OB Ultrasound Case Review

Radiology Oral Boards 2004

Cases # 1 - 61
Question & Answer Style
Author: Residents 2004
University of South Alabama
Department of Radiology
Last Revised (rev C): 05-MAY-04
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Case #1 6.5 wk embryo
Continued
Identify structures. By what point should they be seen?
Continued
Case #1, cont.: Identify Structures
(2
nd
trimester)
Case #1, cont.: Identify Structures
Continued
Case #1, cont.: Assessment of AFI (subjective)
Continued
Case #1, cont.: what structures are show?
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Case #2 Screening US
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Case #3
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Case #4
Continued
Case #5
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Case #6
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Case #7 (12 wk fetus)
Continued
Case #8
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Case #9: 4-chamber view
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Case #10
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Case #11a
(Image 1/3)
Continued
What associated lab test
might help confirm your
diagnosis?
Case #11b
(Image 3/3 Different Patient)
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Findings? How is this
different from the
previous case, if at
all? What abnormal
lab value might be
expected?
Case #12
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Case #13
Continued
Case #14
(12 wk fetus)
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Case #15
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Case #16
(11 wks by LMP)
Continued
Case #17
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Case #18
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AFI = 37.5 cm
Case #19
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Right Adnexa, + b-HCG Representative image of Uterus
Case #20
Multiple previous 2
nd
-trimester pregnancy losses
More Video
Case #20, cont. (different patient)
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Case #21
Hx of Polyhydramnios
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Case #22
More Images
Case #23 (left adnexa)
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Click for Hx
Sexually active, 30 yo, Left Pelvic Pain; b-HCG negative
Case #24
Hx - Multiple First-Trimester Miscarriages
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Case #33, cont. Additional Imaging.
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Skull in a different plane than
shown initially.
Real-time US of
extremeties.
Continued
Case #56 OB US For Dates
Mother is bipolar w/ chronic lithium Rx
Findings?
(click for more)
Attempt to identify chambers Normal size?
Fetal Abdomen
Case #57 Routine OB US
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Findings?
(click for hint)
One of the cardiac chambers shows virtually no contractility
Which is it? What other abnormality is apparent? Etiology?
Case #61 Screening OB US
Orientation: IUP, and images shown are from the fetal abdomen
Continued
Case #61, cont.
Findings? DDx?
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Case #61 Answers
Fetal Gallstones
- Images showed calcification in the fetal mid-abdomen, which were
shown on real-time scanning to be in the fetal GB
- Fetal gallstones are a rare benign finding, and can spontaneously
resolve
- Main DDx is from fetal liver calcifications, which are more concerning
and require addional workup
- Meconium peritonitis might also cause calcifications
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http://www.thefetus.net/page.php?id=233