ABC-Ultrasound

ABC-Ultrasound Educational ultrasound page sharing diagnostic imaging cases for learning and professional discussion. Managed by Dr. Md.

Mustain Billah, Sonologist (Ultrasound Specialist) Registered doctor in Bangladesh
https://www.facebook.com/mustain2011

Testicular Trauma on Ultrasound Key Findings:Irregular contour with discontinuity of the tunica albuginea in both te**es...
24/04/2026

Testicular Trauma on Ultrasound
Key Findings:

Irregular contour with discontinuity of the tunica albuginea in both te**es — consistent with bilateral testicular rupture

Multiple hypoechoic areas within both te**es — suggestive of bilateral intratesticular haematomas (right > left)

Heterogeneous echotexture of both te**es. Doppler demonstrates preserved flow within the spermatic cords; however, reduced and heterogeneous intratesticular perfusion, concerning for evolving ischemia

Complex fluid surrounding the right te**is — likely right-sided haematocele

Findings are highly concerning for testicular rupture with compromised perfusion.
Urgent urological evaluation and surgical exploration are recommended.

Teaching Point:
Discontinuity of the tunica albuginea with altered testicular contour is a key ultrasound sign of testicular rupture.

02/08/2025

A case of post-cesarean scar hematoma.

The patient is 20 days post- C/S and presents with lower abdominal pain. No history of fever.
On ultrasound, a bulky uterus with a mixed echogenic area at the site of the uterine cesarean scar, with free fluid collection in the endometrial cavity.
No internal vascularity found on Doppler.
This appearance is most consistent with a post-cesarean scar hematoma.
No free fluid is seen in the abdominal cavity.
Further clinical correlation is essential to rule out other complications.

18/04/2025

Ascites with curvilinear probe

24/03/2025

Umbilical cord around fetal neck

cord

18/03/2025

Locate ureteric stone on ultrasound

stone

10/03/2025

WES sign, referring the appearance of "wall echo shadow" in a contracted or partially contracted gallbladder containing acoustic shadowing gallstones.

bladder

07/03/2025

Bilateral mild fetal hydronephrosis at 37 weeks pregnancy

hydronephrosis

05/03/2025

Right renal calculus

Wall-echo-shadow sign within the gallbladder fossa referring to the sign suggests either a large gallstone or multiple s...
05/03/2025

Wall-echo-shadow sign within the gallbladder fossa referring to the sign suggests either a large gallstone or multiple small gallstones filling the lumen of a contracted or incompletely visualised gallbladder.

28/02/2025

Hepatic metastasis in breast carcinoma.
Innumerable echogenic lesions are seen in both lobe of liver with variable sizes. Few of them are having central necrosis.

14/01/2025

A case of varicocele (Description on audio)
Grading according to Sarteschi

Grade I: Reflux at the level of groin only during the Valsalva manoeuvre, without scrotal deformation or testicular hypotrophy
Grade II: Reflux at the level of the proximal segment of the pampiniform plexus only during the Valsalva manoeuvre, without scrotal deformation or testicular hypotrophy
Grade III: Reflux in the distal vessels at the level of lower sc***um only during the Valsalva manoeuvre, without scrotal deformation or testicular hypotrophy
Grade IV: Spontaneous reverse flow, increasing during the Valsalva manoeuvre, with scrotal deformation and possible testicular hypotrophy
Grade V: Resting reflux in the dilated pampiniform plexus, possibly increasing during the Valsalva manoeuvre, always accompanied by testicular hypotrophy

***um

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Khulna

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