Gray scale&Doppler ultrasound Cases.

18/05/2026

An ill-defined irregular outline ,heterogeneous echotexture intratesticular solid mass with increased vascularity on color Doppler suggestive of testicular neoplasm.

17/02/2026

focal fatty infiltration of Right lobe with
Hemangioma ?

12/12/2025

Emphysematous Pyelonephritis (EPN) – Ultrasound
65 years old patient came with Diabetes and High level of boold urea and blood creatinine.

Presenting Symptoms: Fever, flank pain, dysuria, nausea.

1️⃣ Definition

A severe, necrotizing, gas-forming infection of the renal parenchyma, most commonly seen in patients with diabetes mellitus or urinary tract obstruction. Early diagnosis is crucial to prevent sepsis and renal failure.
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2️⃣ Ultrasound Findings

1_Enlarged kidney

2_Loss of corticomedullary differentiation

3_Multiple highly echogenic foci in renal parenchyma

4_Dirty shadowing / reverberation artifacts indicating intraparenchymal gas

5_Hypoechoic, swollen renal cortex

6_Reduced or absent blood flow in necrotic areas on Doppler.

21/11/2025

Bilateral undescended abdominal te**es.
Ultrasound Finding.

Both te**es are not visualized within the scrotal sac.

Two oval hypoechoic structures consistent with te**es are identified within the lower abdomen, located Around the Illiac Artery and superior to the inguinal canals.

05/11/2025

🧠 Polycystic Kidney Disease with Seminal Vesicle Cysts

📍 Ultrasound Findings & Clinical Notes

🩺 Ultrasound Findings:

Kidneys: Enlarged with multiple variable-sized cysts scattered in both cortices and medullae.

Seminal Vesicles: Enlarged, containing simple or septated cystic areas, usually bilateral.

No internal vascularity on color Doppler.

🧬 Clinical Note:
This represents an extrarenal manifestation of autosomal dominant polycystic kidney disease (ADPKD).
Seminal vesicle cysts may cause obstructive azoos***mia, low ej*****te volume, or even infertility due to ejaculatory duct obstruction.

23/10/2025

A well-defined regular-outlined complex mass with heterogeneous texture in the right lobe of liver.

11/10/2025

11/10/2025

> 🔹 A hypoechoic, irregular, ill-defined lesion in the peripheral zone with increased vascularity on color Doppler — suspicious for carcinoma prostate.
Utrasound finding

Location __ more than in Peripheral zone
Echogenicity __ Hypoechoic lesion
Margins Poorly defined __irregular borders
Shape Irregular__asymmetric appearance
Echotexture Heterogeneous echotexture
Capsular invasion.
Bladder base invasion.
Color Doppler findings (Hypervascularity) (Chaotic vascular pattern).
Calcification
Cystic / necrotic areas In _high-grade
Pelvic lymphadenopathy

صفحه مان را لایک و با دوستان شییر کنید

06/10/2025

Spermatocele = Cystic dilatation of the epididymal duct containing s***matozoa seen in superior pole of te**is.

Ultrasound finding
_______________________
Cystic lesion in epididymal head

Fine low-level echoes inside (s***m content)

No internal vascularity on Doppler

the Difference between epididymal cyst and s***matocele Just Internal Echose that seen in the s***matocele.