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Essentials of Ultrasonography
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Table of Contents

I.- 1 Introduction.- 1.1 Basics.- 1.2 Ultrasound Contrast Media.- 1.2.1 General.- 1.2.2 Principles and Characterization.- 1.2.3 Diagnostic Fields of Use.- 1.3 Standardized Examination.- 2 Artefacts.- 3 Reporting.- 3.1 Image Documentation.- 3.2 Text Documentation.- II.- 4 Liver.- 4.1 Imaging Modalities.- 4.2 Ultrasonography.- 4.2.1 Examination Technique.- 4.2.2 Sonoanatomy.- 4.2.2.1 Normal Dimensions.- 4.2.3 Sonopathology.- 4.2.3.1 Fatty Infiltration.- 4.2.3.2 Focal Fatty Infiltration.- 4.2.3.3 Focal Sparing in Fatty Infiltration.- 4.2.3.4 Cirrhosis.- 4.2.3.5 Ascites.- 4.2.3.6 Pleural Effusion.- 4.2.3.7 Abscess.- 4.2.3.8 Haematoma.- 4.2.3.9 Cysts.- 4.2.3.10 Focal Nodular Hyperplasia.- 4.2.3.11 Haemangioma.- 4.2.3.12 Metastases.- 4.2.4 Checklist for Reporting.- 5 Biliary System.- 5.1 Imaging Modalities.- 5.2 Ultrasonography.- 5.2.1 Examination Technique.- 5.2.2 Sonoanatomy.- 5.2.2.1 Normal Dimensions.- 5.2.3 Sonopathology.- 5.2.3.1 Sludge.- 5.3.2.2 Cholelithiasis.- 5.2.3.3 Pneumobilia.- 5.2.3.4 Gallbladder Hydrops.- 5.2.3.5 Choledocholithiasis.- 5.2.3.6 Biliary Dilatation.- 5.2.3.7 After Cholecystectomy Haematoma.- 5.2.3.8 Acute Cholecystitis.- 5.2.3.9 Gallbladder Empyema.- 5.2.3.10 Chronic Cholecystitis.- 5.2.3.11 Gallbladder Polyps.- 5.2.3.12 Gallbladder Carcinoma.- 5.2.4 Checklist for Reporting.- 6 Pancreas.- 6.1 Imaging Modalities.- 6.2 Ultrasonography.- 6.2.1 Examination Technique.- 6.2.2 Sonoanatomy.- 6.2.2.1 Normal Dimensions.- 6.2.3 Sonopathology.- 6.2.3.1 Acute Pancreatitis.- 6.2.3.2 Pancreatic Necrosis.- 6.2.3.3 Chronic Pancreatitis.- 6.2.3.4 Pancreatic Pseudocysts.- 6.2.3.5 Pancreatic Duct Dilatation.- 6.2.3.6 Pancreatic Carcinoma.- 6.2.4 Checklist for Reporting.- 7 Spleen.- 7.1 Imaging Modalities.- 7.2 Ultrasonography.- 7.2.1 Examination Technique.- 7.2.2 Sonoanatomy.- 7.2.2.1 Normal Dimensions.- 7.2.3 Sonopathology.- 7.2.3.1 Splenomegaly.- 7.2.3.2 Splenuncule.- 7.2.3.3 Abscess.- 7.2.3.4 Haematoma.- 7.2.3.5 Infarction.- 7.2.3.6 Cysts.- 7.2.3.7 Lymphoma.- 7.2.3.8 Metastases.- 7.2.4 Checklist for Reporting.- 8 Intestine.- 8.1 Imaging Modalities.- 8.2 Ultrasonography.- 8.2.1 Examination Technique.- 8.2.2 Sonoanatomy.- 8.2.2.1 Normal Dimensions.- 8.2.3 Sonopathology.- 8.2.3.1 Appendicitis.- 8.2.3.2 Ileus.- 8.2.3.3 Inflammatory Bowel Diseases.- 8.2.3.4 Carcinoma of the Colon.- 8.2.4 Checklist for Reporting.- 9 Kidneys.- 9.1 Imaging Modalities.- 9.2 Ultrasonography.- 9.2.1 Examination Technique.- 9.2.2 Sonoanatomy.- 9.2.2.1 Normal Dimensions.- 9.2.3 Sonopathology.- 9.2.3.1 Malformations.- 9.2.3.2 Chronic Pyelonephritis.- 9.2.3.3 Atrophy.- 9.2.3.4 Papillary Necrosis.- 9.2.3.5 Nephrocalcinosis.- 9.2.3.6 Nephrolithiasis.- 9.2.3.7 Hydronephrosis.- 9.2.3.8 Cysts.- 9.2.3.9 Angiomyolipoma.- 9.2.3.10 Nephroblastoma (Wilms' Tumour).- 9.2.3.11 Renal Cell Carcinoma (Grawitz' Tumour).- 9.2.4 Checklist for Reporting.- 10 Adrenals.- 10.1 Imaging Modalities.- 10.2 Ultrasonography.- 10.2.1 Examination Technique.- 10.2.2 Sonoanatomy.- 10.2.2.1 Normal Dimensions.- 10.2.3 Sonopathology.- 10.2.3.1 Cysts.- 10.2.3.2 Hyperplasia.- 10.2.3.3 Phaeochromocytoma.- 10.2.3.4 Neuroblastoma.- 10.2.3.5 Metastases.- 10.2.4 Checklist for Reporting.- 11 Retroperitoneum.- 11.1 Imaging Modalities.- 11.2 Ultrasonography.- 11.2.1 Examination Technique.- 11.2.2 Sonoanatomy.- 11.2.2.1 Normal Dimensions.- 11.2.3 Sonopathology.- 11.2.3.1 Clips.- 11.2.3.2 Atherosclerosis of the Aorta.- 11.2.3.3 Atherosclerosis of the Aortic Branches.- 11.2.3.4 Aortic Aneurysm.- 11.2.3.5 Lymphadenopathy.- 11.2.3.6 Retroperitoneal Tumour.- 11.2.4 Checklist for Reporting.- 12 Bladder.- 12.1 Imaging Modalities.- 12.2 Ultrasonography.- 12.2.1 Examination Technique.- 12.2.2 Sonoanatomy.- 12.2.2.1 Normal Dimensions.- 12.2.3 Sonopathology.- 12.2.3.1 Megaureter.- 12.2.3.2 Ureterolithiasis.- 12.2.3.3 Cystitis.- 12.2.3.4 Diverticula.- 12.2.3.5 Carcinoma.- 12.2.4 Checklist for Reporting.- 13 Prostate.- 13.1 Imaging Modalities.- 13.2 Ultrasonography.- 13.2.1 Examination Technique.- 13.2.2 Sonoanatomy.- 13.2.2.1 Normal Dimensions.- 13.2.3 Sonopathology.- 13.2.3.1 Hyperplasia.- 13.2.3.2 Carcinoma.- 13.2.4 Checklist for Reporting.- 14 Scrotum.- 14.1 Imaging Modalities.- 14.2 Ultrasonography.- 14.2.1 Examination Technique.- 14.2.2 Sonoanatomy.- 14.2.2.1 Normal Dimensions.- 14.2.3 Sonopathology.- 14.2.3.1 Hydrocele.- 14.2.3.2 Varicocele.- 14.2.3.3 Epididymitis.- 14.2.3.4 Haematoma.- 14.2.3.5 Seminoma.- 14.2.3.6 Teratoma.- 14.2.4 Checklist for Reporting.- 15 Uterus.- 15.1 Imaging Modalities.- 15.2 Ultrasonography.- 15.2.1 Examination Technique.- 15.2.2 Sonoanatomy.- 15.2.2.1 Normal Dimensions.- 15.2.3 Sonopathology.- 15.2.3.1 Fibroids.- 15.2.3.2 Carcinoma.- 15.2.4 Checklist for Reporting.- 16 Ovaries.- 16.1 Imaging Modalities.- 16.2 Ultrasonography.- 16.2.1 Examination Technique.- 16.2.2 Sonoanatomy.- 16.2.2.1 Normal Dimensions.- 16.2.3 Sonopathology.- 16.2.3.1 Cysts.- 16.2.3.2 Endometriosis.- 16.2.3.3 Dermoid.- 16.2.3.4 Carcinoma.- 16.2.4 Checklist for Reporting.- 17 Breast.- 17.1 Imaging Modalities.- 17.2 Ultrasonography.- 17.2.1 Examination Technique.- 17.2.2 Sonoanatomy.- 17.2.2.1 Normal Dimensions.- 17.2.3 Sonopathology.- 17.2.3.1 Cysts.- 17.2.3.2 Fibroadenoma.- 17.2.3.3 Carcinoma.- 17.2.4 Checklist for Reporting.- 18 Thyroid.- 18.1 Imaging Modalities.- 18.2 Ultrasonography.- 18.2.1 Examination Technique.- 18.2.2 Sonoanatomy.- 18.2.2.1 Normal Dimensions.- 18.2.3 Sonopathology.- 18.2.3.1 Thyroiditis.- 18.2.3.2 Cysts.- 18.2.3.3 Goitre.- 18.2.3.4 Adenoma.- 18.2.3.5 Carcinoma.- 18.2.3.6 Lymphadenopathy.- 18.2.4 Checklist for Reporting.- 19 Parathyroid.- 19.1 Imaging Modalities.- 19.2 Ultrasonography.- 19.2.1 Examination Technique.- 19.2.2 Sonoanatomy.- 19.2.2.1 Normal Dimensions.- 19.2.3 Sonopathology.- 19.2.3.1 Adenoma.- 19.2.4 Checklist for Reporting.- 20 Vessels.- 20.1 Imaging Modalities.- 20.2 Ultrasonography.- 20.2.1 Examination Technique.- 20.2.2 Sonoanatomy.- 20.2.2.1 Normal Dimensions.- 20.2.3 Sonopathology.- 20.2.3.1 Jugular Vein Thrombosis.- 20.2.3.2 Portal Vein Thrombosis.- 20.2.3.3 Femoral Vein Thrombosis.- 20.2.4 Checklist for Reporting.- 21 Musculoskeletal System.- 21.1 Imaging Modalities.- 21.2 Ultrasonography.- 21.2.1 Examination Technique.- 21.2.2 Sonoanatomy.- 21.2.2.1 Normal Dimensions.- 21.2.3 Sonopathology.- 21.2.3.1 Muscle Trauma.- 21.2.3.2 Tendons Injury.- 21.2.3.3 Ligament Injury.- 21.2.3.4 Baker's Cyst.- 21.2.3.5 Rotator Cuff Injury.- 21.2.3.6 Tumours.- 21.2.3.7 Hip Dislocation.- 21.2.4 Checklist for Reporting.- 22 Skin.- 22.1 Imaging Modalities.- 22.2 Ultrasonography.- 22.2.1 Examination Technique.- 22.2.2 Sonoanatomy.- 22.2.2.1 Normal Dimensions.- 22.2.3 Sonopathology.- 22.2.3.1 Cyst.- 22.2.3.2 Lipoma.- 22.2.3.3 Haemangioma.- 22.2.3.4 Basal Cell Epithelioma.- 22.2.3.5 Foreign Body.- 22.2.4 Checklist for Reporting.- 23 Neonatal Brain.- 23.1 Imaging Modalities.- 23.2 Ultrasonography.- 23.2.1 Examination Technique.- 23.2.2 Sonoanatomy.- 23.2.2.1 Normal Dimensions.- 23.2.3 Sonopathology.- 23.2.3.1 Haemorrhage.- 23.2.3.2 Congenital Anomalies.- 23.2.3.3 Infection.- 23.2.3.4 Tumours.- 23.2.4 Checklist for Reporting.- 24 Doppler Applications.- 24.1 Introduction.- 24.2 What Is Doppler?.- 24.3 Duplex Doppler.- 24.4 Colour Doppler.- 24.5 Clinical Applications.- 24.5.1 General Applications.- 24.5.2 Specific Applications.- 24.5.2.1 Vessels.- 24.5.2.2 Liver.- 24.5.2.3 Kidney.- 24.5.2.4 Oncology.- 24.5.2.5 Neurology.

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