🎯 CASE STUDY | Acute Epididymitis with Funiculitis & Epididymal Cyst
👨⚕️ Clinical Background: A 28-year-old male presented with right scrotal pain and swelling for 2 days, accompanied by on and off fever and mild discomfort while walking. No history of trauma or urinary symptoms.
🧠 Ultrasound Findings (Scrotal USG with Color Doppler): • Right epididymis: Diffusely enlarged, hypoechoic, showing markedly increased color flow, indicating acute inflammation (epididymitis). • Spermatic cord: Thickened and edematous with hypervascularity, consistent with associated funiculitis. • Right epididymal head: Contains a well-circumscribed, anechoic cystic lesion with posterior acoustic enhancement — epididymal cyst (benign). • Right testis: Maintains normal echotexture and vascularity — no torsion or abscess. • Scrotal wall: Mildly thickened and edematous. • Minimal reactive hydrocele seen on the right side.
🩻 Final Impression: ✅ Acute right epididymitis ✅ Associated funiculitis (spermatic cord inflammation) ✅ Right epididymal cyst (incidental benign finding) ✅ Mild reactive hydrocele
⸻
💬 Radiologist’s Perspective: Recurrent or intermittent fever in such patients often reflects ongoing infection or inflammation. On Doppler, the “flame-like” hypervascular pattern over an enlarged epididymis is the classic sonographic signature of acute epididymitis. Never miss checking the spermatic cord — if it’s thick and hypervascular, funiculitis is walking alongside the infection.
📌 Case of the day : Prolapsed Submucosal Uterine Fibroid (Pedunculated Leiomyoma)
👩⚕️ Clinical history : 35-year-old female presenting with sensation of a mass coming out per vagina.
🖥️ Ultrasound
• Uterus in normal anatomical position — no uterine prolapse ✅ • Large heterogeneous hypoechoic mass extending from uterine cavity through cervix into vaginal canal 🔍 • Vascular stalk sign seen on Doppler, arising from the uterine body 🎯 • Cervical stroma intact — excludes cervical fibroid ❌ • Bilateral ovaries normal 🫧 • No free fluid in pelvis 🚫💧
💡 Key Learning Points
• Trace the origin — pedicle = truth teller 🧵 • Distinguish from cervical fibroid & uterine prolapse ✅ • Doppler confirmation is critical 🎥 • Symptomatic cases → gyne surgical removal recommended ⚕️ • MRI may assist in pre-operative planning 🧭
✨Ultrasound — especially color Doppler — remains a powerful first-line tool in identifying fibroid origin and differentiating pelvic masses. Precision in tracing the vascular pedicle ensures the correct diagnosis and optimal management. 🩺🔬.
Findings: Uterus: Endometrial cavity visualized. A well-defined, pedunculated, heterogeneous solid mass seen arising from the uterine body endometrial surface, prolapsing through the cervix into the vaginal canal. Mass demonstrates heterogeneous echotexture with internal vascularity on Doppler. Stalk connection to uterine body clearly visualized ✅
Cervix: Cervical canal dilated by the prolapsed mass; cervical origin not identified.
Ovaries: Both ovaries visualized, normal in size and echotexture. No adnexal mass.
Free fluid: None.
🧠 Impression: Sonographic findings are consistent with a prolapsed pedunculated submucosal uterine leiomyoma (fibroid) with vascular stalk arising from the uterine body.
Right iliac swelling examined with high frequency linear transducer, Reveals a full thickness fluid cleft involving internal oblique muscle. Defect size is about 16mm x 12mm. Overlying external oblique muscle, subcutaneous fat and underlying transversus abdominis muscle show normal echopattern.
Ultrasonography
What methods are utilized to measure pleural effusion on ultrasound ✍️ #Ultrasonography #UltraScane #DeepView #UltrasoundExpert #RadiologyLearning #RadiologyEducation #OBGYNLearning #MedEd #ExamPrep #ClinicalPearls #Ultrasonography #UltrasoundEducation #UltrasoundTeaching #DopplerUltrasound #ColorDoppler #SpectralDoppler #Sonography #MedicalImaging Ultrasonography for insights & DeepView
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Ultrasonography
1 week ago | [YT] | 2
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Ultrasonography
“This Patient Has a Slow-Growing Parotid Lump… What’s Your Diagnosis?🤔”
#SalivaryGlandUltrasound #ParotidTumor
#ParotidUltrasound #RadiologyReels
#UltrasoundEducation #SonoCase #SonoTips #MedicalReels #UltrasoundClinic #ultrasound #HeadAndNeckUltrasound #ENTRadiology
#SonographerLife #RadiologyDaily
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#MedicoReels #RadiologyWorld #MedicalMystery #IdentifyTheLesion
#IGRadiology #RadiologyLearning
#ViralMedCase #DiagnosticImaging
#UltrasoundMastery #MedTwitterStyle Ultrasonography for insights & DeepView
4 weeks ago | [YT] | 2
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Ultrasonography
🎯 CASE STUDY | Acute Epididymitis with Funiculitis & Epididymal Cyst
👨⚕️ Clinical Background:
A 28-year-old male presented with right scrotal pain and swelling for 2 days, accompanied by on and off fever and mild discomfort while walking.
No history of trauma or urinary symptoms.
🧠 Ultrasound Findings (Scrotal USG with Color Doppler):
• Right epididymis: Diffusely enlarged, hypoechoic, showing markedly increased color flow, indicating acute inflammation (epididymitis).
• Spermatic cord: Thickened and edematous with hypervascularity, consistent with associated funiculitis.
• Right epididymal head: Contains a well-circumscribed, anechoic cystic lesion with posterior acoustic enhancement — epididymal cyst (benign).
• Right testis: Maintains normal echotexture and vascularity — no torsion or abscess.
• Scrotal wall: Mildly thickened and edematous.
• Minimal reactive hydrocele seen on the right side.
🩻 Final Impression:
✅ Acute right epididymitis
✅ Associated funiculitis (spermatic cord inflammation)
✅ Right epididymal cyst (incidental benign finding)
✅ Mild reactive hydrocele
⸻
💬 Radiologist’s Perspective:
Recurrent or intermittent fever in such patients often reflects ongoing infection or inflammation. On Doppler, the “flame-like” hypervascular pattern over an enlarged epididymis is the classic sonographic signature of acute epididymitis.
Never miss checking the spermatic cord — if it’s thick and hypervascular, funiculitis is walking alongside the infection.
⸻
🩺 Key Ultrasound Clues:
• 🔹 Enlarged + hypoechoic epididymis + hyperemia → Epididymitis
• 🔹 Thick, vascular cord → Funiculitis
• 🔹 Anechoic, avascular lesion → Epididymal cyst
• 🔹 Normal testicular flow → Torsion excluded
⸻
✨ #RadiologyInFocus #ScrotalUltrasound #AcuteEpididymitis #Funiculitis #EpididymalCyst #ColorDoppler #RadiologyCaseStudy #UltrasoundEducation #SonographyInsights #RadiologistMindset #UltrascanInsights #DeepViewDiagnosis #RadiologyLife
1 month ago | [YT] | 2
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Ultrasonography
📌 Case of the day : Prolapsed Submucosal Uterine Fibroid (Pedunculated Leiomyoma)
👩⚕️ Clinical history :
35-year-old female presenting with sensation of a mass coming out per vagina.
🖥️ Ultrasound
• Uterus in normal anatomical position — no uterine prolapse ✅
• Large heterogeneous hypoechoic mass extending from uterine cavity through cervix into vaginal canal 🔍
• Vascular stalk sign seen on Doppler, arising from the uterine body 🎯
• Cervical stroma intact — excludes cervical fibroid ❌
• Bilateral ovaries normal 🫧
• No free fluid in pelvis 🚫💧
💡 Key Learning Points
• Trace the origin — pedicle = truth teller 🧵
• Distinguish from cervical fibroid & uterine prolapse ✅
• Doppler confirmation is critical 🎥
• Symptomatic cases → gyne surgical removal recommended ⚕️
• MRI may assist in pre-operative planning 🧭
✨Ultrasound — especially color Doppler — remains a powerful first-line tool in identifying fibroid origin and differentiating pelvic masses.
Precision in tracing the vascular pedicle ensures the correct diagnosis and optimal management. 🩺🔬.
👉👉👉Ultrasound Report — Prolapsed Submucosal Uterine Fibroid👉👉👉👉👇
Findings:
Uterus: Endometrial cavity visualized.
A well-defined, pedunculated, heterogeneous solid mass seen arising from the uterine body endometrial surface, prolapsing through the cervix into the vaginal canal.
Mass demonstrates heterogeneous echotexture with internal vascularity on Doppler. Stalk connection to uterine body clearly visualized ✅
Cervix: Cervical canal dilated by the prolapsed mass; cervical origin not identified.
Ovaries: Both ovaries visualized, normal in size and echotexture. No adnexal mass.
Free fluid: None.
🧠 Impression:
Sonographic findings are consistent with a prolapsed pedunculated submucosal uterine leiomyoma (fibroid) with vascular stalk arising from the uterine body.
#UterineFibroid
#ProlapsedFibroid
#SubmucosalFibroid
#GyneUltrasound
#PelvicUltrasound
#UltrasoundCase
#RadiologyCase
#Gynecology
#OBGYN
#UltrasoundEducation
#SonoFindings
#DopplerUltrasound
#MedicalImaging
#FibroidAwareness
#ProlapsedLeiomyoma
#SonographyTraining
#UltrasoundLearning
#RadiologyTeaching
#ClinicalImaging
#CaseOfTheDay
1 month ago | [YT] | 3
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Ultrasonography
Internal Oblique Muscle Tear >>>>>>>
Right iliac swelling examined with high frequency linear transducer, Reveals a full thickness fluid cleft involving internal oblique muscle. Defect size is about 16mm x 12mm. Overlying external oblique muscle, subcutaneous fat and underlying transversus abdominis muscle show normal echopattern.
#Ultrasound #Sonography #Ultrasoundphoto #Viral #Youtube. #Ultra
#Muscletearultrasound
#Trending
2 years ago | [YT] | 1
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