Katarzyna Monika Pawlak Anand Sahai Stefano Francesco Crinó Sridhar Sundaram MD, DM, FISG vinay dhir Sundeep Lakhtakia Tarun Rustagi Hepatology PGI Ajay Duseja Sunil Taneja M PREMKUMAR nipun verma Arka De TaeWoong Medical It took 3 passes actually, considering the irregular shape of the lesion. The tip was 10mm
This has been a curious lesion - enhancing minimally on contrast MRI, not on sonovue, DOTANOC (but bx - gd I NET)
We plan to discuss followup strategy in a MDT considering these oddities
⏳️ #CEUS : After the administration of #SonoVue , the lesion shows moderate uptake.
⏳️Delayed phase: The lesion shows wash-out.
#philipshealthcare #EpiqElite #contrastenhancedultrasound ICUS_Society #Bracco #Radiology #FOAMRad #RadRes #RadEd #FOAMed #FOAMus #POCUS #MedEd
Sahaj Rathi Katarzyna Monika Pawlak Anand Sahai Sridhar Sundaram MD, DM, FISG vinay dhir Sundeep Lakhtakia Tarun Rustagi Hepatology PGI Ajay Duseja Sunil Taneja M PREMKUMAR nipun verma Arka De TaeWoong Medical It looks approximately 15mm, right? If so, I would start with 10 W in the middle of the lesion and wait for impedance raise. It could take 60/90 seconds. After that, wait 5/10 minutes and inject Sonovue. If vascula residuals are visible, male another treatment
Xufang Bai, MD, PhD Tilman Schneider Nicolas Merke Erik Rafflenbeul Vladyslav Kavalerchyk 🇺🇦 Esra Kaya Echolab_Bielefeld AG5-Kardiovaskulärer Ultraschall Natasha The Echo Lady Ritu Thamman MD Ekaterina Stellbrink Özge Özden Victoria Delgado Tuğba Kemaloğlu Öz, Assoc Prof Elena Romero Konstantinos Papadopoulos SonoVue contrast agent
#caseoftheday
38-y/o female with elevated hepatic enzymes. #philipshealthcare #techmed #epiqelite #sonovue #icus #bracco #ceus #contrastenhancedultrasound #ultrasound #meded #medschool #medstudent #raded #radres #Radiology #medicalimaging
Sahaj Rathi Anand Sahai Stefano Francesco Crinó Sridhar Sundaram MD, DM, FISG vinay dhir Sundeep Lakhtakia Tarun Rustagi Hepatology PGI Ajay Duseja Sunil Taneja M PREMKUMAR nipun verma Arka De TaeWoong Medical In one puncture? And what tip size do you select for such big lesion? Despite that symptoms disappeared will you do follow with CT or maybe Sonovue EUS?
#caseoftheday
🔎67-y/o male with a history of pancreatic NET presented abdominal pain.
#philipshealthcare #ceus #contrastenhancedultrasound #icus #sonovue #bracco #mri #ultrasound #pancreaticnet #FOAMRad #RadEd #RadRes
#caseoftheday
🔎55-y/o underwent #MRI due to unclear #liverlesion .
✔️In order to get more information, contrastenhancedultrasound was performed.
#philipshealthcare #EpiqElite #Techmed #CEUS #contrastenhancedultrasound #icus #sonovue #Bracco #Radiology #FOAMRad #RadRes #RadEd
#caseoftheday
53-y/o male with left scrotal pain, referes feeling a small bump on the upper outer side of the lefttesticle.
#Fujifilmhealthcare #Arreta850 #CEUS #contrastenhancedultrasound #icus #sonovue #Bracco #Radiology #FOAMRad #RadRes #RadEd #FOAMed #FOAMus #POCUS #MedEd
#caseoftheday
🔎35-y/o male with a history of left #ochyectomy at the age of 3-y/o.
#CEUS #contrastenhancedultrasound #icus #sonovue #Bracco #philipshealthcare #EpiqElite #Techmed #hodentumor #tumoraciontesticular #ultrasonidoescrotal #menshealth
🎯Patient with a history of #pancreaticNET with #livermetastases underwent #MRI , where a new #liverlesion was depicted.
🔑 #CEUS : The lesion in segment VII shows rimm uptake with non-enhancing interior.
#philipshealthcare #contrastenhancedultrasound ICUS_Society #sonovue #Bracco
🔑 #CEUS : The lesion shows rapid vigorous uptake, in comparison to the rest of the parenchyma.
✅️The findings on CEUS match with a #germcelltumor of the testicle but🔬The frozen section revealed #leydigcelltumor .
#contrastenhancedultrasound #icus #sonovue #Philipshealthcare
vinay dhir Nadeem Tehami Dr John Leeds Jahnvi Dhar Sahaj Rathi 1. Enhancing sludge
2. Choledochal NET
3. Biliary cystadenocarcinoma
Rare - but possible pathologies in a Sonovue + scenario
🎯B-Mode: The #testicle is enlarged with marked #hyperemia and #scrotal #hydrocele .
🔑 #CEUS : The focal testicular lesion shows rapid rimmed enhancement.
#Bracco #Philipshealthcare #EpiElite #POCUS #contrastenhancedultrasound ICUS_Society #sonovue #MedEd #RadRes #FOAMed
🎯The transplanted kidney shows an isoechoic mass between the medullary pyramids that extends towards renal sinus.
🔑 #CEUS : Following the administration of #SonoVue , the renal parenchyma shows homogeneous uptake, and no wash-out.
#philipshealthcare ICUS_Society #Bracco #FOAMRad
#caseoftheday
🔎39-y/o male with renal transplantation.
#philipshealthcare #EpiqElite #Techmed #CEUS #contrastenhancedultrasound #icus #sonovue #Bracco #FOAMRad #RadRes #RadEd #FOAMed #FOAMus #POCUS #MedEd #ultrasound #sonography #medicalimaging #radiologyresident #radstudent
vinay dhir Jimil Shah Turki AlAmri |تُرْكي عبدالله الْعَمريَّ MD Nadeem Tehami Jahnvi Dhar Dr John Leeds Keith Siau Sir this may be an unpopular opinion, but I feel sonovue rarely adds value for solid tumors
AdenoCa do not enhance anyways, and small NETs too (supposed to💡) rarely take contrast
Possibly I am just unlucky, or doing sth wrong
Views? Sundeep Lakhtakia Anand Sahai Anthony Teoh
🎯B-mode examination deppicted a hypoechoic mass and diffuse testicular #microlithiasis .
🔑 #CEUS : The lesion shows capsular enhancement with some intralesional vessels. #contrastenhancedultrasound #icus #sonovue #Bracco #philipshealthcare #EpiqElite #Techmed #ultrasound