CEUS shows hepatic artery perfusion after liver transplant, helping patient avoid CT and second surgery

CEUS shows hepatic artery perfusion after liver transplant, helping patient avoid CT and second surgery

By Tao Lin
Attending Physician, Department of Ultrasound in Medicine, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Mr. Zhang, a 55-year-old construction worker, suffered from hepatitis B for more than 30 years. His condition began to worsen three years ago, as he began to feel more and more tired and to show edema (e.g face, leg). Unfortunately, the disease had progressed to the stage of liver cirrhosis.
CT scan showed the liver as typical of liver cirrhosis (white (read more…)

CEUS helps young mom avoid liver biopsy

CEUS helps young mom avoid liver biopsy

By Dr. Hoiwan Cheung
Resident, Department of Radiology, University of Washington, Seattle WA.
Susan is a 42-year old mother of three with an extensive family and personal history of cancer. At the age of 26, Susan had been diagnosed with Stage III colorectal adenocarcinoma, leading to chemotherapy and surgical removal of the tumor and part of her colon. Since then, Susan has remained in complete remission and enjoyed good health and an active family with three young children under the age of (read more…)

CEUS Prevents Risky Intervention in Young Patient

CEUS Prevents Risky Intervention in Young Patient

By Dr. Michael R. Acord, an interventional radiologist with the Department of Radiology at Children’s Hospital of Philadelphia (CHOP)
Susan* is a 20-year-old patient with a rare genetic form of bone marrow failure known as dyskeratosis congenita (DC). Her condition is caused by a mutation of the TERC gene, which normally provides instructions for making a component of an enzyme that is essential for cell survival. Susan’s DC prevents her marrow from producing sufficient blood cells.
Approximately 25 days after a bone (read more…)

CEUS predicts benign versus malignant liver mass

CEUS predicts benign versus malignant liver mass

By Garvit Devmohan Khatri, MBBS
Fellow Abdominal Imaging, Department of Radiology, University of Washington, Seattle, WA
Mr. Y is a 48-year-old healthy man who noticed palpable tiny lumps near his armpits and immediately sought medical attention.  His physician ordered a biopsy, which indicated a low-grade malignancy known as “epithelioid hemangioendothelioma’ — often found in many parts of the body, including the liver and lungs, at the same time.
A follow up CT scan was performed to screen for other masses.  It showed an (read more…)

CEUS allows patient to avoid expensive MRI and risky biopsy

CEUS allows patient to avoid expensive MRI and risky biopsy

By Dr. Arezu Monawer
Resident, Department of Radiology, University of Washington, Seattle, WA
Mr. Y is a 56-year-old father of two. During a recent routine visit to his doctor, he said he felt good and appeared to be healthy.
Unfortunately, a digital rectal exam proved to be abnormal and Mr. Y’s prostate specific antigen blood count was elevated. A subsequent biopsy showed signs of prostate cancer.
To evaluate the size of Mr. Y’s prostate cancer and how far it may have spread, he underwent (read more…)

CEUS shows kidney mass is benign after CT suggests cancer


CEUS shows kidney mass is benign after CT suggests cancer


The ICUS Bubble Blog showcases the impact of CEUS on individual patients around the world.
By Giuseppe V. Toia, MD, MS
Fellow Abdominal Imaging, Department of Radiology, University of Washington, Seattle, WA
Ms. B. is a young, healthy 27-year-old woman who visited a local hospital emergency room with a fever of unknown origin. Physicians there performed a routine contrast-enhanced CT scan of her abdomen and found a 2.9 cm left kidney mass (Figure 1), although they were unable to determine the source of (read more…)

CEUS stages liver cancer when CT and MRI unhelpful

CEUS stages liver cancer when CT and MRI unhelpful

The ICUS Bubble Blog showcases the impact of CEUS on individual patients around the world.
By Dr. Yuko Kono
University of California San Diego
Mr. C is an 89-year-old Chinese gentleman with a history of colon cancer and stage IV chronic kidney disease, who was found to have two liver masses on an abdominal CT performed without contrast. A follow-up biopsy of the larger mass confirmed that it was primary liver cancer (or hepatocellular carcinoma). But due to the lack of contrast on (read more…)

CEUS Excludes Kidney Mass

by Dr. Lisa Johnson
Resident, Department of Radiology, University of Washington, Seattle, WA
Ms. S is a 64-year old Cambodian woman with chronic active hepatitis B currently being treated with tenofivir alafenamide fumarate, a medication to treat the viral infection of her liver. She has no radiologic or laboratory evidence of cirrhosis and has been undergoing screening abdominal ultrasounds every six months according to international guidelines due to her increased risk for liver cancer given the diagnosis of hepatitis B, which have (read more…)

sean-swearingen

UCA Alters Diagnosis and Treatment of COVID-Positive Patient

By Dr. Sean P. Swearingen
Cardiology Fellow at Rush Medical College of Rush University Medical Center, Chicago, IL
As a Cardiology Fellow working in the Medical Intensive Care Unit (MICU) during the COVID crisis, I am frequently called upon to diagnose and manage patients with high levels of troponin, a cardiac enzyme. It is often not immediately clear whether the high troponin is caused by an acute heart attack, increased demand on the heart from systemic infection, or potentially inflammation of the (read more…)