RENAL CALYCEAL MICROLITHIASIS & Prostatomegaly (BPG grade-i) - AN ULTRASOUND DIAGNOSIS whole abdomen male
🖋️ Genrate reports
Gallbladder & biliary tract:Gallbladder well distended. Wall normal. Lumen is echo-free. No pericholecystic fluid. Common bile duct (CBD) diameter within expected limits for age. No intrahepatic biliary dilatation.
Pancreas: Pancreatic head and body partially visualized; contour preserved; no focal mass seen in the visualized portion. Examination limited by overlying bowel gas.
Spleen:Normal polar length. Homogeneous echotexture. No focal lesion identified.
Right kidney:Size: Normal. Preserved corticomedullary differentiation. No hydronephrosis. Single tiny echogenic focus (~2 mm) noted in mid calyx without definite posterior acoustic shadowing -consistent with microlithiasis.
Left kidney:Size: Normal. Preserved corticomedullary differentiation. No hydronephrosis. No renal mass or stone detected.
Urinary bladder:Adequately distended pre-void. Wall smooth; no intraluminal mass or debris. Post-void residual: nil.
Prostate (transabdominal assessment):Prostate volume — 31.1 mL -Enlaeged. Gland appears homogeneous with no discrete focal lesion visualized. For detailed prostate evaluation, consider transrectal ultrasound (TRUS) if clinically indicated.
Abdominal aorta:Visualized abdominal aorta measures normal in diameter (proximal). No aneurysmal dilatation or mural thrombus seen.
Ascites / free fluid:No free fluid identified in the hepatorenal recess, Morrison's pouch, or pelvis.
Measurement Summary
Liver: 146 mm (MCL)
Spleen: 109 mm (Bipolar length)
Rt. Kidney: 90 mm Length)
Left Kidney: 87 mm
Prostate Vol:31.1 mL
Other observations: Linear 7.5–10 MHz probe, longitudinal and transverse planes of small parts of abdomen. No evidence of abdominal lymphadenopathy. The para-aortic, mesenteric, porta hepatis, and iliac regions show no enlarged or abnormal lymph nodes. Any visualized lymph nodes are oval, with preserved fatty hilum and normal echotexture.
Bowel: Demonstrate normal wall thickness and preserved wall layering. No abnormal dilatation, thickening, or pericolic fluid noted. Peristalsis is normal. No evidence of obstruction, mass, or inflammatory bowel changes.
Abdominal wall: Demonstrates normal layered architecture and echotexture. No evidence of hernia, mass lesion, edema, or localized collection. Subcutaneous tissues and musculature appear normal..
Ultrasound Templates — Fixed
 |
| Fig-1. rENAL shows Single tiny echogenic focus (~2 mm) noted in mid calyx without definite posterior acoustic shadowing -consistent with microlithiasis. |
Whole abdomen & pelvis sonography
Technique:Convex 3.5–5 MHz probe; longitudinal and transverse planes of upper abdomen; color Doppler evaluation of portal vein and hepatic vessels; pelvic and post-void images obtained. Fasting: 6–8 hours.
Prior studies: No prior available
Clinical history: Right Flank Pain
Findings
Liver:Normal in size. Echotexture homogeneous. No discrete focal lesion identified in the visualized liver. Intrahepatic biliary radicles not dilated.
Pancreas: Pancreatic head and body partially visualized; contour preserved; no focal mass seen in the visualized portion. Examination limited by overlying bowel gas.
Spleen:Normal polar length. Homogeneous echotexture. No focal lesion identified.
Prostate (transabdominal assessment):Prostate volume — 31.1 mL -Enlaeged. Gland appears homogeneous with no discrete focal lesion visualized. For detailed prostate evaluation, consider transrectal ultrasound (TRUS) if clinically indicated.
Ascites / free fluid:No free fluid identified in the hepatorenal recess, Morrison's pouch, or pelvis.
Measurement Summary
Liver: 146 mm (MCL)
Spleen: 109 mm (Bipolar length)
Rt. Kidney: 90 mm Length)
Left Kidney: 87 mm
Prostate Vol:31.1 mL
Other observations: Linear 7.5–10 MHz probe, longitudinal and transverse planes of small parts of abdomen. No evidence of abdominal lymphadenopathy. The para-aortic, mesenteric, porta hepatis, and iliac regions show no enlarged or abnormal lymph nodes. Any visualized lymph nodes are oval, with preserved fatty hilum and normal echotexture.
Bowel: Demonstrate normal wall thickness and preserved wall layering. No abnormal dilatation, thickening, or pericolic fluid noted. Peristalsis is normal. No evidence of obstruction, mass, or inflammatory bowel changes.
Abdominal wall: Demonstrates normal layered architecture and echotexture. No evidence of hernia, mass lesion, edema, or localized collection. Subcutaneous tissues and musculature appear normal..
Impression / Conclusion:
• Right renal Calyceal microlithiasis – a single tiny echogenic focus in right renal calyx.k
• Prostatomegaly (BPH Grade 1) – prostate enlarged, measuring Echotexture appears ___ (homogeneous/heterogeneous) with no focal lesion. Mild median lobe impression (absent).
Recommendations:
• Adequate hydration advised.
• Clinical correlation for urinary symptoms (LUTS).
• Consider uroflowmetry ± PSA depending on age and clinical indication.
• Routine follow-up ultrasound as clinically recommended.
Limitations / Technical factors
Study partially limited by overlying bowel gas, which obscured complete evaluation of the pancreas.
Prostate volume assessed transabdominally; TRUS (transrectal ultrasound) provides more accurate evaluation of gland volume and zonal anatomy.
No color or spectral Doppler abnormalities detected in the assessed renal vessels. A detailed renal vascular duplex study is not included unless specifically requested.
Patient Info
Fill fields and click Insert / Update to add a header to the report.
📝 No template loaded.
ENDOMETRIOMA /CHOCOLATE CYST -AN ULTRASOUND DIAGNOSIA whole abdomen female
🖋️ Genrate reports
Ovaries: Right ovary contains multiple well-defined unilocular cysts measuring:
• Cyst 1: 105 × 74 cm
• Cyst 2: 60 × 44 cm All cysts show homogeneous low-level internal echoes (“ground-glass” appearance), smooth walls, and no internal vascularity—features suggestive of multiple ovarian endometriomas.Left ovary demonstrated normal in size and priserved echotexture. No cyst or mass lesion.
Ascites / free fluid:No free fluid identified in the hepatorenal recess, Morrison's pouch, or pelvis.
Abdominal aorta:Visualized abdominal aorta measures normal in diameter (proximal). No aneurysmal dilatation or mural thrombus seen.
Measurement Summary
Liver: 140 mm (MCL)
Spleen: 90 mm (Bipolar length)
Rt. Kidney: 120 mm Length )
Left Kidney: 130 mm
Uterus VOL-: 45 mL
Other observations: Linear 7.5–10 MHz probe, longitudinal and transverse planes of small parts of abdomen. No evidence of abdominal lymphadenopathy. The para-aortic, mesenteric, porta hepatis, and iliac regions show no enlarged or abnormal lymph nodes. Any visualized lymph nodes are oval, with preserved fatty hilum and normal echotexture.
Bowel: Demonstrate normal wall thickness and preserved wall layering. No abnormal dilatation, thickening, or pericolic fluid noted. Peristalsis is normal. No evidence of obstruction, mass, or inflammatory bowel changes.
Abdominal wall: Demonstrates normal layered architecture and echotexture. No evidence of hernia, mass lesion, edema, or localized collection. Subcutaneous tissues and musculature appear normal..
Ultrasound Templates — Fixed
 |
| Fig-1. Shows Multiple well-defined cysts with homogeneous low-level internal (“ground-glass”) echoes, smooth walls, and no internal vascularity |
 |
| Fig-2. Shows A well-defined cyst with homogeneous low-level internal echoes (“ground-glass” appearance) |
Whole abdomen & pelvis sonography
Technique:Convex 3.5–5 MHz probe; longitudinal and transverse planes of upper abdomen; color Doppler evaluation of portal vein and hepatic vessels; pelvic and post-void images obtained. Fasting: 6–8 hours.
Prior studies: No prior available
Clinical history: Pelvic Pain
Findings
Liver:Normal in size. Echotexture homogeneous. No discrete focal lesion identified in the visualized liver. Intrahepatic biliary radicles not dilated.
Gallbladder & biliary tract:Gallbladder well distended. Wall normal. Lumen is echo-free. No pericholecystic fluid. Common bile duct (CBD) diameter within expected limits for age. No intrahepatic biliary dilatation.
Pancreas: Pancreatic head and body partially visualized; contour preserved; no focal mass seen in the visualized portion. Examination limited by overlying bowel gas.
Spleen:Normal polar length. Homogeneous echotexture. No focal lesion identified.
Right kidney:Size: Normal. Preserved corticomedullary differentiation. No hydronephrosis. No renal mass or stone detected.
Left kidney:Size: Normal. Preserved corticomedullary differentiation. No hydronephrosis. No renal mass or stone detected.
Urinary bladder:Adequately distended pre-void. Wall smooth; no intraluminal mass or debris. Post-void residual: nil.
Uterus: Anteverted, normal size and myometrial echotexture. Endometrium within normal limit. No focal lesion.
• Cyst 1: 105 × 74 cm
• Cyst 2: 60 × 44 cm All cysts show homogeneous low-level internal echoes (“ground-glass” appearance), smooth walls, and no internal vascularity—features suggestive of multiple ovarian endometriomas.Left ovary demonstrated normal in size and priserved echotexture. No cyst or mass lesion.
Ascites / free fluid:No free fluid identified in the hepatorenal recess, Morrison's pouch, or pelvis.
Abdominal aorta:Visualized abdominal aorta measures normal in diameter (proximal). No aneurysmal dilatation or mural thrombus seen.
Measurement Summary
Liver: 140 mm (MCL)
Spleen: 90 mm (Bipolar length)
Rt. Kidney: 120 mm Length )
Left Kidney: 130 mm
Uterus VOL-: 45 mL
Other observations: Linear 7.5–10 MHz probe, longitudinal and transverse planes of small parts of abdomen. No evidence of abdominal lymphadenopathy. The para-aortic, mesenteric, porta hepatis, and iliac regions show no enlarged or abnormal lymph nodes. Any visualized lymph nodes are oval, with preserved fatty hilum and normal echotexture.
Bowel: Demonstrate normal wall thickness and preserved wall layering. No abnormal dilatation, thickening, or pericolic fluid noted. Peristalsis is normal. No evidence of obstruction, mass, or inflammatory bowel changes.
Abdominal wall: Demonstrates normal layered architecture and echotexture. No evidence of hernia, mass lesion, edema, or localized collection. Subcutaneous tissues and musculature appear normal..
Impression / Conclusion:📋 Multiple right ovarian endometriotic cysts (Right ovarian Ovarian endometrioma/chocolate cyst).
Recommendations: Correlate with symptoms and CA-125 if clinically indicated. Consider follow-up ultrasound in 6–12 weeks for interval assessment, or gynaecology referral for persistent/enlarging lesion or symptomatic patients. Management decisions should be individualized.
Limitations / Technical factors
Examination mildly limited due to suboptimal acoustic window, possible bowel gas interference, and patient-related factors. However, major pelvic structures were satisfactorily evaluated.
Patient Info
Fill fields and click Insert / Update to add a header to the report.
📝 No template loaded.
Subscribe to:
Comments (Atom)
Popular post
-
Blog — Table of Contents (Topic-wise) TOC Blog — Topic-wise Table of Contents TOC or... -
Obstetric & Fetal Ultrasound Abbreviations Obstetric & Fetal Ultrasound Abbreviations serve a variety of clinical and practical pur... -
Normal Late first trimester ultrasound survey A Normal Late First Trimester Ultrasound Survey typically occurs between 11 to 13.6 week... -
Fetal l cerebroplacental ratio (CPR) CPR Calculator CPR Percentile Calculator CPR Case study -
Lobes of the Liver The liver is divided into anatomical and functional lobes, based on surface landmarks and internal vasculature respec... -
Mid clavicular Liver Size Chart by Age Fetal Liver Size by Gestational Age (Weeks) Certainly, fetal li... -
Abdominal Anatomy 1. Overview The abdomen is the anatomical space between the thorax and pelvis. It contains the majority of the ... -
This is the head of your page. Example HTML page This is the body of your page. ...