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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.- Normal Dimensions.- 4.2.3 Sonopathology.- Fatty Infiltration.- Focal Fatty Infiltration.- Focal Sparing in Fatty Infiltration.- Cirrhosis.- Ascites.- Pleural Effusion.- Abscess.- Haematoma.- Cysts.- Focal Nodular Hyperplasia.- Haemangioma.- 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.- Normal Dimensions.- 5.2.3 Sonopathology.- Sludge.- Cholelithiasis.- Pneumobilia.- Gallbladder Hydrops.- Choledocholithiasis.- Biliary Dilatation.- After Cholecystectomy Haematoma.- Acute Cholecystitis.- Gallbladder Empyema.- Chronic Cholecystitis.- Gallbladder Polyps.- 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.- Normal Dimensions.- 6.2.3 Sonopathology.- Acute Pancreatitis.- Pancreatic Necrosis.- Chronic Pancreatitis.- Pancreatic Pseudocysts.- Pancreatic Duct Dilatation.- 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.- Normal Dimensions.- 7.2.3 Sonopathology.- Splenomegaly.- Splenuncule.- Abscess.- Haematoma.- Infarction.- Cysts.- Lymphoma.- 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.- Normal Dimensions.- 8.2.3 Sonopathology.- Appendicitis.- Ileus.- Inflammatory Bowel Diseases.- 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.- Normal Dimensions.- 9.2.3 Sonopathology.- Malformations.- Chronic Pyelonephritis.- Atrophy.- Papillary Necrosis.- Nephrocalcinosis.- Nephrolithiasis.- Hydronephrosis.- Cysts.- Angiomyolipoma.- Nephroblastoma (Wilms' Tumour).- 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.- Normal Dimensions.- 10.2.3 Sonopathology.- Cysts.- Hyperplasia.- Phaeochromocytoma.- Neuroblastoma.- 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.- Normal Dimensions.- 11.2.3 Sonopathology.- Clips.- Atherosclerosis of the Aorta.- Atherosclerosis of the Aortic Branches.- Aortic Aneurysm.- Lymphadenopathy.- 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.- Normal Dimensions.- 12.2.3 Sonopathology.- Megaureter.- Ureterolithiasis.- Cystitis.- Diverticula.- 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.- Normal Dimensions.- 13.2.3 Sonopathology.- Hyperplasia.- 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.- Normal Dimensions.- 14.2.3 Sonopathology.- Hydrocele.- Varicocele.- Epididymitis.- Haematoma.- Seminoma.- 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.- Normal Dimensions.- 15.2.3 Sonopathology.- Fibroids.- 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.- Normal Dimensions.- 16.2.3 Sonopathology.- Cysts.- Endometriosis.- Dermoid.- 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.- Normal Dimensions.- 17.2.3 Sonopathology.- Cysts.- Fibroadenoma.- 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.- Normal Dimensions.- 18.2.3 Sonopathology.- Thyroiditis.- Cysts.- Goitre.- Adenoma.- Carcinoma.- 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.- Normal Dimensions.- 19.2.3 Sonopathology.- 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.- Normal Dimensions.- 20.2.3 Sonopathology.- Jugular Vein Thrombosis.- Portal Vein Thrombosis.- 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.- Normal Dimensions.- 21.2.3 Sonopathology.- Muscle Trauma.- Tendons Injury.- Ligament Injury.- Baker's Cyst.- Rotator Cuff Injury.- Tumours.- 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.- Normal Dimensions.- 22.2.3 Sonopathology.- Cyst.- Lipoma.- Haemangioma.- Basal Cell Epithelioma.- 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.- Normal Dimensions.- 23.2.3 Sonopathology.- Haemorrhage.- Congenital Anomalies.- Infection.- 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.- Vessels.- Liver.- Kidney.- Oncology.- Neurology.

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