Ultrasound Case Library
Real Patient Reports & Imaging Findings
Real Patient Reports & Imaging Findings
Technique:
Real-time ultrasound examination of the dorsal wall was performed using a
high-frequency linear transducer (7–12 MHz).
Systematic evaluation of the posterior thoraco-lumbar region was carried out
in longitudinal and transverse planes.
Skin, subcutaneous tissue, muscle layers, and underlying soft tissue structures
were assessed.
Clinical indication:
Back Palpable lump.
Location: Right lateral dorsal wall, involving deep soft tissue.
Impression: Features suspicious for atypical lipomatous tumor.
Recommendation: Clinical correlation is advised. Further evaluation with MRI (preferred) is recommended for detailed tissue characterization and extent assessment. Histopathological confirmation is strongly advised to exclude well-differentiated liposarcoma.
Kindly Note:
Limitations / Technical Factors:
Ultrasound evaluation of dorsal wall soft tissue lesions may be limited in
accurately assessing deep extension and internal complexity.
Atypical lipomatous tumors may demonstrate heterogeneous echotexture with
thick septations, nodular non-fatty components, and internal vascularity,
which may not be fully characterized on ultrasound.
Features suggestive of malignancy may be underestimated on sonographic evaluation alone.
Further evaluation with MRI (preferred) is strongly recommended for
precise tissue characterization and differentiation from
well-differentiated liposarcoma.
Clinical correlation is essential.
• This report is not valid for medico-legal purposes.
You have reached the end of this Atypical Lipomatous Tumor – Back Lump (Dorsal Wall Ultrasound Case Study).
This evaluation was performed using Ultrasonography (USG), allowing real-time assessment of soft tissue lesions including internal architecture and vascularity.
Content is intended for educational, training, and clinical reference only.
Declaration:
I, R. K. Mouj, declare that the material presented in this case study titled
“Atypical Lipomatous Tumor – Dorsal Wall (Back Lump) on Ultrasonography (USG)”
has been prepared solely for educational and academic purposes.
The findings demonstrate a heterogeneous soft tissue lesion located in the
subcutaneous plane of the dorsal wall, showing internal septations,
variable echotexture, and possible non-fatty components, raising suspicion for an
atypical lipomatous tumor.
On ultrasound, such lesions may exhibit thick septa, nodularity, and internal vascularity,
features that differentiate them from simple benign lipomas and warrant further evaluation.
Ultrasonography provides an initial assessment; however, it has limitations in
complete tissue characterization and assessment of lesion extent. MRI is strongly recommended
for further evaluation and differentiation from well-differentiated liposarcoma.
These findings are intended for learning and demonstration only.
Definitive diagnosis requires histopathological confirmation along with appropriate clinical correlation and management.
Author: ____________________
Name: R. K. Mouj [Radio-imaging Technologist]
Domain: Diagnostic Sonography & Soft Tissue Imaging
Modality: Ultrasonography (USG)
Platform: SonoAcademy
Supervisor / Guide: Department Radiologist
Department: Radiology
Technique:
Real-time ultrasound examination of the dorsal wall was performed using a
high-frequency linear transducer (7–12 MHz).
Systematic evaluation of the posterior thoraco-lumbar region was carried out
in longitudinal and transverse planes.
Skin, subcutaneous tissue, muscle layers, and underlying soft tissue structures
were assessed.
Clinical indication:
Back Palpable lump.
Location: Right lateral dorsal wall, within subcutaneous tissue (Upper back.)
Impression: Features suggestive of spindle cell / pleomorphic lipoma.
Recommendation: Clinical correlation is advised. Further evaluation with MRI may be considered in case of atypical features. Histopathological confirmation is recommended for definitive diagnosis.
Kindly Note:
Limitations / Technical Factors:
Ultrasound evaluation of dorsal wall soft tissue lesions may be limited in
accurately assessing deep extension and internal complexity.
Atypical lipomatous tumors may demonstrate heterogeneous echotexture with
thick septations and non-fatty components, which may not be fully characterized on ultrasound.
Subtle features suggestive of malignancy, including internal nodularity and vascularity,
may be underestimated on sonographic evaluation.
Further evaluation with MRI (preferred) is strongly recommended for
detailed tissue characterization, extent assessment, and differentiation from
well-differentiated liposarcoma.
Clinical correlation is essential.
• This report is not valid for medico-legal purposes.
You have reached the end of this Spindle Cell / Pleomorphic Lipoma – Back Lump (Dorsal Wall Ultrasound Case Study).
This evaluation was performed using Ultrasonography (USG), allowing real-time assessment of superficial soft tissue lesions and their internal characteristics.
Content is intended for educational, training, and clinical reference only.
Declaration:
I, R. K. Mouj, declare that the material presented in this case study titled
“Spindle Cell / Pleomorphic Lipoma – Dorsal Wall (Back Lump) on Ultrasonography (USG)”
has been prepared solely for educational and academic purposes.
The findings demonstrate a well-defined soft tissue lesion located in the
subcutaneous plane of the dorsal wall, showing variable echotexture with
internal linear echogenic strands, consistent with features of a
spindle cell / pleomorphic lipoma.
On ultrasound, these lesions may appear heterogeneous due to fibrous stromal components
and can sometimes mimic atypical or more complex soft tissue lesions.
Ultrasonography is useful for initial evaluation; however, it has limitations in
complete tissue characterization. Further imaging with MRI may be considered
in cases with atypical features or diagnostic uncertainty.
These findings are intended for learning and demonstration only.
Definitive diagnosis requires histopathological confirmation and appropriate clinical correlation.
Author: ____________________
Name: R. K. Mouj [Radio-imaging Technologist]
Domain: Diagnostic Sonography & Soft Tissue Imaging
Modality: Ultrasonography (USG)
Platform: SonoAcademy
Supervisor / Guide: Department Radiologist
Department: Radiology
Technique:
Real-time ultrasound examination of the dorsal wall was performed using a
high-frequency linear transducer (7–12 MHz).
Systematic evaluation of the posterior thoraco-lumbar region was carried out
in longitudinal and transverse planes.
Skin, subcutaneous tissue, muscle layers, and underlying soft tissue structures
were assessed.
Clinical indication:
Back Palpable lump.
Location: Right lateral dorsal wall, within the subcutaneous plane.
Impression: Features suggestive of angiolipoma.
Recommendation: Clinical correlation is advised. Surgical excision may be considered if painful. Histopathological confirmation is recommended.
Kindly Note:
Limitations / Technical Factors:
Ultrasound evaluation of dorsal wall soft tissue lesions may be limited in
deeply located components and in assessing internal vascular architecture in detail.
Small vascular channels within angiolipoma may not be fully characterized on ultrasound.
Further evaluation with MRI (preferred) or CT may be advised for
better tissue characterization, extent assessment, and surgical planning if clinically indicated.
Clinical correlation is recommended.
• This report is not valid for medico-legal purposes.
You have reached the end of this Angiolipoma – Back Lump (Dorsal Wall Ultrasound Case Study).
This evaluation was performed using Ultrasonography (USG), enabling real-time assessment of superficial soft tissue lesions and their vascular characteristics.
Content is intended for educational, training, and clinical reference only.
Declaration:
I, R. K. Mouj, declare that the material presented in this case study titled
“Subcutaneous Angiolipoma – Dorsal Wall (Back Lump) on Ultrasonography (USG)”
has been prepared solely for educational and academic purposes.
The findings demonstrate a well-defined, predominantly hyperechoic lesion located in the
subcutaneous plane of the dorsal wall, showing internal vascular components,
consistent with an angiolipoma.
On ultrasound, angiolipomas may exhibit mild internal vascularity on color Doppler,
differentiating them from simple lipomas. The lesion typically maintains a parallel
orientation to the skin surface without significant surrounding tissue infiltration.
Ultrasonography serves as a useful, non-invasive modality for evaluating superficial
vascular soft tissue masses; however, further imaging (MRI) may be required for
detailed vascular and tissue characterization when indicated.
These findings are intended for learning and demonstration only.
Definitive diagnosis and management require clinical correlation and appropriate medical consultation.
Author: ____________________
Name: R. K. Mouj [Radio-imaging Technologist]
Domain: Diagnostic Sonography & Soft Tissue Imaging
Modality: Ultrasonography (USG)
Platform: SonoAcademy
Supervisor / Guide: Department Radiologist
Department: Radiology
Technique:
Real-time ultrasound examination of the dorsal wall was performed using a
high-frequency linear transducer (7–12 MHz).
Systematic evaluation of the posterior thoraco-lumbar region was carried out
in longitudinal and transverse planes.
Skin, subcutaneous tissue, muscle layers, and underlying soft tissue structures
were assessed.
Clinical indication:
Back Palpable lump.
Location:
Right lateral dorsal wall, within the subcutaneous plane.
Impression: Features are suggestive of a subcutaneous lipoma in the right lateral dorsal wall.
Recommendation: Clinical correlation is advised. Follow-up ultrasound may be considered if there is increase in size or symptoms. Surgical consultation can be considered if clinically indicated.
Kindly Note:
Limitations / Technical Factors:
Ultrasound evaluation is limited for deep-seated lesions and bony structures.
Clinical correlation and further imaging (MRI / CT) may be required
depending on clinical suspicion.
• This report is not valid for medico-legal purposes.
You have reached the end of this Lipoma – Back Lump (Dorsal Wall Ultrasound Case Study).
This evaluation was performed using Ultrasonography (USG), allowing real-time assessment of superficial soft tissue structures.
Content is intended for educational, training, and clinical reference only.
Declaration:
I, R. K. Mouj, declare that the material presented in this case study titled
“Subcutaneous Lipoma – Dorsal Wall (Back Lump) on Ultrasonography (USG)”
has been prepared solely for educational and academic purposes.
The findings demonstrate a well-defined, hyperechoic lesion located in the
subcutaneous plane of the dorsal wall, consistent with a lipoma.
The lesion typically shows parallel orientation to the skin surface,
absence of internal vascularity, and no surrounding soft tissue infiltration.
Ultrasonography is a reliable, non-invasive modality for evaluating superficial soft tissue masses,
helping differentiate benign lesions like lipoma from other pathological conditions.
These findings are intended for learning and demonstration only.
Definitive diagnosis and management require clinical correlation and appropriate medical consultation.
Author: ____________________
Name: R. K. Mouj [Radio-imaging Technologist]
Domain: Diagnostic Sonography & Soft Tissue Imaging
Modality: Ultrasonography (USG)
Platform: SonoAcademy
Supervisor / Guide: Department Radiologist
Department: Radiology
Technique:
Examination performed using a convex 3.5–5 MHz transducer.
Longitudinal and transverse planes of the abdomen were evaluated.
Color Doppler assessment of hepatic and portal vessels was performed.
Pelvic and post-void images were obtained.
Patient was fasting for 6–8 hours.
Prior studies: No prior imaging available.
Clinical history: Abdominal pain.
Liver:
Liver is enlarged in size, shape, and echotexture.
Intrahepatic biliary radicles are not dilated.
No focal lesion such as mass, cyst, or abscess is seen.
PV: Portal vein is normal in caliber with normal hepatopetal flow.
Gall Bladder:
Gall bladder is normal in size, shape, and echotexture.
No calculus, mass, or sludge is seen.
Wall thickness is normal.
Common Bile Duct (CBD):
CBD is normal in course and caliber throughout its visualized length.
Pancreas:
Pancreas is normal in size, shape, and echotexture.
Main pancreatic duct is not dilated.
No focal mass or calcification is seen.
Spleen:
Spleen is normal in size, shape, and echotexture.
Splenic vein appears normal.
No focal lesion or calcification is seen.
Right Kidney:
Right kidney is normal in size, shape, and echotexture.
Corticomedullary differentiation is well preserved.
A well-defined echogenic focus measuring 4.0 mm calculus is noted, showing posterior acoustic shadowing.
Pelvicalyceal system is not dilated.
No evidence of hydronephrosis or focal mass lesion is seen.
Other Observations:
High-frequency linear (7.5–10 MHz) probe evaluation was performed in longitudinal and transverse planes.
Lymph node: No evidence of abdominal lymphadenopathy is seen.
Aorta: Abdominal aorta appears normal in course and caliber. No aneurysmal dilatation noted.
Bowel: Bowel loops are unremarkable. No bowel wall thickening, dilatation, or abnormal peristalsis observed.
Abdominal wall: Appears intact with no evidence of hernia or focal defect.
Appendix: Not visualized; no sonographic features suggestive of acute appendicitis
Inguinal region: Bilateral inguinal regions appear normal. No evidence of inguinal hernia or lymphadenopathy.
Measurement Summary:
| Liver : | XXX mm (Midclavicular length) |
| Spleen : | XX mm (Bipolar length) |
| Right Kidney : | XXX mm (Length) |
| Left Kidney : | XXX mm (Length) |
| Prostate Volume : | XX mL |
Impression:
Hepatomegaly noted.
Bilateral renal calculi (nephrolithiasis) seen with echogenic foci showing posterior acoustic shadowing.
No obvious hydronephrosis / obstructive uropathy detected (if applicable).
Recommendation:
Clinical correlation advised.
Correlate with renal function tests and consider urological consultation.
Follow-up ultrasound / further imaging (if symptomatic) may be considered.
Kindly Note:
• Kindly intimate us regarding any typographical errors and submit the report for correction within 7 days.
Limitations / Technical Factors: Ultrasound has limitations in detecting small ureteric calculi and subtle bowel lesions.
Visualization of pancreas may be limited due to overlying bowel gas.
Detection of early obstruction or non-shadowing calculi may be limited.
• This report and accompanying images are not valid for medico-legal purposes.
You have reached the end of this Hepatomegaly with Bilateral Renal Calculi – Ultrasound Case Study.
This evaluation was performed using Ultrasonography (USG), providing real-time assessment of abdominal organs.
Content is intended for educational, training, and clinical reference only.
Declaration:
I, R. K. Mouj, declare that the material presented in this case study titled
“Hepatomegaly with Bilateral Renal Calculi on Ultrasonography (USG)”
has been prepared solely for educational and academic purposes.
The findings demonstrate an enlarged liver consistent with hepatomegaly,
along with the presence of calculi in both kidneys (bilateral renal calculi).
The renal stones may vary in size and location, with possible posterior acoustic shadowing.
Ultrasonography provides a non-invasive and effective modality for evaluating liver size and renal stone disease.
These findings are intended for learning and demonstration only.
Definitive diagnosis and management require clinical correlation and appropriate medical consultation.
Author: ____________________
Name: R. K. Mouj [Radio-imaging Technologist]
Domain: Diagnostic Sonography & Abdominal Imaging
Modality: Ultrasonography (USG)
Platform: SonoAcademy
Supervisor / Guide: Department Radiologist
Department: Radiology
Technique:
Transvaginal ultrasound examination performed using a high-frequency endovaginal probe (5–9 MHz).
Images obtained in sagittal and transverse planes.
Color Doppler applied where indicated.
Prior studies: No prior imaging available.
Clinical history: 37-year-old female presenting with pelvic pain and infertility.
Uterus: Uterus appears bulky in size and normal in position. Myometrium appears homogeneous. A well-defined hypoechoic mass lesion is seen arising from the anterior cervical wall, measuring 39.5 × 47.7 mm, suggestive of a cervical fibroid. The lesion shows smooth margins with no obvious cystic degeneration or calcification. Endometrium: Endometrial echo complex appears within normal limits for age and menstrual phase. Right Ovary: Right ovary is normal in size and echotexture. Follicles are seen. No adnexal mass lesion noted. Left Ovary: Left ovary is normal in size and echotexture. Follicles are seen. No cyst or solid lesion noted. Pouch of Douglas (POD): No free fluid is seen.
Measurement Summary:
| Uterus : | 99 × 47 × 45 mm |
| Cervical Fibroid : | 39.5 × 47.7 mm |
Impression: Bulky uterus with a well-defined hypoechoic lesion arising from the anterior cervical wall, consistent with a cervical fibroid.
Recommendation: Gynecological consultation and clinical correlation advised.
Kindly Note:
• Kindly intimate us regarding any typographical errors within 7 days.
• Ultrasound has limitations in detecting small pelvic lesions.
• TVS provides better resolution for pelvic structures.
• This report is not valid for medico-legal purposes.
You have reached the end of this Bulky Uterus with Cervical Fibroid – TVS Case Study.
This evaluation was performed using Transvaginal Sonography (TVS), providing high-resolution assessment of pelvic structures.
Content is intended for educational, training, and clinical reference only.
Declaration:
I, R. K. Mouj, declare that the material presented in this case study titled
“Bulky Uterus with Anterior Cervical Fibroid on Transvaginal Sonography (TVS)”
has been prepared solely for educational and academic purposes.
The findings demonstrate a bulky uterus with a well-defined fibroid arising from the anterior cervical wall,
measuring approximately 45.5 × 47.7 mm.
TVS provides superior resolution for evaluation of uterine and cervical pathology.
These findings are intended for learning and demonstration only.
Definitive diagnosis and management require clinical correlation and gynecological consultation.
Author: ____________________
Name: R. K. Mouj [Radio-imaging Technologist]
Domain: Diagnostic Sonography & Gynecological Imaging
Modality: Transvaginal Sonography (TVS)
Platform: SonoAcademy
Supervisor / Guide: Department Radiologist
Department: Radiology
Technique:
Examination performed using a convex 3.5–5 MHz transducer.
Transabdominal pelvic scan performed with adequately filled urinary bladder.
Longitudinal and transverse sections obtained.
Color Doppler used where required.
Prior studies: No prior imaging available.
Clinical history: 37y old patient present with pelvic pain and infertility
Urinary Bladder:
Urinary bladder is adequately distended.
Wall thickness appears normal.
No intraluminal mass or debris is seen.
No post-void residual urine.
Uterus:
Uterus is bulky in size, shape, and position.
Myometrium appears homogeneous.
Endometrium:
Endometrial echo complex appears normal for age and menstrual phase. Endometrial thickness is within normal limits.
The cervix shows a well-defined hypoechoic mass lesion arising from the anterior cervical wall, measuring 45.5 × 47.7 mm.
The lesion appears solid with smooth margins. No obvious cystic degeneration or calcification is noted.
Right Ovary:
Right ovary is normal in size and echotexture.
Follicles are seen.
No cyst or solid lesion noted.
Left Ovary:
Left ovary is normal in size and echotexture.
Follicles are seen.
No cyst or solid lesion noted.
Adnexa:
No adnexal mass or lesion is seen bilaterally.
Pouch of Douglas (POD):
No free fluid is seen.
Measurement Summary:
| Uterus : | 110 × 47 × 55 mm |
| Cevical fibroid : | 47.7 × 45.5 mm |
Impression: Bulky uterus noted. A well-defined mass is seen arising from the anterior cervical wall,considered to cervical fibroid.
Recommendation: Gynecological consultation and clinical correlation advised.
Kindly Note:
• Kindly intimate us regarding any typographical errors within 7 days.
• Ultrasound has limitations in detecting small pelvic lesions.
• Transvaginal scan may provide better evaluation if clinically indicated.
• This report is not valid for medico-legal purposes.
You have reached the end of this Bulky Uterus with Cervical Fibroid – Ultrasound Case Study.
Content is intended for educational, training, and clinical reference only.
Declaration:
I, R. K. Mouj, declare that the material presented in this case study titled
“Bulky Uterus with Anterior Cervical Fibroid on Ultrasound” has been prepared solely
for educational and academic purposes.
The sonographic findings demonstrate a bulky uterus with a well-defined fibroid
arising from the anterior cervical wall measuring approximately 45.5 × 47.7 mm.
These findings are intended for learning and demonstration purposes only.
Definitive diagnosis and management require clinical correlation and
gynecological consultation.
Author: ____________________
Name: R. K. Mouj [Radio-imaging Technologist]
Domain: Diagnostic Sonography & Gynecological Imaging
Platform: SonoAcademy
Supervisor / Guide: Department Radiologist
Department: Radiology
Ultrasound Case Library – Real Patient Reports & Imaging Findings Ultrasound Case Library Real Patient Reports & ...