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C A S E R E V I E W General and Vascular Ultrasound THIRD EDITION SERIESEDITOR OtherVolumesintheCASEREVIEWSeries DavidM.Yousem,MD,MBA BrainImaging,SecondEdition ProfessorofRadiology BreastImaging,SecondEdition DirectorofNeuroradiology CardiacImaging,SecondEdition RussellH.MorganDepartmentofRadiology DukeReviewofMRIPrinciples andRadiologicalScience EmergencyRadiology TheJohnsHopkinsMedicalInstitutions GastrointestinalImaging,ThirdEdition Baltimore,Maryland GenitourinaryImaging,ThirdEdition HeadandNeckImaging,FourthEdition MusculoskeletalImaging,SecondEdition NuclearMedicine,SecondEdition ObstetricandGynecologicUltrasound,ThirdEdition PediatricImaging,SecondEdition SpineImaging,ThirdEdition ThoracicImaging,SecondEdition VascularandInterventionalImaging,SecondEdition John P. McGahan, MD Laurence Needleman, MD Department of Radiology AssociateProfessor of Radiology University of California DavisHealthSystem Sidney Kimmel Medical College atThomas Sacramento,California Jefferson University Philadelphia, Pennsylvania Sharlene A. Teefey, MD Professor of Radiology Abdominal Imaging Section Washington University School of Medicine St.Louis, Missouri C A S E R E V I E W General and Vascular Ultrasound THIRD EDITION C A S E R E V I E W S E R I E S 1600JohnF.KennedyBlvd. Ste1800 Philadelphia,PA19103-2899 GENERALANDVASCULARULTRASOUND,THIRDEDITION ISBN:978-0-323-29614-4 Copyright©2016byElsevier,Inc.Allrightsreserved. Nopartofthispublicationmaybereproducedortransmittedinanyformorbyanymeans,electronicor mechanical,includingphotocopying,recording,oranyinformationstorageandretrievalsystem,without permissioninwritingfromthePublisher.Detailsonhowtoseekpermission,furtherinformationaboutthe Publisher’spermissionspoliciesandourarrangementswithorganizationssuchastheCopyrightClearance CenterandtheCopyrightLicensingAgency,canbefoundatourwebsite:www.elsevier.com/permissions. ThisbookandtheindividualcontributionscontainedinitareprotectedundercopyrightbythePublisher (otherthanasmaybenotedherein). Notices Knowledgeandbestpracticeinthisfieldareconstantlychanging.Asnewresearchandexperience broadenourunderstanding,changesinresearchmethods,professionalpractices,ormedicaltreatment maybecomenecessary. Practitionersandresearchersmustalwaysrelyontheirownexperienceandknowledgeinevaluating andusinganyinformation,methods,compounds,orexperimentsdescribedherein.Inusingsuch informationormethodstheyshouldbemindfuloftheirownsafetyandthesafetyofothers,including partiesforwhomtheyhaveaprofessionalresponsibility. Withrespecttoanydrugorpharmaceuticalproductsidentified,readersareadvisedtocheckthemost currentinformationprovided(i)onproceduresfeaturedor(ii)bythemanufacturerofeachproducttobe administered,toverifytherecommendeddoseorformula,themethodanddurationofadministration, andcontraindications.Itistheresponsibilityofpractitioners,relyingontheirownexperienceand knowledgeoftheirpatients,tomakediagnoses,todeterminedosagesandthebesttreatmentforeach individualpatient,andtotakeallappropriatesafetyprecautions. Tothefullestextentofthelaw,neitherthePublishernortheauthors,contributors,oreditors,assume anyliabilityforanyinjuryand/ordamagetopersonsorpropertyasamatterofproductsliability, negligenceorotherwise,orfromanyuseoroperationofanymethods,products,instructions,orideas containedinthematerialherein. Previouseditionscopyrighted2007,2002byMosby,anaffiliateofElsevierInc. LibraryofCongressCataloging-in-PublicationData McGahan,JohnP.,author. Generalandvascularultrasound:casereview/JohnMcGahan,SharleneA.Teefey,LaurenceNeedleman.– Edition3. p.;cm.–(Casereviewseries) PrecededbyGeneralandvascularultrasound/WilliamD.Middleton.2nded.c2007. Includesbibliographicalreferencesandindexes. ISBN978-0-323-29614-4(pbk.:alk.paper) I.Teefey,SharleneA.,author.II.Needleman,Laurence,author.III.Middleton,WilliamD.Generaland vascularultrasound.Precededby(work):IV.Title.V.Series:Casereviewseries. [DNLM:1.Ultrasonography–methods–ExaminationQuestions.2.Ultrasonography–methods–Problems andExercises.3.VascularDiseases–ultrasonography–ExaminationQuestions.4.VascularDiseases– ultrasonography–ProblemsandExercises.WN18.2] RC78.7.U4 616.07’543–dc23 2015032628 ExecutiveContentStrategist:RobinCarter SeniorContentDevelopmentSpecialist:RaeRobertson PublishingServicesManager:PatriciaTannian SeniorProjectManager:SharonCorell BookDesigner:AshleyMiner PrintedinChina. Lastdigitistheprintnumber:9 8 7 6 5 4 3 2 1 I would like to thank prior colleagues in my life who have helped mentor me to reach my goals in academicradiology.Iwouldalsoliketoacknowledge the faculty and residents, whom I hope I have mentored in achieving their goals on their road to success in academic endeavors. I would like to dedicate this to all those who, throughout my life, have supported me in my endeavors, starting with my parents, my spouse, and, most importantly, my children and grandchildren, who bring me constant joy. JPM Iwouldliketodedicatethiscaseseriestomyfamily fortheirlove,guidance,andsupportthroughoutmy career.Iwouldalsoliketodedicatethisbooktothose who helped and guided me through medical school, residency, and fellowship. Finally, I would like to acknowledge my orthopedic and radiology colleagues with whom I have worked and done collaborative research; my life has been enriched by knowing and working with them. SAT To my family—Andrea, Claire, and Emma—and my father, mother, and brother. LN This page intentionally left blank SERIES FOREWORD IhavebeenverygratifiedbythepopularityandpositivefeedbackthattheauthorsoftheCASEREVIEW Serieshavereceivedonthepublicationoftheeditionsoftheirvolumes.Reviewsinjournalsandonline sitesaswellasword-of-mouthcommentshavebeenuniformlyfavorable.Theauthorshavedoneanout- standingjobinfillingthenicheofanaffordable,easy-to-access,case-basedlearningtoolthatsupplements thematerialinTheRequisitesseries.Ihavebeentoldbyresidents,fellows,andpracticingradiologiststhat theCASEREVIEWSeriesbooksaretheidealmeansforstudyingfororalboardexaminationsandsubspeci- altycertificationtests. Although some students learn best in a noninteractive study book mode, others need the anxiety or excitementofbeingquizzed.TheselectedformatfortheCASEREVIEWSeries(whichconsistsofshowing afewimagesneededtoconstructadifferentialdiagnosisandthenaskingafewclinicalandimagingques- tions) wasdesigned tosimulate theboardexamination experience.Theonly differenceisthatthe CASE REVIEW Series books provide the correct answer and immediate feedback. The limit and range of the reader’s knowledge are tested through scaled casesranging from relatively easy to veryhard. The CASE REVIEWSeriesalsooffersfeedbackontheanswers,abriefdiscussionofeachcase,alinkbacktotheper- tinentTheRequisitesvolume,andup-to-datereferencesfromtheliterature.Inaddition,wehaverecently includedlabeledfigures,figurelegends,andsupplementalfiguresinanewsectionattheendofthebook, whichprovidethereadermoreinformationaboutthecaseanddiagnosis. Becauseofthepopularityofonlinelearning,wehavebeenrollingoutneweditionsontheWeb.Wealso haveadjustedtothenewBoardsformat,whichwillbeelectronicandlargelycase-based.Wearereadyforthe newboards!Thecasereviewsarenowhostedonlineathttps://expertconsult.inkling.com.Theinteractive test-takingformatallowsuserstogetreal-timefeedback,“pinch-and-zoom”figuresforeasierviewing,and linkstosupplementalfiguresandonlinereferences.Personally,Iamveryexcitedaboutthefuture.Joinus. DavidM.Yousem,MD,MBA vii This page intentionally left blank

Description:

Effectively prepare for certification, increase your knowledge, and improve your image interpretation skills using the proven and popular Case Review approach! In this new edition, Drs. John P. McGahan, Sharlene A. Teefey, and Laurence Needleman present 127 clinically relevant cases with associated