๐ Normal intravesical prostate impression
10 ๐ Normal pediatric urinary bladder
11 ๐ Mild transient post-void wall thickening
12 ๐ Normal bladder vascularity
13 ๐ Normal bladder capacity
14 ๐ Symmetric bladder contour
15 ๐ Normal bladder dome
๐
Catheter Assessment
3 ๐ Catheter Malposition is Suspected
๐ INFLAMMATORY AND INFECTIVE
1 ๐ Acute cystitis
2 ๐ Chronic cystitis
3 ๐ Hemorrhagic cystitis
4 ๐ Radiation cystitis
5 ๐ Eosinophilic cystitis
6 ๐ Interstitial cystitis
7 ๐ Tuberculous cystitis
8 ๐ Fungal cystitis
9 ๐ Emphysematous cystitis
10 ๐ Schistosomiasis of bladder
11 ๐ Catheter-associated cystitis
12 ๐ Post-operative cystitis
13 ๐ Bladder wall abscess
14 ๐ Infected bladder diverticulum
15 ๐ Urachal infection
16 ๐ Cystitis glandularis
17 ๐ Cystitis cystica
18 ๐ Malakoplakia
19 ๐ Recurrent urinary tract infection changes
20 ๐ Neurogenic bladder with infection
21 ๐ Post-instrumentation inflammation
22 ๐ Granulomatous cystitis
23 ๐ Chemical cystitis
24 ๐ BK virus cystitis
25 ๐ Bladder wall edema
๐ CALCULI AND FOREIGN BODIES (≈15)
1 ๐ Bladder calculus (single)
2 ๐ Multiple bladder calculi
3 ๐ Giant vesical calculus
4 ๐ Mobile bladder stone
5 ๐ Impacted bladder stone
6 ๐ Ureterocele with calculus
7 ๐ Catheter encrustation
8 ๐ Retained catheter fragment
9 ๐ Intravesical foreign body
10 ๐ Migrated surgical clip
11 ๐ Migrated mesh into bladder
12 ๐ Calcified blood clot
13 ๐ Bladder bezoar
14 ๐ Calcified tumor
15 ๐ Calcified schistosomal bladder wall
๐ OBSTRUCTIVE AND FUNCTIONAL DISORDERS (≈20)
1 ๐ Bladder outlet obstruction
2 ๐ Neurogenic bladder
3 ๐ Atonic bladder
4 ๐ Trabeculated bladder
5 ๐ Thick-walled bladder
6 ๐ Large post-void residual urine
7 ๐ Acute urinary retention
8 ๐ Chronic urinary retention
9 ๐ Detrusor hypertrophy
10 ๐ Detrusor failure
11 ๐ Bladder diverticulum
12 ๐ Multiple diverticula
13 ๐ Hutch diverticulum
14 ๐ Vesicoureteral reflux
15 ๐ Posterior urethral valve changes
16 ๐ Bladder neck obstruction
17 ๐ Dysfunctional voiding
18 ๐ Spinal cord injury bladder
19 ๐ Diabetic neurogenic bladder
20 ๐ Post-surgical bladder dysfunction
๐ NEOPLASTIC — BENIGN AND MALIGNANT (≈30)
1 ๐ Urothelial papilloma
2 ๐ Inverted papilloma
3 ๐ Leiomyoma
4 ๐ Hemangioma
5 ๐ Neurofibroma
6 ๐ Paraganglioma
7 ๐ Urothelial carcinoma (papillary)
8 ๐ Urothelial carcinoma (sessile)
9 ๐ Muscle-invasive bladder cancer
10 ๐ Carcinoma in situ
11 ๐ Squamous cell carcinoma
12 ๐ Adenocarcinoma
13 ๐ Urachal carcinoma
14 ๐ Small-cell carcinoma
15 ๐ Sarcomatoid carcinoma
16 ๐ Leiomyosarcoma
17 ๐ Rhabdomyosarcoma
18 ๐ Lymphoma
19 ๐ Metastasis to bladder
20 ๐ Recurrent bladder tumor
PROSTATE
๐
๐ NORMAL AND PHYSIOLOGICAL (≈15)
1 ๐ Normal prostate gland
2 ๐ Normal peripheral zone
3 ๐ Normal transition zone
4 ๐ Normal central zone
5 ๐ Normal ejaculatory ducts
6 ๐ Normal seminal vesicles
7 ๐ Symmetric prostate contour
8 ๐ Normal prostate vascularity
9 ๐ Mild age-related enlargement
10 ๐ Normal post-void appearance
11 ๐ Homogeneous echotexture
12 ๐ Normal capsule
13 ๐ Normal apex
14 ๐ Normal base
15 ๐ Normal median lobe
๐ BENIGN PROSTATIC HYPERPLASIA (≈20)
1 ๐ Benign prostatic hyperplasia (BPH)
2 ๐ Nodular BPH
3 ๐ Glandular hyperplasia
4 ๐ Stromal hyperplasia
5 ๐ Mixed hyperplasia
6 ๐ Enlarged transition zone
7 ๐ Median lobe enlargement
8 ๐ Intravesical prostatic protrusion
9 ๐ Bladder outlet obstruction
10 ๐ Post-void residual urine
11 ๐ Trabeculated bladder secondary to BPH
12 ๐ Large-volume prostate
13 ๐ Giant BPH
14 ๐ BPH with calcification
15 ๐ BPH with cystic degeneration
16 ๐ BPH with urinary retention
17 ๐ BPH with hydronephrosis
18 ๐ Recurrent BPH after treatment
19 ๐ Residual adenoma after surgery
20 ๐ Post-TURP prostate
๐ INFLAMMATORY AND INFECTIVE (≈20)
1 ๐ Acute bacterial prostatitis
2 ๐ Chronic bacterial prostatitis
3 ๐ Chronic prostatitis
4 ๐ Chronic pelvic pain syndrome
5 ๐ Asymptomatic inflammatory prostatitis
6 ๐ Prostatic abscess
7 ๐ Tuberculous prostatitis
8 ๐ Granulomatous prostatitis
9 ๐ Fungal prostatitis
10 ๐ Viral prostatitis
11 ๐ Xanthogranulomatous prostatitis
12 ๐ Post-biopsy prostatitis
13 ๐ Post-instrumentation infection
14 ๐ BCG-related granulomatous prostatitis
15 ๐ Recurrent prostatitis
16 ๐ Prostatic edema
17 ๐ Prostatic fibrosis
18 ๐ Infected prostatic cyst
19 ๐ Seminal vesiculitis
20 ๐ Ejaculatory duct inflammation
๐ CYSTS, CALCIFICATIONS AND CONGENITAL LESIONS (≈20)
1 ๐ Prostatic retention cyst
2 ๐ Mรผllerian duct cyst
3 ๐ Prostatic utricle cyst
4 ๐ Ejaculatory duct cyst
5 ๐ Seminal vesicle cyst
6 ๐ Midline prostatic cyst
7 ๐ Multiple prostatic cysts
8 ๐ Hemorrhagic cyst
9 ๐ Prostatic calcification
10 ๐ Corpora amylacea calcification
11 ๐ Calcified prostatitis
12 ๐ Congenital prostate hypoplasia
13 ๐ Prostate agenesis (rare)
14 ๐ Zinner syndrome
15 ๐ Congenital ejaculatory duct obstruction
16 ๐ Seminal vesicle dilatation
17 ๐ Congenital seminal vesicle cyst
18 ๐ Cowper duct cyst (syringocele)
19 ๐ Calcified cyst wall
20 ๐ Complex prostatic cyst
๐ NEOPLASTIC — BENIGN AND MALIGNANT (≈25)
1 ๐ Prostatic adenocarcinoma
2 ๐ Clinically significant prostate cancer
3 ๐ High-grade prostatic intraepithelial neoplasia (HGPIN)
4 ๐ Ductal adenocarcinoma
5 ๐ Small-cell carcinoma
6 ๐ Neuroendocrine carcinoma
7 ๐ Mucinous adenocarcinoma
8 ๐ Sarcomatoid carcinoma
9 ๐ Prostatic stromal tumor
10 ๐ Leiomyoma
11 ๐ Leiomyosarcoma
12 ๐ Rhabdomyosarcoma
13 ๐ Lymphoma of prostate
14 ๐ Metastatic involvement of prostate
15 ๐ Recurrent prostate cancer
16 ๐ Post-treatment residual tumor
17 ๐ Locally advanced prostate cancer
18 ๐ Seminal vesicle invasion
19 ๐ Extracapsular extension
20 ๐ Bladder neck invasion
21 ๐ Urethral invasion
22 ๐ Pelvic nodal metastasis
23 ๐ Bone metastatic prostate cancer
24 ๐ Castration-resistant prostate cancer
25 ๐ Treated prostate cancer (post-radiotherapy)
UTERUS
๐
๐ NORMAL AND PHYSIOLOGICAL (≈10)
1 ๐ Normal Uterus
2 ๐ Normal Myometrium
3 ๐ Normal Endometrium (Cyclical Variations)
4 ๐ Secretory Phase Endometrium
5 ๐ Proliferative Phase Endometrium
6 ๐ Postmenopausal Uterus
7 ๐ Postpartum Involutional Uterus
8 ๐ Retroverted Uterus
9 ๐ Anteverted Uterus
10 ๐ Post-Hysterectomy Residual Cervical Stump
๐ DIFFUSE MYOMETRIAL DISEASES (≈20)
1 ๐ Diffuse Uterine Enlargement
2 ๐ Diffuse Adenomyosis
3 ๐ Focal Adenomyosis (Adenomyoma)
4 ๐ Cystic Adenomyosis
5 ๐ Endometriosis with Myometrial Involvement
6 ๐ Myometrial Hypertrophy
7 ๐ Fibromyomatous Change
8 ๐ Fibrosis Post-Infection
9 ๐ Chronic Nonspecific Myometritis
10 ๐ Postpartum Myometrial Edema
11 ๐ Myometrial Calcification
12 ๐ Myometrial Fatty Change
13 ๐ Radiation-Induced Myometrial Fibrosis
14 ๐ Autoimmune Myometritis
15 ๐ Metastatic Infiltration of Myometrium
16 ๐ Infiltrative Trophoblastic Disease
17 ๐ Vascular Congestion (Pelvic Venous Insufficiency)
18 ๐ Post-Surgical Diffuse Myometrial Scarring
19 ๐ Endocrine-Related Myometrial Thickening
20 ๐ Diabetic Myometrial Changes
๐ FOCAL BENIGN MYOMETRIAL LESIONS (≈25)
1 ๐ Leiomyoma (Fibroid) – Intramural
2 ๐ Leiomyoma – Submucosal
3 ๐ Leiomyoma – Subserosal
4 ๐ Pedunculated Fibroid
5 ๐ Calcified Fibroid
6 ๐ Cystic Degenerated Fibroid
7 ๐ Red (Carneous) Degenerated Fibroid
8 ๐ Hyaline Degeneration in Fibroid
9 ๐ Myxoid Degeneration in Fibroid
10 ๐ Fibroid with Cystic Changes
11 ๐ Fibroid with Necrosis
12 ๐ Lipoleiomyoma
13 ๐ Adenomyoma
14 ๐ Parasitic Fibroid
15 ๐ Post-Embolization Fibroid Necrosis
16 ๐ Residual Fibroid Post-Myomectomy
17 ๐ Cervical Fibroid
18 ๐ Broad Ligament Fibroid
19 ๐ Focal Adenomyotic Nodule
20 ๐ Endometrial Polyp with Myometrial Extension
21 ๐ Focal Hematoma Mimicking Fibroid
22 ๐ Infarcted Fibroid
23 ๐ Intraligamentary Fibroid
24 ๐ Fibroid with Sarcomatous Degeneration
25 ๐ Fibroid with Torsion
๐ ENDOMETRIAL PATHOLOGIES (≈35)
1 ๐ Endometrial Hyperplasia – Simple
2 ๐ Endometrial Hyperplasia – Complex
3 ๐ Endometrial Polyp
4 ๐ Endometrial Cystic Change
5 ๐ Endometrial Calcification
6 ๐ Endometrial Synechiae (Asherman's Syndrome)
7 ๐ Endometrial Atrophy
8 ๐ Endometrial Stromal Edema
9 ๐ Endometrial Cystic Atrophy
10 ๐ Endometrial Hematoma
11 ๐ Endometrial Abscess
12 ๐ Endometrial Tuberculosis
13 ๐ Endometrial Fibrosis (Post D&C)
14 ๐ Postpartum Endometritis
15 ๐ Post-Abortion Retained Products
16 ๐ Subinvolution of Placental Site
17 ๐ Endometrial Carcinoma
18 ๐ Endometrial Sarcoma
19 ๐ Endometrial Metastases
20 ๐ Endometrial Hyperemia
21 ๐ Polypoid Endometrial Thickening
22 ๐ Endometrial Necrosis
23 ๐ Endometrial Cystic Degeneration
24 ๐ Endometrial Pseudocyst
25 ๐ Hormonal Endometrial Change
26 ๐ Tamoxifen-Induced Endometrial Change
27 ๐ Post-IUD Endometrial Changes
28 ๐ Endometrial Fluid Collection
29 ๐ Endometrial Sloughing (Menstrual Phase)
30 ๐ Endometrial Regeneration
31 ๐ Postmenopausal Benign Endometrial Thickening
32 ๐ Endometrial Carcinoma with Myometrial Invasion
33 ๐ Endometrial Stromal Nodule
34 ๐ Endometrial Polyp with Cystic Degeneration
35 ๐ Mixed Endometrial Lesion (Polyp + Hyperplasia)
๐ CONGENITAL AND DEVELOPMENTAL ANOMALIES (≈25)
1 ๐ Uterine Agenesis
2 ๐ Unicornuate Uterus
3 ๐ Bicornuate Uterus
4 ๐ Didelphys Uterus
5 ๐ Septate Uterus
6 ๐ Arcuate Uterus
7 ๐ Hypoplastic Uterus
8 ๐ T-Shaped Uterus (DES Exposure)
9 ๐ Cervical Duplication
10 ๐ Uterine Horn Remnant
11 ๐ Mรผllerian Duct Anomaly
12 ๐ Rudimentary Horn Pregnancy
13 ๐ Uterine Duplication with Single Cervix
14 ๐ Transverse Vaginal Septum with Uterine Anomaly
15 ๐ Hemi-Uterus
16 ๐ Cervical Agenesis
17 ๐ Accessory Uterine Cavity
18 ๐ Uterine Fusion Anomaly
19 ๐ Partial Uterine Septum
20 ๐ MURCS Association
21 ๐ Non-Fused Mรผllerian Duct Anomaly
22 ๐ Uterine Diverticulum
23 ๐ Congenital Uterine AV Malformation
24 ๐ Uterine Duplication with Double Vagina
25 ๐ Congenital Uterine Malposition
๐ INFECTIVE AND INFLAMMATORY (≈25)
1 ๐ Acute Endometritis
2 ๐ Chronic Endometritis
3 ๐ Pelvic Inflammatory Disease (PID)
4 ๐ Salpingitis with Tubo-Ovarian Abscess
5 ๐ Endometrial Tuberculosis
6 ๐ Actinomycosis of Endometrium
7 ๐ Post-Abortal Infection
8 ๐ Postpartum Endometritis with Myometritis
9 ๐ Septic Deep Myometritis
10 ๐ Parametritis
11 ๐ Peri-Uterine Abscess
12 ๐ Fungal Endometritis
13 ๐ Viral Endometritis
14 ๐ Foreign-Body Granulomatous Reaction (IUD)
15 ๐ Localized Uterine Abscess
16 ๐ Infective Myometrial Abscess
17 ๐ Cholangio-Uterine Inflammatory Extension
18 ๐ Chronic Pelvic Inflammatory Scarring
19 ๐ Actinomyces-Associated Pelvic Inflammation
20 ๐ Reactive Endometrial Hyperemia
21 ๐ Granulomatous Myometritis
22 ๐ Post-Instrumentation Inflammatory Change
23 ๐ Chronic Cervicitis with Endometrial Extension
24 ๐ Bacterial Vaginosis–Associated Uterine Reaction
25 ๐ Endometritis with Intracavitary Fluid / Debris
๐ VASCULAR, PERFUSION AND HEMORRHAGIC (≈20)
1 ๐ Uterine Artery Aneurysm
2 ๐ Uterine Artery Pseudoaneurysm
3 ๐ Congenital Uterine AVM
4 ๐ Acquired Uterine AVM
5 ๐ Subchorionic Hemorrhage
6 ๐ Intramural Hematoma
7 ๐ Subserosal Hematoma
8 ๐ Retained Products with Active Vascularity
9 ๐ Trophoblastic Vascular Invasion
10 ๐ Uterine Torsion with Vascular Compromise
11 ๐ Uterine Infarction
12 ๐ Placental Site Vessel Malformation
13 ๐ Massive Hemorrhage with Perfusion Changes
14 ๐ Uterine Venous Plexus Dilatation
15 ๐ Segmental Uterine Hypoperfusion
16 ๐ Hyperemic Endometrium
17 ๐ Post-Procedural Uterine Arterial Bleed
18 ๐ Persistent Trophoblastic Doppler Flow
19 ๐ Coagulopathy-Related Uterine Hematoma
20 ๐ Hemoperitoneum Secondary to Uterine Rupture
๐ GESTATIONAL AND PREGNANCY-RELATED (≈25)
1 ๐ Normal Intrauterine Pregnancy
2 ๐ Missed / Incomplete Abortion
3 ๐ Retained Products of Conception (RPOC)
4 ๐ Ectopic Pregnancy with Uterine Reaction
5 ๐ Cesarean Scar Pregnancy
6 ๐ Molar Pregnancy (Hydatidiform Mole)
7 ๐ Invasive Mole / GTN
8 ๐ Heterotopic Pregnancy
9 ๐ Early Pregnancy Subchorionic Hemorrhage
10 ๐ Placental Site Nodule / Placental Polyp
11 ๐ Placenta Accreta Spectrum
12 ๐ Placental Abruption
13 ๐ Uterine Rupture in Pregnancy
14 ๐ Uterine Dehiscence Post-Cesarean
15 ๐ Postpartum Retained Placental Tissue
16 ๐ Uterine Inversion
17 ๐ Uterine Subinvolution of Placental Site
18 ๐ Choriocarcinoma Involving Myometrium
19 ๐ Intrauterine Fetal Demise with Retained Products
20 ๐ Gestational Trophoblastic Hemorrhagic Degeneration
21 ๐ Monochorionic Twin Complications
22 ๐ Molar Pregnancy with Theca-Lutein Ovarian Change
23 ๐ Cesarean Scar Ectopic Pregnancy
24 ๐ Pregnancy-Related Vascular Malformations
25 ๐ Uterine Arteriovenous Fistula After Delivery
๐ MALIGNANT AND PREMALIGNANT (≈25)
1 ๐ Endometrial Carcinoma (Type I – Endometrioid)
2 ๐ Endometrial Carcinoma (Type II – Serous/Clear Cell)
3 ๐ Endometrial Intraepithelial Neoplasia (EIN)
4 ๐ Endometrial Stromal Sarcoma
5 ๐ Uterine Leiomyosarcoma
6 ๐ Carcinosarcoma (MMMT)
7 ๐ Adenosarcoma of Uterus
8 ๐ Undifferentiated Uterine Sarcoma
9 ๐ Endometrial Hyperplasia with Atypia
10 ๐ Cervical Carcinoma with Uterine Extension
11 ๐ Metastatic Disease to Uterus
12 ๐ Gestational Trophoblastic Neoplasia
13 ๐ Uterine Serosal Surface Malignancy
14 ๐ Primary Uterine Lymphoma
15 ๐ Peritoneal Carcinomatosis with Uterine Invasion
16 ๐ Neuroendocrine Tumor Involving Endometrium
17 ๐ Malignant Mesenchymal Tumor
18 ๐ Carcinoma of Lower Uterine Segment
19 ๐ Vulvar/Vaginal Carcinoma with Uterine Involvement
20 ๐ Leiomyoma with Sarcomatous Degeneration
21 ๐ Persistent Atypical Polypoid Adenomyoma
22 ๐ Endometrial Carcinoma with Deep Myometrial Invasion
23 ๐ Uterine Papillary Serous Carcinoma
24 ๐ Metastatic Trophoblastic Tumor
๐ TRAUMATIC, POST-SURGICAL AND IATROGENIC (≈20)
1 ๐ Uterine Laceration / Rupture
2 ๐ Postoperative Uterine Hematoma
3 ๐ Post-Myomectomy Fluid Collection / Hematoma
4 ๐ Post-Hysterectomy Pelvic Collection
5 ๐ Post-D&C Cavity Changes
6 ๐ Iatrogenic Uterine Perforation
7 ๐ Post-Embolization Uterine Changes
8 ๐ Post-Ablation Scar
9 ๐ Surgical Clip / Foreign-Body Artifact
10 ๐ Trocar Injury to Uterus
11 ๐ Retained Surgical Sponge Granuloma
12 ๐ Cesarean Scar Niche (Isthmocele)
13 ๐ Post-Uterine Artery Embolization Change
14 ๐ IUD Malposition with Wall Erosion
15 ๐ Post-Radiation Uterine Fibrosis
16 ๐ Post-Procedural Pseudoaneurysm
17 ๐ Post-Biopsy Intramural Hematoma
18 ๐ Adhesive Bands Causing Uterine Distortion
19 ๐ Post-Procedural Infection / Abscess
20 ๐ Asherman Variant with Cavity Obliteration
๐ SYSTEMIC AND ENDOCRINE-RELATED (≈20)
1 ๐ PCOS-Related Uterine Change
2 ๐ Endocrine Hyperplasia (Unopposed Estrogen)
3 ๐ Tamoxifen-Related Endometrial Change
4 ๐ Diabetic Uterine Changes
5 ๐ Thyroid Disease Associated Uterine Findings
6 ๐ Steroid-Related Endometrial Change
7 ๐ Autoimmune Endometritis
8 ๐ Granulomatous Disease with Uterine Involvement
9 ๐ Hematologic Disorder–Related Bleeding
10 ๐ Coagulopathy-Associated Uterine Hemorrhage
11 ๐ Systemic Amyloidosis with Uterine Deposition
12 ๐ Liver Disease–Related Gynecologic Effects
13 ๐ Adrenal Hyperplasia Effect on Endometrium
14 ๐ Hyperprolactinemia-Related Endometrial Change
15 ๐ Ovarian Hyperstimulation Syndrome Effect
16 ๐ Drug-Induced Endometrial Atrophy / Hyperplasia
17 ๐ Metabolic Syndrome–Related Endometrial Thickening
18 ๐ Hematologic Malignancy Affecting Uterus
19 ๐ Endocrine Paraneoplastic Uterine Effects
20 ๐ Idiopathic Systemic Uterine Response
๐ EXTRAUTERINE AND SECONDARY CAUSES (≈20)
1 ๐ Pelvic Endometriosis Involving Uterine Serosa
2 ๐ Adnexal Mass Compressing Uterus
3 ๐ Large Fibroid Uterus Compressing Adnexa
4 ๐ Peritoneal Carcinomatosis with Uterine Involvement
5 ๐ Pelvic Lymphadenopathy Causing Uterine Displacement
6 ๐ Rectovaginal / Vesicouterine Fistula
7 ๐ Retroperitoneal Fibrosis with Uterine Displacement
8 ๐ Bladder Tumor Invading Uterine Wall
9 ๐ Pelvic Abscess Causing Secondary Uterine Inflammation
10 ๐ Ileal / Sigmoid Tumor Adherent to Uterus
11 ๐ Appendicular Mass with Secondary Uterine Change
12 ๐ Hydronephrosis Causing Mass Effect on Uterus
13 ๐ Pelvic Lipomatosis Compressing Uterine Contour
14 ๐ Diaphragmatic Hernia with Thoracoabdominal Shift
15 ๐ Abdominal Aortic Aneurysm Mass Effect
16 ๐ Large Fibroid with Secondary Ovarian Torsion
17 ๐ Pelvic Venous Congestion from Varices
18 ๐ Pregnancy-Related Adnexal Mass Compression
19 ๐ Secondary Uterine Involvement from Tuberculosis
20 ๐ Metastatic Pelvic Nodal Compression
OVARY
๐
๐ NORMAL AND PHYSIOLOGICAL (≈15)
1 ๐ Normal Ovary – Follicular Phase
2 ๐ Normal Ovary – Luteal Phase
3 ๐ Dominant Follicle
4 ๐ Normal Corpus Luteum
5 ๐ Corpus Luteum with Central Clot
6 ๐ Corpus Luteum with Ring of Fire Sign
7 ๐ Corpus Luteal Cyst
8 ๐ Simple Follicular Cyst
9 ๐ Multiple Physiologic Follicles
10 ๐ Prepubertal Ovary
11 ๐ Postmenopausal Atrophic Ovary
12 ๐ Postpartum Ovary
13 ๐ Polycystic Ovary Appearance
14 ๐ Periovulatory Follicle Rupture (Mittelschmerz)
15 ๐ Luteal Cyst with Peripheral Hyperemia
๐ FUNCTIONAL AND BENIGN CYSTIC LESIONS (≈25)
1 ๐ Simple Ovarian Cyst
2 ๐ Functional Cyst (Unspecified)
3 ๐ Persistent Follicular Cyst
4 ๐ Hemorrhagic Corpus Luteal Cyst
5 ๐ Theca Lutein Cyst
6 ๐ Luteinized Unruptured Follicle
7 ๐ Hyperreactio Luteinalis
8 ๐ Early Hemorrhagic Cyst
9 ๐ Endometrioma
10 ๐ Endometrioma with Ground-Glass Echoes
11 ๐ Ruptured Endometrioma
12 ๐ Persistent Luteal Phase Cyst
13 ๐ Paraovarian Cyst
14 ๐ Paratubal Cyst
15 ๐ Cyst of Morgagni
16 ๐ Broad Ligament Cyst
17 ๐ Wolffian Duct Cyst
18 ๐ Multiloculated Simple Cyst
19 ๐ Benign Septated Cyst
20 ๐ Proteinaceous Ovarian Cyst
21 ๐ Giant Simple Ovarian Cyst
22 ๐ Peritoneal Inclusion Cyst
23 ๐ Hydrosalpinx Mimicking Ovarian Cyst
๐ COMPLEX CYSTIC LESIONS (≈25)
1 ๐ Late-Stage Hemorrhagic Cyst
2 ๐ Chronic Endometrioma
3 ๐ Hemorrhagic Ovarian Cyst (Fishnet Pattern)
4 ๐ Hemorrhagic Ovarian Cyst with Retracting Clot
5 ๐ Hemorrhagic Ovarian Cyst (Lacy Reticular Pattern)
6 ๐ Hemorrhagic Ovarian Cyst with Fluid-Debris Level
7 ๐ Ruptured Hemorrhagic Ovarian Cyst
8 ๐ Hemorrhagic Cyst Mimicking Solid Neoplasm
9 ๐ Dermoid Cyst (Mature Cystic Teratoma)
10 ๐ Dermoid with Rokitansky Protuberance
11 ๐ Dermoid with Fat-Fluid Level
12 ๐ Dermoid with Calcified Tooth Echoes
13 ๐ Dermoid with Hair-Like Echogenic Strands
14 ๐ Mature Teratoma with Solid Component
15 ๐ Immature Teratoma
16 ๐ Serous Cystadenoma (Unilocular)
17 ๐ Serous Cystadenoma (Multiloculated)
18 ๐ Mucinous Cystadenoma (Unilocular)
19 ๐ Mucinous Cystadenoma (Multiloculated)
20 ๐ Cystadenofibroma
21 ๐ Borderline Serous Tumor
22 ๐ Borderline Mucinous Tumor
23 ๐ Benign Brenner Tumor
24 ๐ Cystadenoma with Papillary Projection
25 ๐ Cystadenoma with Hemorrhage
26 ๐ Benign Cyst with Mural Nodule
27 ๐ Ruptured Dermoid with Chemical Peritonitis
28 ๐ Calcified Endometriotic Cyst
29 ๐ Hemorrhagic Corpus Luteum Cyst
30 ๐ Ovarian Abscess (Pyocystic Ovary)
๐ SOLID BENIGN OVARIAN LESIONS (≈25)
1 ๐ Ovarian Fibroma
2 ๐ Ovarian Thecoma
3 ๐ Fibrothecoma
4 ๐ Solid Brenner Tumor
5 ๐ Ovarian Lipoma
6 ๐ Lipoleiomyoma
7 ๐ Myoma of Ovarian Ligament
8 ๐ Ovarian Stromal Hyperthecosis
9 ๐ Pregnancy Luteoma
10 ๐ Massive Ovarian Edema
11 ๐ Stromal Hyperplasia
12 ๐ Ovarian Fibromatosis
13 ๐ Sclerosing Stromal Tumor
14 ๐ Cellular Fibroma
15 ๐ Ovarian Hamartoma
16 ๐ Benign Granulosa Cell Tumor
17 ๐ Benign Leydig Cell Tumor
18 ๐ Low-Grade Sertoli-Leydig Cell Tumor
19 ๐ Benign Steroid Cell Tumor
20 ๐ Ovarian Leiomyoma
21 ๐ Ovarian Adenofibroma
22 ๐ Solid Ovarian Cystadenofibroma
23 ๐ Ovarian Neurofibroma
24 ๐ Ovarian Paraganglioma
25 ๐ Benign Teratoid Mass
๐ COMPLEX CYSTIC LESIONS (≈25)
1 ๐ Late-Stage Hemorrhagic Cyst
2 ๐ Chronic Endometrioma
3 ๐ Hemorrhagic Ovarian Cyst (Fishnet Pattern)
4 ๐ Hemorrhagic Ovarian Cyst with Retracting Clot
5 ๐ Hemorrhagic Ovarian Cyst (Lacy Reticular Pattern)
6 ๐ Hemorrhagic Ovarian Cyst with Fluid-Debris Level
7 ๐ Ruptured Hemorrhagic Ovarian Cyst
8 ๐ Hemorrhagic Cyst Mimicking Solid Neoplasm
9 ๐ Dermoid Cyst (Mature Cystic Teratoma)
10 ๐ Dermoid with Rokitansky Protuberance
11 ๐ Dermoid with Fat-Fluid Level
12 ๐ Dermoid with Calcified Tooth Echoes
13 ๐ Dermoid with Hair-Like Echogenic Strands
14 ๐ Mature Teratoma with Solid Component
15 ๐ Immature Teratoma
16 ๐ Serous Cystadenoma (Unilocular)
17 ๐ Serous Cystadenoma (Multiloculated)
18 ๐ Mucinous Cystadenoma (Unilocular)
19 ๐ Mucinous Cystadenoma (Multiloculated)
20 ๐ Cystadenofibroma
21 ๐ Borderline Serous Tumor
22 ๐ Borderline Mucinous Tumor
23 ๐ Benign Brenner Tumor
24 ๐ Cystadenoma with Papillary Projection
25 ๐ Cystadenoma with Hemorrhage
26 ๐ Benign Cyst with Mural Nodule
27 ๐ Ruptured Dermoid with Chemical Peritonitis
28 ๐ Calcified Endometriotic Cyst
29 ๐ Hemorrhagic Corpus Luteum Cyst
30 ๐ Ovarian Abscess (Pyocystic Ovary)
๐ SOLID BENIGN OVARIAN LESIONS (≈25)
1 ๐ Ovarian Fibroma
2 ๐ Ovarian Thecoma
3 ๐ Fibrothecoma
4 ๐ Solid Brenner Tumor
5 ๐ Ovarian Lipoma
6 ๐ Lipoleiomyoma
7 ๐ Myoma of Ovarian Ligament
8 ๐ Ovarian Stromal Hyperthecosis
9 ๐ Pregnancy Luteoma
10 ๐ Massive Ovarian Edema
11 ๐ Stromal Hyperplasia
12 ๐ Ovarian Fibromatosis
13 ๐ Sclerosing Stromal Tumor
14 ๐ Cellular Fibroma
15 ๐ Ovarian Hamartoma
16 ๐ Benign Granulosa Cell Tumor
17 ๐ Benign Leydig Cell Tumor
18 ๐ Low-Grade Sertoli-Leydig Cell Tumor
19 ๐ Benign Steroid Cell Tumor
20 ๐ Ovarian Leiomyoma
21 ๐ Ovarian Adenofibroma
22 ๐ Solid Ovarian Cystadenofibroma
23 ๐ Ovarian Neurofibroma
24 ๐ Ovarian Paraganglioma
25 ๐ Benign Teratoid Mass
๐ VASCULAR AND HEMORRHAGIC DISORDERS (≈20)
1 ๐ Hemorrhagic Ovarian Cyst
2 ๐ Ruptured Hemorrhagic Cyst
3 ๐ Ovarian Hematoma
4 ๐ Corpus Luteum Hemorrhage
5 ๐ Massive Ovarian Hemorrhage
6 ๐ Ovarian Vein Thrombosis
7 ๐ Ovarian Artery Pseudoaneurysm
8 ๐ Ovarian Arteriovenous Malformation
9 ๐ Ovarian Infarction
10 ๐ Venous Congestion of Ovary
11 ๐ Hypervascular Ovarian Mass
12 ๐ Pelvic Congestion Syndrome
13 ๐ Postpartum Ovarian Vein Thrombosis
14 ๐ Ovarian Vessel Rupture
15 ๐ Hemoperitoneum Secondary to Ovarian Bleeding
16 ๐ Ovarian Ischemia
17 ๐ Segmental Ovarian Hypoperfusion
18 ๐ Ovarian Hyperemia
19 ๐ Post-Procedural Ovarian Hematoma
20 ๐ Coagulopathy-Related Ovarian Hemorrhage
๐ TORSION AND GYNECOLOGIC EMERGENCIES (≈20)
1 ๐ Ovarian Torsion
2 ๐ Partial Ovarian Torsion
3 ๐ Intermittent Ovarian Torsion
4 ๐ Ovarian Torsion with Preserved Arterial Flow
5 ๐ Ovarian Torsion with Absent Doppler Flow
6 ๐ Ovarian Torsion with Hemorrhagic Infarction
7 ๐ Massive Ovarian Edema due to Torsion
8 ๐ Torsed Dermoid Cyst
9 ๐ Torsed Paraovarian Cyst
10 ๐ Adnexal Torsion
11 ๐ Ovarian Rupture
12 ๐ Ruptured Endometrioma
13 ๐ Ruptured Corpus Luteum
14 ๐ Hemoperitoneum from Ovarian Source
15 ๐ Acute Ovarian Infarction
16 ๐ Necrotic Ovary
17 ๐ Torsion in Pregnancy
18 ๐ Ovarian Hyperstimulation Syndrome (OHSS)
19 ๐ Severe OHSS with Ascites
20 ๐ Ovarian Emergency Requiring Surgical Intervention
๐ CONGENITAL AND DEVELOPMENTAL ANOMALIES (≈15)
1 ๐ Ovarian Agenesis
2 ๐ Unilateral Ovarian Absence
3 ๐ Supernumerary Ovary
4 ๐ Accessory Ovary
5 ๐ Ectopic Ovary
6 ๐ Undescended Ovary
7 ๐ Fused Ovaries
8 ๐ Ovarian Maldescent
9 ๐ Congenital Ovarian Cyst
10 ๐ Neonatal Ovarian Cyst
11 ๐ Congenital Ovarian Torsion
12 ๐ Mรผllerian Anomaly with Ovarian Abnormality
13 ๐ Gonadal Dysgenesis
14 ๐ Streak Ovary
15 ๐ Developmental Ovarian Hypoplasia
๐ PREGNANCY-RELATED OVARIAN CONDITIONS (≈20)
1 ๐ Corpus Luteum of Pregnancy
2 ๐ Hemorrhagic Corpus Luteum in Pregnancy
3 ๐ Persistent Corpus Luteum
4 ๐ Hyperreactio Luteinalis
5 ๐ Theca Lutein Cysts
6 ๐ Bilateral Theca Lutein Cysts
7 ๐ Pregnancy Luteoma
8 ๐ Ovarian Torsion During Pregnancy
9 ๐ Adnexal Torsion in Pregnancy
10 ๐ Ruptured Corpus Luteum During Pregnancy
11 ๐ Ovarian Hyperstimulation Syndrome (OHSS)
12 ๐ Severe OHSS with Ascites
13 ๐ Pregnancy-Associated Endometrioma
14 ๐ Decidualized Endometrioma
15 ๐ Adnexal Mass in Pregnancy
16 ๐ Dermoid Cyst in Pregnancy
17 ๐ Ovarian Cyst Complicating Pregnancy
18 ๐ Postpartum Ovarian Vein Thrombosis
19 ๐ Postpartum Ovarian Hemorrhage
20 ๐ Pregnancy-Related Ovarian Enlargement
๐ ENDOCRINE AND SYSTEMIC DISORDERS (≈20)
2 ๐ Polycystic Ovarian Morphology (PCOM)
3 ๐ Ovarian Stromal Hyperplasia
4 ๐ Ovarian Hyperthecosis
5 ๐ Resistant Ovary Syndrome
6 ๐ Premature Ovarian Insufficiency
7 ๐ Ovarian Failure
8 ๐ Autoimmune Oophoritis
9 ๐ Turner Syndrome Ovary
10 ๐ Gonadal Dysgenesis
11 ๐ Ovarian Changes in Hypothyroidism
12 ๐ Ovarian Changes in Hyperprolactinemia
13 ๐ Adrenal Hyperplasia with Ovarian Effects
14 ๐ Diabetes-Associated Ovarian Changes
15 ๐ Metabolic Syndrome with Ovarian Dysfunction
16 ๐ Ovarian Amyloidosis
17 ๐ Ovarian Involvement in Systemic Lupus
18 ๐ Hematologic Disease Affecting Ovary
19 ๐ Drug-Induced Ovarian Enlargement
20 ๐ Chemotherapy-Induced Ovarian Failure
๐ EXTRAOVARIAN AND SECONDARY CAUSES (≈20)
1 ๐ Hydrosalpinx Mimicking Ovarian Cyst
2 ๐ Pyosalpinx Mimicking Ovarian Mass
3 ๐ Peritoneal Inclusion Cyst
4 ๐ Tubo-Ovarian Complex
5 ๐ Pelvic Endometriosis with Ovarian Involvement
6 ๐ Appendiceal Mucocele Mimicking Ovarian Tumor
7 ๐ Pelvic Kidney Mimicking Ovarian Mass
8 ๐ Retroperitoneal Cyst Mimicking Ovarian Lesion
9 ๐ Peritoneal Carcinomatosis
10 ๐ Omental Metastatic Deposit Adjacent to Ovary
11 ๐ Metastatic Gastrointestinal Tumor to Ovary
12 ๐ Metastatic Breast Carcinoma to Ovary
13 ๐ Metastatic Endometrial Carcinoma to Ovary
14 ๐ Pelvic Lymphadenopathy Mimicking Ovarian Mass
15 ๐ Broad Ligament Mass
16 ๐ Uterine Fibroid Mimicking Ovarian Tumor
17 ๐ Postoperative Pelvic Collection
18 ๐ Adhesive Pelvic Disease Affecting Ovary
19 ๐ Retroperitoneal Sarcoma Adjacent to Ovary
20 ๐ Secondary Ovarian Compression by Pelvic Mass
ADNEXA
๐
๐ NORMAL AND PHYSIOLOGICAL (≈10)
1 ๐ Normal adnexa (clear space, no mass)
2 ๐ Normal fallopian tubes (not visualized)
3 ๐ Physiologic follicular activity (adjacent ovarian follicles)
4 ๐ Ovulatory changes (peri-ovulatory follicle rupture)
5 ๐ Small physiologic fluid in pouch of Douglas
6 ๐ Corpus luteum with peri-adnexal flow
7 ๐ Normal post-ovulatory pelvic fluid
8 ๐ Postpartum adnexa (normal involution)
9 ๐ Postmenopausal adnexa (atrophic structures)
10 ๐ Post-hysterectomy adnexal region (normal appearance)
๐ TUBAL (FALLOPIAN TUBE) LESIONS (≈25)
1 ๐ Acute salpingitis
2 ๐ Chronic salpingitis
3 ๐ Pyosalpinx
4 ๐ Hydrosalpinx
5 ๐ Hematosalpinx
6 ๐ Tubo-ovarian abscess (TOA)
7 ๐ Tubo-ovarian complex (incomplete TOA)
8 ๐ Chronic tubo-ovarian mass
9 ๐ Pyosalpinx with septations
10 ๐ Hydrosalpinx with cogwheel sign
11 ๐ Tubal ectopic pregnancy (live)
12 ๐ Tubal ectopic pregnancy (nonviable)
13 ๐ Interstitial (cornual) ectopic pregnancy
14 ๐ Isthmic ectopic pregnancy
15 ๐ Ampullary ectopic pregnancy
16 ๐ Fimbrial ectopic pregnancy
17 ๐ Tubal rupture with hemoperitoneum
18 ๐ Chronic ectopic with pseudomass
19 ๐ Tubal torsion
20 ๐ Tubal tumor (primary adenocarcinoma)
21 ๐ Metastatic tubal carcinoma
22 ๐ Tuberculous salpingitis
23 ๐ Parasitic (schistosomal) salpingitis
24 ๐ Post-surgical tubal stump cyst
25 ๐ Tubal remnant post-sterilization (hydrosalpinx)
๐ PARAOVARIAN AND PARATUBAL CYSTS (≈15)
1 ๐ Simple paraovarian cyst
2 ๐ Multiloculated paraovarian cyst
3 ๐ Paraovarian cyst with hemorrhage
4 ๐ Paraovarian cyst with torsion
5 ๐ Paratubal cyst
6 ๐ Fimbrial cyst (of Morgagni)
7 ๐ Mesothelial inclusion cyst
8 ๐ Wolffian duct cyst (Gartner's)
9 ๐ Broad ligament cyst
10 ๐ Hydatid cyst of Morgagni
11 ๐ Infected paraovarian cyst
12 ๐ Cyst with mural nodule (rare)
13 ๐ Endometriotic paraovarian cyst
14 ๐ Post-inflammatory inclusion cyst
15 ๐ Giant paraovarian cyst
๐ ADNEXAL MASSES — BENIGN (≈20)
1 ๐ Endometrioma (in adnexa)
2 ๐ Hemorrhagic cyst (adnexal location)
3 ๐ Tubo-ovarian complex (resolving)
4 ๐ Dermoid cyst (adnexal)
5 ๐ Mature cystic teratoma
6 ๐ Paratubal benign tumor (adenofibroma)
7 ๐ Leiomyoma arising from broad ligament
8 ๐ Lipoleiomyoma (broad ligament)
9 ๐ Fibroma of broad ligament
10 ๐ Fibrothecoma (adnexal region)
11 ๐ Sclerosing stromal tumor (adnexal)
12 ๐ Pedunculated subserous fibroid (appearing adnexal)
13 ๐ Ovarian remnant with cystic change
14 ๐ Benign Brenner tumor (paraovarian origin)
15 ๐ Serous cystadenoma (paraovarian extension)
16 ๐ Mucinous cystadenoma (paraovarian extension)
17 ๐ Benign hydatid cyst (parasitic)
18 ๐ Inflammatory pseudotumor (adnexal)
19 ๐ Mesenteric cyst mimicking adnexal mass
20 ๐ Benign mixed epithelial tumor
๐ MALIGNANT AND NEOPLASTIC ADNEXAL MASSES (≈25)
1 ๐ Serous cystadenocarcinoma (adnexal mass)
2 ๐ Mucinous cystadenocarcinoma (adnexal)
3 ๐ Endometrioid carcinoma involving adnexa
4 ๐ Clear cell carcinoma (extension to adnexa)
5 ๐ Borderline serous tumor (adnexal cystic-solid)
6 ๐ Borderline mucinous tumor
7 ๐ Krukenberg tumor (bilateral adnexal metastases)
8 ๐ Secondary metastasis (colon, stomach, breast)
9 ๐ Lymphoma (adnexal involvement)
10 ๐ Leukemia (secondary)
11 ๐ Sarcoma of broad ligament
12 ๐ Carcinosarcoma (extension into adnexa)
13 ๐ Primary peritoneal carcinoma (adnexal mass)
14 ๐ Ovarian carcinoma with peritoneal spread (adnexal implant)
15 ๐ Pseudomyxoma peritonei with adnexal deposits
16 ๐ Endometrial carcinoma with adnexal spread
17 ๐ Cervical carcinoma with adnexal extension
18 ๐ Metastatic melanoma (adnexal)
19 ๐ Malignant germ cell tumor (adnexal component)
20 ๐ Granulosa cell tumor (adnexal origin)
21 ๐ Sertoli–Leydig cell tumor (adnexal)
22 ๐ Mixed epithelial–stromal tumor
23 ๐ Undifferentiated carcinoma
24 ๐ Post-radiation sarcomatous change
25 ๐ Recurrent malignant adnexal mass
๐ INFECTIVE AND INFLAMMATORY (≈25)
1 ๐ Pelvic inflammatory disease (PID)
2 ๐ Salpingitis (acute/chronic)
3 ๐ Tubo-ovarian abscess
4 ๐ Pelvi-peritonitis (with adnexal phlegmon)
5 ๐ Endometriosis (adnexal implants)
6 ๐ Omental–adnexal adhesions
7 ๐ Peri-adnexal fluid collection
8 ๐ Pyosalpinx
9 ๐ Infected endometrioma
10 ๐ Post-abortal adnexal abscess
11 ๐ Postpartum adnexal abscess
12 ๐ Post-surgical adnexal infection
13 ๐ Tubercular salpingo-oophoritis
14 ๐ Actinomycotic abscess
15 ๐ Chlamydial adnexitis
16 ๐ Gonococcal adnexitis
17 ๐ Mixed bacterial infection (PID with abscess)
18 ๐ Ovarian–tubal phlegmon
19 ๐ Chronic adnexal fibrosis / scarring
20 ๐ Adhesive disease (post PID)
21 ๐ Pelvic abscess compressing adnexa
22 ๐ Endometriotic adhesion complex
23 ๐ Peri-tubal inflammation (hydrosalpinx sequela)
24 ๐ Necrotizing adnexitis (rare)
25 ๐ Chronic post-tubercular adhesion complex
๐ VASCULAR AND TORSION (≈15)
1 ๐ Ovarian torsion
2 ๐ Paraovarian torsion
3 ๐ Tubal torsion
4 ๐ Broad ligament torsion
5 ๐ Ovarian vein thrombosis
6 ๐ Pelvic congestion syndrome (peri-adnexal varices)
7 ๐ Arteriovenous malformation (adnexal region)
8 ๐ Pelvic venous aneurysm
9 ๐ Hemorrhagic adnexal cyst rupture
10 ๐ Post-torsion infarction
11 ๐ Post-embolization necrosis
12 ๐ Ischemic adnexal mass
13 ๐ Ovarian hyperstimulation syndrome (adnexal congestion)
14 ๐ Hypervascular adnexal tumor
15 ๐ Peri-adnexal hematoma (traumatic or spontaneous)
๐ TRAUMATIC, POST-SURGICAL AND IATROGENIC (≈20)
1 ๐ Post-tubal ligation hydrosalpinx
2 ๐ Tubal stump cyst
3 ๐ Ovarian remnant syndrome (after oophorectomy)
4 ๐ Post-hysterectomy adnexal mass (residual ovary or adhesions)
5 ๐ Post-cesarean adnexal hematoma
6 ๐ Post-oocyte retrieval hematoma
7 ๐ Post-IVF hyperstimulation (OHSS adnexal congestion)
8 ๐ Post-pelvic surgery adhesion complex
9 ๐ Post-endometriotic cyst drainage residual cavity
10 ๐ Post-laparoscopic trocar-site adnexal herniation
11 ๐ Iatrogenic tubo-ovarian fistula
12 ๐ Post-radiation adnexal fibrosis
13 ๐ Post-embolization adnexal necrosis
14 ๐ Post-biopsy hemorrhage
15 ๐ Post-abscess drainage tract
16 ๐ Post-ectopic surgery residual cyst
17 ๐ Surgical clip granuloma in adnexa
18 ๐ Post-surgical tubo-uterine stump infection
19 ๐ Post-adhesiolysis seroma
20 ๐ Pelvic foreign body mimicking adnexal mass
๐ CONGENITAL AND DEVELOPMENTAL (≈15)
1 ๐ Accessory Ovary
2 ๐ Supernumerary Ovary
3 ๐ Ectopic Ovary
4 ๐ Undescended Ovary
5 ๐ Ovarian Agenesis
6 ๐ Congenital Hydrosalpinx
7 ๐ Congenital Tubal Duplication
8 ๐ Accessory Fallopian Tube
9 ๐ Wolffian Duct Remnant Cyst
10 ๐ Mesonephric Remnant Lesion
11 ๐ Broad Ligament Developmental Cyst
12 ๐ Mรผllerian Developmental Anomaly with Adnexal Defect
13 ๐ Gonadal Dysgenesis
14 ๐ Streak Gonad
15 ๐ Congenital Adnexal Malposition
๐ SYSTEMIC AND SECONDARY DISORDERS (≈15)
1 ๐ Pelvic Congestion Syndrome
2 ๐ Endometriosis with Adnexal Involvement
3 ๐ Tuberculosis with Adnexal Extension
4 ๐ Metastatic Disease to Adnexa
5 ๐ Krukenberg Metastasis
6 ๐ Peritoneal Carcinomatosis
7 ๐ Lymphoma Involving Adnexa
8 ๐ Leukemic Adnexal Infiltration
9 ๐ Autoimmune Pelvic Inflammatory Disease
10 ๐ Systemic Lupus with Adnexal Changes
11 ๐ Sarcoidosis Involving Adnexa
12 ๐ Amyloidosis of Adnexal Structures
13 ๐ Diabetic Pelvic Inflammatory Changes
14 ๐ Post-Transplant Adnexal Lymphoproliferative Disorder
15 ๐ Secondary Adnexal Fibrosis
๐ EXTRA-ADNEXAL AND SECONDARY CAUSES (≈20)
1 ๐ Appendiceal Mucocele Mimicking Adnexal Mass
2 ๐ Appendicular Abscess Adjacent to Adnexa
3 ๐ Diverticular Abscess Mimicking Adnexal Lesion
4 ๐ Pelvic Kidney Mimicking Adnexal Mass
5 ๐ Ectopic Kidney in Pelvis
6 ๐ Ureterocele Mimicking Adnexal Cyst
7 ๐ Distended Urinary Bladder Mimicking Adnexal Mass
8 ๐ Mesenteric Cyst
9 ๐ Omental Cyst
10 ๐ Retroperitoneal Cyst
11 ๐ Retroperitoneal Sarcoma
12 ๐ Pelvic Lymphocele
13 ๐ Enlarged Pelvic Lymph Nodes
14 ๐ Psoas Abscess Extending into Pelvis
15 ๐ Pelvic Hematoma
16 ๐ Peritoneal Inclusion Cyst
17 ๐ Pelvic Desmoid Tumor
18 ๐ Abdominal Wall Mass Mimicking Adnexal Lesion
19 ๐ Pelvic Neurogenic Tumor
20 ๐ Secondary Compression of Adnexa by Pelvic Mass
๐ PREGNANCY-RELATED ADNEXAL CONDITIONS (≈15)
1 ๐ Corpus Luteum of Pregnancy
2 ๐ Hemorrhagic Corpus Luteum in Pregnancy
3 ๐ Persistent Corpus Luteum
4 ๐ Hyperreactio Luteinalis
5 ๐ Bilateral Theca Lutein Cysts
6 ๐ Pregnancy Luteoma
7 ๐ Adnexal Torsion During Pregnancy
8 ๐ Ruptured Corpus Luteum with Hemoperitoneum
9 ๐ Decidualized Endometrioma
10 ๐ Adnexal Mass in Pregnancy
11 ๐ Dermoid Cyst in Pregnancy
12 ๐ Ovarian Hyperstimulation Syndrome (OHSS)
13 ๐ Severe OHSS with Ascites
14 ๐ Postpartum Ovarian Vein Thrombosis
15 ๐ Pregnancy-Associated Adnexal Enlargement
๐ PEDIATRIC AND ADOLESCENT ADNEXAL DISORDERS (≈15)
1 ๐ Neonatal Ovarian Cyst
2 ๐ Fetal Ovarian Cyst
3 ๐ Congenital Hydrosalpinx
4 ๐ Congenital Adnexal Torsion
5 ๐ Ovarian Torsion in Children
6 ๐ Juvenile Granulosa Cell Tumor
7 ๐ Dysgerminoma in Adolescents
8 ๐ Immature Teratoma
9 ๐ Yolk Sac Tumor
10 ๐ Gonadal Dysgenesis
11 ๐ Streak Gonad
12 ๐ Precocious Puberty with Ovarian Enlargement
13 ๐ Adolescent Functional Ovarian Cyst
14 ๐ Pediatric Tubo-Ovarian Abscess
15 ๐ Mรผllerian Anomaly with Adnexal Abnormality
Sequence of pelvic inflammatory disease
๐
1 ๐ Reactive change in PID
2 ๐ PID associated with Enlarged Uterus
3 ๐ PID associated with Reactive Myometrial Edema
4 ๐ PID associated with Endometritis and Bulky Uterus
5 ๐ PID associated with Myometritis
6 ๐ PID associated with Pelvic Congestion
7 ๐ PID associated with Tubo-ovarian Complex
8 ๐ PID associated with Tubo-ovarian Abscess
9 ๐ PID associated with Hydrosalpinx
10 ๐ PID associated with Pyosalpinx
11 ๐ PID associated with Pelvic Peritonitis
12 ๐ PID associated with Pelvic Inflammatory Mass
13 ๐ PID associated with Pelvic Adhesions
14 ๐ PID associated with Chronic Pelvic Inflammatory Disease
15 ๐ PID associated with Endometritis
16 ๐ PID associated with Salpingitis
17 ๐ PID associated with Oophoritis
18 ๐ PID associated with Pelvic Cellulitis
19 ๐ PID associated with Pelvic Abscess
20 ๐ PID associated with Pelvic Free Fluid
21 ๐ PID associated with Complex Adnexal Collection
22 ๐ PID associated with Inflamed Adnexal Mass
23 ๐ PID associated with Appendiceal Diverticular Perforation
24 ๐ PID associated with Postsurgical Abscesses
25 ๐ PID associated with Intrauterine Device (IUD)
26 ๐ PID associated with Retained Products of Conception
27 ๐ PID associated with Septic Abortion
28 ๐ PID associated with Fitz-Hugh–Curtis Syndrome
29 ๐ PID associated with Pelvic Fistula
30 ๐ PID associated with Chronic Tubal Damage
31 ๐ PID associated with Infertility-related Tubal Disease
Topic 4: Female Perineal & Groin
4
๐
FEMALE PERINEAL & GROIN
๐ NORMAL AND PHYSIOLOGICAL (≈10)
1 ๐ Normal female groin (inguinal canal visualized)
2 ๐ Normal labia majora/minora echotexture
3 ๐ Normal perineal body and skin folds
4 ๐ Normal urethra and periurethral glands
5 ๐ Normal Bartholin glands (non-distended)
6 ๐ Normal Skene glands
7 ๐ Normal perineal venous plexus
8 ๐ Postpartum perineal thickening
9 ๐ Normal vulvar fat lobulation
10 ๐ Normal perineal scar (healed episiotomy)
๐ INFLAMMATORY AND INFECTIVE (≈25)
1 ๐ Cellulitis of groin
2 ๐ Labial abscess
3 ๐ Vulvar abscess
4 ๐ Bartholin gland abscess
5 ๐ Skene gland abscess
6 ๐ Infected sebaceous cyst
7 ๐ Folliculitis / carbuncle of vulva
8 ๐ Hidradenitis suppurativa
9 ๐ Perineal abscess
10 ๐ Perianal abscess
11 ๐ Perineal phlegmon
12 ๐ Necrotizing fasciitis (Fournier's gangrene)
13 ๐ Vulvar cellulitis with gas
14 ๐ Post-episiotomy wound infection
15 ๐ Post-laceration wound infection
16 ๐ Perineal sinus
17 ๐ Post-fistulotomy abscess
18 ๐ Tuberculous vulvar abscess
19 ๐ Actinomycotic perineal infection
20 ๐ Fungal vulvovaginitis
21 ๐ Chronic perineal inflammatory scarring
22 ๐ Post-radiation perineal infection
23 ๐ Traumatic infected hematoma
24 ๐ Parasitic infection
25 ๐ Vulvar phlegmon with perivascular spread
๐ CYSTIC LESIONS (≈20)
1 ๐ Bartholin gland cyst
2 ๐ Skene gland cyst
3 ๐ Gartner duct cyst (paraurethral)
4 ๐ Canal of Nuck cyst (female hydrocele)
5 ๐ Epidermoid cyst (labial or perineal)
6 ๐ Dermoid cyst
7 ๐ Inclusion cyst (post-surgery or episiotomy)
8 ๐ Post-traumatic cyst (liquefied hematoma)
9 ๐ Subcutaneous seroma
10 ๐ Urethral diverticulum
11 ๐ Paraurethral cyst
12 ๐ Peri-clitoral cyst
13 ๐ Vulvar mucous retention cyst
14 ๐ Vulvar lymphangioma (cystic variant)
15 ๐ Post-suture inclusion cyst
16 ๐ Post-hysterectomy lymphocele
17 ๐ Infected Bartholin cyst
18 ๐ Infected paraurethral cyst
19 ๐ Giant Bartholin cyst
20 ๐ Multiloculated perineal cystic lesion
๐ SOLID BENIGN LESIONS (≈20)
1 ๐ Lipoma of groin/labia
2 ๐ Angiolipoma
3 ๐ Fibroma
4 ๐ Leiomyoma (vulvar/perineal)
5 ๐ Myofibroma
6 ๐ Schwannoma
7 ๐ Neurofibroma
8 ๐ Granular Cell Tumor
9 ๐ Desmoid Fibromatosis
10 ๐ Endometrioma (scar endometriosis)
11 ๐ Post-episiotomy Scar Endometriosis
12 ๐ Angiomyofibroblastoma
13 ๐ Cellular Angiofibroma
14 ๐ Hemangioma
15 ๐ Lymphangioma
16 ๐ Ectopic Mammary Tissue Nodule
17 ๐ Heterotopic Vulvar Sebaceous Adenoma
18 ๐ Benign Mixed Tumor (Adenomyoepithelioma)
19 ๐ Hypertrophic Scar Nodule
20 ๐ Reactive Fibrous Nodule (Post-suture Granuloma)
๐ MALIGNANT LESIONS (≈20)
1 ๐ Squamous Cell Carcinoma (Vulva/Perineum)
2 ๐ Basal Cell Carcinoma
3 ๐ Malignant Melanoma of Vulva
4 ๐ Adenocarcinoma of Bartholin Gland
5 ๐ Adenocarcinoma of Skene Gland
6 ๐ Leiomyosarcoma / Rhabdomyosarcoma
7 ๐ Angiosarcoma
8 ๐ Vulvar Lymphoma
9 ๐ Metastasis to Groin
10 ๐ Paget's Disease of Vulva
11 ๐ Vulvar Intraepithelial Neoplasia (VIN)
12 ๐ Malignant Granular Cell Tumor
13 ๐ Clear Cell Carcinoma
14 ๐ Adenosquamous Carcinoma
15 ๐ Vaginal Carcinoma Invading Perineum
16 ๐ Rectal Carcinoma Invading Perineum
17 ๐ Recurrent Carcinoma Post-Vulvectomy
18 ๐ Post-Radiation Sarcoma
19 ๐ Cutaneous Metastasis
20 ๐ Merkel Cell Carcinoma
๐ VASCULAR AND LYMPHATIC (≈20)
1 ๐ Vulvar Varicosities
2 ๐ Perineal Varices
3 ๐ Round Ligament Varices
4 ๐ Great Saphenous Vein Varix
5 ๐ Superficial Epigastric Vein Dilatation
6 ๐ Venous Malformation
7 ๐ Arteriovenous Malformation (AVM)
8 ๐ Postpartum Perineal Varices
9 ๐ Hemangioma
10 ๐ Cavernous Hemangioma
11 ๐ Lymphangioma Circumscriptum
12 ๐ Lymphocele
13 ๐ Lymphatic Fistula
14 ๐ Lymphangiectasia
15 ๐ Postpartum Vulvar Edema
16 ๐ Arterial Pseudoaneurysm
17 ๐ Perineal Hematoma
18 ๐ Ischemic Necrosis
19 ๐ Pelvic Congestion Syndrome
20 ๐ Post-embolization Vascular Change
๐ HERNIAL AND FASCIAL DEFECTS (≈15)
1 ๐ Inguinal Hernia (Female)
2 ๐ Femoral Hernia
3 ๐ Obturator Hernia
4 ๐ Spigelian Hernia Extending to Groin
5 ๐ Canal of Nuck Hernia
6 ๐ Round Ligament Hernia
7 ๐ Incisional Hernia
8 ๐ Recurrent Groin Hernia
9 ๐ Strangulated Groin Hernia
10 ๐ Hernia Containing Ovary or Fallopian Tube
11 ๐ Hernia Containing Bowel Loops
12 ๐ Hernia with Bladder Wall Extension
13 ๐ Umbilical Hernia Extending Inferiorly
14 ๐ Post-surgical Hernia at Pfannenstiel Incision
15 ๐ Preperitoneal Fat Herniation (Pseudo-mass)
๐ TRAUMATIC, OBSTETRIC AND POST-SURGICAL (≈25)
1 ๐ Post-Episiotomy Hematoma
2 ๐ Post-Delivery Perineal Tear (Grade I–IV)
3 ๐ Postpartum Vulvar Hematoma
4 ๐ Postpartum Perineal Hematoma
5 ๐ Forceps/Vacuum Delivery Soft Tissue Injury
6 ๐ Post-Cesarean Groin Seroma
7 ๐ Post-Hysterectomy Groin Lymphocele
8 ๐ Post-Laparoscopic Trocar Site Hematoma
9 ๐ Perineal Tear Dehiscence
10 ๐ Rectovaginal Fistula
11 ๐ Vesicovaginal Fistula
12 ๐ Perineovaginal Fistula
13 ๐ Rectoperineal Fistula
14 ๐ Urethroperineal Fistula
15 ๐ Post-Suture Abscess
16 ๐ Post-Episiotomy Fibrosis / Scar
17 ๐ Post-Bartholin Excision Residual Cavity
18 ๐ Post-Surgery Neuroma
19 ๐ Post-Episiotomy Endometriosis
20 ๐ Post-Radiation Perineal Fibrosis
21 ๐ Perineal Foreign Body Granuloma
22 ๐ Post-Surgical Sinus Tract
23 ๐ Post-Traumatic Fat Necrosis
24 ๐ Perineal Wall Dehiscence with Infection
25 ๐ Episiotomy Scar Defect
๐ CONGENITAL AND DEVELOPMENTAL (≈15)
1 ๐ Canal of Nuck Cyst
2 ๐ Persistent Processus Vaginalis
3 ๐ Labial Fusion Anomaly
4 ๐ Imperforate Hymen
5 ๐ Congenital Urethral Diverticulum
6 ๐ Infantile Urethral Cyst
7 ๐ Ectopic Urethral Opening
8 ๐ Congenital Perineal Fistula
9 ๐ Cloacal Anomaly
10 ๐ Duplicated Urethra / Vagina
11 ๐ Congenital Inclusion Cyst
12 ๐ Accessory Mammary Tissue
13 ๐ Accessory Vulvar Gland
14 ๐ Ectopic Ovary in Groin
15 ๐ Congenital Lymphangioma
๐ SYSTEMIC AND SECONDARY (≈10)
1 ๐ Edema (Cardiac/Renal Failure)
2 ๐ Hypoproteinemia-Induced Vulvar Edema
3 ๐ Elephantiasis (Filariasis)
4 ๐ Crohn's Disease Perineal Involvement
5 ๐ Ulcerative Colitis Perineal Sinus
6 ๐ Radiation Proctitis with Perineal Spread
7 ๐ Leukemia or Lymphoma Infiltration
8 ๐ Diabetic Infection (Necrotizing Fasciitis Risk)
9 ๐ SLE Perineal Vasculitis
10 ๐ Amyloidosis of Vulva
๐ UROGYNECOLOGIC AND PELVIC FLOOR DISORDERS (≈15)
1 ๐ Cystocele (Anterior Vaginal Wall Prolapse)
2 ๐ Rectocele (Posterior Vaginal Wall Prolapse)
3 ๐ Enterocele
4 ๐ Vault Prolapse (Post-Hysterectomy)
5 ๐ Perineal Body Descent
6 ๐ Pelvic Floor Laxity
7 ๐ Perineal Scar Defect Post-Episiotomy
8 ๐ Urethral Hypermobility
9 ๐ Urinary Stress Incontinence
10 ๐ Fecal Incontinence
11 ๐ Anal Sphincter Tear
12 ๐ Obstetric Anal Sphincter Injury (OASIS)
13 ๐ Pelvic Floor Dyssynergia
14 ๐ Perineal Descent Syndrome
15 ๐ Post-Sling Surgery Scarring
๐ EXTRA-GROIN AND SECONDARY CAUSES (≈10)
1 ๐ Pelvic Abscess Tracking to Perineum
2 ๐ Appendiceal Abscess Extending to Groin
3 ๐ Diverticular Abscess to Perineum
4 ๐ Colorectal Carcinoma Invading Perineum
5 ๐ Cervical or Vaginal Carcinoma Extending into Perineum
6 ๐ Urethral Carcinoma Extending Distally
7 ๐ Bladder Carcinoma Invading Anterior Perineum
8 ๐ Retroperitoneal Mass Compressing Groin
9 ๐ Inguinal Lymph Node Metastasis
10 ๐ Soft Tissue Metastasis (Melanoma/Ovarian Carcinoma)
Topic 2: Obstetric & Fetal
2
๐ First Trimester Obstetric & Fetal
๐ Second & Third Trimester Obstetric & Fetal
๐ NT Screening
๐ Systemic Study Of Fetal Anomaly
๐ Doppler Studies
๐ Biophysical Profile / NST
๐ RMT Assessment
FIRST TRIMESTER OBSTETRIC & FETAL
๐
๐ GS RELATED FINDINGS
1 ๐ Irregular Gestational Sac
2 ๐ Small Gestational Sac for Dates
3 ๐ Collapsed / Crenated Gestational Sac
4 ๐ Low-Lying Gestational Sac
5 ๐ Empty Gestational Sac (Anembryonic Pregnancy)
6 ๐ Absent Yolk Sac
7 ๐ Enlarged Yolk Sac
8 ๐ Irregular / Calcified Yolk Sac
9 ๐ Absent Fetal Pole
10 ๐ Static Gestational Sac Size
11 ๐ Slow Gestational Sac Growth (<1 mm/day)
12 ๐ Gestational Sac Smaller than CRL
13 ๐ Interval Non-visualization of Embryo
14 ๐ Irregular GS + Enlarged Yolk Sac
15 ๐ Abnormal GS with Absent Cardiac Activity
16 ๐ Dichorionic Diamniotic Twins (Two GS)
17 ๐ Monochorionic Diamniotic Twins
18 ๐ Monochorionic Monoamniotic Twins
19 ๐ Twin Pregnancy with Vanishing Twin
20 ๐ Trichorionic Triamniotic Triplets (Three GS)
21 ๐ Dichorionic Triamniotic Triplets
22 ๐ Monochorionic Triamniotic Triplets
23 ๐ Higher-Order Pregnancy (Quadruplets or More)
24 ๐ Vanishing Fetus in Multiple Pregnancy
25 ๐ Tubal Ectopic Pregnancy
26 ๐ Interstitial (Cornual) Pregnancy
27 ๐ Cervical Ectopic Pregnancy
28 ๐ Cesarean Scar Pregnancy
29 ๐ Ovarian Ectopic Pregnancy
30 ๐ Abdominal Ectopic Pregnancy
31 ๐ Heterotopic Pregnancy
32 ๐ Ovarian Ruptured Ectopic Pregnancy
33 ๐ Complete Hydatidiform Mole
34 ๐ Partial Hydatidiform Mole
35 ๐ Early Complete Mole (Pre–Snowstorm Appearance)
36 ๐ Pregnancy with Complete Mole and Coexisting Normal GS
๐ EMBRYO RELATED FINDINGS
1 ๐ HR Not Detected in Normal Early Embryonic Pole
2 ๐ Absent Cardiac Activity (Embryonic Demise)
3 ๐ Bradycardia (<100 bpm)
4 ๐ Tachycardia (>180 bpm)
5 ๐ CRL Smaller than Expected for Dates
6 ๐ Failure of Interval Embryonic Growth
7 ๐ CRL–GS Size Discordance
8 ๐ Inevitable Abortion
9 ๐ Enlarged Yolk Sac with Embryo
10 ๐ Absent Yolk Sac with Visible Embryo
11 ๐ Dichorionic Diamniotic Twins
12 ๐ Dichorionic Diamniotic Twins (DCDA)
13 ๐ Monochorionic Diamniotic Twins (MCDA)
14 ๐ Monochorionic Monoamniotic Twins (MCMA)
15 ๐ Vanishing Twin Syndrome
16 ๐ Live Tubal Ectopic Pregnancy
17 ๐ Interstitial (Cornual) Pregnancy with Embryo
18 ๐ Cervical Pregnancy with Cardiac Activity
19 ๐ Cesarean Scar Pregnancy with Embryo
20 ๐ Heterotopic Pregnancy
21 ๐ Partial Hydatidiform Mole with Embryo
22 ๐ Complete Mole with Coexisting Normal Embryo
23 ๐ Complete Mole with Pseudogestational Embryonic Structures
๐ EARLY MALFORMATIONS
1 ๐ Acrania
2 ๐ Anencephaly
3 ๐ Holoprosencephaly
4 ๐ Cephalocele / Meningocele
5 ๐ Facial Clefts
6 ๐ Absent Nasal Bone
7 ๐ Cystic Hygroma
8 ๐ Spina Bifida
9 ๐ Ectopia Cordis
10 ๐ Omphalocele
11 ๐ Gastroschisis
12 ๐ Megacystis
13 ๐ Fetal Anasarca (Hydrops Fetalis)
14 ๐ Polydactyly
15 ๐ Fetal Pleural Effusion
16 ๐ Fetal Pericardial Effusion
17 ๐ Fetal Ascites
18 ๐ Twin Anemia–Polycythemia Sequence (TAPS)
19 ๐ Twin-to-Twin Transfusion Syndrome (TTTS)
20 ๐ Stuck Twin Syndrome
21 ๐ Fetus Papyraceus
22 ๐ Hydrops Fetalis
23 ๐ Isolated Fetal Ascites
24 ๐ Extensive Fetal Lymphedema
25 ๐ Primary Fetal Chylothorax
26 ๐ Fetal Lymphangiectasia
27 ๐ Hydropic Changes with Suspected Down Syndrome
28 ๐ Vein of Galen Malformation
29 ๐ Turner Syndrome (45,X)
30 ๐ Immune Fetal Hydrops (Ascites)
31 ๐ Fetal Skin Edema / Anasarca
32 ๐ Placental Edema (Placentomegaly)
33 ๐ Fetal Pericardial Effusion
34 ๐ Fetal Death In Utero (FDIU)
35 ๐ Single Fetus FDIU in Stuck Twin Syndrome
36 ๐ Single Fetus FDIU in Twin Pregnancy
37 ๐ Single Fetus FDIU in Triplet Pregnancy
38 ๐ Double Fetal Demise (FDIU) in Triplet Pregnancy
๐ OTHER FINDINGS
1 ๐ Subchorionic Hematoma
2 ๐ Retroplacental Hemorrhage (Early)
3 ๐ Partial Hydatidiform Mole with Fetal Demise
SECOND & THIRD TRIMESTER OBSTETRIC & FETAL
๐
๐ FETAL VIABILITY ABNORMALITIES
1 ๐ Intrauterine Fetal Demise (IUFD)
2 ๐ Persistent Fetal Bradycardia
3 ๐ Persistent Fetal Tachycardia
๐ FETAL GROWTH ABNORMALITIES
1 ๐ Early-Onset Fetal Growth Restriction (FGR)
2 ๐ Biometric Discordance (BPD / HC / AC / FL)
3 ๐ Asymmetrical Biometric Discordance (Reduced AC Size)
4 ๐ Symmetrical Intrauterine Growth Restriction (IUGR)
5 ๐ Asymmetrical Intrauterine Growth Restriction (IUGR)
6 ๐ isolated short femur
๐ PREGNANCY LOSS (SECOND TRIMESTER)
1 ๐ Missed Abortion (Late)
2 ๐ Incomplete Abortion
3 ๐ Inevitable Abortion
๐ MULTIPLE PREGNANCY
1 ๐ Dichorionic Diamniotic Twins
2 ๐ Monochorionic Diamniotic Twins
3 ๐ Monochorionic Monoamniotic Twins
4 ๐ Triplet / Higher-Order Pregnancy
5 ๐ Growth Discordance (>20%)
6 ๐ Twin-to-Twin Transfusion Syndrome (TTTS)
7 ๐ Selective Fetal Growth Restriction (sFGR)
8 ๐ Single Fetal Demise in Multiple Pregnancy
9 ๐ Fetus Papyraceus
๐ PLACENTAL ABNORMALITIES
1 ๐ Placenta Previa
2 ๐ Low-Lying Placenta
3 ๐ Placental Abruption (Retroplacental Hematoma)
4 ๐ Placenta Accreta Spectrum (Suspicion)
5 ๐ Placental Mass / Chorioangioma
๐ UMBILICAL CORD ABNORMALITIES
1 ๐ Single Umbilical Artery
2 ๐ Marginal Cord Insertion
3 ๐ Velamentous Cord Insertion
4 ๐ Umbilical Cord Cyst
5 ๐ True Knot of Umbilical Cord
6 ๐ Single Loop Nuchal Cord
7 ๐ Double Loop Nuchal Cord
8 ๐ Triple Loop Nuchal Cord
9 ๐ Four Loop Nuchal Cord
๐ AMNIOTIC FLUID ABNORMALITIES
1 ๐ Mild Oligohydramnios
2 ๐ Moderate Oligohydramnios
3 ๐ Severe Oligohydramnios
4 ๐ Mild Polyhydramnios
5 ๐ Moderate Polyhydramnios
6 ๐ Severe Polyhydramnios
7 ๐ Amniotic Band Syndrome
๐ STRUCTURAL ANOMALIES (ANOMALY SCAN)
1 ๐ Ventriculomegaly
2 ๐ Spina Bifida
3 ๐ Dandy–Walker Malformation
4 ๐ Cleft Lip and Palate
5 ๐ Micrognathia
6 ๐ Congenital Heart Disease
7 ๐ Abnormal Outflow Tracts
8 ๐ Omphalocele
9 ๐ Gastroschisis
10 ๐ Hydronephrosis
11 ๐ Multicystic Dysplastic Kidney
12 ๐ Short Long Bones
13 ๐ Skeletal Dysplasia
๐ MOLAR & TROPHOBLASTIC DISEASE
1 ๐ Partial Mole with Fetus
2 ๐ Complete Mole with Coexisting Fetus
๐ ASSOCIATED COMPLICATIONS
1 ๐ Cervical Incompetence
2 ๐ Preterm Premature Rupture of Membranes (PPROM)
3 ๐ Chorioamnionitis (Indirect Signs)
NT SCREENING
๐
1 ๐ Increased Nuchal Translucency (NT)
2 ๐ Absent Nasal Bone
3 ๐ Hypoplastic Nasal Bone
4 ๐ Cystic Hygroma
5 ๐ Fetal Hydrops
6 ๐ Reversed Ductus Venosus A-Wave
7 ๐ Tricuspid Regurgitation
8 ๐ Abnormal Frontomaxillary Facial Angle
9 ๐ Holoprosencephaly
10 ๐ Acrania
11 ๐ Anencephaly
12 ๐ Encephalocele
13 ๐ Spina Bifida
14 ๐ Facial Cleft
15 ๐ Micrognathia
16 ๐ Omphalocele
17 ๐ Gastroschisis
18 ๐ Megacystis
19 ๐ Congenital Heart Defect
20 ๐ Early Fetal Growth Restriction
21 ๐ Monochorionic Twin Pregnancy
22 ๐ Twin Reversed Arterial Perfusion (TRAP)
23 ๐ Early Twin-to-Twin Transfusion Syndrome (TTTS)
24 ๐ Turner Syndrome (45,X)
25 ๐ Trisomy 21 (Down Syndrome Markers)
26 ๐ Trisomy 18 (Edwards Syndrome Markers)
27 ๐ Trisomy 13 (Patau Syndrome Markers)
28 ๐ Triploidy
29 ๐ Fetal Tachycardia
30 ๐ Fetal Bradycardia
SYSTEMIC STUDY OF FETAL ANOMALY
๐
๐HYDROPS FETALIS / WATER BABY
Fetal Hydrops (≥2 Abnormal Fluid Compartments)
1 ๐ Fetal Skin Edema with Ascites
2 ๐ Fetal Skin Edema with Ascites and Pericardial Effusion
3 ๐ Fetal Skin Edema with Ascites, Pericardial and Pleural Effusion
4 ๐ Immune Hydrops Fetalis
5 ๐ Rh Isoimmunization–Related Hydrops
6 ๐ Severe Fetal Anemia (Immune)
7 ๐ Elevated MCA Peak Systolic Velocity (>1.5 MoM)
8 ๐ Structural Congenital Heart Disease with Hydrops
9 ๐ Fetal Cardiomyopathy
10 ๐ Fetal Arrhythmia–Related Hydrops
11 ๐ High-Output Cardiac Failure
12 ๐ Severe Fetal Anemia (Non-Immune)
13 ๐ Parvovirus B19–Related Hydrops
14 ๐ Fetomaternal Hemorrhage
15 ๐ Alpha Thalassemia–Associated Hydrops
16 ๐ Primary Chylothorax
17 ๐ Lymphangiectasia
18 ๐ Extensive Fetal Lymphedema
19 ๐ Congenital Pulmonary Airway Malformation with Hydrops
20 ๐ Turner Syndrome–Associated Hydrops
21 ๐ Down Syndrome with Hydropic Changes
22 ๐ Trisomy 18–Associated Hydrops
23 ๐ Trisomy 13–Associated Hydrops
24 ๐ Vein of Galen Malformation with Hydrops
25 ๐ Large Arteriovenous Malformation
26 ๐ Isolated Fetal Ascites
27 ๐ Meconium Peritonitis with Ascites
28 ๐ Intestinal Atresia with Secondary Hydrops
29 ๐ Twin Reversed Arterial Perfusion Sequence (TRAP)
30 ๐ Twin-to-Twin Transfusion Syndrome with Hydrops
31 ๐ Mild Hydrops
32 ๐ Severe Generalized Hydrops
33 ๐ Early-Onset Hydrops (Poor Prognosis)
34 ๐ Late-Onset Hydrops
35 ๐ Raised MCA PSV
36 ๐ Absent / Reversed Ductus Venosus a-Wave
37 ๐ Umbilical Vein Pulsations
38 ๐ Progressive Hydrops on Serial Scans
39 ๐ Partial Resolution of Hydrops
40 ๐ Intrauterine Fetal Demise with Hydrops
๐CONJOINED TWINS
1 ๐ Conjoined Twins (Monozygotic Monochorionic)
2 ๐ Inseparable Fetal Bodies on Real-Time Scan
3 ๐ Constant Relative Fetal Positions
4 ๐ Inability to Separate Fetal Skin Contours
5 ๐ Thoracopagus (Chest Fusion)
6 ๐ Omphalopagus (Abdominal Fusion)
7 ๐ Thoraco-Omphalopagus
8 ๐ Craniopagus (Head Fusion)
9 ๐ Ischiopagus (Pelvic Fusion)
10 ๐ Pygopagus (Sacral Fusion)
11 ๐ Parapagus (Side-by-Side Fusion)
12 ๐ Shared Heart (Single or Fused Cardiac Chambers)
13 ๐ Separate Hearts with Vascular Connections
14 ๐ Complex Congenital Heart Disease
15 ๐ Shared Great Vessels
16 ๐ Shared Brain Structures
17 ๐ Fused Skull with Separate or Common Brains
18 ๐ Facial Duplication or Fusion
19 ๐ Shared Liver (Most Common)
20 ๐ Shared Gastrointestinal Tract
21 ๐ Shared Diaphragm
22 ๐ Shared Genitourinary Structures
23 ๐ Complete Limb Fusion
24 ๐ Partial Limb Fusion
25 ๐ Sirenomelia (Mermaid Syndrome)
26 ๐ Soft Tissue Fusion
27 ๐ Skeletal Fusion
28 ๐ Surgical Separability Assessment
29 ๐ Associated Structural Anomalies
30 ๐ Overall Survival Prognosis
๐ FETAL GENETIC ABNORMALITIES AND SYNDROMES
1 ๐ Syndromic vs Non-Syndromic Pattern
2 ๐ Multiple Congenital Anomalies (MCA)
3 ๐ Isolated Soft Markers
4 ๐ Down Syndrome (Trisomy 21)
5 ๐ Edwards Syndrome (Trisomy 18)
6 ๐ Patau Syndrome (Trisomy 13)
7 ๐ Turner Syndrome (45,X)
8 ๐ Klinefelter Syndrome (47,XXY)
9 ๐ Triploidy
10 ๐ Noonan Syndrome
11 ๐ DiGeorge Syndrome (22q11.2 Deletion)
12 ๐ Smith–Lemli–Opitz Syndrome
13 ๐ Cornelia de Lange Syndrome
14 ๐ Skeletal Dysplasia–Related Syndromes
15 ๐ Dandy–Walker Syndrome
16 ๐ Arnold–Chiari II (Spina Bifida)
17 ๐ Holoprosencephaly Syndromes
18 ๐ Agenesis of Corpus Callosum (Syndromic)
19 ๐ Lissencephaly–Associated Syndromes
20 ๐ Holt–Oram Syndrome
21 ๐ Ellis–van Creveld Syndrome
22 ๐ Alagille Syndrome
23 ๐ Ivemark Syndrome (Heterotaxy)
24 ๐ Pierre Robin Sequence
25 ๐ Treacher Collins Syndrome
26 ๐ Goldenhar Syndrome
27 ๐ Binder Syndrome
28 ๐ Thanatophoric Dysplasia
29 ๐ Achondroplasia
30 ๐ Osteogenesis Imperfecta
31 ๐ Campomelic Dysplasia
32 ๐ Short Rib–Polydactyly Syndrome
33 ๐ Beckwith–Wiedemann Syndrome
34 ๐ VACTERL Association
35 ๐ Meconium Peritonitis (Syndromic)
36 ๐ Potter Sequence
37 ๐ Fraser Syndrome
38 ๐ Meckel–Gruber Syndrome
39 ๐ Bardet–Biedl Syndrome
40 ๐ Joubert Syndrome
41 ๐ Zellweger Syndrome
42 ๐ Russell–Silver Syndrome
43 ๐ Prader–Willi Syndrome (Suspected)
44 ๐ Twin–Twin Transfusion Syndrome (TTTS)
45 ๐ Twin Anemia–Polycythemia Sequence (TAPS)
46 ๐ TRAP Sequence (Acardiac Twin)
47 ๐ Conjoined Twin Syndrome
48 ๐ NIPT / cfDNA Screening
49 ๐ Invasive Testing (CVS / Amniocentesis)
50 ๐ Karyotype / Microarray
51 ๐ Whole Exome Sequencing (WES)
52 ๐ Genetic Counseling Recommended
๐ UMBILICAL CORD
1 ๐ Number of Vessels (Two- vs Three-Vessel Cord)
2 ๐ Cord Insertion Site Assessment
3 ๐ Cord Length (Short / Normal / Long)
4 ๐ Cord Coiling Index (Hypo- / Normo- / Hypercoiled)
5 ๐ Wharton’s Jelly Quantity
6 ๐ Single Umbilical Artery (SUA)
7 ๐ Supernumerary Umbilical Vein
8 ๐ Persistent Right Umbilical Vein (PRUV)
9 ๐ Umbilical Vein Varix (Intra-abdominal / Extra-abdominal)
10 ๐ Umbilical Artery Thrombosis
11 ๐ Central (Normal) Cord Insertion
12 ๐ Eccentric Cord Insertion
13 ๐ Marginal Cord Insertion (Battledore)
14 ๐ Velamentous Cord Insertion
15 ๐ Furcate Cord Insertion
16 ๐ Single Loop Nuchal Cord
17 ๐ Double Loop Nuchal Cord
18 ๐ Triple Loop Nuchal Cord
19 ๐ Multiple Loop Nuchal Cord (≥4)
20 ๐ Incomplete / Partial Nuchal Loop
21 ๐ Nuchal Cord with Body Loop
22 ๐ Nuchal Cord with Limb Loop
23 ๐ Nuchal Cord with True Knot
24 ๐ Umbilical Cord Around Trunk
25 ๐ Thoracic (Chest) Loop
26 ๐ Abdominal Loop
27 ๐ Shoulder Girdle Loop
28 ๐ Neck–Body Combined Loop
29 ๐ Umbilical Cord Around Arm
30 ๐ Umbilical Cord Around Forearm
31 ๐ Umbilical Cord Around Hand
32 ๐ Umbilical Cord Around Thigh
33 ๐ Umbilical Cord Around Leg
34 ๐ Umbilical Cord Around Foot
35 ๐ Single Limb Entanglement
36 ๐ Multiple Limb Entanglement
37 ๐ Neck + Limb Entanglement
38 ๐ True Knot of Umbilical Cord
39 ๐ False Knot (Vessel Redundancy / Wharton’s Jelly)
40 ๐ Neck + Trunk Entanglement
41 ๐ Figure-of-Eight Cord Loop
42 ๐ Interlocking Cord Loops
43 ๐ Cord Prolapse with Entanglement
44 ๐ Entanglement in Multiple Pregnancy
45 ๐ Cord Entanglement in Monoamniotic Twins
46 ๐ Cord Entanglement with Short Umbilical Cord
47 ๐ Cord Entanglement with Velamentous Insertion
48 ๐ Short Umbilical Cord
49 ๐ Long Umbilical Cord
50 ๐ Cord Cyst (True / Pseudocyst)
51 ๐ Umbilical Cord Hematoma
52 ๐ Absent or Reduced Wharton’s Jelly
53 ๐ Thin Cord
54 ๐ Thickened Cord
55 ๐ Hypocoiled Cord
56 ๐ Hypercoiled Cord
57 ๐ Absent Coiling
58 ๐ Absent End-Diastolic Flow (AEDF)
59 ๐ Reversed End-Diastolic Flow (REDF)
60 ๐ Increased Umbilical Artery PI
61 ๐ Umbilical Vein Pulsations
62 ๐ Abnormal Arterio-Venous Ratio
63 ๐ Fetal Growth Restriction–Associated Cord Abnormalities
64 ๐ Chromosomal Anomalies Associated with SUA
65 ๐ Stillbirth Risk–Associated Cord Lesions
๐ PLACENTA
1 ๐ Placental Thickness
2 ๐ Placental Texture & Homogeneity
3 ๐ Placental Maturity for Gestational Age
4 ๐ Low-Lying Placenta
5 ๐ Placenta Previa – Marginal
6 ๐ Placenta Previa – Partial
7 ๐ Placenta Previa – Complete
8 ๐ Bilobed Placenta
9 ๐ Succenturiate Lobe
10 ๐ Circumvallate Placenta
11 ๐ Circummarginate Placenta
12 ๐ Placenta Membranacea
13 ๐ Placenta Accreta Spectrum (PAS)
14 ๐ Placenta Accreta
15 ๐ Placenta Increta
16 ๐ Placenta Percreta
17 ๐ Loss of Retroplacental Clear Zone
18 ๐ Placental Lakes (Venous Lakes)
19 ๐ Placental Lacunae (PAS-Related)
20 ๐ Subchorionic Hematoma
21 ๐ Retroplacental Hematoma (Abruption)
22 ๐ Intervillous Thrombosis
23 ๐ Placentomegaly
24 ๐ Small Placenta for Gestational Age
25 ๐ Thin Placenta
26 ๐ Thick Placenta
27 ๐ Increased Uterine Artery PI
28 ๐ Early Diastolic Notching
29 ๐ Reduced Placental Perfusion
30 ๐ Abnormal Placental Vascularity
31 ๐ Placental Chorioangioma
32 ๐ Placental Teratoma
33 ๐ Placental Mesenchymal Dysplasia
34 ๐ Monochorionic Placenta
35 ๐ Dichorionic Placenta
36 ๐ Twin–Twin Transfusion Syndrome (TTTS)
37 ๐ Twin Anemia–Polycythemia Sequence (TAPS)
38 ๐ Selective Fetal Growth Restriction (sFGR)
39 ๐ Placental Abruption Risk Features
40 ๐ Preeclampsia-Related Placental Changes
41 ๐ Maternal Vascular Malperfusion (MVM)
42 ๐ Villous Infarction
43 ๐ Accelerated Villous Maturation
44 ๐ Distal Villous Hypoplasia
45 ๐ Fetal Growth Restriction–Associated Placental Disease
46 ๐ Intervillous Thrombi
47 ๐ Placental Hypoplasia
48 ๐ Stillbirth Risk–Associated Placental Findings
๐ AMNIOTIC FLUID
1 ๐ Borderline Low Amniotic Fluid (AFI 5–8 cm)
2 ๐ Mild Oligohydramnios (AFI 4–5 cm)
3 ๐ Moderate Oligohydramnios (AFI 2–4 cm)
4 ๐ Severe Oligohydramnios (AFI <2 cm)
5 ๐ Borderline Increased Amniotic Fluid (AFI 20–24 cm)
6 ๐ Mild Polyhydramnios (AFI 25–29 cm)
7 ๐ Moderate Polyhydramnios (AFI 30–34 cm)
8 ๐ Severe Polyhydramnios (AFI ≥35 cm)
9 ๐ Echogenic Amniotic Fluid
10 ๐ Meconium-Stained Amniotic Fluid
11 ๐ Amniotic Fluid with Debris / Vernix Particles
12 ๐ Amniotic Fluid with Suspended Echoes
13 ๐ Premature Rupture of Membranes (PROM)
14 ๐ Normal Amniotic Fluid Volume (AFI 8–20 cm)
15 ๐ Reduced Single Deepest Pocket (SDP <2 cm)
16 ๐ Increased Single Deepest Pocket (SDP ≥8 cm)
17 ๐ Anhydramnios
18 ๐ Oligohydramnios with Fetal Growth Restriction
19 ๐ Polyhydramnios Associated with Gestational Diabetes
20 ๐ Polyhydramnios Associated with Fetal Anomaly
๐ FETAL FACE
i. Midline & Orbital Abnormalities
1 ๐ Hypotelorism (Reduced Interorbital Distance)
2 ๐ Hypertelorism (Increased Interorbital Distance)
3 ๐ Telecanthus
4 ๐ Cyclopia / Synophthalmia
5 ๐ Absent or Hypoplastic Nasal Bone
6 ๐ Single Nostril / Proboscis
ii. Nasal & Nasomaxillary Abnormalities
7 ๐ Flat Nasal Bridge
8 ๐ Broad Nasal Bridge
9 ๐ Bifid Nose
10 ๐ Choanal Atresia (Indirect Signs)
11 ๐ Nasal Bone Shortening (Soft Marker)
iii. Orofacial Clefts
12 ๐ Unilateral Cleft Lip
13 ๐ Bilateral Cleft Lip
14 ๐ Cleft Lip with Cleft Palate
15 ๐ Isolated Cleft Palate (Indirect Ultrasound Signs)
16 ๐ Median Facial Cleft
iv. Mandibular & Jaw Abnormalities
17 ๐ Micrognathia
18 ๐ Retrognathia
19 ๐ Prognathism
20 ๐ Agnathia
21 ๐ Mandibular Asymmetry
v. Ear & Lateral Facial Abnormalities
22 ๐ Low-Set Ears
23 ๐ Posteriorly Rotated Ears
24 ๐ Microtia / Anotia
25 ๐ Preauricular Tags or Pits
vi. Functional & Dynamic Assessment
26 ๐ Normal Fetal Swallowing Movements
27 ๐ Normal Mouth Opening and Closure
28 ๐ Tongue Visualization within Oral Cavity
29 ๐ Macroglossia
vii. Associated Soft Markers
30 ๐ Absent / Hypoplastic Nasal Bone (Aneuploidy Marker)
31 ๐ Flat Facial Profile
32 ๐ Increased Prefrontal Thickness
viii. Etiological & Syndromic Associations
33 ๐ Chromosomal Abnormalities (Trisomy 13, 18, 21)
34 ๐ Holoprosencephaly Spectrum
35 ๐ Pierre Robin Sequence
36 ๐ Treacher Collins Syndrome
37 ๐ Goldenhar Syndrome (Oculo-Auriculo-Vertebral Spectrum)
38 ๐ Skeletal Dysplasias
๐ FETAL NECK
i. Fetal Neck – Core Assessment
1 ๐ Normal Fetal Neck Contour
2 ๐ Normal Nuchal Region without Mass or Thickening
3 ๐ Symmetrical Cervical Soft Tissues
4 ๐ Normal Cervical Spine Alignment
ii. Nuchal Thickness / NT Assessment
5 ๐ Normal Nuchal Translucency (11–13+6 Weeks)
6 ๐ Increased Nuchal Translucency
7 ๐ Thickened Nuchal Fold (Second Trimester)
8 ๐ Absent or Indistinct Nuchal Fold
iii. Cystic & Fluid Collections
9 ๐ Cystic Hygroma (Septated)
10 ๐ Non-Septated Cystic Hygroma
11 ๐ Posterior Cervical Fluid Collection
12 ๐ Generalized Nuchal Edema
iv. Solid / Complex Masses
13 ๐ Cervical Teratoma
14 ๐ Lymphatic Malformation
15 ๐ Hemangioma / Vascular Malformation
16 ๐ Thyroid Enlargement (Fetal Goiter)
v. Airway & Functional Considerations
17 ๐ Normal Fetal Neck Extension and Flexion
18 ๐ Airway Compression or Deviation
19 ๐ Tracheal Displacement
20 ๐ Impaired Fetal Swallowing
vi. Associated Findings
21 ๐ Associated Hydrops Fetalis
22 ๐ Polyhydramnios (Swallowing Impairment)
23 ๐ Abnormal Cervical Spine or Vertebral Defects
24 ๐ Facial or Thoracic Extension of Neck Mass
vii. Soft Markers & Screening Significance
25 ๐ Increased NT – Aneuploidy Risk
26 ๐ Thickened Nuchal Fold – Trisomy 21 Marker
27 ๐ Persistent Nuchal Edema
viii. Etiological & Syndromic Associations
28 ๐ Chromosomal Abnormalities (Trisomy 21, 18, 13)
29 ๐ Turner Syndrome (45,X)
30 ๐ Noonan Syndrome
31 ๐ Congenital Heart Disease
32 ๐ Skeletal Dysplasias
๐ FETAL CENTRAL NERVOUS SYSTEM
i. Central Nervous System – Core Assessment
1 ๐ Normal Cranial Shape and Size
2 ๐ Intact Calvarium
3 ๐ Normal Brain Echogenicity
4 ๐ Symmetrical Cerebral Hemispheres
ii. Ventricular System
5 ๐ Normal Lateral Ventricles (<10 mm)
6 ๐ Mild Ventriculomegaly (10–12 mm)
7 ๐ Moderate Ventriculomegaly (13–15 mm)
8 ๐ Severe Ventriculomegaly (>15 mm)
9 ๐ Dangling Choroid Plexus
iii. Midline Structures
10 ๐ Cavum Septi Pellucidi Present
11 ๐ Absent Cavum Septi Pellucidi
12 ๐ Corpus Callosum Visualized
13 ๐ Agenesis / Dysgenesis of Corpus Callosum
14 ๐ Midline Shift
iv. Posterior Fossa
15 ๐ Normal Cerebellum (Transcerebellar Diameter Appropriate)
16 ๐ Normal Cisterna Magna (2–10 mm)
17 ๐ Dandy–Walker Malformation
18 ๐ Blake’s Pouch Cyst
19 ๐ Mega Cisterna Magna
20 ๐ Cerebellar Hypoplasia
v. Neural Tube Defects
21 ๐ Anencephaly
22 ๐ Acrania / Exencephaly
23 ๐ Encephalocele
24 ๐ Spina Bifida (Indirect Cranial Signs)
25 ๐ Lemon Sign
26 ๐ Banana Sign
vi. Cortical & Migration Abnormalities
27 ๐ Normal Sulcation Pattern (Gestational Age Appropriate)
28 ๐ Lissencephaly
29 ๐ Polymicrogyria
30 ๐ Schizencephaly
31 ๐ Gray Matter Heterotopia
vii. Intracranial Cysts & Masses
32 ๐ Arachnoid Cyst
33 ๐ Porencephalic Cyst
34 ๐ Choroid Plexus Cyst
35 ๐ Intracranial Hemorrhage
36 ๐ Intracranial Tumor
viii. Cerebral Vasculature
37 ๐ Normal Pericallosal Artery
38 ๐ Vein of Galen Aneurysmal Malformation
39 ๐ Abnormal Intracranial Doppler Flow
ix. Functional & Dynamic Assessment
40 ๐ Normal Fetal Head Movements
41 ๐ Normal Brainstem Appearance
42 ๐ Abnormal Fetal Neurological Behavior
x. Soft Markers & Associations
43 ๐ Choroid Plexus Cysts (Aneuploidy Marker)
44 ๐ Ventriculomegaly – Chromosomal Risk
45 ๐ Absent CSP – Holoprosencephaly Spectrum
xi. Etiological & Syndromic Associations
46 ๐ Chromosomal Abnormalities (Trisomy 13, 18)
47 ๐ Congenital Infections (TORCH)
48 ๐ Genetic Syndromes
49 ๐ Neural Tube Defects
50 ๐ Fetal Ischemic or Hemorrhagic Injury
๐ NEURAL TUBE DEFECTS [ CRANIUM AND SPINE ]
i. Neural Tube Defects – Core Assessment
1 ๐ Intact Cranial Vault
2 ๐ Intact Vertebral Arches
3 ๐ Normal Skin Coverage over Spine
4 ๐ Normal Craniospinal Alignment
ii. Cranial Neural Tube Defects
5 ๐ Anencephaly
6 ๐ Acrania
7 ๐ Exencephaly
8 ๐ Encephalocele (Occipital / Parietal / Frontal)
9 ๐ Cranial Meningocele
10 ๐ Craniorachischisis
iii. Spinal Neural Tube Defects
11 ๐ Open Spina Bifida
12 ๐ Closed Spina Bifida
13 ๐ Myelomeningocele
14 ๐ Meningocele
15 ๐ Myeloschisis
16 ๐ Rachischisis
17 ๐ Sacral Level Defect
18 ๐ Lumbar Level Defect
19 ๐ Thoracic Level Defect
20 ๐ Cervical Level Defect
iv. Indirect Cranial Signs (Spina Bifida)
21 ๐ Lemon Sign (Frontal Bone Scalloping)
22 ๐ Banana Sign (Cerebellar Shape Abnormality)
23 ๐ Obliterated Cisterna Magna
24 ๐ Ventriculomegaly
25 ๐ Small Posterior Fossa
v. First-Trimester Markers
26 ๐ Absent Cranial Vault (11–13+6 Weeks)
27 ๐ Irregular Brain Tissue Exposure
28 ๐ Abnormal Brainstem-to-Occipital Bone Ratio
29 ๐ Intracranial Translucency Absent
vi. Associated CNS Abnormalities
30 ๐ Chiari I Malformation
31 ๐ Arnold–Chiari II Malformation
32 ๐ Chiari III Malformation
33 ๐ Chiari IV Malformation
34 ๐ Hydrocephalus
35 ๐ Agenesis of Corpus Callosum
36 ๐ Posterior Fossa Abnormalities
vii. Associated Systemic Findings
37 ๐ Lower Limb Deformities
38 ๐ Clubfoot (Talipes)
39 ๐ Neurogenic Bladder
40 ๐ Polyhydramnios
viii. Etiological & Risk Factors
41 ๐ Folic Acid Deficiency
42 ๐ Maternal Diabetes Mellitus
43 ๐ Antiepileptic Drug Exposure
44 ๐ Genetic Predisposition
45 ๐ Hyperthermia in Early Pregnancy
ix. Prognostic & Counseling Points
46 ๐ Level of Lesion Determines Neurological Outcome
47 ๐ Open vs Closed Defect Prognosis
48 ๐ Associated Chromosomal / Structural Anomalies
49 ๐ Eligibility for Prenatal Surgical Repair
50 ๐ Eligibility for Postnatal Surgical Repair
๐ CARDIAC ANOMALIES
i. Cardiac Anomalies – Core Cardiac Assessment
1 ๐ Normal Cardiac Position (Levocardia)
2 ๐ Normal Cardiac Axis (45° ± 20°)
3 ๐ Normal Cardiac Size (Cardiothoracic Ratio)
4 ๐ Normal Situs (Situs Solitus)
5 ๐ Normal Heart Rate and Rhythm
ii. Four-Chamber View Abnormalities
6 ๐ Atrioventricular Septal Defect (AVSD)
7 ๐ Ventricular Septal Defect (VSD)
8 ๐ Atrial Septal Defect (Primum / Secundum)
9 ๐ Hypoplastic Left Heart Syndrome
10 ๐ Hypoplastic Right Heart Syndrome
11 ๐ Single Ventricle Physiology
iii. Atrioventricular Valves
12 ๐ Tricuspid Atresia
13 ๐ Mitral Atresia
14 ๐ Ebstein Anomaly
15 ๐ Atrioventricular Valve Regurgitation
16 ๐ Common AV Valve
iv. Outflow Tract Abnormalities
17 ๐ Transposition of the Great Arteries (TGA)
18 ๐ Tetralogy of Fallot
19 ๐ Double Outlet Right Ventricle (DORV)
20 ๐ Persistent Truncus Arteriosus
21 ๐ Pulmonary Atresia
22 ๐ Aortic Stenosis / Atresia
v. Three-Vessel & Arch View
23 ๐ Normal Three-Vessel View
24 ๐ Absent or Abnormal Pulmonary Artery
25 ๐ Right-Sided Aortic Arch
26 ๐ Coarctation of Aorta (Suspicious Features)
27 ๐ Interrupted Aortic Arch
vi. Rhythm & Conduction Disorders
28 ๐ Fetal Tachyarrhythmia
29 ๐ Fetal Bradyarrhythmia
30 ๐ Atrioventricular Block
31 ๐ Supraventricular Tachycardia
32 ๐ Irregular Rhythm (Ectopic Beats)
vii. Functional Assessment
33 ๐ Normal Ventricular Contractility
34 ๐ Cardiac Failure / Poor Contractility
35 ๐ Cardiomegaly
36 ๐ Pericardial Effusion
viii. Doppler Findings
37 ๐ Abnormal AV Valve Doppler
38 ๐ Outflow Tract Turbulence
39 ๐ Abnormal Ductus Venosus Flow
40 ๐ Reversed Flow in Aortic Arch
ix. Associated Findings
41 ๐ Hydrops Fetalis
42 ๐ Extracardiac Structural Anomalies
43 ๐ Increased Nuchal Translucency
44 ๐ Growth Restriction
x. Etiological & Syndromic Associations
45 ๐ Chromosomal Abnormalities (Trisomy 21, 18, 13)
46 ๐ 22q11 Deletion Syndrome
47 ๐ Maternal Diabetes Mellitus
48 ๐ Congenital Infections
49 ๐ Familial Congenital Heart Disease
๐ FETAL THORAX
i. Fetal Thorax – Core Assessment
1 ๐ Normal Thoracic Shape and Size
2 ๐ Symmetrical Thoracic Cavity
3 ๐ Normal Thoracic Circumference
4 ๐ Intact Thoracic Wall
ii. Lung Parenchyma
5 ๐ Normal Homogeneous Lung Echotexture
6 ๐ Increased Lung Echogenicity
7 ๐ Reduced Lung Volume
8 ๐ Lung Mass Lesion
iii. Congenital Lung Malformations
9 ๐ Congenital Pulmonary Airway Malformation (CPAM)
10 ๐ Bronchopulmonary Sequestration
11 ๐ Hybrid Lung Lesion
12 ๐ Bronchogenic Cyst
iv. Diaphragm
13 ๐ Intact Diaphragm
14 ๐ Congenital Diaphragmatic Hernia (Left-sided)
15 ๐ Congenital Diaphragmatic Hernia (Right-sided)
16 ๐ Eventration of Diaphragm
v. Mediastinum
17 ๐ Normal Mediastinal Position
18 ๐ Mediastinal Shift
19 ๐ Compression of Heart
vi. Pleural Space
20 ๐ Fetal moderate Pleural Effusion (Atrial Swirl Sign (ASS))
21 ๐ Unilateral Pleural Effusion
22 ๐ Bilateral Pleural Effusion
23 ๐ Chylothorax
vii. Thoracic Skeletal Structures
24 ๐ Normal Rib Number and Orientation
25 ๐ Short Ribs
26 ๐ Rib Fractures
27 ๐ Narrow / Bell-Shaped Thorax
viii. Functional & Doppler Assessment
28 ๐ Normal Fetal Breathing Movements
29 ๐ Reduced or Absent Breathing Movements
30 ๐ Abnormal Pulmonary Blood Supply
ix. Associated Findings
31 ๐ Polyhydramnios
32 ๐ Hydrops Fetalis
33 ๐ Cardiac Displacement
34 ๐ Associated Extrathoracic Anomalies
x. Etiological & Syndromic Associations
35 ๐ Chromosomal Abnormalities
36 ๐ Skeletal Dysplasias
37 ๐ Congenital Infections
38 ๐ Isolated Thoracic Anomaly
๐ FETAL GASTROINTESTINAL ABNORMALITIES
i. Gastrointestinal Abnormalities – Core Assessment
1 ๐ Normal Abdominal Situs
2 ๐ Normal Abdominal Wall Integrity
3 ๐ Normal Stomach Position and Size
4 ๐ Normal Bowel Echogenicity
5 ๐ Normal Peristalsis
ii. Upper Gastrointestinal Tract
6 ๐ Absent Stomach Bubble
7 ๐ Small Stomach
8 ๐ Persistently Enlarged Stomach
9 ๐ Esophageal Atresia (Indirect Signs)
10 ๐ Duodenal Atresia (Double Bubble Sign)
iii. Mid & Lower Gastrointestinal Tract
11 ๐ Dilated Small Bowel Loops
12 ๐ Dilated Large Bowel / Colon
13 ๐ Bowel Obstruction (Level Uncertain)
14 ๐ Ileal / Jejunal Atresia
15 ๐ Colonic Atresia
iv. Bowel Echogenicity & Content
16 ๐ Echogenic Bowel
17 ๐ Intraluminal Debris / Meconium
18 ๐ Meconium Ileus
19 ๐ Calcified Meconium
v. Abdominal Wall Defects
20 ๐ Omphalocele
21 ๐ Gastroschisis
22 ๐ Umbilical Hernia
23 ๐ Body Stalk Anomaly
24 ๐ Limb–Body Wall Complex (LBWC)
25 ๐ Abdominoschisis
26 ๐ Thoracoabdominoschisis
27 ๐ Amorphous Fetus
vi. Peritoneal Findings
28 ๐ Ascites
29 ๐ Meconium Peritonitis
30 ๐ Peritoneal Calcifications
31 ๐ Pseudocyst Formation
vii. Functional & Dynamic Assessment
32 ๐ Normal Swallowing
33 ๐ Impaired Swallowing
34 ๐ Absent or Reduced Peristalsis
viii. Associated Findings
35 ๐ Polyhydramnios
36 ๐ Oligohydramnios
37 ๐ Growth Restriction
38 ๐ Extracardiac Structural Anomalies
ix. Etiological & Syndromic Associations
39 ๐ Cystic Fibrosis (Syndrome Association)
40 ๐ Congenital Infections (TORCH)
41 ๐ Vascular Insults
42 ๐ Isolated Gastrointestinal Malformation
๐ FETAL GENITOURINARY ABNORMALITIES
i. Genitourinary Abnormalities – Core Assessment
1 ๐ Normal Renal Position
2 ๐ Normal Renal Size and Shape
3 ๐ Bilateral Renal Visualization
4 ๐ Normal Renal Echogenicity
5 ๐ Normal Urinary Bladder Filling and Emptying
ii. Renal Agenesis & Dysgenesis
6 ๐ Unilateral Renal Agenesis
7 ๐ Bilateral Renal Agenesis
8 ๐ Multicystic Dysplastic Kidney (MCDK)
9 ๐ Renal Hypoplasia
10 ๐ Renal Dysplasia
iii. Renal Position & Fusion Anomalies
11 ๐ Pelvic Kidney
12 ๐ Ectopic Kidney
13 ๐ Horseshoe Kidney
14 ๐ Crossed Fused Renal Ectopia
iv. Collecting System Abnormalities
15 ๐ Pyelectasis
16 ๐ Hydronephrosis
17 ๐ Hydroureter
18 ๐ Duplex Collecting System
19 ๐ Ureterocele
v. Lower Urinary Tract
20 ๐ Enlarged Urinary Bladder (Megacystis)
21 ๐ Thickened Bladder Wall
22 ๐ Posterior Urethral Valves (Keyhole Sign)
23 ๐ Urethral Atresia
vi. Amniotic Fluid Association
24 ๐ Normal Amniotic Fluid Volume
25 ๐ Oligohydramnios
26 ๐ Anhydramnios
27 ๐ Polyhydramnios
vii. External Genitalia
28 ๐ Normal Male Genitalia
29 ๐ Normal Female Genitalia
30 ๐ Ambiguous Genitalia
31 ๐ Hypospadias (Indirect Signs)
32 ๐ Undescended Testes
viii. Associated Findings
33 ๐ Pulmonary Hypoplasia
34 ๐ Growth Restriction
35 ๐ Single Umbilical Artery
36 ๐ Extrarenal Structural Anomalies
ix. Etiological & Syndromic Associations
37 ๐ Chromosomal Abnormalities
38 ๐ Obstructive Uropathy
39 ๐ Congenital Infections
40 ๐ Syndromic Associations (VACTERL, Meckel–Gruber)
41 ๐ Isolated Genitourinary Anomaly
๐ FETAL MUSCULOSKELETAL ABNORMALITIES
i. Fetal Skeletal Dysplasia – Core Assessment
1 ๐ Normal Skeletal Growth Pattern
2 ๐ Lethal vs Non-Lethal Dysplasia Pattern
3 ๐ Symmetrical vs Asymmetrical Limb Involvement
ii. Limb Length & Proportions
4 ๐ Mesomelia (Middle Segment Shortening)
5 ๐ Rhizomelia (Proximal Limb Shortening)
6 ๐ Acromelia (Distal Limb Shortening)
7 ๐ Micromelia (Severe Global Limb Shortening)
8 ๐ Isolated Short Long Bones
iii. Long Bone Morphology
9 ๐ Bowed Long Bones
10 ๐ Fractures of Long Bones
11 ๐ Angulated Long Bones
12 ๐ Dumbbell-Shaped Bones
13 ๐ Thickened or Thin Long Bones
iv. Thorax & Ribs
14 ๐ Narrow Thorax
15 ๐ Bell-Shaped Thorax
16 ๐ Short Ribs
17 ๐ Rib Fractures
18 ๐ Thoracic Hypoplasia (Lethal Indicator)
v. Skull & Facial Findings
19 ๐ Macrocephaly
20 ๐ Microcephaly
21 ๐ Frontal Bossing
22 ๐ Cloverleaf Skull (Kleeblattschรคdel)
23 ๐ Depressed Nasal Bridge
vi. Hands & Feet
24 ๐ Polydactyly
25 ๐ Syndactyly
26 ๐ Brachydactyly
27 ๐ Clinodactyly
28 ๐ Trident Hand
vii. Spine
29 ๐ Platyspondyly
30 ๐ Hemivertebrae
31 ๐ Scoliosis
32 ๐ Kyphosis
viii. Bone Mineralization
33 ๐ Normal Ossification
34 ๐ Hypomineralization
35 ๐ Poor Skull Ossification (Compressible Skull)
๐ Lethal Skeletal Dysplasias
36 ๐ Thanatophoric Dysplasia
37 ๐ Osteogenesis Imperfecta Type II
38 ๐ Achondrogenesis
39 ๐ Campomelic Dysplasia
๐ Non-Lethal / Variable Prognosis Dysplasias
40 ๐ Achondroplasia
41 ๐ Hypochondroplasia
42 ๐ Osteogenesis Imperfecta (Non-Type II / Survivable Forms)
43 ๐ Short Rib–Polydactyly Syndromes
44 ๐ Ellis–van Creveld Syndrome
๐ Other Fetal Skeletal Dysplasias
45 ๐ Diastrophic Dysplasia
46 ๐ Spondyloepiphyseal Dysplasia
47 ๐ Chondrodysplasia Punctata
48 ๐ Cleidocranial Dysplasia
49 ๐ Metatropic Dysplasia
DOPPLER STUDIES
๐
๐ NORMAL FETAL & MATERNAL DOPPLER STUDIES (≈15)
1 ๐ Normal Umbilical Artery Doppler
2 ๐ Normal Middle Cerebral Artery (MCA) Doppler
3 ๐ Normal Cerebroplacental Ratio (CPR)
4 ๐ Normal Ductus Venosus Doppler
5 ๐ Normal Umbilical Vein Doppler
6 ๐ Normal Uterine Artery Doppler
7 ๐ Normal Fetal Aortic Doppler
8 ๐ Normal Fetal Pulmonary Artery Doppler
9 ๐ Normal Fetal Renal Artery Doppler
10 ๐ Normal Tricuspid Valve Doppler
11 ๐ Normal Cardiac Outflow Doppler
12 ๐ Normal Ductus Arteriosus Doppler
13 ๐ Normal Venous Circulation Doppler
14 ๐ Normal Fetal Hemodynamic Assessment
15 ๐ Normal Twin Pregnancy Doppler Assessment
๐ UMBILICAL ARTERY DOPPLER ABNORMALITIES
1 ๐ Increased Umbilical Artery PI
2 ๐ Increased Umbilical Artery RI
3 ๐ Increased Umbilical Artery S/D Ratio
4 ๐ Absent End-Diastolic Flow (AEDF)
5 ๐ Reversed End-Diastolic Flow (REDF)
6 ๐ Severe Placental Insufficiency Pattern
๐ MCA DOPPLER ABNORMALITIES
1 ๐ Reduced MCA PI (Brain-Sparing Effect)
2 ๐ Increased MCA PSV (>1.5 MoM)
3 ๐ Fetal Anemia Pattern
4 ๐ Hypoxia-Related Cerebral Redistribution
5 ๐ Abnormal MCA Waveform
๐ CEREBROPLACENTAL RATIO (CPR) ABNORMALITIES
1 ๐ Low CPR
2 ๐ Brain-Sparing Circulation
3 ๐ Fetal Growth Restriction with Abnormal CPR
4 ๐ Late-Onset Placental Insufficiency
๐ DUCTUS VENOSUS DOPPLER ABNORMALITIES
1 ๐ Increased Ductus Venosus PI
2 ๐ Absent Ductus Venosus a-Wave
3 ๐ Reversed Ductus Venosus a-Wave
4 ๐ Cardiac Decompensation Pattern
๐ UMBILICAL VEIN DOPPLER ABNORMALITIES
1 ๐ Umbilical Vein Pulsations
2 ๐ Severe Fetal Compromise
3 ๐ Hydrops Fetalis Hemodynamic Changes
๐ UTERINE ARTERY DOPPLER ABNORMALITIES
1 ๐ Increased Uterine Artery PI
2 ๐ Unilateral Early Diastolic Notching
3 ๐ Bilateral Early Diastolic Notching
4 ๐ Impaired Trophoblastic Invasion
5 ๐ High Risk for Preeclampsia
6 ๐ Placental Insufficiency Pattern
๐ CARDIAC DOPPLER ABNORMALITIES
1 ๐ Tricuspid Regurgitation
2 ๐ Abnormal AV Valve Doppler
3 ๐ Outflow Tract Turbulence
4 ๐ Fetal Tachyarrhythmia
5 ๐ Fetal Bradyarrhythmia
6 ๐ Cardiac Failure Pattern
๐ TWIN PREGNANCY DOPPLER ABNORMALITIES
1 ๐ Twin-to-Twin Transfusion Syndrome (TTTS)
2 ๐ Twin Anemia–Polycythemia Sequence (TAPS)
3 ๐ Selective Fetal Growth Restriction (sFGR)
4 ๐ TRAP Sequence
๐ PLACENTAL & SPECIAL DOPPLER FINDINGS
1 ๐ Placenta Accreta Spectrum Vascularity
2 ๐ Placental Lacunae Turbulent Flow
3 ๐ Chorioangioma Vascularity
4 ๐ Vein of Galen Malformation Flow
5 ๐ Hydrops Fetalis Doppler Assessment
๐ UMBILICAL VEIN DOPPLER
1 ๐ Normal Umbilical Vein Flow
2 ๐ Continuous Non-Pulsatile Umbilical Vein Flow
3 ๐ Umbilical Vein Pulsations
4 ๐ Single Umbilical Vein Pulsation
5 ๐ Double Umbilical Vein Pulsations
6 ๐ Triphasic Umbilical Vein Pulsations
7 ๐ Severe Fetal Compromise Pattern
8 ๐ Fetal Cardiac Failure Pattern
9 ๐ Hydrops Fetalis with Umbilical Vein Pulsations
10 ๐ Intrauterine Growth Restriction with UV Abnormality
11 ๐ Abnormal Venous Hemodynamics
12 ๐ Terminal Fetal Deterioration Pattern
13 ๐ Umbilical Vein Varix
14 ๐ Intra-Abdominal Umbilical Vein Varix
15 ๐ Extra-Abdominal Umbilical Vein Varix
16 ๐ Umbilical Vein Thrombosis
17 ๐ Persistent Right Umbilical Vein (PRUV)
18 ๐ Abnormal Umbilical Vein Course
19 ๐ Umbilical Vein Dilatation
20 ๐ Umbilical Vein Doppler Follow-Up Study
BIOPHYSICAL PROFILE / NST
๐
๐ NORMAL BIOPHYSICAL PROFILE (BPP)
1 ๐ Normal Biophysical Profile Score (8/8)
2 ๐ Normal Biophysical Profile Score (10/10 with NST)
3 ๐ Normal Fetal Breathing Movements
4 ๐ Normal Gross Fetal Body Movements
5 ๐ Normal Fetal Tone
6 ๐ Normal Amniotic Fluid Volume
7 ๐ Reactive Non-Stress Test (NST)
8 ๐ Reassuring Fetal Well-Being
๐ BIOPHYSICAL PROFILE SCORE ABNORMALITIES
1 ๐ Equivocal BPP Score (6/10)
2 ๐ Abnormal BPP Score (4/10)
3 ๐ Severely Abnormal BPP Score (2/10)
4 ๐ Absent Biophysical Activity (0/10)
5 ๐ Progressive Decline in BPP Score
๐ FETAL BREATHING MOVEMENT ABNORMALITIES
1 ๐ Reduced Fetal Breathing Movements
2 ๐ Absent Fetal Breathing Movements
3 ๐ Intermittent Breathing Activity
4 ๐ Non-Reassuring Breathing Pattern
๐ FETAL MOVEMENT ABNORMALITIES
1 ๐ Reduced Gross Fetal Movements
2 ๐ Absent Gross Fetal Movements
3 ๐ Decreased Fetal Activity
4 ๐ Non-Reassuring Movement Pattern
๐ FETAL TONE ABNORMALITIES
1 ๐ Reduced Fetal Tone
2 ๐ Abnormal Extension-Flexion Movements
3 ๐ Persistent Limb Extension
4 ๐ Absent Fetal Tone
๐ AMNIOTIC FLUID ABNORMALITIES
1 ๐ Borderline Low Amniotic Fluid
2 ๐ Mild Oligohydramnios
3 ๐ Moderate Oligohydramnios
4 ๐ Severe Oligohydramnios
5 ๐ Mild Polyhydramnios
6 ๐ Moderate Polyhydramnios
7 ๐ Severe Polyhydramnios
๐ NON-STRESS TEST (NST) FINDINGS
1 ๐ Reactive NST
2 ๐ Non-Reactive NST
3 ๐ Suspicious NST
4 ๐ Reassuring NST Pattern
5 ๐ Reduced Accelerations
6 ๐ Absent Accelerations
7 ๐ Variable Decelerations
8 ๐ Late Decelerations
9 ๐ Prolonged Decelerations
10 ๐ Fetal Tachycardia on NST
11 ๐ Fetal Bradycardia on NST
๐ MODIFIED BIOPHYSICAL PROFILE
1 ๐ Normal Modified BPP
2 ๐ Abnormal Modified BPP
3 ๐ Reactive NST with Normal AFI
4 ๐ Non-Reactive NST with Normal AFI
5 ๐ Reactive NST with Oligohydramnios
๐ FETAL COMPROMISE & OUTCOME
1 ๐ Suspected Fetal Hypoxia
2 ๐ Chronic Fetal Compromise
3 ๐ Acute Fetal Distress
4 ๐ Fetal Growth Restriction with Abnormal BPP
5 ๐ Placental Insufficiency with Abnormal BPP
6 ๐ High Risk for Intrauterine Fetal Demise
7 ๐ Intrauterine Fetal Demise (IUFD)
RMT ASSESSMENT
๐
๐ NORMAL RMT ASSESSMENT
1 ๐ Normal Fetal Tone
2 ๐ Normal Gross Body Movements
3 ๐ Normal Limb Movements
4 ๐ Normal Hand Opening and Closing
5 ๐ Normal Flexion–Extension Movements
6 ๐ Normal Fetal Breathing Movements
7 ๐ Normal Behavioral State
8 ๐ Reassuring Real-Time Movement Assessment
๐ FETAL MOVEMENT ABNORMALITIES
1 ๐ Reduced Fetal Movements
2 ๐ Markedly Reduced Fetal Movements
3 ๐ Absent Fetal Movements
4 ๐ Decreased Limb Movements
5 ๐ Absent Limb Movements
6 ๐ Reduced Hand Movements
7 ๐ Reduced Facial Movements
8 ๐ Hypokinesia Pattern
๐ FETAL TONE ABNORMALITIES
1 ๐ Reduced Fetal Tone
2 ๐ Abnormal Extension–Flexion Response
3 ๐ Persistent Limb Extension
4 ๐ Reduced Hand Opening and Closing
5 ๐ Absent Fetal Tone
6 ๐ Neuromuscular Dysfunction Pattern
๐ FETAL BREATHING MOVEMENT ASSESSMENT
1 ๐ Normal Breathing Movements
2 ๐ Reduced Breathing Movements
3 ๐ Intermittent Breathing Activity
4 ๐ Absent Breathing Movements
5 ๐ Non-Reassuring Breathing Pattern
๐ FETAL BEHAVIORAL STATE ASSESSMENT
1 ๐ Normal Active State
2 ๐ Normal Quiet State
3 ๐ Prolonged Quiet State
4 ๐ Abnormal Behavioral State
5 ๐ Reduced Behavioral Variability
๐ FETAL NEUROLOGICAL ASSESSMENT
1 ๐ Normal Neurological Activity
2 ๐ Abnormal Neurological Behavior
3 ๐ Fetal Hypoxia-Related Changes
4 ๐ Chronic Fetal Compromise Pattern
5 ๐ Acute Fetal Distress Pattern
๐ HIGH-RISK PREGNANCY RMT ASSESSMENT
1 ๐ Fetal Growth Restriction with Reduced Activity
2 ๐ Oligohydramnios with Reduced Movements
3 ๐ Maternal Diabetes with Altered Fetal Activity
4 ๐ Hypertensive Pregnancy with Reduced Activity
5 ๐ Doppler Abnormality with Reduced Movements
๐ SEVERE OUTCOME FINDINGS
1 ๐ Severe Fetal Compromise
2 ๐ Terminal Loss of Fetal Activity
3 ๐ Intrauterine Fetal Demise (IUFD)
4 ๐ Absent Cardiac Activity with No Movement
Topic 3: TVS
3
๐ TVS – Routine Gynecological
๐ TVS – Infertility Evaluation
๐ TVS – Follicular Monitoring
๐ TVS – First Trimester
๐ TVS – Second Trimester
๐ TVS – Third Trimester
๐ TVS – Suspected Ectopic Pregnancy
TVS – ROUTINE GYNECOLOGICAL
๐
๐ NORMAL TVS GYNECOLOGICAL ASSESSMENT
1 ๐ Normal Uterus
2 ๐ Normal Endometrium
3 ๐ Normal Cervix
4 ๐ Normal Right Ovary
5 ๐ Normal Left Ovary
6 ๐ Normal Bilateral Ovaries
7 ๐ Dominant Follicle
8 ๐ Physiological Corpus Luteum
9 ๐ Normal Cul-de-Sac
10 ๐ Physiological Free Fluid
๐ UTERINE ABNORMALITIES
1 ๐ Bulky Uterus
2 ๐ Small Uterus
3 ๐ Retroverted Uterus
4 ๐ Retroflexed Uterus
5 ๐ Unicornuate Uterus
6 ๐ Bicornuate Uterus
7 ๐ Septate Uterus
8 ๐ Arcuate Uterus
9 ๐ Didelphys Uterus
10 ๐ T-Shaped Uterus
๐ MYOMETRIAL LESIONS
1 ๐ Intramural Fibroid
2 ๐ Submucosal Fibroid
3 ๐ Subserosal Fibroid
4 ๐ Pedunculated Fibroid
5 ๐ Multiple Fibroids
6 ๐ Degenerating Fibroid
7 ๐ Adenomyosis
8 ๐ Focal Adenomyosis
๐ ENDOMETRIAL ABNORMALITIES
1 ๐ Thin Endometrium
2 ๐ Thickened Endometrium
3 ๐ Endometrial Hyperplasia
4 ๐ Endometrial Polyp
5 ๐ Endometrial Fluid Collection
6 ๐ Hematometra
7 ๐ Retained Products of Conception
8 ๐ Endometrial Carcinoma (Suspicious)
๐ CERVICAL ABNORMALITIES
1 ๐ Nabothian Cyst
2 ๐ Cervical Polyp
3 ๐ Cervicitis
4 ๐ Cervical Stenosis
5 ๐ Cervical Mass
6 ๐ Cervical Carcinoma (Suspicious)
๐ OVARIAN FINDINGS
1 ๐ Multifollicular Ovary
2 ๐ Polycystic Ovarian Morphology (PCOM)
3 ๐ Corpus Luteum Cyst
4 ๐ Hemorrhagic Ovarian Cyst
5 ๐ Simple Ovarian Cyst
6 ๐ Complex Ovarian Cyst
7 ๐ Endometrioma
8 ๐ Dermoid Cyst
9 ๐ Ovarian Torsion
10 ๐ Ovarian Neoplasm (Suspicious)
๐ ADNEXAL FINDINGS
1 ๐ Hydrosalpinx
2 ๐ Pyosalpinx
3 ๐ Tubo-Ovarian Abscess
4 ๐ Paraovarian Cyst
5 ๐ Adnexal Mass
6 ๐ Pelvic Inflammatory Disease (PID)
๐ POUCH OF DOUGLAS / PELVIC FLUID
1 ๐ No Free Fluid
2 ๐ Physiological Free Fluid
3 ๐ Moderate Free Fluid
4 ๐ Large Pelvic Fluid Collection
5 ๐ Hemoperitoneum
6 ๐ Pelvic Abscess
๐ POSTMENOPAUSAL TVS FINDINGS
1 ๐ Normal Postmenopausal Uterus
2 ๐ Thin Postmenopausal Endometrium
3 ๐ Thickened Postmenopausal Endometrium
4 ๐ Postmenopausal Endometrial Polyp
5 ๐ Postmenopausal Endometrial Hyperplasia
6 ๐ Postmenopausal Endometrial Carcinoma (Suspicious)
๐ FOLLOW-UP / SCREENING STUDIES
1 ๐ Routine Gynecological Screening TVS
2 ๐ Infertility Baseline Scan
3 ๐ Follicular Monitoring Study
4 ๐ Postoperative Follow-Up Scan
5 ๐ Follow-Up of Ovarian Cyst
6 ๐ Follow-Up of Fibroid
TVS – INFERTILITY EVALUATION
๐
๐ BASELINE INFERTILITY ASSESSMENT
1 ๐ Normal Baseline Infertility Scan
2 ๐ Normal Uterus and Ovaries
3 ๐ Baseline Antral Follicle Count (AFC)
4 ๐ Normal Endometrial Thickness
5 ๐ Normal Ovarian Volume
6 ๐ Normal Pelvic Anatomy
๐ FOLLICULAR MONITORING
1 ๐ Early Follicular Phase Scan
2 ๐ Single Dominant Follicle
3 ๐ Multiple Dominant Follicles
4 ๐ Mature Follicle
5 ๐ Pre-Ovulatory Follicle
6 ๐ Follicular Growth Study
7 ๐ Delayed Follicular Growth
8 ๐ Arrested Follicular Development
9 ๐ Multifollicular Response
10 ๐ Controlled Ovarian Stimulation Monitoring
๐ OVULATION ASSESSMENT
1 ๐ Evidence of Ovulation
2 ๐ Follicular Rupture
3 ๐ Corpus Luteum Formation
4 ๐ Free Fluid in Pouch of Douglas
5 ๐ Successful Ovulation Study
6 ๐ Luteinized Unruptured Follicle (LUF)
7 ๐ Anovulatory Cycle
8 ๐ Persistent Unruptured Follicle
๐ ENDOMETRIAL ASSESSMENT
1 ๐ Trilaminar Endometrium
2 ๐ Secretory Endometrium
3 ๐ Thin Endometrium
4 ๐ Thick Endometrium
5 ๐ Poor Endometrial Development
6 ๐ Endometrial Hyperplasia
7 ๐ Endometrial Polyp
8 ๐ Endometrial Fluid Collection
๐ OVARIAN RESERVE ASSESSMENT
1 ๐ Normal Antral Follicle Count (AFC)
2 ๐ High Antral Follicle Count
3 ๐ Low Antral Follicle Count
4 ๐ Diminished Ovarian Reserve
5 ๐ Poor Ovarian Reserve
6 ๐ Premature Ovarian Insufficiency (POI)
๐ POLYCYSTIC OVARIAN MORPHOLOGY (PCOM)
1 ๐ Polycystic Ovarian Morphology
2 ๐ Bilateral PCOM
3 ๐ Enlarged Ovarian Volume
4 ๐ Peripheral Follicular Distribution
5 ๐ String of Pearls Appearance
6 ๐ PCOS with Anovulation
๐ UTERINE FACTOR INFERTILITY
1 ๐ Submucosal Fibroid
2 ๐ Intramural Fibroid Distorting Cavity
3 ๐ Endometrial Polyp
4 ๐ Adenomyosis
5 ๐ Septate Uterus
6 ๐ Bicornuate Uterus
7 ๐ Unicornuate Uterus
8 ๐ T-Shaped Uterus
๐ TUBAL & ADNEXAL FACTORS
1 ๐ Hydrosalpinx
2 ๐ Pyosalpinx
3 ๐ Tubo-Ovarian Mass
4 ๐ Tubo-Ovarian Abscess
5 ๐ Peritubal Adhesions (Indirect Signs)
6 ๐ Chronic PID Changes
๐ ENDOMETRIOSIS
1 ๐ Ovarian Endometrioma
2 ๐ Bilateral Endometriomas
3 ๐ Deep Infiltrating Endometriosis
4 ๐ Frozen Pelvis (Indirect Signs)
5 ๐ Endometriosis-Associated Infertility
๐ ART / IVF MONITORING
1 ๐ Baseline IVF Scan
2 ๐ Ovarian Stimulation Monitoring
3 ๐ Multiple Growing Follicles
4 ๐ Trigger Day Assessment
5 ๐ Risk of OHSS
6 ๐ Post-Oocyte Retrieval Scan
7 ๐ Embryo Transfer Assessment
8 ๐ Luteal Phase Follow-Up
TVS – FOLLICULAR MONITORING
๐
๐ BASELINE FOLLICULAR STUDY
1 ๐ Baseline Day 2–3 Scan
2 ๐ Normal Baseline Ovaries
3 ๐ Normal Antral Follicle Count (AFC)
4 ๐ Normal Endometrial Thickness
5 ๐ Baseline Infertility Assessment
๐ FOLLICULAR DEVELOPMENT
1 ๐ Early Developing Follicle
2 ๐ Growing Dominant Follicle
3 ๐ Single Dominant Follicle
4 ๐ Multiple Dominant Follicles
5 ๐ Mature Follicle (18–24 mm)
6 ๐ Pre-Ovulatory Follicle
7 ๐ Bilateral Dominant Follicles
8 ๐ Multifollicular Development
๐ OVULATION STUDY
1 ๐ Evidence of Ovulation
2 ๐ Follicular Rupture
3 ๐ Partial Follicular Collapse
4 ๐ Complete Follicular Collapse
5 ๐ Corpus Luteum Formation
6 ๐ Free Fluid in Pouch of Douglas
7 ๐ Confirmed Ovulation
๐ ANOVULATION & LUF SYNDROME
1 ๐ Anovulatory Cycle
2 ๐ Persistent Dominant Follicle
3 ๐ Follicular Persistence
4 ๐ Luteinized Unruptured Follicle (LUF)
5 ๐ Delayed Ovulation
6 ๐ Follicular Arrest
7 ๐ Failed Follicular Rupture
๐ ENDOMETRIAL CHANGES
1 ๐ Thin Endometrium
2 ๐ Trilaminar Endometrium
3 ๐ Periovulatory Endometrium
4 ๐ Secretory Endometrium
5 ๐ Thick Endometrium
6 ๐ Poor Endometrial Development
7 ๐ Endometrial–Follicular Discordance
๐ OVARIAN RESPONSE ASSESSMENT
1 ๐ Normal Ovarian Response
2 ๐ Poor Ovarian Response
3 ๐ Excessive Ovarian Response
4 ๐ Multifollicular Response
5 ๐ Controlled Ovarian Hyperstimulation
6 ๐ Risk of OHSS
๐ PCOS FOLLICULAR MONITORING
1 ๐ Polycystic Ovarian Morphology (PCOM)
2 ๐ Multiple Small Peripheral Follicles
3 ๐ Delayed Dominant Follicle Selection
4 ๐ Anovulatory PCOS Cycle
5 ๐ Ovulatory PCOS Cycle
๐ IUI CYCLE MONITORING
1 ๐ Natural Cycle Monitoring
2 ๐ Stimulated IUI Cycle
3 ๐ Trigger Day Assessment
4 ๐ Optimal IUI Timing Assessment
5 ๐ Post-IUI Ovulation Confirmation
๐ IVF / ART FOLLICULAR MONITORING
1 ๐ Baseline IVF Scan
2 ๐ Early Stimulation Scan
3 ๐ Multiple Growing Follicles
4 ๐ Lead Follicle Assessment
5 ๐ Trigger Day Scan
6 ๐ Pre-Oocyte Retrieval Assessment
7 ๐ Post-Oocyte Retrieval Scan
8 ๐ OHSS Surveillance Scan
๐ FOLLOW-UP STUDIES
1 ๐ Serial Follicular Monitoring
2 ๐ Follicular Growth Trend Analysis
3 ๐ Ovulation Follow-Up Study
4 ๐ Corpus Luteum Follow-Up
5 ๐ Cycle Outcome Assessment
TVS – FIRST TRIMESTER
๐
๐ NORMAL EARLY PREGNANCY
1 ๐ Early Intrauterine Gestational Sac
2 ๐ Normal Yolk Sac
3 ๐ Early Embryonic Pole
4 ๐ Normal Cardiac Activity
5 ๐ Single Live Intrauterine Pregnancy
6 ๐ Normal First Trimester Dating Scan
7 ๐ Normal Chorionicity Assessment
๐ GESTATIONAL SAC FINDINGS
1 ๐ Irregular Gestational Sac
2 ๐ Small Gestational Sac for Dates
3 ๐ Collapsed / Crenated Gestational Sac
4 ๐ Low-Lying Gestational Sac
5 ๐ Empty Gestational Sac (Anembryonic Pregnancy)
6 ๐ Absent Yolk Sac
7 ๐ Enlarged Yolk Sac
8 ๐ Irregular / Calcified Yolk Sac
9 ๐ Absent Fetal Pole
10 ๐ Static Gestational Sac Size
11 ๐ Slow Gestational Sac Growth (<1 mm/day)
12 ๐ Gestational Sac Smaller than CRL
13 ๐ Interval Non-visualization of Embryo
14 ๐ Irregular GS with Enlarged Yolk Sac
15 ๐ Abnormal GS with Absent Cardiac Activity
๐ EMBRYONIC FINDINGS
1 ๐ HR Not Detected in Normal Early Embryonic Pole
2 ๐ Absent Cardiac Activity (Embryonic Demise)
3 ๐ Bradycardia (<100 bpm)
4 ๐ Tachycardia (>180 bpm)
5 ๐ CRL Smaller than Expected for Dates
6 ๐ Failure of Interval Embryonic Growth
7 ๐ CRL–GS Size Discordance
8 ๐ Enlarged Yolk Sac with Embryo
9 ๐ Absent Yolk Sac with Visible Embryo
๐ EARLY PREGNANCY LOSS
1 ๐ Threatened Abortion
2 ๐ Missed Abortion
3 ๐ Incomplete Abortion
4 ๐ Complete Abortion
5 ๐ Inevitable Abortion
6 ๐ Early Embryonic Demise
๐ MULTIPLE PREGNANCY
1 ๐ Dichorionic Diamniotic Twins (DCDA)
2 ๐ Monochorionic Diamniotic Twins (MCDA)
3 ๐ Monochorionic Monoamniotic Twins (MCMA)
4 ๐ Twin Pregnancy with Vanishing Twin
5 ๐ Vanishing Twin Syndrome
6 ๐ Trichorionic Triamniotic Triplets
7 ๐ Dichorionic Triamniotic Triplets
8 ๐ Monochorionic Triamniotic Triplets
9 ๐ Higher-Order Pregnancy (Quadruplets or More)
10 ๐ Vanishing Fetus in Multiple Pregnancy
๐ ECTOPIC PREGNANCY
1 ๐ Tubal Ectopic Pregnancy
2 ๐ Live Tubal Ectopic Pregnancy
3 ๐ Interstitial (Cornual) Pregnancy
4 ๐ Cervical Ectopic Pregnancy
5 ๐ Cesarean Scar Pregnancy
6 ๐ Ovarian Ectopic Pregnancy
7 ๐ Abdominal Ectopic Pregnancy
8 ๐ Heterotopic Pregnancy
9 ๐ Ruptured Ectopic Pregnancy
๐ MOLAR & TROPHOBLASTIC DISEASE
1 ๐ Complete Hydatidiform Mole
2 ๐ Partial Hydatidiform Mole
3 ๐ Early Complete Mole
4 ๐ Partial Mole with Embryo
5 ๐ Complete Mole with Coexisting Normal Embryo
6 ๐ Pregnancy with Complete Mole and Coexisting Normal GS
๐ EARLY FETAL MALFORMATIONS
1 ๐ Acrania
2 ๐ Anencephaly
3 ๐ Holoprosencephaly
4 ๐ Cephalocele / Meningocele
5 ๐ Facial Clefts
6 ๐ Absent Nasal Bone
7 ๐ Cystic Hygroma
8 ๐ Spina Bifida
9 ๐ Ectopia Cordis
10 ๐ Omphalocele
11 ๐ Gastroschisis
12 ๐ Megacystis
13 ๐ Hydrops Fetalis
14 ๐ Polydactyly
15 ๐ Vein of Galen Malformation
๐ FIRST TRIMESTER COMPLICATIONS
1 ๐ Subchorionic Hematoma
2 ๐ Retroplacental Hemorrhage (Early)
3 ๐ Partial Mole with Fetal Demise
4 ๐ Fetal Pericardial Effusion
5 ๐ Fetal Pleural Effusion
6 ๐ Fetal Ascites
7 ๐ Fetal Skin Edema / Anasarca
8 ๐ Placental Edema (Placentomegaly)
TVS – SECOND TRIMESTER
๐
๐ NORMAL SECOND TRIMESTER PREGNANCY
1 ๐ Normal Single Live Intrauterine Pregnancy
2 ๐ Normal Fetal Cardiac Activity
3 ๐ Normal Fetal Growth for Gestational Age
4 ๐ Normal Amniotic Fluid Volume
5 ๐ Normal Placental Location
6 ๐ Normal Cervical Length
๐ FETAL VIABILITY ABNORMALITIES
1 ๐ Intrauterine Fetal Demise (IUFD)
2 ๐ Persistent Fetal Bradycardia
3 ๐ Persistent Fetal Tachycardia
๐ FETAL GROWTH ABNORMALITIES
1 ๐ Early-Onset Fetal Growth Restriction (FGR)
2 ๐ Biometric Discordance (BPD / HC / AC / FL)
3 ๐ Asymmetrical Biometric Discordance (Reduced AC Size)
4 ๐ Symmetrical Intrauterine Growth Restriction (IUGR)
5 ๐ Asymmetrical Intrauterine Growth Restriction (IUGR)
๐ PREGNANCY LOSS (SECOND TRIMESTER)
1 ๐ Missed Abortion (Late)
2 ๐ Incomplete Abortion
3 ๐ Inevitable Abortion
๐ MULTIPLE PREGNANCY (14–27 WEEKS)
1 ๐ Dichorionic Diamniotic Twins
2 ๐ Monochorionic Diamniotic Twins
3 ๐ Monochorionic Monoamniotic Twins
4 ๐ Triplet Pregnancy
5 ๐ Higher-Order Multiple Pregnancy
6 ๐ Growth Discordance (>20%)
7 ๐ Twin-to-Twin Transfusion Syndrome (TTTS)
8 ๐ Selective Fetal Growth Restriction (sFGR)
9 ๐ Single Fetal Demise in Multiple Pregnancy
10 ๐ Fetus Papyraceus
๐ PLACENTAL ABNORMALITIES
1 ๐ Placenta Previa
2 ๐ Low-Lying Placenta
3 ๐ Placental Abruption (Retroplacental Hematoma)
4 ๐ Placenta Accreta Spectrum (Suspicion)
5 ๐ Placental Mass
6 ๐ Placental Chorioangioma
๐ UMBILICAL CORD ABNORMALITIES
1 ๐ Single Umbilical Artery
2 ๐ Marginal Cord Insertion
3 ๐ Velamentous Cord Insertion
4 ๐ Umbilical Cord Cyst
5 ๐ True Knot of Umbilical Cord
6 ๐ Single Loop Nuchal Cord
7 ๐ Double Loop Nuchal Cord
8 ๐ Triple Loop Nuchal Cord
9 ๐ Four Loop Nuchal Cord
๐ AMNIOTIC FLUID ABNORMALITIES
1 ๐ Mild Oligohydramnios
2 ๐ Moderate Oligohydramnios
3 ๐ Severe Oligohydramnios
4 ๐ Mild Polyhydramnios
5 ๐ Moderate Polyhydramnios
6 ๐ Severe Polyhydramnios
7 ๐ Amniotic Band Syndrome
๐ STRUCTURAL ANOMALIES (ANOMALY SCAN)
1 ๐ Ventriculomegaly
2 ๐ Spina Bifida
3 ๐ Dandy–Walker Malformation
4 ๐ Cleft Lip and Palate
5 ๐ Micrognathia
6 ๐ Congenital Heart Disease
7 ๐ Abnormal Outflow Tracts
8 ๐ Omphalocele
9 ๐ Gastroschisis
10 ๐ Hydronephrosis
11 ๐ Multicystic Dysplastic Kidney
12 ๐ Short Long Bones
13 ๐ Skeletal Dysplasia
๐ MOLAR & TROPHOBLASTIC DISEASE
1 ๐ Partial Mole with Fetus
2 ๐ Complete Mole with Coexisting Fetus
๐ ASSOCIATED COMPLICATIONS
1 ๐ Cervical Incompetence
2 ๐ Short Cervix
3 ๐ Cervical Funnel Formation
4 ๐ Preterm Premature Rupture of Membranes (PPROM)
5 ๐ Chorioamnionitis (Indirect Signs)
TVS – THIRD TRIMESTER
๐
๐ NORMAL THIRD TRIMESTER PREGNANCY
1 ๐ Normal Single Live Intrauterine Pregnancy
2 ๐ Normal Fetal Cardiac Activity
3 ๐ Normal Fetal Growth for Gestational Age
4 ๐ Cephalic Presentation
5 ๐ Normal Amniotic Fluid Volume
6 ๐ Normal Placental Maturity
๐ FETAL VIABILITY ABNORMALITIES
1 ๐ Intrauterine Fetal Demise (IUFD)
2 ๐ Persistent Fetal Bradycardia
3 ๐ Persistent Fetal Tachycardia
๐ FETAL GROWTH ABNORMALITIES
1 ๐ Late-Onset Fetal Growth Restriction (FGR)
2 ๐ Symmetrical Intrauterine Growth Restriction (IUGR)
3 ๐ Asymmetrical Intrauterine Growth Restriction (IUGR)
4 ๐ Small for Gestational Age (SGA)
5 ๐ Macrosomia
6 ๐ Growth Arrest
7 ๐ Biometric Discordance
๐ MULTIPLE PREGNANCY
1 ๐ Dichorionic Diamniotic Twins
2 ๐ Monochorionic Diamniotic Twins
3 ๐ Monochorionic Monoamniotic Twins
4 ๐ Growth Discordance (>20%)
5 ๐ Twin-to-Twin Transfusion Syndrome (TTTS)
6 ๐ Twin Anemia–Polycythemia Syndrome (TAPS)
7 ๐ Selective Fetal Growth Restriction (sFGR)
8 ๐ Single Fetal Demise in Multiple Pregnancy
9 ๐ Fetus Papyraceus
๐ FETAL PRESENTATION
1 ๐ Cephalic Presentation
2 ๐ Breech Presentation
3 ๐ Frank Breech
4 ๐ Complete Breech
5 ๐ Footling Breech
6 ๐ Transverse Lie
7 ๐ Oblique Lie
8 ๐ Unstable Lie
๐ PLACENTAL ABNORMALITIES
1 ๐ Placenta Previa
2 ๐ Low-Lying Placenta
3 ๐ Placental Abruption
4 ๐ Retroplacental Hematoma
5 ๐ Placenta Accreta Spectrum
6 ๐ Placental Chorioangioma
7 ๐ Placental Calcification
8 ๐ Premature Placental Maturation
๐ UMBILICAL CORD ABNORMALITIES
1 ๐ Single Umbilical Artery
2 ๐ Marginal Cord Insertion
3 ๐ Velamentous Cord Insertion
4 ๐ True Knot of Umbilical Cord
5 ๐ Umbilical Cord Cyst
6 ๐ Single Loop Nuchal Cord
7 ๐ Double Loop Nuchal Cord
8 ๐ Triple Loop Nuchal Cord
9 ๐ Four Loop Nuchal Cord
10 ๐ Cord Around Body
11 ๐ Cord Around Limb
๐ AMNIOTIC FLUID ABNORMALITIES
1 ๐ Mild Oligohydramnios
2 ๐ Moderate Oligohydramnios
3 ๐ Severe Oligohydramnios
4 ๐ Mild Polyhydramnios
5 ๐ Moderate Polyhydramnios
6 ๐ Severe Polyhydramnios
๐ FETAL STRUCTURAL ANOMALIES
1 ๐ Ventriculomegaly
2 ๐ Hydrocephalus
3 ๐ Congenital Heart Disease
4 ๐ Omphalocele
5 ๐ Gastroschisis
6 ๐ Hydronephrosis
7 ๐ Multicystic Dysplastic Kidney
8 ๐ Skeletal Dysplasia
9 ๐ Short Long Bones
๐ CERVICAL ASSESSMENT
1 ๐ Normal Cervical Length
2 ๐ Short Cervix
3 ๐ Cervical Funnel Formation
4 ๐ Cervical Incompetence
5 ๐ Cerclage In Situ
6 ๐ Cerclage Failure
๐ THIRD TRIMESTER COMPLICATIONS
1 ๐ Preterm Premature Rupture of Membranes (PPROM)
2 ๐ Chorioamnionitis (Indirect Signs)
3 ๐ Fetal Growth Restriction with Doppler Changes
4 ๐ Non-Reassuring Fetal Status
5 ๐ Suspected Fetal Hypoxia
6 ๐ Hydrops Fetalis
7 ๐ Intrauterine Fetal Demise (IUFD)
TVS – SUSPECTED ECTOPIC PREGNANCY
๐
๐ PREGNANCY OF UNKNOWN LOCATION (PUL)
1 ๐ Pregnancy of Unknown Location (PUL)
2 ๐ Positive ฮฒ-hCG with No Intrauterine Gestational Sac
3 ๐ Indeterminate Early Pregnancy
4 ๐ PUL Requiring Follow-Up Scan
5 ๐ Resolving Pregnancy of Unknown Location
๐ TUBAL ECTOPIC PREGNANCY
1 ๐ Tubal Ectopic Pregnancy
2 ๐ Live Tubal Ectopic Pregnancy
3 ๐ Unruptured Tubal Ectopic Pregnancy
4 ๐ Ruptured Tubal Ectopic Pregnancy
5 ๐ Ampullary Ectopic Pregnancy
6 ๐ Isthmic Ectopic Pregnancy
7 ๐ Fimbrial Ectopic Pregnancy
8 ๐ Chronic Ectopic Pregnancy
๐ ADNEXAL FINDINGS
1 ๐ Adnexal Gestational Sac
2 ๐ Adnexal Ring Sign
3 ๐ Tubal Ring Sign
4 ๐ Extrauterine Yolk Sac
5 ๐ Extrauterine Embryo
6 ๐ Extrauterine Embryo with Cardiac Activity
7 ๐ Complex Adnexal Mass
8 ๐ Hematosalpinx
๐ DOPPLER FINDINGS
1 ๐ Ring of Fire Sign
2 ๐ Peripheral Hypervascularity
3 ๐ Vascular Tubal Ectopic Pregnancy
4 ๐ Hypervascular Adnexal Mass
๐ FREE FLUID & HEMOPERITONEUM
1 ๐ Minimal Free Fluid in POD
2 ๐ Moderate Free Fluid in POD
3 ๐ Large Free Fluid Collection
4 ๐ Echogenic Free Fluid
5 ๐ Hemoperitoneum
6 ๐ Massive Hemoperitoneum
๐ NON-TUBAL ECTOPIC PREGNANCIES
1 ๐ Interstitial (Cornual) Pregnancy
2 ๐ Angular Pregnancy
3 ๐ Cervical Ectopic Pregnancy
4 ๐ Cesarean Scar Pregnancy
5 ๐ Ovarian Ectopic Pregnancy
6 ๐ Abdominal Ectopic Pregnancy
7 ๐ Broad Ligament Pregnancy
๐ HETEROTOPIC PREGNANCY
1 ๐ Heterotopic Pregnancy
2 ๐ Intrauterine Pregnancy with Tubal Ectopic
3 ๐ Live Intrauterine Pregnancy with Ectopic Pregnancy
4 ๐ IVF-Associated Heterotopic Pregnancy
๐ PSEUDOGESTATIONAL SAC FINDINGS
1 ๐ Pseudogestational Sac
2 ๐ Central Endometrial Fluid Collection
3 ๐ No Double Decidual Sac Sign
๐ FOLLOW-UP & POST-TREATMENT
1 ๐ Resolving Ectopic Pregnancy
2 ๐ Post-Methotrexate Follow-Up
3 ๐ Persistent Ectopic Pregnancy
4 ๐ Post-Salpingostomy Follow-Up
5 ๐ Post-Salpingectomy Follow-Up
๐ DIFFERENTIAL DIAGNOSIS
1 ๐ Corpus Luteum Mimicking Ectopic Pregnancy
2 ๐ Hemorrhagic Corpus Luteum
3 ๐ Paraovarian Cyst
4 ๐ Tubo-Ovarian Abscess
5 ๐ Adnexal Mass of Uncertain Etiology
Topic 4: Perineal & Groin USG
4
๐ Perineal Female USG
๐ Groin Male USG
PERINEAL FEMALE USG
๐
๐ NORMAL FEMALE PERINEAL ULTRASOUND
1 ๐ Normal Female Perineum
2 ๐ Normal Vulva
3 ๐ Normal Labia Majora
4 ๐ Normal Labia Minora
5 ๐ Normal Clitoral Region
6 ๐ Normal Perineal Body
7 ๐ Normal Distal Urethra
8 ๐ Normal Vaginal Introitus
๐ BARTHOLIN GLAND LESIONS
1 ๐ Bartholin Cyst
2 ๐ Infected Bartholin Cyst
3 ๐ Bartholin Abscess
4 ๐ Recurrent Bartholin Abscess
5 ๐ Complex Bartholin Lesion
๐ VULVAR CYSTIC LESIONS
1 ๐ Epidermoid Cyst
2 ๐ Sebaceous Cyst
3 ๐ Inclusion Cyst
4 ๐ Gartner Duct Cyst
5 ๐ Skene Duct Cyst
6 ๐ Paraurethral Cyst
๐ INFECTIOUS & INFLAMMATORY LESIONS
1 ๐ Vulvar Abscess
2 ๐ Perineal Abscess
3 ๐ Cellulitis
4 ๐ Hidradenitis Suppurativa
5 ๐ Infected Sinus Tract
6 ๐ Perineal Fistula
๐ TRAUMATIC LESIONS
1 ๐ Perineal Hematoma
2 ๐ Postpartum Hematoma
3 ๐ Vulvar Hematoma
4 ๐ Perineal Soft Tissue Injury
5 ๐ Episiotomy Site Collection
6 ๐ Postoperative Seroma
๐ URETHRAL & PARAURETHRAL LESIONS
1 ๐ Urethral Diverticulum
2 ๐ Complex Urethral Diverticulum
3 ๐ Paraurethral Cyst
4 ๐ Skene Gland Abscess
5 ๐ Urethral Mass
๐ VASCULAR LESIONS
1 ๐ Vulvar Varicosities
2 ๐ Perineal Varices
3 ๐ Vulvar Venous Malformation
4 ๐ Hemangioma
5 ๐ Arteriovenous Malformation (AVM)
๐ PELVIC FLOOR & PROLAPSE DISORDERS
1 ๐ Cystocele
2 ๐ Rectocele
3 ๐ Enterocele
4 ๐ Urethral Hypermobility
5 ๐ Pelvic Floor Laxity
6 ๐ Perineal Descent Syndrome
๐ BENIGN SOFT TISSUE MASSES
1 ๐ Lipoma
2 ๐ Fibroma
3 ๐ Leiomyoma of Vulva
4 ๐ Neurofibroma
5 ๐ Aggressive Angiomyxoma
๐ MALIGNANT LESIONS
1 ๐ Vulvar Carcinoma
2 ๐ Vaginal Carcinoma Extension
3 ๐ Urethral Carcinoma
4 ๐ Soft Tissue Sarcoma
5 ๐ Metastatic Perineal Mass
๐ CONGENITAL ANOMALIES
1 ๐ Canal of Nuck Cyst
2 ๐ Persistent Processus Vaginalis
3 ๐ Imperforate Hymen
4 ๐ Cloacal Anomaly
5 ๐ Congenital Perineal Fistula
6 ๐ Congenital Lymphangioma
๐ POSTOPERATIVE & FOLLOW-UP STUDIES
1 ๐ Post-Bartholin Surgery Follow-Up
2 ๐ Post-Episiotomy Assessment
3 ๐ Post-Abscess Drainage Follow-Up
4 ๐ Postoperative Scar Tissue
5 ๐ Recurrent Perineal Lesion
GROIN MALE USG
๐
๐ NORMAL GROIN ULTRASOUND
1 ๐ Normal Groin Anatomy
2 ๐ Normal Inguinal Canal
3 ๐ Normal Spermatic Cord
4 ๐ Normal Inguinal Lymph Nodes
5 ๐ No Groin Hernia Detected
๐ INGUINAL HERNIAS
1 ๐ Indirect Inguinal Hernia
2 ๐ Direct Inguinal Hernia
3 ๐ Reducible Inguinal Hernia
4 ๐ Irreducible Inguinal Hernia
5 ๐ Obstructed Inguinal Hernia
6 ๐ Strangulated Inguinal Hernia
7 ๐ Fat-Containing Inguinal Hernia
8 ๐ Bowel-Containing Inguinal Hernia
9 ๐ Sliding Inguinal Hernia
10 ๐ Recurrent Inguinal Hernia
๐ FEMORAL & OTHER HERNIAS
1 ๐ Femoral Hernia
2 ๐ Obturator Hernia
3 ๐ Spigelian Hernia
4 ๐ Incisional Hernia Extending to Groin
๐ INGUINAL LYMPH NODES
1 ๐ Reactive Inguinal Lymphadenopathy
2 ๐ Enlarged Inguinal Lymph Nodes
3 ๐ Suppurative Lymphadenitis
4 ๐ Tuberculous Lymphadenitis
5 ๐ Lymphoma
6 ๐ Metastatic Inguinal Lymphadenopathy
๐ SPERMATIC CORD LESIONS
1 ๐ Spermatic Cord Lipoma
2 ๐ Spermatic Cord Cyst
3 ๐ Encysted Hydrocele of Cord
4 ๐ Funicular Hydrocele
5 ๐ Spermatic Cord Hematoma
6 ๐ Spermatic Cord Tumor
๐ FLUID COLLECTIONS
1 ๐ Seroma
2 ๐ Hematoma
3 ๐ Abscess Collection
4 ๐ Lymphocele
5 ๐ Postoperative Fluid Collection
๐ INFECTIOUS & INFLAMMATORY CONDITIONS
1 ๐ Groin Abscess
2 ๐ Cellulitis
3 ๐ Hidradenitis Suppurativa
4 ๐ Infected Sinus Tract
5 ๐ Fournier Gangrene (Groin Extension)
๐ VASCULAR LESIONS
1 ๐ Femoral Artery Pseudoaneurysm
2 ๐ Femoral Artery Aneurysm
3 ๐ Arteriovenous Fistula (AVF)
4 ๐ Saphena Varix
5 ๐ Groin Varicosities
6 ๐ Venous Malformation
๐ BENIGN SOFT TISSUE MASSES
1 ๐ Lipoma
2 ๐ Epidermoid Cyst
3 ๐ Sebaceous Cyst
4 ๐ Fibroma
5 ๐ Neurofibroma
6 ๐ Desmoid Tumor
๐ MALIGNANT MASSES
1 ๐ Soft Tissue Sarcoma
2 ๐ Metastatic Groin Mass
3 ๐ Lymphoma Involving Groin
4 ๐ Malignant Inguinal Lymphadenopathy
๐ CONGENITAL CONDITIONS
1 ๐ Patent Processus Vaginalis
2 ๐ Congenital Inguinal Hernia
3 ๐ Encysted Hydrocele of Cord
4 ๐ Undescended Testis in Inguinal Canal
5 ๐ Ectopic Testis
๐ POSTOPERATIVE & FOLLOW-UP
1 ๐ Post-Hernia Repair Assessment
2 ๐ Mesh Evaluation
3 ๐ Recurrent Hernia after Repair
4 ๐ Postoperative Seroma
5 ๐ Postoperative Hematoma
6 ๐ Chronic Groin Pain Evaluation
Topic 5: Scrotum
5
๐ Routine Scrotal USG
๐ Scrotal Doppler USG
ROUTINE SCROTAL USG
๐
๐ NORMAL SCROTAL ULTRASOUND
1 ๐ Normal Bilateral Testes
2 ๐ Normal Right Testis
3 ๐ Normal Left Testis
4 ๐ Normal Epididymis
5 ๐ Normal Spermatic Cord
6 ๐ Normal Testicular Vascularity
7 ๐ No Hydrocele or Varicocele
๐ HYDROCELE
1 ๐ Small Hydrocele
2 ๐ Moderate Hydrocele
3 ๐ Large Hydrocele
4 ๐ Bilateral Hydrocele
5 ๐ Septated Hydrocele
6 ๐ Encysted Hydrocele of Cord
7 ๐ Funicular Hydrocele
8 ๐ Pyocele
9 ๐ Hematocele
๐ VARICOCELE
1 ๐ Left Varicocele
2 ๐ Right Varicocele
3 ๐ Bilateral Varicocele
4 ๐ Mild Varicocele
5 ๐ Moderate Varicocele
6 ๐ Severe Varicocele
7 ๐ Subclinical Varicocele
๐ EPIDIDYMAL LESIONS
1 ๐ Acute Epididymitis
2 ๐ Chronic Epididymitis
3 ๐ Epididymal Cyst
4 ๐ Spermatocele
5 ๐ Epididymal Abscess
6 ๐ Tuberculous Epididymitis
๐ TESTICULAR INFECTION & INFLAMMATION
1 ๐ Orchitis
2 ๐ Epididymo-Orchitis
3 ๐ Focal Orchitis
4 ๐ Testicular Abscess
5 ๐ Tuberculous Orchitis
6 ๐ Fournier Gangrene
๐ TESTICULAR TORSION
1 ๐ Acute Testicular Torsion
2 ๐ Partial Testicular Torsion
3 ๐ Intermittent Testicular Torsion
4 ๐ Torsion of Testicular Appendage
5 ๐ Post-Detorsion Hyperemia
6 ๐ Testicular Infarction
๐ TESTICULAR TRAUMA
1 ๐ Testicular Contusion
2 ๐ Intratesticular Hematoma
3 ๐ Hematocele
4 ๐ Testicular Rupture
5 ๐ Scrotal Wall Hematoma
6 ๐ Traumatic Testicular Ischemia
๐ TESTICULAR TUMORS
1 ๐ Seminoma
2 ๐ Non-Seminomatous Germ Cell Tumor
3 ๐ Mixed Germ Cell Tumor
4 ๐ Testicular Lymphoma
5 ๐ Leydig Cell Tumor
6 ๐ Sertoli Cell Tumor
7 ๐ Testicular Metastasis
๐ BENIGN TESTICULAR LESIONS
1 ๐ Testicular Cyst
2 ๐ Tunica Albuginea Cyst
3 ๐ Simple Intratesticular Cyst
4 ๐ Testicular Microlithiasis
5 ๐ Segmental Testicular Infarction
6 ๐ Tubular Ectasia of Rete Testis
๐ MALE INFERTILITY EVALUATION
1 ๐ Bilateral Varicocele with Infertility
2 ๐ Testicular Atrophy
3 ๐ Small Volume Testes
4 ๐ Post-Infective Testicular Atrophy
5 ๐ Infertility Screening Study
๐ CONGENITAL & DEVELOPMENTAL
1 ๐ Undescended Testis (Cryptorchidism)
2 ๐ Ectopic Testis
3 ๐ Testicular Agenesis
4 ๐ Polyorchidism
5 ๐ Persistent Mรผllerian Duct Syndrome
๐ SCROTAL WALL LESIONS
1 ๐ Scrotal Wall Edema
2 ๐ Scrotal Cellulitis
3 ๐ Scrotal Abscess
4 ๐ Epidermoid Cyst of Scrotal Wall
5 ๐ Sebaceous Cyst of Scrotum
๐ POSTOPERATIVE & FOLLOW-UP
1 ๐ Post-Varicocele Surgery Follow-Up
2 ๐ Post-Orchidopexy Follow-Up
3 ๐ Post-Torsion Follow-Up
4 ๐ Post-Trauma Follow-Up
5 ๐ Follow-Up of Testicular Mass
SCROTAL DOPPLER USG
๐
๐ NORMAL SCROTAL DOPPLER
1 ๐ Normal Bilateral Testicular Perfusion
2 ๐ Normal Intratesticular Arterial Flow
3 ๐ Normal Epididymal Vascularity
4 ๐ Symmetrical Testicular Blood Flow
5 ๐ Normal Spectral Doppler Waveform
๐ TESTICULAR TORSION
1 ๐ Complete Testicular Torsion
2 ๐ Partial Testicular Torsion
3 ๐ Intermittent Testicular Torsion
4 ๐ Absent Intratesticular Flow
5 ๐ Markedly Reduced Intratesticular Flow
6 ๐ Whirlpool Sign of Spermatic Cord
7 ๐ Testicular Infarction
8 ๐ Post-Detorsion Reactive Hyperemia
๐ EPIDIDYMITIS & ORCHITIS
1 ๐ Acute Epididymitis
2 ๐ Acute Orchitis
3 ๐ Acute Epididymo-Orchitis
4 ๐ Hypervascular Epididymis
5 ๐ Hypervascular Testis
6 ๐ Focal Orchitis
7 ๐ Chronic Epididymitis
๐ TESTICULAR ISCHEMIA
1 ๐ Segmental Testicular Ischemia
2 ๐ Segmental Testicular Infarction
3 ๐ Global Testicular Ischemia
4 ๐ Post-Traumatic Ischemia
5 ๐ Absent Flow in Infarcted Area
๐ VARICOCELE
1 ๐ Left Varicocele
2 ๐ Right Varicocele
3 ๐ Bilateral Varicocele
4 ๐ Mild Varicocele
5 ๐ Moderate Varicocele
6 ๐ Severe Varicocele
7 ๐ Subclinical Varicocele
8 ๐ Reflux on Valsalva Maneuver
9 ๐ Persistent Venous Reflux
๐ TESTICULAR TUMORS
1 ๐ Hypervascular Testicular Mass
2 ๐ Hypovascular Testicular Mass
3 ๐ Seminoma
4 ๐ Non-Seminomatous Germ Cell Tumor
5 ๐ Testicular Lymphoma
6 ๐ Leydig Cell Tumor
7 ๐ Sertoli Cell Tumor
๐ TESTICULAR TRAUMA
1 ๐ Testicular Contusion
2 ๐ Intratesticular Hematoma
3 ๐ Testicular Rupture
4 ๐ Traumatic Hematocele
5 ๐ Active Extravasation
6 ๐ Post-Traumatic Hyperemia
๐ POSTOPERATIVE DOPPLER ASSESSMENT
1 ๐ Post-Orchidopexy Testicular Flow
2 ๐ Post-Varicocelectomy Assessment
3 ๐ Persistent Varicocele After Surgery
4 ๐ Recurrent Varicocele
5 ๐ Post-Torsion Follow-Up
๐ MALE INFERTILITY DOPPLER
1 ๐ Bilateral Varicocele with Infertility
2 ๐ Subclinical Varicocele in Infertility
3 ๐ Testicular Atrophy with Reduced Perfusion
4 ๐ Small Testicular Volume with Reduced Flow
5 ๐ Infertility Doppler Assessment
๐ SCROTAL VASCULAR ABNORMALITIES
1 ๐ Testicular Arteriovenous Malformation (AVM)
2 ๐ Intratesticular Varicocele
3 ๐ Extratesticular Varicocele
4 ๐ Scrotal Hemangioma
5 ๐ Vascular Malformation of Scrotum
Topic 6: Penis
6
๐ Penis – Flaccid State (Grayscale)
๐ Penis – Flaccid State (Grayscale + Doppler)
๐ Penis – Erectile State (Grayscale + Doppler)
PENIS – FLACCID STATE (GRAYSCALE)
๐
๐ NORMAL PENILE ULTRASOUND
1 ๐ Normal Penile Anatomy
2 ๐ Normal Corpora Cavernosa
3 ๐ Normal Corpus Spongiosum
4 ๐ Normal Tunica Albuginea
5 ๐ Normal Glans Penis
6 ๐ Normal Penile Urethra
7 ๐ Normal Buck's Fascia
๐ PEYRONIE'S DISEASE
1 ๐ Peyronie's Plaque
2 ๐ Calcified Peyronie's Plaque
3 ๐ Multiple Peyronie's Plaques
4 ๐ Dorsal Tunica Albuginea Plaque
5 ๐ Ventral Tunica Albuginea Plaque
6 ๐ Septal Fibrosis
7 ๐ Intracavernosal Fibrosis
8 ๐ Diffuse Tunica Albuginea Thickening
๐ PENILE TRAUMA
1 ๐ Penile Fracture
2 ๐ Tunica Albuginea Tear
3 ๐ Cavernosal Hematoma
4 ๐ Intracavernosal Hematoma
5 ๐ Penile Contusion
6 ๐ Penile Soft Tissue Hematoma
7 ๐ Suspected Urethral Injury
๐ INFECTION & INFLAMMATION
1 ๐ Balanitis
2 ๐ Balanoposthitis
3 ๐ Penile Cellulitis
4 ๐ Penile Abscess
5 ๐ Cavernosal Abscess
6 ๐ Fournier Gangrene (Penile Involvement)
๐ CYSTIC LESIONS
1 ๐ Epidermoid Cyst
2 ๐ Sebaceous Cyst
3 ๐ Median Raphe Cyst
4 ๐ Urethral Cyst
5 ๐ Inclusion Cyst
๐ BENIGN PENILE MASSES
1 ๐ Lipoma
2 ๐ Fibroma
3 ๐ Neurofibroma
4 ๐ Leiomyoma
5 ๐ Hemangioma
๐ MALIGNANT PENILE LESIONS
1 ๐ Penile Squamous Cell Carcinoma
2 ๐ Penile Soft Tissue Sarcoma
3 ๐ Infiltrative Penile Mass
4 ๐ Recurrent Penile Malignancy
๐ URETHRAL ABNORMALITIES
1 ๐ Urethral Diverticulum
2 ๐ Urethral Calculus
3 ๐ Urethral Stricture (Indirect Findings)
4 ๐ Periurethral Collection
5 ๐ Urethral Injury
๐ CONGENITAL & DEVELOPMENTAL
1 ๐ Hypospadias
2 ๐ Epispadias
3 ๐ Congenital Penile Curvature
4 ๐ Buried Penis
5 ๐ Micropenis
๐ POSTOPERATIVE & FOLLOW-UP
1 ๐ Post-Peyronie's Surgery Follow-Up
2 ๐ Post-Penile Fracture Repair
3 ๐ Post-Urethroplasty Assessment
4 ๐ Post-Circumcision Complication
5 ๐ Postoperative Penile Hematoma
๐ MISCELLANEOUS FINDINGS
1 ๐ Penile Edema
2 ๐ Penile Lymphedema
3 ๐ Foreign Body in Penis
4 ๐ Penile Calcification
5 ๐ Non-Specific Penile Mass
PENIS – FLACCID STATE (GRAYSCALE + DOPPLER)
๐
๐ NORMAL PENILE DOPPLER
1 ๐ Normal Cavernosal Arterial Flow
2 ๐ Normal Dorsal Penile Artery Flow
3 ๐ Normal Corpus Spongiosum Vascularity
4 ๐ Symmetrical Penile Perfusion
5 ๐ Normal Flaccid Doppler Study
๐ PEYRONIE'S DISEASE
1 ๐ Non-Calcified Peyronie's Plaque
2 ๐ Calcified Peyronie's Plaque
3 ๐ Multiple Peyronie's Plaques
4 ๐ Tunica Albuginea Thickening
5 ๐ Septal Fibrosis
6 ๐ Active Inflammatory Peyronie's Disease
7 ๐ Chronic Stable Peyronie's Disease
๐ PENILE TRAUMA
1 ๐ Penile Fracture
2 ๐ Tunica Albuginea Tear
3 ๐ Cavernosal Hematoma
4 ๐ Intracavernosal Hematoma
5 ๐ Penile Contusion
6 ๐ Active Extravasation
7 ๐ Post-Traumatic Hyperemia
8 ๐ Suspected Urethral Injury
๐ PENILE VASCULAR ABNORMALITIES
1 ๐ Dorsal Penile Vein Thrombosis (Mondor Disease)
2 ๐ Partial Dorsal Vein Thrombosis
3 ๐ Complete Dorsal Vein Thrombosis
4 ๐ Penile Venous Malformation
5 ๐ Penile Hemangioma
6 ๐ Penile Arteriovenous Malformation (AVM)
7 ๐ Cavernosal Artery Pseudoaneurysm
8 ๐ High-Flow Penile Vascular Lesion
๐ INFECTION & INFLAMMATION
1 ๐ Balanitis
2 ๐ Balanoposthitis
3 ๐ Penile Cellulitis
4 ๐ Penile Abscess
5 ๐ Cavernosal Abscess
6 ๐ Hypervascular Inflammatory Lesion
7 ๐ Fournier Gangrene (Penile Involvement)
๐ BENIGN PENILE MASSES
1 ๐ Lipoma
2 ๐ Fibroma
3 ๐ Neurofibroma
4 ๐ Leiomyoma
5 ๐ Hemangioma
6 ๐ Vascular Soft Tissue Mass
๐ MALIGNANT PENILE LESIONS
1 ๐ Penile Squamous Cell Carcinoma
2 ๐ Hypervascular Penile Mass
3 ๐ Infiltrative Penile Lesion
4 ๐ Penile Soft Tissue Sarcoma
5 ๐ Recurrent Penile Malignancy
๐ URETHRAL & PERIURETHRAL LESIONS
1 ๐ Urethral Diverticulum
2 ๐ Urethral Calculus
3 ๐ Periurethral Abscess
4 ๐ Periurethral Collection
5 ๐ Urethral Injury
๐ CONGENITAL & DEVELOPMENTAL
1 ๐ Hypospadias
2 ๐ Epispadias
3 ๐ Congenital Penile Curvature
4 ๐ Buried Penis
5 ๐ Micropenis
๐ POSTOPERATIVE & FOLLOW-UP
1 ๐ Post-Peyronie's Treatment Follow-Up
2 ๐ Post-Penile Fracture Repair
3 ๐ Post-Urethroplasty Assessment
4 ๐ Postoperative Hematoma
5 ๐ Postoperative Penile Edema
๐ MISCELLANEOUS FINDINGS
1 ๐ Penile Edema
2 ๐ Penile Lymphedema
3 ๐ Foreign Body in Penis
4 ๐ Penile Calcification
5 ๐ Non-Specific Penile Lesion
PENIS – ERECTILE STATE (GRAYSCALE + DOPPLER)
๐
๐ NORMAL ERECTILE DOPPLER STUDY
1 ๐ Normal Erectile Response
2 ๐ Adequate Cavernosal Arterial Inflow
3 ๐ Normal Cavernosal Artery PSV
4 ๐ Normal Venous Occlusion
5 ๐ Full Rigidity Achieved
6 ๐ Normal Post-Injection Penile Doppler Study
๐ INADEQUATE ERECTILE RESPONSE
1 ๐ Poor Erectile Response
2 ๐ Suboptimal Erectile Response
3 ๐ Incomplete Rigidity
4 ๐ Pharmacologic Non-Responder
5 ๐ Inadequate Erection for Diagnostic Evaluation
๐ ARTERIOGENIC ERECTILE DYSFUNCTION
1 ๐ Mild Arterial Insufficiency
2 ๐ Moderate Arterial Insufficiency
3 ๐ Severe Arterial Insufficiency
4 ๐ Bilateral Cavernosal Artery Insufficiency
5 ๐ Unilateral Cavernosal Artery Insufficiency
6 ๐ Arteriogenic Erectile Dysfunction
7 ๐ Cavernosal Artery Atherosclerotic Disease
๐ VENO-OCCLUSIVE DYSFUNCTION (VENOUS LEAK)
1 ๐ Mild Venous Leak
2 ๐ Moderate Venous Leak
3 ๐ Severe Venous Leak
4 ๐ Persistent End-Diastolic Flow
5 ๐ Veno-Occlusive Dysfunction
6 ๐ Combined Arterial and Venous Erectile Dysfunction
๐ CAVERNOSAL ARTERY ABNORMALITIES
1 ๐ Reduced Cavernosal Artery PSV
2 ๐ Elevated Cavernosal Artery RI
3 ๐ Persistent Diastolic Flow
4 ๐ Asymmetrical Cavernosal Artery Flow
5 ๐ Cavernosal Artery Stenosis
6 ๐ Cavernosal Artery Occlusion
๐ PEYRONIE'S DISEASE
1 ๐ Peyronie's Plaque
2 ๐ Calcified Peyronie's Plaque
3 ๐ Active Peyronie's Disease
4 ๐ Stable Peyronie's Disease
5 ๐ Peyronie's Disease with Erectile Dysfunction
6 ๐ Septal Fibrosis
๐ POST-TRAUMATIC VASCULAR LESIONS
1 ๐ Cavernosal Artery Pseudoaneurysm
2 ๐ Arteriovenous Fistula (AVF)
3 ๐ High-Flow Priapism
4 ๐ Post-Traumatic Hypervascularity
5 ๐ Penile Vascular Injury
๐ PRIAPISM
1 ๐ Ischemic Priapism (Low-Flow)
2 ๐ Non-Ischemic Priapism (High-Flow)
3 ๐ Recurrent Priapism
4 ๐ Partial Segmental Priapism
5 ๐ Post-Treatment Priapism Follow-Up
๐ POSTOPERATIVE ASSESSMENT
1 ๐ Post-Peyronie's Surgery Evaluation
2 ๐ Post-Penile Revascularization Assessment
3 ๐ Post-Penile Prosthesis Assessment
4 ๐ Post-Traumatic Vascular Follow-Up
5 ๐ Post-Injection Follow-Up Study
๐ PENILE PROSTHESIS
1 ๐ Normal Penile Prosthesis
2 ๐ Inflatable Penile Prosthesis
3 ๐ Prosthesis Malfunction
4 ๐ Prosthesis Infection
5 ๐ Prosthesis Erosion
๐ COMPREHENSIVE ED CLASSIFICATION
1 ๐ Normal Penile Doppler Study
2 ๐ Arteriogenic Erectile Dysfunction
3 ๐ Venogenic Erectile Dysfunction
4 ๐ Mixed Vascular Erectile Dysfunction
5 ๐ Non-Vascular Erectile Dysfunction
6 ๐ Indeterminate Erectile Dysfunction Study
Topic 7: Breast
7
๐ Breast Gray-Scale (Routine Breast USG)
๐ Breast Doppler
๐ Breast Elastography
BREAST GRAY-SCALE (ROUTINE BREAST USG)
๐
๐ NORMAL BREAST ULTRASOUND
1 ๐ Normal Breast Ultrasound
2 ๐ Normal Fibroglandular Tissue
3 ๐ Normal Retroareolar Region
4 ๐ Normal Axillary Survey
5 ๐ No Focal Breast Lesion
๐ SIMPLE CYSTIC LESIONS
1 ๐ Simple Breast Cyst
2 ๐ Multiple Simple Cysts
3 ๐ Clustered Microcysts
4 ๐ Complicated Cyst
5 ๐ Complex Cystic Lesion
6 ๐ Oil Cyst
๐ BENIGN SOLID LESIONS
1 ๐ Fibroadenoma
2 ๐ Giant Fibroadenoma
3 ๐ Juvenile Fibroadenoma
4 ๐ Lactating Adenoma
5 ๐ Hamartoma
6 ๐ Lipoma
7 ๐ Intramammary Lymph Node
๐ FIBROCYSTIC & HORMONAL CHANGES
1 ๐ Fibrocystic Breast Changes
2 ๐ Fibroglandular Hyperplasia
3 ๐ Focal Fibrocystic Change
4 ๐ Hormonal Breast Changes
5 ๐ Dense Fibroglandular Tissue
๐ INFLAMMATORY & INFECTIVE LESIONS
1 ๐ Acute Mastitis
2 ๐ Lactational Mastitis
3 ๐ Breast Abscess
4 ๐ Subareolar Abscess
5 ๐ Granulomatous Mastitis
6 ๐ Duct Ectasia
7 ๐ Periductal Mastitis
๐ TRAUMATIC & POSTOPERATIVE LESIONS
1 ๐ Fat Necrosis
2 ๐ Breast Hematoma
3 ๐ Seroma
4 ๐ Postoperative Scar
5 ๐ Implant-Related Collection
6 ๐ Silicone Granuloma
๐ PAPILLARY & DUCTAL LESIONS
1 ๐ Intraductal Papilloma
2 ๐ Multiple Papillomas
3 ๐ Duct Ectasia with Debris
4 ๐ Intraductal Mass
5 ๐ Pathological Nipple Discharge Evaluation
๐ SUSPICIOUS / MALIGNANT LESIONS
1 ๐ Suspicious Solid Breast Mass
2 ๐ Irregular Hypoechoic Mass
3 ๐ Spiculated Breast Mass
4 ๐ Invasive Ductal Carcinoma (Suspicious)
5 ๐ Invasive Lobular Carcinoma (Suspicious)
6 ๐ Inflammatory Breast Carcinoma
7 ๐ Recurrent Breast Malignancy
๐ AXILLARY FINDINGS
1 ๐ Normal Axillary Lymph Node
2 ๐ Reactive Axillary Lymphadenopathy
3 ๐ Suspicious Axillary Lymph Node
4 ๐ Metastatic Axillary Lymphadenopathy
5 ๐ Multiple Enlarged Axillary Nodes
๐ MALE BREAST LESIONS
1 ๐ Gynecomastia
2 ๐ Nodular Gynecomastia
3 ๐ Dendritic Gynecomastia
4 ๐ Diffuse Glandular Gynecomastia
5 ๐ Male Breast Carcinoma
๐ BI-RADS ASSESSMENT
1 ๐ BI-RADS 1 – Negative
2 ๐ BI-RADS 2 – Benign Finding
3 ๐ BI-RADS 3 – Probably Benign
4 ๐ BI-RADS 4A – Low Suspicion
5 ๐ BI-RADS 4B – Moderate Suspicion
6 ๐ BI-RADS 4C – High Suspicion
7 ๐ BI-RADS 5 – Highly Suggestive of Malignancy
8 ๐ BI-RADS 6 – Known Biopsy-Proven Malignancy
๐ FOLLOW-UP & SCREENING
1 ๐ Routine Breast Screening Ultrasound
2 ๐ Follow-Up of Fibroadenoma
3 ๐ Follow-Up of Breast Cyst
4 ๐ Follow-Up of BI-RADS 3 Lesion
5 ๐ Post-Treatment Breast Ultrasound
6 ๐ Breast Implant Surveillance
BREAST DOPPLER
๐
๐ NORMAL BREAST DOPPLER
1 ๐ Normal Breast Vascularity
2 ๐ Normal Fibroglandular Vascular Pattern
3 ๐ Normal Retroareolar Vascularity
4 ๐ No Abnormal Internal Vascularity
5 ๐ Normal Axillary Node Vascularity
๐ BENIGN CYSTIC LESIONS
1 ๐ Simple Breast Cyst (Avascular)
2 ๐ Multiple Simple Cysts
3 ๐ Clustered Microcysts
4 ๐ Complicated Cyst without Internal Flow
5 ๐ Complex Cystic Lesion with Peripheral Vascularity
๐ FIBROADENOMA & BENIGN SOLID MASSES
1 ๐ Fibroadenoma with Minimal Vascularity
2 ๐ Fibroadenoma with Internal Vascularity
3 ๐ Giant Fibroadenoma
4 ๐ Lactating Adenoma
5 ๐ Hamartoma
6 ๐ Lipoma (Avascular)
7 ๐ Benign Solid Breast Mass
๐ INFLAMMATORY & INFECTIVE LESIONS
1 ๐ Acute Mastitis
2 ๐ Lactational Mastitis
3 ๐ Hypervascular Mastitis
4 ๐ Breast Abscess
5 ๐ Subareolar Abscess
6 ๐ Granulomatous Mastitis
7 ๐ Periductal Mastitis
๐ PAPILLARY & DUCTAL LESIONS
1 ๐ Intraductal Papilloma
2 ๐ Vascular Intraductal Papilloma
3 ๐ Intraductal Mass with Internal Flow
4 ๐ Duct Ectasia with Debris
5 ๐ Pathological Nipple Discharge Evaluation
๐ SUSPICIOUS / MALIGNANT LESIONS
1 ๐ Hypervascular Breast Mass
2 ๐ Irregular Hypervascular Hypoechoic Mass
3 ๐ Spiculated Hypervascular Mass
4 ๐ Invasive Ductal Carcinoma (Suspicious)
5 ๐ Invasive Lobular Carcinoma (Suspicious)
6 ๐ Inflammatory Breast Carcinoma
7 ๐ Malignant Neovascularity
8 ๐ Recurrent Breast Malignancy
๐ POSTOPERATIVE & POST-TREATMENT
1 ๐ Postoperative Seroma
2 ๐ Postoperative Hematoma
3 ๐ Postoperative Scar Tissue
4 ๐ Fat Necrosis
5 ๐ Residual Tumor Vascularity
6 ๐ Post-Chemotherapy Assessment
7 ๐ Post-Radiotherapy Changes
๐ AXILLARY LYMPH NODE DOPPLER
1 ๐ Normal Axillary Lymph Node
2 ๐ Reactive Axillary Lymph Node
3 ๐ Hilar Vascularity Preserved
4 ๐ Peripheral Vascularity in Lymph Node
5 ๐ Suspicious Axillary Lymph Node
6 ๐ Metastatic Axillary Lymphadenopathy
๐ MALE BREAST DOPPLER
1 ๐ Gynecomastia
2 ๐ Hypervascular Gynecomastia
3 ๐ Nodular Gynecomastia
4 ๐ Dendritic Gynecomastia
5 ๐ Male Breast Carcinoma
๐ BREAST VASCULAR LESIONS
1 ๐ Breast Hemangioma
2 ๐ Arteriovenous Malformation (AVM)
3 ๐ Venous Malformation
4 ๐ Pseudoaneurysm
5 ๐ Hypervascular Soft Tissue Lesion
๐ DOPPLER-BASED RISK STRATIFICATION
1 ๐ Avascular Breast Lesion
2 ๐ Minimal Internal Vascularity
3 ๐ Moderate Internal Vascularity
4 ๐ Marked Internal Vascularity
5 ๐ Peripheral Vascularity Only
6 ๐ Mixed Central and Peripheral Vascularity
7 ๐ Suspicious Neovascular Pattern
๐ FOLLOW-UP DOPPLER STUDIES
1 ๐ Follow-Up of Fibroadenoma
2 ๐ Follow-Up of Complex Cyst
3 ๐ Follow-Up of BI-RADS 3 Lesion
4 ๐ Follow-Up After Biopsy
5 ๐ Follow-Up After Breast Conservation Surgery
6 ๐ Post-Treatment Doppler Surveillance
BREAST ELASTOGRAPHY
๐
๐ NORMAL BREAST ELASTOGRAPHY
1 ๐ Normal Breast Elastography
2 ๐ Normal Fibroglandular Tissue Elasticity
3 ๐ Symmetric Bilateral Elasticity Pattern
4 ๐ No Focal Stiff Lesion Detected
5 ๐ Benign Elasticity Pattern
๐ ELASTOGRAPHY SCORE ASSESSMENT
1 ๐ Tsukuba Score 1 (Benign)
2 ๐ Tsukuba Score 2 (Probably Benign)
3 ๐ Tsukuba Score 3 (Indeterminate)
4 ๐ Tsukuba Score 4 (Suspicious)
5 ๐ Tsukuba Score 5 (Highly Suspicious)
๐ BENIGN BREAST LESIONS
1 ๐ Fibroadenoma with Soft Elasticity Pattern
2 ๐ Fibroadenoma with Intermediate Stiffness
3 ๐ Simple Breast Cyst
4 ๐ Complicated Breast Cyst
5 ๐ Hamartoma
6 ๐ Lipoma
7 ๐ Intramammary Lymph Node
๐ FIBROCYSTIC & HORMONAL CHANGES
1 ๐ Fibrocystic Breast Changes
2 ๐ Focal Fibrocystic Change
3 ๐ Dense Fibroglandular Tissue
4 ๐ Hormonal Breast Changes
5 ๐ Benign Focal Stiffness
๐ INFLAMMATORY & INFECTIVE LESIONS
1 ๐ Acute Mastitis
2 ๐ Lactational Mastitis
3 ๐ Granulomatous Mastitis
4 ๐ Breast Abscess
5 ๐ Inflammatory Breast Lesion with Increased Stiffness
๐ SUSPICIOUS BREAST LESIONS
1 ๐ Indeterminate Breast Mass
2 ๐ Stiff Hypoechoic Breast Mass
3 ๐ Irregular Stiff Breast Lesion
4 ๐ Suspicious Solid Breast Mass
5 ๐ High-Risk Elastography Pattern
6 ๐ Stiff Lesion Larger on Elastography than B-Mode
๐ MALIGNANT BREAST LESIONS
1 ๐ Invasive Ductal Carcinoma
2 ๐ Invasive Lobular Carcinoma
3 ๐ Ductal Carcinoma In Situ (DCIS)
4 ๐ Triple Negative Breast Carcinoma
5 ๐ Inflammatory Breast Carcinoma
6 ๐ Recurrent Breast Carcinoma
7 ๐ Malignant Lesion with Marked Stiffness
๐ STRAIN ELASTOGRAPHY
1 ๐ Benign Strain Pattern
2 ๐ Intermediate Strain Pattern
3 ๐ Suspicious Strain Pattern
4 ๐ High Strain Ratio
5 ๐ Low Strain Ratio
๐ SHEAR WAVE ELASTOGRAPHY (SWE)
1 ๐ Normal SWE Assessment
2 ๐ Low Elastic Modulus Lesion
3 ๐ Intermediate Elastic Modulus Lesion
4 ๐ High Elastic Modulus Lesion
5 ๐ SWE Suspicious for Malignancy
6 ๐ Markedly Elevated Stiffness Value
๐ AXILLARY LYMPH NODE ELASTOGRAPHY
1 ๐ Normal Axillary Lymph Node Elasticity
2 ๐ Reactive Axillary Lymph Node
3 ๐ Suspicious Stiff Axillary Lymph Node
4 ๐ Metastatic Axillary Lymphadenopathy
5 ๐ Abnormal Cortical Stiffness
๐ POST-TREATMENT ELASTOGRAPHY
1 ๐ Postoperative Scar Tissue
2 ๐ Fat Necrosis
3 ๐ Residual Tumor Suspicion
4 ๐ Post-Chemotherapy Response Assessment
5 ๐ Post-Radiotherapy Breast Changes
6 ๐ Recurrent Tumor Assessment
๐ BI-RADS & ELASTOGRAPHY CORRELATION
1 ๐ BI-RADS 3 with Benign Elastography Pattern
2 ๐ BI-RADS 3 Upgraded Due to Stiffness
3 ๐ BI-RADS 4A with Benign Elastography Features
4 ๐ BI-RADS 4 Lesion with Suspicious Stiffness
5 ๐ BI-RADS 5 Lesion with Marked Stiffness
6 ๐ Elastography-Assisted Risk Stratification
Topic 8: Thorax
8
๐ Thorax Male USG
๐ Thorax Female USG
THORAX MALE USG
๐
๐ NORMAL THORACIC ULTRASOUND
1 ๐ Normal Thoracic Ultrasound
2 ๐ Normal Pleural Sliding
3 ๐ Normal A-Line Pattern
4 ๐ No Pleural Effusion
5 ๐ Normal Diaphragmatic Motion
6 ๐ Normal Chest Wall
๐ PLEURAL EFFUSION
1 ๐ Minimal Pleural Effusion
2 ๐ Mild Pleural Effusion
3 ๐ Moderate Pleural Effusion
4 ๐ Large Pleural Effusion
5 ๐ Massive Pleural Effusion
6 ๐ Bilateral Pleural Effusion
7 ๐ Loculated Pleural Effusion
8 ๐ Septated Pleural Effusion
9 ๐ Complex Pleural Effusion
10 ๐ Encysted Pleural Effusion
๐ EMPYEMA & INFECTED EFFUSIONS
1 ๐ Empyema
2 ๐ Complicated Parapneumonic Effusion
3 ๐ Multiloculated Empyema
4 ๐ Pleural Collection with Internal Debris
5 ๐ Pleural Collection with Septations
๐ PNEUMOTHORAX
1 ๐ Pneumothorax
2 ๐ Small Pneumothorax
3 ๐ Large Pneumothorax
4 ๐ Absent Lung Sliding
5 ๐ Lung Point Sign
6 ๐ Tension Pneumothorax (Suspicion)
๐ LUNG CONSOLIDATION
1 ๐ Subpleural Consolidation
2 ๐ Lobar Consolidation
3 ๐ Pneumonic Consolidation
4 ๐ Consolidation with Air Bronchograms
5 ๐ Atelectatic Lung Consolidation
6 ๐ Round Pneumonia
๐ INTERSTITIAL SYNDROME
1 ๐ Focal B-Lines
2 ๐ Multifocal B-Lines
3 ๐ Diffuse B-Line Pattern
4 ๐ Pulmonary Edema Pattern
5 ๐ Interstitial Lung Disease Pattern
6 ๐ Pulmonary Fibrosis Pattern
๐ PLEURAL ABNORMALITIES
1 ๐ Pleural Thickening
2 ๐ Focal Pleural Plaque
3 ๐ Diffuse Pleural Thickening
4 ๐ Calcified Pleural Plaque
5 ๐ Pleural-Based Mass
6 ๐ Suspected Pleural Malignancy
๐ CHEST WALL LESIONS
1 ๐ Chest Wall Lipoma
2 ๐ Chest Wall Abscess
3 ๐ Chest Wall Hematoma
4 ๐ Chest Wall Seroma
5 ๐ Chest Wall Soft Tissue Mass
6 ๐ Rib-Related Soft Tissue Lesion
๐ TRAUMATIC THORAX
1 ๐ Hemothorax
2 ๐ Hemopneumothorax
3 ๐ Hydropneumothorax
4 ๐ Post-Traumatic Pleural Effusion
5 ๐ Lung Contusion
6 ๐ Chest Wall Hematoma
๐ DIAPHRAGMATIC ASSESSMENT
1 ๐ Normal Diaphragmatic Excursion
2 ๐ Reduced Diaphragmatic Motion
3 ๐ Diaphragmatic Paralysis
4 ๐ Diaphragmatic Eventration
5 ๐ Paradoxical Diaphragmatic Motion
๐ THORACIC MASSES
1 ๐ Peripheral Lung Mass
2 ๐ Pleural-Based Tumor
3 ๐ Chest Wall Tumor
4 ๐ Metastatic Thoracic Lesion
5 ๐ Thoracic Soft Tissue Neoplasm
๐ PROCEDURAL & FOLLOW-UP
1 ๐ Pre-Thoracentesis Assessment
2 ๐ Ultrasound-Guided Thoracentesis
3 ๐ Post-Thoracentesis Follow-Up
4 ๐ Pleural Drain Follow-Up
5 ๐ Follow-Up of Pleural Effusion
6 ๐ Follow-Up of Lung Consolidation
THORAX FEMALE USG
๐
๐ NORMAL THORACIC ULTRASOUND
1 ๐ Normal Thoracic Ultrasound
2 ๐ Normal Pleural Sliding
3 ๐ Normal A-Line Pattern
4 ๐ No Pleural Effusion
5 ๐ Normal Diaphragmatic Motion
6 ๐ Normal Chest Wall
๐ PLEURAL EFFUSION
1 ๐ Minimal Pleural Effusion
2 ๐ Mild Pleural Effusion
3 ๐ Moderate Pleural Effusion
4 ๐ Large Pleural Effusion
5 ๐ Massive Pleural Effusion
6 ๐ Bilateral Pleural Effusion
7 ๐ Loculated Pleural Effusion
8 ๐ Septated Pleural Effusion
9 ๐ Complex Pleural Effusion
10 ๐ Encysted Pleural Effusion
๐ EMPYEMA & INFECTED COLLECTIONS
1 ๐ Empyema
2 ๐ Complicated Parapneumonic Effusion
3 ๐ Multiloculated Empyema
4 ๐ Pleural Collection with Internal Debris
5 ๐ Pleural Collection with Septations
๐ PNEUMOTHORAX
1 ๐ Pneumothorax
2 ๐ Small Pneumothorax
3 ๐ Large Pneumothorax
4 ๐ Absent Lung Sliding
5 ๐ Lung Point Sign
6 ๐ Tension Pneumothorax (Suspicion)
๐ LUNG CONSOLIDATION
1 ๐ Subpleural Consolidation
2 ๐ Lobar Consolidation
3 ๐ Pneumonic Consolidation
4 ๐ Consolidation with Air Bronchograms
5 ๐ Atelectatic Consolidation
6 ๐ Round Pneumonia
๐ INTERSTITIAL SYNDROME
1 ๐ Focal B-Lines
2 ๐ Multifocal B-Lines
3 ๐ Diffuse B-Line Pattern
4 ๐ Pulmonary Edema Pattern
5 ๐ Interstitial Lung Disease Pattern
6 ๐ Pulmonary Fibrosis Pattern
๐ PLEURAL ABNORMALITIES
1 ๐ Pleural Thickening
2 ๐ Focal Pleural Plaque
3 ๐ Diffuse Pleural Thickening
4 ๐ Calcified Pleural Plaque
5 ๐ Pleural-Based Mass
6 ๐ Suspected Pleural Malignancy
๐ BREAST & CHEST WALL LESIONS
1 ๐ Chest Wall Lipoma
2 ๐ Chest Wall Abscess
3 ๐ Chest Wall Hematoma
4 ๐ Chest Wall Seroma
5 ๐ Breast Implant Related Collection
6 ๐ Chest Wall Soft Tissue Mass
๐ TRAUMATIC THORAX
1 ๐ Hemothorax
2 ๐ Hemopneumothorax
3 ๐ Hydropneumothorax
4 ๐ Post-Traumatic Pleural Effusion
5 ๐ Lung Contusion
6 ๐ Chest Wall Hematoma
๐ DIAPHRAGMATIC ASSESSMENT
1 ๐ Normal Diaphragmatic Excursion
2 ๐ Reduced Diaphragmatic Motion
3 ๐ Diaphragmatic Paralysis
4 ๐ Diaphragmatic Eventration
5 ๐ Paradoxical Diaphragmatic Motion
๐ THORACIC & PLEURAL MASSES
1 ๐ Peripheral Lung Mass
2 ๐ Pleural-Based Tumor
3 ๐ Chest Wall Tumor
4 ๐ Metastatic Thoracic Lesion
5 ๐ Thoracic Soft Tissue Neoplasm
๐ PROCEDURAL & FOLLOW-UP
1 ๐ Pre-Thoracentesis Assessment
2 ๐ Ultrasound-Guided Thoracentesis
3 ๐ Post-Thoracentesis Follow-Up
4 ๐ Pleural Drain Follow-Up
5 ๐ Follow-Up of Pleural Effusion
6 ๐ Follow-Up of Lung Consolidation
7 ๐ Follow-Up of Pleural Thickening
Topic 9: Dorsal Wall
9
๐ Dorsal Wall USG
DORSAL WALL USG
๐
๐ NORMAL DORSAL WALL
1 ๐ Normal Dorsal Wall Ultrasound
2 ๐ Normal Skin & Subcutaneous Tissue
3 ๐ Normal Paraspinal Muscles
4 ๐ Normal Fascial Planes
5 ๐ No Focal Soft Tissue Lesion
๐ CYSTIC LESIONS
1 ๐ Epidermoid Cyst
2 ๐ Sebaceous Cyst
3 ๐ Dermoid Cyst
4 ๐ Inclusion Cyst
5 ๐ Complex Cystic Lesion
6 ๐ Ganglion Cyst
๐ INFLAMMATORY & INFECTIVE LESIONS
1 ๐ Cellulitis
2 ๐ Subcutaneous Edema
3 ๐ Soft Tissue Abscess
4 ๐ Multiloculated Abscess
5 ๐ Necrotizing Fasciitis
6 ๐ Sinus Tract
7 ๐ Draining Sinus
๐ BENIGN SOFT TISSUE MASSES
1 ๐ Lipoma
2 ๐ Fibrolipoma
3 ๐ Angiolipoma
4 ๐ Hemangioma
5 ๐ Neurofibroma
6 ๐ Schwannoma
7 ๐ Benign Soft Tissue Tumor
๐ TRAUMATIC LESIONS
1 ๐ Soft Tissue Hematoma
2 ๐ Intramuscular Hematoma
3 ๐ Seroma
4 ๐ Muscle Tear
5 ๐ Post-Traumatic Collection
6 ๐ Foreign Body Granuloma
๐ PARASPINAL & MUSCULAR LESIONS
1 ๐ Paraspinal Abscess
2 ๐ Paraspinal Hematoma
3 ๐ Paraspinal Lipoma
4 ๐ Myositis
5 ๐ Intramuscular Abscess
6 ๐ Intramuscular Mass
๐ MALIGNANT & SUSPICIOUS LESIONS
1 ๐ Suspicious Soft Tissue Mass
2 ๐ Infiltrative Soft Tissue Lesion
3 ๐ Soft Tissue Sarcoma
4 ๐ Metastatic Soft Tissue Deposit
5 ๐ Recurrent Soft Tissue Tumor
6 ๐ Malignant Chest/Back Wall Mass
๐ POSTOPERATIVE & FOLLOW-UP
1 ๐ Postoperative Seroma
2 ๐ Postoperative Hematoma
3 ๐ Postoperative Collection
4 ๐ Scar Tissue
5 ๐ Follow-Up Soft Tissue Lesion
6 ๐ Post-Excision Surveillance
๐ MISCELLANEOUS FINDINGS
1 ๐ Reactive Lymph Node
2 ๐ Enlarged Lymph Node
3 ๐ Calcified Soft Tissue Lesion
4 ๐ Soft Tissue Edema
5 ๐ Non-Specific Soft Tissue Swelling
Topic 10: Neck USG
10
๐ Thyroid Gray-Scale USG
๐ Neck – Soft Tissue Study USG
๐ Thyroid Doppler USG
๐ Carotid Doppler Study
๐ Carotid Artery Spectral Doppler
THYROID GRAY-SCALE USG
๐
๐ NORMAL THYROID
1 ๐ Normal Thyroid Gland
2 ๐ Normal Right Thyroid Lobe
3 ๐ Normal Left Thyroid Lobe
4 ๐ Normal Thyroid Isthmus
5 ๐ Normal Thyroid Echotexture
6 ๐ Normal Thyroid Ultrasound
๐ THYROID ENLARGEMENT (GOITER)
1 ๐ Diffuse Thyroid Enlargement
2 ๐ Multinodular Goiter
3 ๐ Nodular Goiter
4 ๐ Asymmetrical Thyroid Enlargement
5 ๐ Retrosternal (Substernal) Goiter
6 ๐ Pyramidal Lobe Enlargement
๐ THYROID NODULES – GENERAL
1 ๐ Solitary Thyroid Nodule
2 ๐ Multiple Thyroid Nodules
3 ๐ Predominantly Cystic Nodule
4 ๐ Predominantly Solid Nodule
5 ๐ Mixed Solid-Cystic Nodule
6 ๐ Hyperechoic Nodule
7 ๐ Isoechoic Nodule
8 ๐ Hypoechoic Nodule
๐ THYROID NODULES – SPECIFIC PATTERNS
1 ๐ Spongiform Nodule
2 ๐ Colloid Nodule
3 ๐ Pure Cystic Nodule
4 ๐ Degenerating / Hemorrhagic Nodule
5 ๐ Pseudonodule
6 ๐ Fibrous Nodule
7 ๐ Calcified Nodule
8 ๐ Halo Sign Around Nodule
๐ SUSPICIOUS / MALIGNANT FEATURES
1 ๐ Markedly Hypoechoic Nodule
2 ๐ Irregular Margin Nodule
3 ๐ Microcalcifications
4 ๐ Taller-than-Wide Nodule
5 ๐ Extrathyroidal Extension
6 ๐ Capsular Invasion
7 ๐ Suspicious Malignant Thyroid Nodule
8 ๐ Multiple Suspicious Nodules
๐ THYROIDITIS & DIFFUSE THYROID DISEASE
1 ๐ Hashimoto Thyroiditis
2 ๐ Subacute (De Quervain) Thyroiditis
3 ๐ Graves Disease
4 ๐ Riedel Thyroiditis
5 ๐ Silent Thyroiditis
6 ๐ Postpartum Thyroiditis
7 ๐ Diffuse Heterogeneous Thyroid
8 ๐ Chronic Lymphocytic Thyroiditis
๐ THYROID MALIGNANCIES
1 ๐ Papillary Thyroid Carcinoma
2 ๐ Follicular Thyroid Carcinoma
3 ๐ Medullary Thyroid Carcinoma
4 ๐ Anaplastic Thyroid Carcinoma
5 ๐ Thyroid Lymphoma
6 ๐ Metastatic Thyroid Lesion
๐ CERVICAL LYMPH NODE ASSESSMENT
1 ๐ Normal Cervical Lymph Node
2 ๐ Reactive Cervical Lymphadenopathy
3 ๐ Suspicious Cervical Lymph Node
4 ๐ Metastatic Cervical Lymphadenopathy
5 ๐ Multiple Enlarged Cervical Nodes
๐ CONGENITAL & DEVELOPMENTAL ANOMALIES
1 ๐ Ectopic Thyroid
2 ๐ Thyroglossal Duct Cyst
3 ๐ Thyroid Agenesis
4 ๐ Accessory Thyroid Tissue
5 ๐ Lingual Thyroid
๐ POSTOPERATIVE & FOLLOW-UP
1 ๐ Post-Thyroidectomy Normal Bed
2 ๐ Postoperative Collection / Seroma
3 ๐ Residual Thyroid Tissue
4 ๐ Recurrent Thyroid Nodule
5 ๐ Post-RFA / Ablation Follow-Up
6 ๐ Scar Tissue in Thyroid Bed
๐ TI-RADS CLASSIFICATION
1 ๐ TI-RADS 1 – Normal Thyroid
2 ๐ TI-RADS 2 – Benign Nodule
3 ๐ TI-RADS 3 – Mildly Suspicious Nodule
4 ๐ TI-RADS 4 – Moderately Suspicious Nodule
5 ๐ TI-RADS 5 – Highly Suspicious Nodule
6 ๐ TI-RADS Follow-Up Recommendation
๐ MISCELLANEOUS FINDINGS
1 ๐ Thyroid Calcification
2 ๐ Thyroid Hemorrhage
3 ๐ Thyroid Abscess
4 ๐ Non-Specific Thyroid Lesion
5 ๐ Neck Mass Adjacent to Thyroid
NECK – SOFT TISSUE STUDY USG
๐
๐ NORMAL NECK SOFT TISSUES
1 ๐ Normal Neck Soft Tissue Ultrasound
2 ๐ Normal Subcutaneous Tissue
3 ๐ Normal Cervical Fascial Planes
4 ๐ Normal Neck Musculature
5 ๐ No Focal Neck Lesion
๐ CERVICAL LYMPH NODE ASSESSMENT
1 ๐ Normal Cervical Lymph Node
2 ๐ Reactive Cervical Lymphadenopathy
3 ๐ Acute Cervical Lymphadenitis
4 ๐ Suppurative Lymphadenitis
5 ๐ Tubercular Lymphadenitis
6 ๐ Necrotic Cervical Lymph Node
7 ๐ Metastatic Cervical Lymph Node
8 ๐ Lymphomatous Cervical Node
๐ CONGENITAL CYSTIC LESIONS
1 ๐ Thyroglossal Duct Cyst
2 ๐ Branchial Cleft Cyst
3 ๐ Dermoid Cyst
4 ๐ Epidermoid Cyst
5 ๐ Lymphatic Malformation (Cystic Hygroma)
6 ๐ Congenital Neck Cyst
๐ INFLAMMATORY & INFECTIVE LESIONS
1 ๐ Cellulitis
2 ๐ Neck Abscess
3 ๐ Deep Neck Space Abscess
4 ๐ Submandibular Abscess
5 ๐ Ludwig Angina
6 ๐ Infected Branchial Cleft Cyst
7 ๐ Infected Thyroglossal Duct Cyst
๐ SALIVARY GLAND LESIONS
1 ๐ Acute Parotitis
2 ๐ Chronic Parotitis
3 ๐ Sialadenitis
4 ๐ Submandibular Sialadenitis
5 ๐ Salivary Gland Abscess
6 ๐ Sialolithiasis
7 ๐ Pleomorphic Adenoma
8 ๐ Warthin Tumor
๐ BENIGN SOFT TISSUE MASSES
1 ๐ Lipoma
2 ๐ Fibrolipoma
3 ๐ Hemangioma
4 ๐ Venous Malformation
5 ๐ Neurofibroma
6 ๐ Schwannoma
7 ๐ Benign Neck Mass
๐ VASCULAR LESIONS
1 ๐ Carotid Body Tumor
2 ๐ Hemangioma
3 ๐ Arteriovenous Malformation (AVM)
4 ๐ Venous Malformation
5 ๐ Vascular Neck Mass
๐ MALIGNANT & SUSPICIOUS LESIONS
1 ๐ Suspicious Neck Mass
2 ๐ Metastatic Neck Mass
3 ๐ Squamous Cell Carcinoma Metastasis
4 ๐ Lymphoma
5 ๐ Soft Tissue Sarcoma
6 ๐ Infiltrative Neck Lesion
7 ๐ Recurrent Neck Malignancy
๐ POSTOPERATIVE & FOLLOW-UP
1 ๐ Postoperative Seroma
2 ๐ Postoperative Hematoma
3 ๐ Postoperative Collection
4 ๐ Scar Tissue
5 ๐ Post Neck Dissection Follow-Up
6 ๐ Follow-Up Neck Mass
๐ MISCELLANEOUS FINDINGS
1 ๐ Foreign Body in Neck Soft Tissue
2 ๐ Soft Tissue Calcification
3 ๐ Cervical Edema
4 ๐ Non-Specific Neck Swelling
5 ๐ Neck Soft Tissue Thickening
THYROID DOPPLER USG
๐
๐ NORMAL THYROID DOPPLER
1 ๐ Normal Thyroid Vascularity
2 ๐ Normal Right Thyroid Lobe Vascularity
3 ๐ Normal Left Thyroid Lobe Vascularity
4 ๐ Normal Thyroid Isthmus Vascularity
5 ๐ Normal Inferior Thyroid Artery Doppler
6 ๐ Normal Thyroid Doppler Study
๐ DIFFUSE THYROID HYPERVASCULARITY
1 ๐ Graves Disease
2 ๐ Thyroid Inferno Pattern
3 ๐ Diffuse Hypervascular Goiter
4 ๐ Markedly Increased Thyroid Flow
5 ๐ Elevated Inferior Thyroid Artery PSV
6 ๐ Active Graves Disease Follow-Up
๐ THYROIDITIS
1 ๐ Hashimoto Thyroiditis
2 ๐ Chronic Lymphocytic Thyroiditis
3 ๐ Subacute (De Quervain) Thyroiditis
4 ๐ Silent Thyroiditis
5 ๐ Postpartum Thyroiditis
6 ๐ Diffuse Heterogeneous Thyroid with Increased Flow
7 ๐ Diffuse Heterogeneous Thyroid with Reduced Flow
๐ THYROID NODULE VASCULARITY
1 ๐ Avascular Thyroid Nodule
2 ๐ Peripheral Vascularity Only
3 ๐ Predominantly Central Vascularity
4 ๐ Mixed Central & Peripheral Vascularity
5 ๐ Hypervascular Thyroid Nodule
6 ๐ Hypovascular Thyroid Nodule
7 ๐ Spongiform Nodule with Minimal Flow
8 ๐ Colloid Nodule
๐ SUSPICIOUS / MALIGNANT NODULES
1 ๐ Hypervascular Suspicious Nodule
2 ๐ Central Neovascularity
3 ๐ Irregular Hypervascular Nodule
4 ๐ Suspicious Papillary Thyroid Carcinoma
5 ๐ Suspicious Follicular Neoplasm
6 ๐ Thyroid Malignancy with Extrathyroidal Extension
7 ๐ Multiple Suspicious Hypervascular Nodules
8 ๐ Malignant Neovascular Pattern
๐ CERVICAL LYMPH NODE DOPPLER
1 ๐ Normal Hilar Vascularity
2 ๐ Reactive Cervical Lymph Node
3 ๐ Increased Hilar Vascularity
4 ๐ Peripheral Vascularity
5 ๐ Suspicious Cervical Lymph Node
6 ๐ Metastatic Cervical Lymphadenopathy
7 ๐ Lymphomatous Cervical Node
๐ THYROID MALIGNANCIES
1 ๐ Papillary Thyroid Carcinoma
2 ๐ Follicular Thyroid Carcinoma
3 ๐ Medullary Thyroid Carcinoma
4 ๐ Anaplastic Thyroid Carcinoma
5 ๐ Thyroid Lymphoma
6 ๐ Metastatic Thyroid Lesion
๐ POST-RFA / POST-ABLATION ASSESSMENT
1 ๐ Post Radiofrequency Ablation Follow-Up
2 ๐ Residual Nodule Vascularity
3 ๐ Complete Ablation Response
4 ๐ Partial Ablation Response
5 ๐ Revascularization of Treated Nodule
๐ POSTOPERATIVE THYROID BED
1 ๐ Normal Post-Thyroidectomy Bed
2 ๐ Postoperative Seroma
3 ๐ Postoperative Hematoma
4 ๐ Residual Thyroid Tissue
5 ๐ Recurrent Thyroid Tumor
6 ๐ Scar Tissue in Thyroid Bed
๐ DOPPLER RISK STRATIFICATION
1 ๐ Avascular Nodule
2 ๐ Minimal Internal Vascularity
3 ๐ Moderate Internal Vascularity
4 ๐ Marked Internal Vascularity
5 ๐ Peripheral Flow Pattern
6 ๐ Central Flow Pattern
7 ๐ Mixed Flow Pattern
๐ PROCEDURAL GUIDANCE
1 ๐ Pre-FNAC Vascular Mapping
2 ๐ Ultrasound-Guided FNAC Planning
3 ๐ Pre-RFA Vascular Assessment
4 ๐ Post-FNAC Hemorrhage Assessment
๐ MISCELLANEOUS FINDINGS
1 ๐ Thyroid Abscess
2 ๐ Hypervascular Neck Mass Adjacent to Thyroid
3 ๐ Non-Specific Thyroid Hypervascularity
4 ๐ Non-Specific Thyroid Doppler Study
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