Images Genevieve Carbonatto A 65 year old man with liver failure and ascites presents with severe acute right upper quadrant abdominal pain. Ultrasound examination over the area of tenderness reveals a heterogeneous area in the rectus abdominal muscle – Rectus sheath haematoma The rectus sheath haematoma is the area of mixed echogenicity in the rectus muscle Read more about Rectus sheath haematoma[…]
Images Genevieve Carbonatto 10 week pregnant patient presenting to the Emergency department with intermittent vaginal bleeding for 2 days. Hypoechoic areas are subchorionic haemorrhages. Arrows outlining subchorionic bleed An active heart beat is visible
Images Genevieve Carbonatto A “wall, echo, shadow” occurs when the GB wall contracts over GB stones so that the normal echo free space surrounding the stones is no longer visible. There is no, or little anechoic bile visible surrounding the stones. This can be chronic, acute or may occur when the GB is contracted Read more about Wall Echo Shadow[…]
Images Genevieve Carbonatto Ruptured haemorrhagic cyst. Free fluid in pelvis surrounding uterus. Free fluid in Morrison’s pouch
Images Genevieve Carbonatto A 34 year old woman presents to the Emergency Department with a 3 day history of right iliac fossa pain. An outpatient pelvic ultrasound showed a right ovarian cyst with some fluid in the pouch of Douglas. The ruptured ovarian cyst was thought to be the cause of her pain. A Read more about Appendicitis , right ovarian cyst[…]
Images Genevieve Carbonatto An 11 week pregnant patient presented to the Emergency department complaining of right iliac fossa pain. Ultrasound examination shows appendicitis. Features consistent with this include Thickened appendix which measures 1.36cm. Target sign – hypoechoic walls Non compressible appendix Lack of peristalsis “creeping fat” or hyperechoic mesentery surrounding appendix
Images Genevieve Carbonatto A patient with Chrohn’s disease presents with severe abdominal pain and vomiting. He has had pain for 2 weeks and only now presents to the Emergency Department. An ultrasound is performed on arrival. His ultrasound shows all the features of small bowel obstruction Dilatation of the small bowel Reduced peristalsis of the Read more about Chrohn’s disease, bowel obstruction[…]
Images by Genevieve Carbonatto Grossly dilated loops of bowel Dilated loops of bowel. To and fro of contents of bowel. Extraluminal fluid (ascites)
Images and text by Genevieve Carbonatto A 72 year old man arrived in the Emergency Department directly from a private radiology imaging service saying he had been told to present immediately to the Emergency Department for treatment of his pneumothorax. He had had a previous pneumothorax and knew all about chest tubes. He was eager to Read more about Giant Bulla[…]
Images Eleanor Cook and Tina Cullen A 33 year old presents to the Emergency Department with RUQ pain. A point of care ultrasound is performed to exclude a biliary cause for her pain. This is the transverse view of the GB. The GB could be easily missed in this view because it is Read more about Choledocholithiasis[…]