Journal of Clinical Ultrasound最新文献

{"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}

{"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}

{"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}

{"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}

{"title":"Leveraging Point-Of-Care Ultrasound to Diagnose a Rare Arterial Occlusive Thrombus in a Child: A Case Study.","authors":"Vrushali C Ponde, Neha Singh, Ashok N Johari, Hanna Smeds, Karen Boretsky","doi":"10.1002/jcu.24102","DOIUrl":"https://doi.org/10.1002/jcu.24102","url":null,"abstract":"<p><p>Pediatric arterial thromboembolism is an extremely rare and serious complication, especially rare when it is noncatheter-related. Most of the literature describes venous and catheter-related thromboembolism. We report a case of a 10-year-old boy with hereditary multiple exostosis who developed acute limb ischemia following deformity correction and Ilizarov ring fixation for limb lengthening. This case highlights two issues: the role of Point of Care Ultrasound (POCUS) and the management of an epidural catheter amidst unanticipated anticoagulation. It also demonstrates the importance of a multidisciplinary team-based approach for optimum management at each level.</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":"144208665","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":"Imaging-Based Diagnosis of a Wandering Choledochocele: A Rare Presentation.","authors":"Enes Gul, Irfan Atik, Aibek Tashimbekov","doi":"10.1002/jcu.24101","DOIUrl":"https://doi.org/10.1002/jcu.24101","url":null,"abstract":"<p><p>Congenital bile duct cysts are classified into four types. Type III (choledochocele) is a rare form characterized by cystic dilatation of the distal intramural segment of the common bile duct extending into the lumen of the duodenum. We present a 16-year-old case of a choledochocele diagnosed based on the findings of ultrasound, computed tomography (CT), and magnetic resonance cholangiopancreatography (MRCP). What makes this case even more rare is that the choledochocele is wandering in the duodenum lumen. As far as we can see, this was the first case of wandering choledochocele in the literature. Unfortunately, since there was no pediatric surgery in our center, the patient had to be referred to an external center.</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":"144199193","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":"Differential Diagnosis of Inflammatory Well-Differentiated Liposarcoma and Dedifferentiated Liposarcoma of the Gallbladder: Imaging and Pathological Insights.","authors":"Tomonori Kawasaki, Jiro Ichikawa, Masanori Wako, Taro Fujimaki, Yuichiro Watanabe, Katsuya Okada, Kojiro Onohara","doi":"10.1002/jcu.24098","DOIUrl":"https://doi.org/10.1002/jcu.24098","url":null,"abstract":"","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181125","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":"Cardiac Dysfunction and 5-Year Mortality in Patients With Systemic Sclerosis and Interstitial Lung Disease: A Speckle-Tracking Echocardiography Study.","authors":"Murat Demirci, Burcu Özdemir, Gülçin Zengin, Mustafa Oğuz, Murat Sünbül, Nurten Sayar","doi":"10.1002/jcu.24094","DOIUrl":"https://doi.org/10.1002/jcu.24094","url":null,"abstract":"<p><strong>Background/aims: </strong>Systemic sclerosis (SSc) is a chronic autoimmune disorder characterized by fibrosis, vascular abnormalities, and immune system activation, often leading to significant cardiac involvement and high mortality. Interstitial lung disease (ILD) is a common complication in SSc, potentially exacerbating cardiac dysfunction. This study aimed to evaluate cardiac function using speckle-tracking echocardiography (STE) and determine the impact of ILD on 5-year mortality in SSc patients.</p><p><strong>Methods: </strong>In this prospective cohort study, 68 SSc patients were divided into two groups based on the presence of ILD, assessed by thoracic computed tomography (CT): ILD group (n = 32) and non-ILD group (n = 36). Both conventional echocardiography and STE were performed to assess cardiac function, with left ventricular global longitudinal strain (LV GLS) and right ventricular global longitudinal strain (RV GLS) as primary measures. Five-year mortality data were collected and analyzed.</p><p><strong>Results: </strong>The ILD group exhibited significantly lower LV GLS (-15.62% ± 2.74%) and RV GLS (-16.46% ± 4.38%) compared to the non-ILD group (-18.01% ± 2.73%, p = 0.001 and -20.22% ± 4.30%, p = 0.001, respectively). Atrial strain parameters, including both left and right atrial reservoir and contractile strain, were significantly impaired in the ILD group. Five-year all-cause mortality was significantly higher in the ILD group (46.87%) compared to the non-ILD group (19.44%, p = 0.016). Multivariate logistic regression identified age (OR = 1.120, 95% CI: 1.022-1.226, p = 0.015) and RV GLS (OR = 0.686, 95% CI: 0.550-0.856, p = 0.001) as independent predictors of mortality. RV GLS predicted 5-year mortality with a sensitivity of 86.4% and a specificity of 80.4% at a cut-off value of -17.3%.</p><p><strong>Conclusion: </strong>SSc patients with ILD exhibit significant cardiac dysfunction and higher 5-year mortality compared to those without ILD.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173665","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":"Recognizing the Unexpected: A Rare Cause of Rice Bodies in Brucellosis.","authors":"Ayşe Kalender, Ali İzzet Akçin, Nuran Eyvaz, Ümit Dündar, Sakhi Ahmad Fazli","doi":"10.1002/jcu.24095","DOIUrl":"https://doi.org/10.1002/jcu.24095","url":null,"abstract":"<p><p>Brucella is a gram-negative zoonotic agent transmitted by consumption of raw milk and infected meat. Among musculoskeletal manifestations, axial involvement such as spondylodiscitis and sacroiliitis is well documented, while peripheral manifestations like tenosynovitis and rice bodies remain underreported. In this case, flexor tenosynovitis and associated rice body involvement due to Brucella, which developed progressive swelling, pain, and restricted movement in the wrist and third finger of the hand after a minor abrasion, were investigated ultrasonographically. As far as we know, this is the first reported case of primary brucellosis with flexor tenosynovitis and associated rice bodies demonstrated ultrasonographically in the literature.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159364","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}