This document provides an overview of ultrasound cases from Advanced USG Lounge in India. It includes summaries of various medical conditions that were imaged and documented, such as synovial chondromatosis, infantile hypertrophic pyloric stenosis, transient enteroenteric intussusception, retrocecal appendix, mammary duct ectasia, various fetal anomalies, and pelvic varicosities. The document also provides references for diagnostic ultrasound and fetal anomalies.

1. Dr Arun Gupta
Director imaging
Dr Rakhee gupta
Dr Vinayak Mittal
Dr Ritesh Mahajan
Dr Gaurav Sharma
Dr Sonal Joshi
ADVANCED
USG
LOUNGE

2. ULTRASOUND IMAGE
GALLARY
 ARTICULAR SYNOVIAL CHONDROMATOSIS
 EXTRA / JUXTRA ARTICULAR SYNOVIAL
CHONDROMATOSIS
 INFANTILE HYPERTROPHIC PYLROIC STENOSIS .
 TRANSIENT ENTEROENTERIC INTUSSESEPTION.
 RETROCEACAL APPENDIX WITH APPENDICOLITHS
 DUCT ECTSIA ( BREAST)
 3D FETAL FACE IMAGE GALLERY
 PELVIC VARICOSITIES 3D ANGIOGRAM
 FETAL ANOMALY
1. Clenched hands
2. Dysplastic hip joint
3. Club feet
4. Fetal Anasarca
5. Hypoplastic lungs

3. SYNOVIAL
CHONDROMATSOSIS
Synovial chondromatosis (SC), first
described by Reichel1 in
1900 is a rare benign disorder char-
acterized by chondroid metaplasia
with multinodular proliferation of
the synovial lining of a diarthrodial
joint, bursa, or tendon sheath. Large
joints are more commonly affected,
the knee most often followed by the
hip joint.

4. ARTICULAR SYNOVIAL
CHONDROMATSOSIS .
Multiple loose bodies
are appreciated in the
joint space of the Rt
shoulder .
Innemurable and near
symmetrical in shape
loose bodies are seen
in the joint space

5. Loose bodies
In Rt shoulder
Joint space

6. EXTRA / JUXTA ARTICULAR
SYNOVIAL
CHONDROMATOSIS .
• Appreciated as multiple
calcific crescents in the
popliteal cyst .
• Usually the calcific foci
are multiple and similar
in shape .

7. Crescent shaped calcific foci are appreciated in the
popliteal cyst . The cyst per se extends caudally into the
Intermuscular myofascial planes .

9. TRANSIENT
ENTEROENTERIC
INTUSSUSCEPTION.
Transient (non-obstructing) intussusception without a lead point is
known to occur in both adults and children and occurs more
frequently than was previously reported.Transient intussusception of
the small bowel is most frequently detected incidentally and is
presumed to be innocuous.
Intussusception without a lead point is known to appear
as a non-obstructing segment, usually smaller in diameter
and shorter than an intussusception with a lead point.

10. TRANSIENT ENTEROENTERIC
INTUSSESEPTION VIDEO
Click on
the image
for video

11. LOOP WITH IN THE
LOOP ON AXIAL IMAGE

12. RETROCEACAL APPENDIX
WITH APPENDICOLITHS .
Appendicitis is one of the most common diseases that require
urgent surgical intervention. Due to its position, the inflamed
appendix can cause many complications in abdominal cavity. Most
of these complications are based on the anatomical position of the
appendix. According to world literature over 65% of the anatomical
positions of appendix is retrocaecal position, followed paracaecal
and then the other positions of the appendix in different
percentages.

13. TWO APPENDICOLITHS
ARE APPRECIATED
IN THE MID THIRD OF
THE APPENDIX .
Even deep pressure in the right
lower quadrant may fail to elicit
tenderness the reason being that the
caecum, distended with gas,
prevents the pressure exerted by the
palpating hand from reaching the
inflamed appendix, so it has been
called as ' Silent appendicitis'

14. HYPERTROPHIED
PYLORIC STENOSIS

15. ELONGATED PYLORIC CANAL
THICKENED HYPOECHOIC WALL
MUSCLES
NO PERISTALSIS THROUGH
PYLORIC CANAL
DOUGHNUT SIGN
APPRECIATED
Appreciate the doughnut medial to
GB and anterior to Rt kidney
Echogenic mucosa with streak of
fluid in the mucosal folds
are appreciated as hypoechoic strings

16. MAMMARY DUCT
ECTASIA
Ultrasound can be of help
In patents with
• High risk nipple discharge
• Low risk nipple discharge

17. NICHE INDICATION FOR THIS ULTRASOUND WAS NIPPLE
DISCHARGE RT BREAST
DILATED DUCT IN HORIZONTAL ORIENTATION IS
APPREICATED IN RT BREAST WITH MID LEVEL ECHOES IN THE
CORE ALONG THE DISTAL / RT LATERAL PART OF THE DILATED
DUCT . ( CYTOLOGY NEGATIVE FOR MALIGNANT CELLS )

18. FETAL ANOMALY SERIES

19. • FETAL ANOMALY SERIES
Clenched hands
Club feet .
Anasarca
Dysplatic hip
Lung hypoplasia
• PROMINENT NUCHAL
FOLD
• PERSISTANT CLENCHED
HANDS

20. ANGULATED ARTICULATION
OF THE PROXIMAL FEMORA
IN LEFT HIP REGION.
THIS OBSERVATION IS PERSISTENT
IN INTERVAL IMAGING ALSO .
ASSOCIATED CLUB FOOT
APPRECIATED

21. FETAL ANASARCA
CLUB FOOT BILATERAL APPRECIATED
ECHOGENIC BOWEL APPRECIATED.
INWARD ANGULATION OF THE RIBS
APPRECIATED ( LOSS OF VOULME WITH FETAL
LUNGS HAVING ATTENUATION OF HYPERECHOIC
ECHOPATTERN AS EXPECTED FOR GESTATION

22. FETAL FACE PROFILES
BABY BITING THE FOREARM
BABY FROWNING
BABY WITH THUMB IN MOUTH

23. BABY BITTING
THE FOREARM
FROWNING
BABY

24. PELVIC VARICOSITIES

25. LEFT PARAMETRIAL
PROMINENT VENOUS
CHANNELS
1. PATIENT WITH PAIN
2. IN LEFT PELVIC REGION
3. VALSALVAE DONE
GREY SCALE COLOR DOPPLER POWER DOPPLER
3D ANGIOGRAM

26. REFERENCE
DIAGNOSTIC
ULTRASOUND
FOURTH EDITION
Carol M. Rumack, MD, FACR
J. William Charboneau, MD, FACR
Deborah Levine, MD, FACR
Ultrasound of Congenital
Fetal AnomaliesDifferential
Diagnosis and Prognostic
Indicators
Dario Paladini MD
Head, Fetal Cardiology Unit
Department of Obstetrics and
GynecologyUniversity Federico II
of NaplesNaplesItaly
Paolo Volpe MD
Head, Fetal Medicine Unit
Department of Obstetrics and
GynecologyHospital Di Venere
Bari