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Ultrasound Campus, Munich (2025)

22/04/2022

🎯The B-mode examination delimitates a hyperechoic liver lesion in segment V, measuring 14mm.

🚥The color Doppler examination depicted internal hypervascularization.

♾️On the additional elastography, the lesion shows increassed stiffness.

🔑CEUS: Following the intravenous administration of contrast agent, an eccentric vascular arterial supply is depicted in the arterial phase.

⏳️Portal-venous and delayed phase: The lesion shows hyperenhancement.
No wash-out was detected.

✅️Final diagnosis: Focal nodular hyperplasia (FNH).

13/04/2022

🎯The B-mode sonography delimitates a hypoechoic liver lesion in segment VII - VIII, measuring 10 cm.

🔑Following the intravenous administration of contrast agent, the lesion shows a moderate arterial uptake.

⏳️Portal-venous phase and delayed phase: The lesion is bordered by an increasing wash-out, in comparison to the rest oft he liver parenchyma.

✅️Final diagnosis: Hepatocellular carcinoma (HCC).

🔬The histopathology report confirmed the diagnosis.

🎯En la ecografía en modo B se delimita en parénquima hepático una imágen hipoecoica, segmento VII – VIII, de 10 cm.

⏳️Posterior a la administración intraveosa de medio de contraste, la lesión muestra moderada captación en fase arterial.

⏳️Fase venosa-portal y fase tardía: La lesión se demarca por un progresivo lavado del contraste, en comparación con el resto del parénquima hepático.

✅️DxRx: Carcinoma hepatocelular.

🔬El reporte histopatológico confirmó el diagnóstico.

11/04/2022

🎯The B-mode examination delimitates a bulky splenic mass.

🚥The color Doppler examination depicted no signs of hypervascularization.

🔑Following the intravenous administration of contrast agent, the lesion shows enhancement during the arterial phase.

⏳️The delayed phase shows increasing wash-out, in comparison to the rest of the splenic parenchyma.

🔬The patient underwent splenectomy and the histopathology report revealed the diagnosis of splenic lymphoma.

✅️Final diagnosis: Splenic lymphoma.

08/04/2022

🎯The baseline splenic sonography shows an ill-defined hypoechoic area.

🚥Color Doppler and MFI-HD examination: The lesion shows a lack of evidence of intraparenchymal blood flow.

🔑After the intravenous administration of contrastagent, CEUS confirmed the avascular nature of the suspected areas.

✅️Final diagnosis: Splenic infarction.

🔬The patient underwent further examinations and the diagnosis of Myelodysplastic/myeloproliferative neoplasm (MDS/MPN) was revealed.

🎯En la ecografía en modo-B se observa en parénquima esplénico, un área hipoecogénica mal definida.

🚥Doppler color y MFI-HD: la lesión muestra ausencia de señal de flujo intraparenquimatoso.

🔑Tras la administración intravenosa de medio de contraste, CEUS confirmó la naturaleza avascular de el área sospechosa.

✅️Diagnóstico final: Infarto esplénico.

🔬Se realizaron exámenes complementarios y se reveló el diagnóstico de neoplasia mielodisplásica/mieloproliferativa.

ICUS Society

07/04/2022

📢Join us to our next ICUS webinar with the topic:

🗣CEUS for EVAR
(Endovascular Aneurysm Repair)

April 7, 2022.
12:00 pm (EDT)
18:00hr (CET)

Free CME-accredited webinar.

✔️✔️Free registration:

http://icus-society.org/event/ceus-for-evar-endovascular-aneurysm-repair/

ICUS Society

05/04/2022

🔎A 61-year-old male patient with clinical history of renal cell carcinoma, nephrectomy of the left kidney and additional partial nephrectomy of the right kidney.

➡️An abdominal CT-scan follow-up was carried out, where a small liver lesion was detected.

✔️In order to get more information and better assessment / definition of the liver lesion, the examination is performed with a high resolution 18 Mhz .

📢What do you see? What is your diagnosis❓️

(The answer will be posted tomorrow.)

02/03/2022

🎯The grayscale examination delimitates a subcapsular hypoechoic lesion, measuring 3.4 cm.

🚥The color Doppler examination depicts no internal blood flow signal.

🔑CEUS: Following the intravenous administration of the contrast agent, the lesion shows no uptake during the entire examination.

✅Final diagnosis: Amoebic liver abscess.

🧪Serological titers detected the presence of elevated antibody titers against amoebae.

🎯En la ecografía en escala de grises se delimita una imágen hipoecoica subcapsular de 3.4 cm.

🚥A la aplicación Doppler color no se observa vascularidad intralesional.

🔑CEUS: Tras la administración intravenosa de Sonovue, la lesión muestra ausencia de captación durante todo el estudio.

✅DxRx: Absceso hepático amebiano

🧪En el estudio serológico se detectó la presencia de niveles elevados contra ameba.

ICUS Society

23/02/2022

🔑The B-mode sonography delimitates a subcapsular, inhomogeneous lesion in the right lobe of the liver.

🔑The color Doppler sonography depicted no blood flow signal.

🔑CEUS: Following the intravenous administration of contrast agent, the lesion shows peripheral, discontinuous nodular enhancement with progressive, centripetal partial fill-in and no washout during the entire examination.

✅Final diagnosis: Partially thrombosed hepatic hemangioma.

🎯En la ecografía basal se delimita una imágen subcapsular, de ecogenicidad heterogenéa en lóbulo hepático derecho.

🚥A la coloccación Doppler color no se observa señal intralesional.

🔑CEUS: Posterior a la administración de medio de contraste, la lesión muestra realce nodular periférico, progresivo, en dirección centrípeta y llenado parcial. No se observa lavado del contraste durante todo el estudio.

✅DxRx: Hemangioma hepático parcialmente trombosado.

14/02/2022

📣Join us to our next interdisciplinary refresher course!
With the topic:

🎯Contrast Agent in the Liver. Diagnosis & Therapy.

⏰Juli 6, 2021.
📍Munich, Germany.

🗣The Workshop will be given in German language.

✔Registration👇🏼

https://www.ceuscampus.de/fortbildungen/2-interdisziplinaerer-muenchner-refresherkurs-kontrastmittel-in-der-leber-diagnostik-und-therapie/

10/02/2022

📢Join us to the next free live CME accredited ICUS webinar with the topic:

📣“Cardiovascular CEUS -- From Fundamentals to Perfusion”

Register today and earn FREE CME!

🗓Date: February 12, 2022.
⏰️Time: 2:00 pm - 3:30 pm GMT.

🗣Speakers:

👤Mark Monaghan - Professor of Cardiac Imaging, Kings College Hospital, London.
👤Tom Porter - Chair of Cardiology and Professor of Internal Medicine, University of Nebraska Medical Center.

✔Register here:👇🏽👇🏽
http://icus-society.org/event/cardiovascular-ceus-from-fundamentals-to-perfusion/

ICUS Society

09/02/2022

🎯The B-mode examination delimitates multiple, disperse hypoechoic liver lesions.

🚥The color Doppler examination depicted no signs of hypervascularization.

🔑 : Following the intravenous administration of SonoVue, the lesions show moderate uptake and a marked wash-out in the portal-venous and late phase.

✅Final diagnosis: Liver metastases.

🔬The histopathology report confirmed the diagnosis.

🎯En la ecografía basal se delimitan múltiples imágenes hipoecoicas, dispersas en el parénquima hepático.

🚥A la aplicación Doppler color, sin datos de hipervascularización.

🔑CEUS: Posterior a la administración intravenosa de medio de contraste, las lesiones presentan una moderada captación del contraste en la fase arterial y un marcado lavado en las fases venosa-portal y tardía.

✅Dx.Rx: Metástasis hepaticas.

🔬El reporte histopatológico confirmó el diagnóstico.

ICUS Society

07/02/2022

🎯The B-mode examination shows in the pre-existing liver cirrhosis, a hyperechoic lesion in the segment VIII of the liver, measuring 1.2 cm.

🚥The color Doppler examination depicted no internal blood flow signal.

🔑CEUS revealed arterial-phase hyperenhancement of the lesion.

⏱️Portal-venous phase shows persistent hyperenhancement of the lesion.

⏳️Late phase: after 4 min 11 sec, the lesion shows wash-out.

✅Final diagnosis: CEUS LI-RADS-4 (probably HCC), confirmed as HCC.

🎯La ecograía en modo B delimita en la cirrosis hepática preexistente, una imágen hiperecoica en segmento hepático VIII, de 1.2 cm.

🚥A la colocación Doppler color no se observan senal color intralesional.

🗝️CEUS reveló hiperrealce de la lesión en fase arterial.

⏱️En la fase venosa-portal se observa la lesión con hiperrealce persistente.

⏳️Fase tardía: después de 4 min 11 seg, las lesión muestra lavado del contraste.

✅Diagnóstico final: CEUS LI-RADS-4 (probablemente HCC), confirmado como HCC.

03/02/2022

🎯Due to the partially occluded portal vein in the past, a varicose vein conglomerate appears.
The mode examination delimitates an isoechoic lesion in segment IV-b of the liver, measuring 3.8 cm.

🔑On CEUS, the lesion showed moderate uptake in the arterial phase and a wash-out in the portal venous and late phases.

🔬Due to the suspicious uptake pattern, a liver guided biopsy was carried out.

✅Final diagnosis: Fibrolamellar hepatocellular carcinoma (f-HCC).

🎯Debido a antecedente de vena porta parcialmente ocluida, se observa un conglomerado de venas varicosas.
En la ecografía en modo B se delimita una imágen isoecoica en segmento hepático IV-b, de 3.8 cm.

🔑En CEUS la lesion muestra una moderada captación en la fase arterial y un progresivo lavado del contraste en las fases venosa-portal y tardía.

🔬Debido a el patrón de captación sospechoso, se realizó biopsia hepática guiada.

✅DxRx: Hepatocarcinoma fibrolamelar.

01/02/2022

🎯The B-mode examination shows in the pre-existing liver cirrhosis, an ill-defined liver lesion in the right lobe of the liver.

🚥The color Doppler examination depicted no internal blood flow signal.

🔑CEUS revealed arterial-phase hyperenhancement of the lesion.

⏳Portal-venous phase shows persistent hyperenhancement of the lesion.

⌛Late phase: After 4 min 53 sec, the lesion shows wash-out.

✅Final diagnosis: CEUS LI-RADS-4 (probably HCC), confirmed as HCC.

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🎯En la ecograía en modo B se observa en la cirrosis hepática preexistente, una imágen poco definida en el lóbulo hepático derecho.

🚥A la colocación Doppler color no se observan datos de hipervascularización.

🔑CEUS reveló hiperrealce de la lesión en fase arterial.

⏳En la fase venosa-portal se observa la lesión con hiperrealce persistente.

⌛Fase tardía: Después de 4 min 53 seg, las lesión muestra lavado del contraste.

✅Diagnóstico final: CEUS LI-RADS-4 (probablemente HCC), confirmado como HCC.

ICUS Society

31/01/2022

📣Join us to our next free ICUS webinar:

🗣️Getting Started: How to Set Up a CEUS Lab.

👉🏼Presented by the International Contrast Ultrasound Society (ICUS) in coordination with Northwest Imaging Forums, Inc.

✅REGISTRATION & CME DETAILS:

✔http://icus-society.org/education/icus-educational-events/

ICUS Society

28/01/2022

✅The B-mode ultrasound examination demarcates an anechoic lesion with a septum in segment V-VIII of the liver, measuring 6 cm.

🚥The color Doppler examination depicted no internal blood flow signal.

🔑On , the lesion shows a complete lack of enhancement throughout the vascular phases.

🧪Due to the imaging similarities, a serological test for echinococcosis was carried out, being this negative. The coproscopy of fresh f***s analysis for enteric parasitic infections was also negative.

✅Final diagnosis: Liver cyst.

✔Follow-up in 6 months.

26/01/2022

🎯The B-mode examination demarcates a slight hypoechoic lesion in the left lobe of the liver, measuring approx. 10 x 8 cm.

🚥The color Doppler examination depicted no signs of hypervascularization.

🔑CEUS: Following the intravenous administration of contrast agent, the lesion demonstrates peripheral nodular enhancement, progressing in a centripetal direction, partial central thrombosis and no washout during the entire examination.

✅Final diagnosis: Partially thrombosed hepatic hemangioma.

‐---------------

🎯La ecografía en modo B demarca una imágen discretamente hipoecoica en el lóbulo hepático izquierdo, de aprox. 10 x 8 cm.

🚥A la colocación Doppler color no se observa hipervascularización.

🔑CEUS: Posterior a la administración de medio de contraste intravenoso, la imágen muestra captación nodular periférica, la cual es progresiva en sentido centrípeto, obserevándose zona central de trombosis partcial. No se observa lavado del contraste durante todo el estudio.

✅DxRx: Hemangioma hepático parcialmente trombosado.

24/01/2022

🎯The B-mode examination shows a subcapsular, hypoechoic lesion in Segment V of the liver, measuring 1.5 cm

🚥The color Doppler examination shows peripheral blood flow signal.

🔑CEUS: Following the intravenous administration of Sonovue, the lesion shows peripheral, discontinuous nodular enhancement with progressive, centripetal fill-in, and no washout through the examination.

✅Final diagnosis:Hepatic hemangioma.

🎯En la ecografía en escala de grises se observa una imágen subcapsular, hipoecoica en segmento hepático V, de 1.5 cm.

🚥A la colocación Doppler color se observan algunos vasos periféricos.

🔑CEUS: Posterior a la administración de medio de contraste, la lesión muestra realce nodular periférico, progresivo, con dirección centrípeta. No se observa lavado del contraste durante todo el estudio.

✅DxRx: Hemangioma hepático.

Ultrasound Campus