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Learning Ultrasound Imaging (Learning Imaging) PDF

253 Pages·2012·12.571 MB·English
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Learning Imaging Series Editors: P.R. Ros • A. Luna • R. Ribes Jose Luís del Cura • Pedro Seguí Carlos Nicolau (Editors) Learning Ultrasound Imaging JOSE LUÍS DEL CURA CARLOS NICOLAU Servicio de Radiodiagnóstico Servicio de Radiodiagnóstico (CDIC) H ospital de Basurto Hospital Clinic Bilbao Barcelona Spain Spain PEDRO SEGUÍ Servicio de Radiodiagnóstico Hospital Universitario Reina Sofía Córdoba Spain ISBN 978-3-642-30585-6 ISBN 978-3-642-30586-3 (eBook) DOI 10.1007/978-3-642-30586-3 Springer Heidelberg New York Dordrecht London Library of Congress Control Number: 2012950865 © Springer-Verlag Berlin Heidelberg 2012 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi c ally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on micro fi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied speci fi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a speci fi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) Contents 1 Abdominal Ultrasound CARLOS NICOLAU, PEDRO SEGUÍ, JOSE LUÍS DEL CURA, BLANCA PAÑO Case 1: Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Case 2: Acute Cholecystitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Case 3: Gallbladder Carcinoma . . . . . . . . . . . . . . . . . . . . . . . . 6 Case 4: Gallbladder Adenomyomatosis . . . . . . . . . . . . . . . . . . 8 Case 5: Hepatic Metastases of Breast Carcinoma in Hepatic Steatosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Case 6: Hepatic Hydatid Cyst . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Case 7: Littoral-Cell Angioma of the Spleen . . . . . . . . . . . . . . 14 Case 8: Mesenteric Lymphoma . . . . . . . . . . . . . . . . . . . . . . . . . 16 Case 9: Mesenteric Metastases of Seminoma . . . . . . . . . . . . . 18 Case 10: Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Case 11: Acute Colonic Diverticulitis . . . . . . . . . . . . . . . . . . . . 22 Case 12: Anal Abscess and Fistula . . . . . . . . . . . . . . . . . . . . . . . 24 Case 13: Ascites and Peritoneal Metastases of Colon Carcinoma . . . . . . . . . . . . . . . . . 26 Case 14: Abdominal Wall Endometriosis . . . . . . . . . . . . . . . . . 28 Case 15: Abdominal Wall Hernia . . . . . . . . . . . . . . . . . . . . . . . . 30 Case 16: Renal Angiomyolipoma . . . . . . . . . . . . . . . . . . . . . . . . 32 Case 17: Renal Cortical Necrosis . . . . . . . . . . . . . . . . . . . . . . . . 34 Case 18: Nephrocalcinosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Case 19: Ureteral Lithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Case 20: Ureterocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Case 21: Bladder Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 2 Woman’s Imaging JOSE LUÍS DEL CURA, PEDRO SEGUÍ, ROSA ZABALA, MARTÍN VELASCO, GORANE SANTAMARÍA, XAVIER BARGALLÓ, ENRIQUE REMARTÍNEZ, CARMEN KRAEMER Female Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Case 1: Ovarian Functional Cysts . . . . . . . . . . . . . . . . . . . . . . . 52 Case 2: Ovarian Teratoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Case 3: Ovarian Torsion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Case 4: Uterine Leiomyoma . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Case 5: Leiomyoma of the Fallopian Tube . . . . . . . . . . . . . . . 62 Breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Case 6: Diabetic Mastopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Case 7: Intracystic Papillary Carcinoma of the Breast . . . . . 66 Case 8: Borderline Phyllodes Tumor . . . . . . . . . . . . . . . . . . . . 68 Case 9: Nonpuerperal Breast Abscess . . . . . . . . . . . . . . . . . . . 72 vi Contents Obstetric Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Case 10: Extralobar Infradiaphragmatic Pulmonary Sequestration . . . . . . . . . . . . . . . . . . . . . . 74 Case 11: Hypoplastic Left Heart Syndrome . . . . . . . . . . . . . . . 76 Case 12: Branchio-Oto-Renal Syndrome . . . . . . . . . . . . . . . . . . 78 Case 13: OEIS Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 Case 14: Exencephaly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 3 Musculoskeletal Ultrasound ANGEL BUENO, JOSE MARTEL, ANA SANZ Case 1: Gastrocnemius Muscle Tear and Thrombosis of the Gastrocnemius Veins . . . . . . . . . . . . . . . . . . . . . 90 Case 2: Achilles Tendon Rupture . . . . . . . . . . . . . . . . . . . . . . . 92 Case 3: Myositis Ossificans . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 Case 4: Morel-Lavallée Lesion . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Case 5: Primary Hydatid Cyst of the Skeletal Muscle . . . . . . 98 Case 6: Massive Rotator Cuff Tear . . . . . . . . . . . . . . . . . . . . . . 100 Case 7: Hand Angiomyoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 Case 8: Giant Cell Tumor of the Tendon Sheath . . . . . . . . . . . 104 Case 9: Subungual Glomus Tumor . . . . . . . . . . . . . . . . . . . . . . 106 Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 4 Small Parts PEDRO SEGUÍ, ELENA ELIZAGARAY, CARLOS NICOLAU, XIMENA WORTSMAN, ROSA ZABALA, JOSE LUÍS DEL CURA, MONTSERRAT DOMINGO Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Case 1: Hodgkin’s Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Case 2: Papillary Thyroid Carcinoma . . . . . . . . . . . . . . . . . . . 114 Case 3: Medullary Thyroid Carcinoma . . . . . . . . . . . . . . . . . . 116 Face . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Case 4: Pleomorphic Adenoma of Parotid Gland . . . . . . . . . 118 Case 5: Warthin’s Tumor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 Case 6: Lymphoma of the Parotid Gland . . . . . . . . . . . . . . . . 122 Case 7: Mucoepidermoid Carcinoma of the Submaxillary Gland . . . . . . . . . . . . . . . . . . . . . . 124 Orbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126 Case 8: Retinal Detachment . . . . . . . . . . . . . . . . . . . . . . . . . . . 126 Case 9: Vitreous Hemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . 128 Case 10: Choroidal Detachment . . . . . . . . . . . . . . . . . . . . . . . . . 130 Case 11: Optic Disc Drusen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132 Case 12: Choroidal Melanoma . . . . . . . . . . . . . . . . . . . . . . . . . . 134 Testis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136 Case 13: Testicular Microlithiasis . . . . . . . . . . . . . . . . . . . . . . . . 136 Case 14: Testicular Non-seminomatous Germ Cell Tumor . . 140 Case 15: Testicular Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 Case 16: Epididymo-orchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Contents vii Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 Case 17: Hemangioma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 Case 18: Pilomatrixoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150 Case 19: Basal Cell Carcinoma . . . . . . . . . . . . . . . . . . . . . . . . . . 152 Case 20: Plantar Wart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154 Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156 5 Thorax ROSA ZABALA, JOSE LUÍS DEL CURA Case 1: Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160 Case 2: Pulmonary Hydatid Cyst . . . . . . . . . . . . . . . . . . . . . . . 162 Case 3: Pleural Rhabdomyosarcoma . . . . . . . . . . . . . . . . . . . . 164 Case 4: Supraclavicular Schwannoma . . . . . . . . . . . . . . . . . . . 166 Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168 6 Pediatrics FERMÍN SÁEZ, ELENA ELIZAGARAY, JOSÉ MARTEL Case 1: Infantile Hypertrophic Pyloric Stenosis . . . . . . . . . . 170 Case 2: Ileocolic Intussusception . . . . . . . . . . . . . . . . . . . . . . . 172 Case 3: Enteric Duplication . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174 Case 4: Neutropenic Colitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176 Case 5: Partial Absence of Septum Pellucidum and Intracranial Hemorrhage . . . . . . . . . . . . . . . . . . . 178 Case 6: Lymphatic Malformation . . . . . . . . . . . . . . . . . . . . . . . 180 Case 7: Developmental Dysplasia of the Hip . . . . . . . . . . . . . 182 Case 8: Subperiosteal and Intraosseous Abscesses . . . . . . . . 184 Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186 7 Vascular BLANCA PAÑO, PEDRO SEGUÍ Case 1: Carotid Artery Stenosis . . . . . . . . . . . . . . . . . . . . . . . . 188 Case 2: Carotid Artery Dissection . . . . . . . . . . . . . . . . . . . . . . 192 Case 3: Carotid Intrastent Stenosis . . . . . . . . . . . . . . . . . . . . . 196 Case 4: Temporal Arteritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198 Case 5: Deep Venous Thrombosis . . . . . . . . . . . . . . . . . . . . . . 200 Case 6: Femoral Artery Pseudoaneurysm . . . . . . . . . . . . . . . . 202 Case 7: Renal Artery Stenosis . . . . . . . . . . . . . . . . . . . . . . . . . . 204 Case 8: Portal Vein Thrombosis . . . . . . . . . . . . . . . . . . . . . . . . 208 Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212 8 Contrast Ultrasound TERESA FONTANILLA, CARLOS NICOLAU, JAVIER MINAYA, RAFAEL PÉREZ-ARANGÜENA, BLANCA PAÑO Case 1: Hepatic Hemangioma . . . . . . . . . . . . . . . . . . . . . . . . . . 214 Case 2: Hepatic Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216 Case 3: Hepatocarcinoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218 Case 4: Focal Nodular Hyperplasia . . . . . . . . . . . . . . . . . . . . . 220 viii Contents Case 5: Renal Abscess in Complicated Acute Pyelonephritis . . . 222 Case 6: Cystic Renal Cell Carcinoma . . . . . . . . . . . . . . . . . . . . 224 Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226 9 Interventional Ultrasound JOSE LUÍS DEL CURA, ROSA ZABALA, IGONE KORTA Case 1: Percutaneous Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . 228 Case 2: Drainage of a Hepatic Abscess . . . . . . . . . . . . . . . . . . 230 Case 3: Percutaneous Treatment of Severe Acute Pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232 Case 4: Percutaneous Treatment of Severe Acute Pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234 Case 5: Pleural Drainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236 Case 6: Treatment of Shoulder Calcific Tendinitis . . . . . . . . . 238 Case 7: Percutaneous Treatment of Paralabral Cyst . . . . . . . 240 Case 8: Percutaneous Treatment of Pseudoaneurysms . . . . . 242 Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244 Contributors Xavier Bargalló Teresa Fontanilla Servicio de Radiodiagnóstico Servicio de Radiodiagnóstico (CDIC) Hospital Universitario Puerta de Hospital Clinic Hierro Barcelona Majadahonda Spain Spain Angel Bueno Igone Korta Diagnóstico por Imagen Servicio de Radiodiagnóstico Hospital Universitario Fundación Hospital Basurto Alcorcón Bilbao Alcorcón Spain Spain Carmen Kraemer Departamento de Enfermería Jose Luís del Cura Universidad de Granada Servicio de Radiodiagnóstico Granada Hospital Basurto Spain Bilbao Spain Jose Martel Diagnóstico por Imagen Montserrat Domingo Hospital Universitario Fundación Servicio de Radiodiagnóstico Alcorcón (CDIC) Alcorcón Hospital Clinic Spain Barcelona Javier Minaya Spain Servicio de Radiodiagnóstico Elena Elizagaray Hospital Universitario Puerta de Servicio de Radiodiagnóstico Hierro Hospital Basurto Majadahonda Bilbao Spain Spain Carlos Nicolau Simona Espejo Servicio de Radiodiagnóstico Servicio de Radiodiagnóstico (CDIC) Hospital Universitario Reina Sofía Hospital Clinic Córdoba Barcelona Spain Spain

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