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Ultrasound and MRI preferable to CT in diagnosis of IBD, analysis suggests | MRI Clinical | medicexchange.

US researchers conducted a meta-analysis of 33 prospective studies assessing these techniques which used histopathology, ileocolonoscopy, and/or intraoperative findings as the reference standard.
The authors said: “Because of the relapsing nature of IBD and the young age at which it [...]

* Note: These images are obviously not from a single patient. I included all of them in one ‘case’ to continue with the ongoing theme of ultrasonography & scrotal swelling.
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Transverse section of right side of scrotum showing anechoic peritesticular fluid collection displacing the testis medially.
Diagnosis: Hydrocele.
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Longitudinal section of the scrotum showing a large heterogeneously echogenic [...]

Note: The inspiration to try this experimental mind map comes from the excellent collection of allergy and immunology related mind maps created by my blog & twitter friend Dr. Ves Dimov, author of the Clinical Cases and Images Blog. It might help to see my previous two casebook posts - Testicular Torsion and Acute Orchitis [...]

A 40-year-old man presented with painful swelling of the right side of his scrotum and history of fever of two days duration. Swelling and tenderness in the right side of scrotum on local examination.
High resolution ultrasonography of the scrotum was done.
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Longitudinal section of the right side of scrotum shows the right Testis in normal axis [...]

A 15-year-old boy presented with acute severe scrotal pain of nearly twelve hours duration. Swelling and tenderness in the left side of scrotum on local examination.
High resolution ultrasonography of the scrotum was done.

Longitudinal section of the left side of scrotum shows abnormal axis of the left Testis (seen in cross section here, implying 90° rotation [...]

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Antenatal ultrasonogram showing umbilical cord around the fetal neck (axial section) in a 25 weeks pregnancy
Further Reading:
González-Quintero VH, Tolaymat L, Muller AC, Izquierdo L, O’Sullivan MJ, Martin D. Outcomes of Pregnancies With Sonographically Detected Nuchal Cords Remote From Delivery. J Ultrasound Med 2004.23:43-47. [Full text is free in India. Subscription may be required for [...]

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Long axis view of the Uterus and Cervix on Transvaginal Ultrasonography with thickened Endometrium. Large lobulated hyperechoic Endocervical mass with polypoidal protrusion beyond the external cervical os.

Power Doppler shows internal vascularity within the polypoidal mass with a vascular stalk extending from the body of Uterus.

3D reformatted image shows the thickened Endometrium within the Uterus continuing [...]

One of the cool things about doing obstetric ultrasonography is watching babies moving around and doing stuff within the uterus: kicking, clenching and unclenching their fists, yawning, sucking their fingers or toes or the umbilical cord, etc. 
Earlier (I mean a few years ago) the mother and family used to be most thrilled if we (as [...]