{"title":"A Case of Congenital Prepubic Sinus in a Pediatric Patient.","authors":"Lian-Di Liu, Jing-Fang Cao, Ran Chen","doi":"10.1002/jcu.70000","DOIUrl":"https://doi.org/10.1002/jcu.70000","url":null,"abstract":"<p><p>Congenital prepubic sinus (CPS) is a rare urogenital anomaly, with only a few dozen cases reported domestically and internationally. Its etiology and diagnostic criteria remain incompletely understood. This article presents a case of a 10-year-old male child with CPS who presented with an 8-year history of a dorsal penile sinus tract. The diagnosis was confirmed through physical examination, two-dimensional ultrasonography, contrast-enhanced ultrasound (CEUS), urinary tract CT, and cystourethroscopy. The patient underwent complete laparoscopic sinus tract resection via a transumbilical three-port approach. At the 6-month postoperative follow-up, there was no recurrence or complications, and the patient recovered well.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spinal Stenosis due to Heterotopic Ossification in a Patient With Hyperparathyroidism.","authors":"Berkay Yalçınkaya, Levent Özçakar","doi":"10.1002/jcu.24093","DOIUrl":"https://doi.org/10.1002/jcu.24093","url":null,"abstract":"","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Outcome Analysis of Fetal Ovarian Cysts: A Single Center Experience.","authors":"Yulan Pang, Haitao Zhou, Mengfeng Liang, Weihan Li, Guican Qin, Zuojian Yang, Qiaorui Lu, Juansong Tang, Jian Pang, Yingfei Wang, Shuihua Yang, Jing Huang","doi":"10.1002/jcu.24004","DOIUrl":"https://doi.org/10.1002/jcu.24004","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the ultrasound manifestations of ovarian cysts with different outcomes and explore the postnatal characteristics of fetal ovarian cyst torsion.</p><p><strong>Methods: </strong>A total of 74 cases of fetal ovarian cysts identified among 137 358 fetuses undergoing prenatal ultrasound examination and postnatal management in our hospital from January 2016 to September 2024 were retrospectively analyzed. Among them, 15 cases underwent postnatal ultrasound review and surgical confirmation. Based on the surgical results, these cases were divided into three groups: four cases of simple ovarian cysts (Simple Group), four cases of hemorrhagic ovarian cysts (Hemorrhage Group), and seven cases of ovarian cyst torsion (Torsion Group). The prenatal and postnatal sonographic features of these three groups were summarized and compared.</p><p><strong>Results: </strong>The simple group showed thin, smooth walls and good internal echogenicity on both prenatal and postnatal ultrasound. The torsion group and hemorrhage group exhibited complex cystic features on prenatal ultrasound, lacking specific characteristics. Postnatal ultrasound in the torsion group, in addition to the features of complex cysts, also showed residual ovarian stromal edema, the \"Squasar\" sign, and/or changes in cyst position.</p><p><strong>Conclusion: </strong>It is difficult to differentiate between hemorrhagic ovarian cysts and ovarian cyst torsion during fetal development. Immediate postnatal ultrasound review is necessary. The presence of residual ovarian stromal edema, the \"Squasar\" sign, or changes in cyst position should raise a high suspicion of ovarian cyst torsion.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Priscilla Machado, Trang Vu, Norman Rosenblum, Aaron Shafer, Flemming Forsberg, Ji-Bin Liu
{"title":"Initial Evaluation of Lymphosonography to Identify Sentinel Lymph Nodes in Cervical and Vulvar Cancer Patients.","authors":"Priscilla Machado, Trang Vu, Norman Rosenblum, Aaron Shafer, Flemming Forsberg, Ji-Bin Liu","doi":"10.1002/jcu.24103","DOIUrl":"https://doi.org/10.1002/jcu.24103","url":null,"abstract":"<p><p>The objective of this pilot study was to identify sentinel lymph nodes (SLN) in cervical or vulvar cancer subjects scheduled for surgery using lymphosonography, comparing the findings with pathology. The contrast agent Sonazoid was administered subcutaneously around the tumor, and real-time contrast-enhanced ultrasound was performed to identify SLNs. Eleven SLNs were surgically excised, while lymphosonography identified 17 SLNs in 5 subjects. Comparing surgically excised SLNs and those identified by lymphosonography showed that 10 out of 11 SLNs (or 91%) were identified by lymphosonography. Lymphosonography identified all the benign SLNs and 2 out of the 3 malignant SLNs.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Junhong Yan, Xuemin Zhou, Qi Zheng, Kun Wang, Yanbing Gao, Feifei Liu, Lei Pan
{"title":"Ultrasound Radiomics and Dual-Mode Ultrasonic Elastography Based Machine Learning Model for the Classification of Benign and Malignant Thyroid Nodules.","authors":"Junhong Yan, Xuemin Zhou, Qi Zheng, Kun Wang, Yanbing Gao, Feifei Liu, Lei Pan","doi":"10.1002/jcu.24104","DOIUrl":"https://doi.org/10.1002/jcu.24104","url":null,"abstract":"<p><strong>Introduction: </strong>The present study aims to construct a random forest (RF) model based on ultrasound radiomics and elastography, offering a new approach for the differentiation of thyroid nodules (TNs).</p><p><strong>Methods: </strong>We retrospectively analyzed 152 TNs from 127 patients and developed four machine learning models. The examination was performed using the Resona 9Pro equipped with a 15-4 MHz linear array probe. The region of interest (ROI) was delineated with 3D Slicer. Using the RF algorithm, four models were developed based on sound touch elastography (STE) parameters, strain elastography (SE) parameters, and the selected radiomic features: the STE model, SE model, radiomics model, and the combined model. Decision Curve Analysis (DCA) is employed to assess the clinical benefit of each model. The DeLong test is used to determine whether the area under the curves (AUC) values of different models are statistically significant.</p><p><strong>Results: </strong>A total of 1396 radiomic features were extracted using the Pyradiomics package. After screening, a total of 7 radiomic features were ultimately included in the construction of the model. In STE, SE, radiomics model, and combined model, the AUCs are 0.699 (95% CI: 0.570-0.828), 0.812 (95% CI: 0.683-0.941), 0.851 (95% CI: 0.739-0.964) and 0.911 (95% CI: 0.806-1.000), respectively. In these models, the combined model and the radiomics model exhibited outstanding performance.</p><p><strong>Conclusions: </strong>The combined model, integrating elastography and radiomics, demonstrates superior predictive accuracy compared to single models, offering a promising approach for the diagnosis of TNs.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yang Han, Bingbing Liu, Yonghuai Wang, Fei Xia, Jun Yang, Chunyan Ma
{"title":"Is It an Intrapericardial Mass or a Localized Pericardial Effusion? A Case Report of Tuberculous Pericarditis Evaluated by Multimodal Imaging.","authors":"Yang Han, Bingbing Liu, Yonghuai Wang, Fei Xia, Jun Yang, Chunyan Ma","doi":"10.1002/jcu.24054","DOIUrl":"https://doi.org/10.1002/jcu.24054","url":null,"abstract":"<p><p>Tuberculous pericarditis is often difficult to diagnose because of atypical symptoms and insufficient etiology examination. We present a case wherein the patient initially presented with a high fever accompanied by recurrent pericardial effusion. Notably, the etiology and genetic diagnosis of tuberculosis were negative. With the combined application of multimodal imaging techniques such as transthoracic echocardiography, transesophageal echocardiography, contrast-enhanced ultrasound and enhanced CT, clinical diagnosis and treatment can provide sufficient evidence to support tuberculous pericarditis. Following the definitive diagnosis, the patient received an adequate course of antituberculosis treatment, and the condition improved significantly, with no recurrence of symptoms.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sonography of Orthopedic Hardware (K-Wire) Abutment of the Superficial Radial Nerve (SRN)-A Case Report.","authors":"Shashank Chapala, Joban Babhulkar, Anil Bhatia, Karthikeyan P Iyengar, Rajesh Botchu","doi":"10.1002/jcu.24099","DOIUrl":"https://doi.org/10.1002/jcu.24099","url":null,"abstract":"<p><p>Orthopedic hardware can cause impingement on soft tissues, which include tendons, muscles, nerves, and vessels. We describe a rare case of impingement of the superficial radial nerve (SRN) by a Kirschner wire used for distal radio ulnar stabilization in a 53-year-old female who presented with new symptoms of pain and paraesthesia involving the distribution of SRN at 6 weeks follow-up post surgery, which is further managed by neurolysis and trimming of the impinging K wire. In this report, we highlight the role of ultrasound and advise the incorporation of innovative approaches in the diagnosis and management.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sinem Tekin, Aydın Ocal, Filiz Yarsilikal Guleroglu, Cagseli Göksu Ozgün Selcuk, Omer Gökhan Eyisoy, Emine Ufuk Büyükkaya Ocal, Ali Cetin
{"title":"Ultrasonographic Evaluation of Fetal Liver, Pancreas, Thymus, and Adrenal Glands in Diabetic Versus Non-Diabetic Pregnancies.","authors":"Sinem Tekin, Aydın Ocal, Filiz Yarsilikal Guleroglu, Cagseli Göksu Ozgün Selcuk, Omer Gökhan Eyisoy, Emine Ufuk Büyükkaya Ocal, Ali Cetin","doi":"10.1002/jcu.24100","DOIUrl":"https://doi.org/10.1002/jcu.24100","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to compare ultrasonographic measurements of selected fetal organs in diabetic pregnancies with non-diabetic pregnancies and to evaluate their potential as markers of fetal metabolic changes.</p><p><strong>Methods: </strong>This prospective comparative observational study included 143 singleton pregnancies (73 with DM and 70 with normal glucose tolerance) between 20 and 39 weeks of gestation. Ultrasonographic measurements of fetal liver length, pancreas size, adrenal gland size, thymus size, and placental thickness were obtained. Measurements were standardized as Z-scores and correlated with maternal glycemic parameters.</p><p><strong>Results: </strong>Fetal liver length (50.20 ± 12.44 vs. 37.24 ± 6.25 mm, p < 0.0001), pancreas circumference (10.62 ± 3.04 vs. 8.10 ± 2.06 cm, p < 0.0001), adrenal gland circumference (5. 58 ± 1.52 vs. 4.81 ± 1.03 cm, p = 0.0004), and placental thickness (45.78 ± 10.58 vs. 36.45 ± 5.48 mm, p < 0.0001) were significantly increased in diabetic pregnancies. Organ measurements were significantly positively correlated with HbA1c and fasting glucose levels. Multiple logistic regression analysis identified fetal liver length as the strongest independent predictor of maternal diabetes (OR: 11.797, 95% CI: 2.875-48.405, p = 0.001).</p><p><strong>Conclusion: </strong>Maternal diabetes is associated with selective enlargement of fetal metabolic organs. These ultrasonographic findings may serve as valuable non-invasive markers to identify fetuses at risk of in utero metabolic alterations in pregnancies complicated by diabetes mellitus.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ujjawal Roy, Ajay Panwar, Michael S Cartwright, A K Srivastava, Bhashwati Mukherjee, Harshita Vaibhaw, Shashi Bhushan Singh, Rahul Sharma, Neha Rani, Itu Singh, Chittaranjan Roy
{"title":"High Resolution Nerve Ultrasound in the Diagnosis of Pure Neuritic Leprosy.","authors":"Ujjawal Roy, Ajay Panwar, Michael S Cartwright, A K Srivastava, Bhashwati Mukherjee, Harshita Vaibhaw, Shashi Bhushan Singh, Rahul Sharma, Neha Rani, Itu Singh, Chittaranjan Roy","doi":"10.1002/jcu.24081","DOIUrl":"https://doi.org/10.1002/jcu.24081","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to compare the clinical, electrophysiologic, and sonographic characteristics of commonly affected peripheral nerves in suspected cases of pure neuritic leprosy (PNL) and to describe an ultrasound-guided fine needle aspiration cytology (FNAC) procedure to improve diagnostic capabilities in PNL.</p><p><strong>Methods: </strong>This retrospective study was carried out at Roy Neuro Care Centre, Ranchi, Jharkhand, India through revisiting charts of suspected cases of PNL from October 2022 to June 2024. The charts of individuals with a history, examination, and nerve ultrasound consistent with PNL were reviewed. We retrospectively analyzed the diagnostic steps, including the skin biopsy (which had been guided by electrophysiology and/or nerve ultrasound) and the ultrasound-guided FNAC of nerves that had been sent for histopathological examination, acid-fast bacilli (AFB) staining, and polymerase chain reaction (PCR).</p><p><strong>Results: </strong>Charts of 52 patients derived from the records of those with mononeuropathy or mononeuritis multiplex suspected to have PNL during October 2022-June 2024 were evaluated. The skin biopsy was diagnostic of PNL in 23 patients, while 29 patients had an inconclusive result. Those with an inconclusive result had an ultrasound-guided FNAC followed by cytology and AFB staining. The review of the records of these cases revealed that in 24 (82.8%) cases there were features suggestive of PNL, while 5 patients had negative cytology and AFB staining. Three of these individuals had PCR, with a positive result in 1 (33.3%). A positive correlation was noted between the duration of illness and markers of progressive involvement of nerves, as determined by electrodiagnosis and ultrasound.</p><p><strong>Conclusion: </strong>Nerve ultrasound and ultrasound-guided nerve FNAC can assist in the early diagnosis of PNL.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carmen Rodríguez-Barrios, Irene Gutierrez-Rosa, Moises Rodriguez-Gonzalez
{"title":"Prominent Chiari Network as a Cause of Cyanosis in Infants: A Case Report and Implications for Pediatric Cardiology Practice.","authors":"Carmen Rodríguez-Barrios, Irene Gutierrez-Rosa, Moises Rodriguez-Gonzalez","doi":"10.1002/jcu.24097","DOIUrl":"https://doi.org/10.1002/jcu.24097","url":null,"abstract":"<p><p>The Chiari network (CN) is an embryological remnant generally regarded as a benign incidental finding. When large and mobile, it may redirect venous blood across atrial communication and provoke cyanosis. We report a 1-month-old infant referred with a presumptive diagnosis of Tetralogy of Fallot whose intermittent desaturation was ultimately attributed to a prominent CN that streamed blood across a sizable atrial septal defect (ASD) in the setting of double outlet right ventricle (DORV). Recognition of this mechanism permitted conservative management until elective repair at 6 months (weight 6 kg). This case adds to the limited number of reports documenting CN-induced positional right-to-left shunting in infants with DORV and underscores how meticulous echocardiography can prevent premature surgery in underweighted neonates.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}