SirEric Ayofe Fellas

03/02/2026

F/21 years....with severe generalized tenderness... Most predominantly... tenderness noted at the epigastrium..!
Could this Acute Exacerbated of PUD ..or Chronic Gastritis?
Impressions;
1. Centrilobular liver pattern/starry sky liver appearance
2. Peri cholecystic edematous wall
3. Moderate ascites at the subhepatic space and mildly at the lower peritoneal spaces

1, 2, 3 sonographic features are likely consistent with acute hepatitis

Ancillary serological screening is advised for further diagnostic evaluation

30/01/2026

26yrs female patient with history of lower pelvic tenderness, PV bleeding and one month Amenorrhea.

PT is positive

On scanning there's a large heterogenous collection notes at the right adnexal with no visible gestational sac and no vascularity on dopper interrogation coupled with fluid collection at the Morrison's pouch and sub-hepatic region and moderate lower abdominal fluid with floating bowels at the right side of the lower abdomen

There's also a small subserous myoma

Right Adnexal Ruptured Ectopic pregnancy

Moderate Abdominopelvic ascites
Subserous leiomyoma

Impressions ;

1. "Blob sign" with collapsed gestational sac
2. Right pelvic heterogeneous collection consistent with hematoma
3. Peritoneal collection

Features are depictive of ruptured right adnexal ectopic cyesis with haemoperitoneum and pelvic hematoma

Note: If the right o***y is well differentiated, KIV tubal ectopic pregnancy. FC🦋🥰🦅

12/01/2026

Increased background splenic parenchymal echogenicity with "moth eaten" or "miliary pattern" heterogeneous parenchymal echo pattern

Impression:
Features are consistent with splenic lymphoma

Suggest Abdominal CT, FBC (WBC differentials) for further diagnostic evaluation

08/11/2025

Shortened fetal femur

Possibilities:
1. Aneuploidy anomalies...trisomy 21/22
2. Skeletal dysplasia
3. IUGR

Ultrasound guided amniocentesis is advised for karyotyping to rule out chromosomal abnormalities

25/09/2025

1. "Target sign" in keeping with intussusception with2. Free fluid in the peritoneal space with mobile particulate internal debris which may be suggestive of infection or perforation

25/09/2025

1. Renal parenchymal disease associated with
2. hydronephrosis and
3. Uriniferous collection at the perirenal space consistent with urinoma

20/09/2025

Bowel stasis/aperistalsis with thickened edematous bowel wall and distended fluid filled peritoneal spaces containing fine internal echoes Features are consistent with bowel obstruction with possibility of perforation or peritonitis NB: Free peritoneal fluid collection with internal echoes or particulate debris are suspicious of the following 1. Infection 2. Perforation 3. Malignancy (patient's correlation is advised)

20/05/2025

Both ovaries were not delineated. However, a large heterogeneous mass with honey comb appearance and ovarian stromal echogenicty is seen originating from the pelvic regions and reaching upper abdomen. The long axis dimension exceeds ultrasound field view, however it measures cm in depth. Impression:Sonographic features highly favor malignant ovarian neoplasm with peritoneal metastatic spread and reactive ascites

20/05/2025

13/11/2024

The cranial defect is not well demonstrated in the caption. Fetal unilateral cranial orbit and nasal bone are demonstrated.Other facial structures are not demonstrated.Features are suggestive of Frontoethmoidal encephaloceleDisclaimer: Not a final diagnosis, it is subjective to change with better sonographic caption and perhaps from other notable colleagues with better understanding of the sonogram.

07/11/2024

Bicornuate uterus with viable intra Uterine cyesis in the right horn