Imperforate hymen : Haematometrocolpus

Images by Genevieve Carbonatto  This 11 year old presented with severe abdominal pain. On examination she had a distended tender abdomen.  She was initially thought to be in urinary retention. She was catheterised but had very little urine in her bladder. Her ultrasound shows a distended uterus from  haematometrocolpus due to an imperforate hymen. The Read more about Imperforate hymen : Haematometrocolpus[…]

Normal chest Xray small area of consolidation and small pleural effusion

Images by Genevieve Carbonatto This young man presented with a one week history of cough and a 2 day history of a very localised chest pain. His chest Xray films were unremarkable        His ultrasound was interesting Just at the point of his pain, there is a break in the pleural line suggesting Read more about Normal chest Xray small area of consolidation and small pleural effusion[…]

Pulmonary oedema

Image Genevieve Carbonatto  Widespread B lines originating from the pleural line Acute pulmonary oedema The causes of an interstitial syndrome includes, pulmonary edema of various causes, interstitial pneumonia or pneumonitis and diffuse parenchymal lung disease (pulmonary fibrosis) The clinical scenario will help differentiate between them. There are subtle sonographic differences however. B lines are seen in Read more about Pulmonary oedema[…]