Incidental Findings on Upper Gastrointestinal Endoscopic Ultrasonography
Conclusions: Incidental findings on EUS are not uncommon in clinical practice and might be a clue to a significant pathology. The appropriate extent of evaluation of incidental findings noted during a standard EUS procedure warrants further research yet to be defined. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - March 13, 2013 Category: Radiology Authors: Sotoudehmanesh, R., Arab, P., Ali-Asgari, A. Tags: Original Articles Source Type: research

Body Mass Index and Abdominal Ultrasound Image Quality: A Pilot Survey of Sonographers
The objective was to assess the consensus among sonographers that the quality of abdominal ultrasound (US) images is related to the patient’s body mass index (BMI). Fourteen sonographers completed a 12-item questionnaire to evaluate their experience with abdominal US imaging with respect to image quality in correlation with the patient’s adipose tissue. Of the sonographers sampled, 85.7% agreed that there is an association between the amount of adipose tissue on a patient’s abdomen and the quality of US image obtained; 85.7% also agreed that a normal BMI of 18.5 to 24.9 provides the best US image. However...
Source: Journal of Diagnostic Medical Sonography - March 13, 2013 Category: Radiology Authors: Brahee, D. D., Ogedegbe, C., Hassler, C., Nyirenda, T., Hazelwood, V., Morchel, H., Patel, R. S., Feldman, J. Tags: Original Articles Source Type: research

Differences in Pain Perceptions between Automated Breast Ultrasound and Digital Screening Mammography
A prospective single-site survey was performed to gauge perceived pain during automated breast ultrasound (ABUS) and digital x-ray mammography (XRM). Patients also described differences in duration of the exams, provided their bra size, and indicated whether they would recommend ABUS to a friend. Pain was measured on a Likert-type visual analog scale (1–10). Participants were 199 female volunteers who also participated in the prospective, multicenter, nationwide clinical research study SOMO•INSIGHT. There was a mean pain and/or discomfort score of 6.41 (± 2.41) for XRM and a mean score of 1.86 (± 1...
Source: Journal of Diagnostic Medical Sonography - March 13, 2013 Category: Radiology Authors: Zintsmaster, S., Morrison, J., Sharman, S., Shah, B. A. Tags: Original Articles Source Type: research

Role of Endoscopic Ultrasonography in Patients With Thickened Wall Stomach by CT Scan
The usefulness of endoscopic ultrasonography (EUS) in patients who have gastric wall thickening in computed tomography (CT) is not clear. All patients referred for EUS due to thickened gastric folds on CT were included in this study. Esophagogastroduodenoscopy (EGD) followed by EUS was performed on all patients. Twenty-eight patients were enrolled in the study. The mean ± SD age was 50.8 ± 15.9 years, and 60.7% were male. Most patients (78.6%) had symptoms, and 10 patients (35.7%) were ultimately diagnosed with a gastric neoplasm. In all patients with a normal EGD (11 patients), the EUS was normal. Accuracy, ...
Source: Journal of Diagnostic Medical Sonography - March 13, 2013 Category: Radiology Authors: Sotoudehmanesh, R., Mirzaagha, F., Kolahdoozan, S. Tags: Original Articles Source Type: research

Does Gallbladder Wall Thickening of Cirrhotic Patients Increase the Risk of Formation of Gallstones?
In conclusion, gallbladder wall thickening in cirrhotic patients does not significantly add any risk for the formation of gallstones. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - March 13, 2013 Category: Radiology Authors: Wu, S., Liu, G. Tags: Original Articles Source Type: research

Incidental Finding of Urothelial Cell Carcinoma in a Young Patient During an Early Obstetrical Sonogram
Bladder cancer is a rare finding in young adults. This case demonstrates a 17-year-old female with an incidental bladder mass seen during a first-trimester obstetrical sonogram. Sonographic examination revealed a nonmobile, echogenic mass in the inferior portion of the patient’s bladder. The patient subsequently went to surgery at 18 weeks’ gestation where a cystoscopic resection was performed. The tumor was found to be a low-grade papillary urothelial cell carcinoma. The patient delivered at term without further complications. Early diagnosis of this bladder carcinoma led to prompt diagnosis and treatment for ...
Source: Journal of Diagnostic Medical Sonography - January 14, 2013 Category: Radiology Authors: Walter, A. C. Tags: Case Studies Source Type: research

Sonography of Portal Vein Tumor Thrombus Associated With HCC
Portal vein tumor thrombus (PVTT) is a complication of liver disease, specifically hepatocellular carcinoma (HCC). It occurs secondary to direct invasion of tumor into the portal venous system. PVTT is associated with a poor prognosis, therefore identification and differentiation of malignant from benign thrombus is very important in the treatment of the patient. Sonography can be a useful tool in the detection of malignant thrombus. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - January 14, 2013 Category: Radiology Authors: Matuzak, A. R. Tags: Case Studies Source Type: research

Complicated Acute Pyelonephritis With Extrarenal Manifestations: Diagnosis With Sonography
Discussion places a focus on the imaging spectrum and clinical significance of the extrarenal manifestations. The hepatobiliary findings of APN appear to signify accompanying sepsis and gravity of the condition, and gallbladder wall thickening must not be misdiagnosed as acute cholecystitis. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - January 14, 2013 Category: Radiology Authors: Megremis, S., Chatziioannou, M., Lydakis, C., Sfakianaki, E. Tags: Case Studies Source Type: research

Sialolithiasis: Sonographic Detection of Salivary Duct Stones
Sialolithiasis is a rare condition characterized by the presence of stones within the salivary gland or duct. Salivary duct stones have an incidence of 1% at autopsy, but only 50 in 1,000,000 present symptomatically per year. Possible signs and symptoms include an upper neck or jaw mass that enlarges and recedes following meals and xerostomia, or dry mouth. Sonography has been used along with a number of other imaging modalities to diagnose this condition. The use of real-time sonographic imaging allows for identification and confirmation of the presence of stones within the salivary gland. Treatment of sialolithiasis gene...
Source: Journal of Diagnostic Medical Sonography - January 14, 2013 Category: Radiology Authors: Kirkendall, J. Tags: Case Studies Source Type: research

Detection of a Unilateral Mucinous Borderline Ovarian Tumor With Sonography and Magnetic Resonance Imaging
Various modalities of diagnostic imaging have been proven to be adequate in the characterization and diagnosis of ovarian neoplasms. This case study investigates a unique form of mucinous borderline ovarian tumor consisting of both intestinal and Müllerian types. Borderline tumors are considered an intermediate form of neoplasm between the benign and malignant form. Shortly after sonographic and magnetic resonance imaging, the large tumor was removed and the patient was determined to have an excellent prognosis. The utilization of sonography in diagnosing this tumor is discussed, demonstrating the significance of the ...
Source: Journal of Diagnostic Medical Sonography - January 14, 2013 Category: Radiology Authors: Hennessey, A. Tags: Case Studies Source Type: research

Page Kidney: Hypertension Secondary to Extra-Renal Compression
Page kidney refers to the development of secondary hypertension due to compression of the kidney by an external source, most commonly a subcapsular hematoma. Compression of the renal parenchyma results in hypoperfusion and microvascular ischemia leading to activation of the renin-angiotensin system and elevation of blood pressure. Until the last decade, Page kidney was primarily diagnosed in young men with unexplained hypertension and a history of sports-related trauma and imaging studies demonstrating a subcapsular hematoma. Treatment varies from conservative, medical management to a nephrectomy, depending on how the pati...
Source: Journal of Diagnostic Medical Sonography - January 14, 2013 Category: Radiology Authors: Michael, K., Parks, K. L., Miller, E. Tags: Case Studies Source Type: research

JDMS CME Article-SDMS CME Credit
(Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - January 14, 2013 Category: Radiology Tags: Case Studies Source Type: research

Focal Nodular Hyperplasia: Case Study, Imaging, and Treatment
Focal nodular hyperplasia (FNH) is the second most common benign hepatic mass. The primary purpose of this article is to provide a relevant case study and offer a review of the recent literature related to FNH with a discussion of both the clinical and imaging findings of this classically benign hepatic lesion. Although magnetic resonance imaging is considered the gold standard of FNH imaging, the sonographic and computed tomography appearance also is offered in this article. Furthermore, contrast-enhanced ultrasound, which boasts a 96% success rate at differentiating FNH from other hepatic tumors, is analyzed. The histori...
Source: Journal of Diagnostic Medical Sonography - January 14, 2013 Category: Radiology Authors: McCann, C. N., Penny, S. M. Tags: Case Studies Source Type: research

JDMS CME Article-SDMS CME Credit
(Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - January 14, 2013 Category: Radiology Tags: Original Articles Source Type: research

Retroaortic Left Renal Vein
A retroaortic left renal vein (RLRV) is an uncommon condition in which the left renal vein passes posterior to the abdominal aorta and anterior to the vertebrae. Retroaortic left renal vein may lead to left renal vein hypertension syndrome, also known as the nutcracker syndrome, a condition in which extrinsic compression of the left renal vein causes hypertension within the vessel. Retroaortic left renal vein and nutcracker syndrome are vascular anomalies considered to be of clinical importance, particularly during surgical procedures involving the renal vasculature directly or, in many cases, the abdominal aorta. (Source:...
Source: Journal of Diagnostic Medical Sonography - January 14, 2013 Category: Radiology Authors: Aichroth, J., Fox, T. Tags: Original Articles Source Type: research