Trieu Chung Hoc Sieu Am

TRIU CHNG HC SIU M
BS. NGUYN QU KHONG BS. NGUYN QUANG TRNG
KHOA CHN ON HNH NH BNH ViN AN BNH TP.HCM

12/14/2013 1
DN BI
Mt ngn cch v vch: Mt ngn cch. Vch. Hnh nh cu trc c bn trong c th: T dch. M c. M m. M rn. Hi. Hnh nh siu m ca mt s bnh l thng gp. Mt s du hiu siu m.
2
12/14/2013
DN BI
3
12/14/2013
MT NGN CCH V VCH

MT NGN CCH
Mt phng hay cong phn chia hai vng c tr m khc nhau khi tia siu m i thng gc vi chng. sin i / sin t = C1 / C2
12/14/2013
MT NGN CCH V VCH

MT NGN CCH
8
7
6
1
12/14/2013
DN BI
6
12/14/2013
MT NGN CCH V VCH

VCH
ng echo dy bao quanh mt cu trc cha dch (ti mt) hay gia hai vng dch (nang bung trng c vch).
12/14/2013
DN BI
8
12/14/2013
HNH NH CU TRC C BN
T DCH
Dch khu tr hay dch t do trong bng. Dch trong (mt, dch bng, dch trong nang): echo trng, tng hi m pha sau. Dch khng trong (mt c cn, mu, abscess): echo mng, khng ng nht, tng m nh pha sau.
12/14/2013
HNH NH CU TRC C BN
T DCH
12/14/2013
10
HNH NH CU TRC C BN
T DCH
12/14/2013
11
HNH NH CU TRC C BN
T DCH
12/14/2013
12
HNH NH CU TRC C BN
T DCH
NANG GI LCH SAU CHN THNG

12/14/2013
C.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005.p147-168
13
Hematocolpos
12/14/2013
14
HNH NH CU TRC C BN
T DCH
Abscess gan
Abscess rut tha
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15
DN BI
16
12/14/2013
HNH NH CU TRC C BN
M C
M bnh thng: C hi m vi nhng mt khc nhau: Echo mng < Ty thn < V thn < Lch < Gan < Ty < Xoang thn < Echo dy.
12/14/2013
17
HNH NH CU TRC C BN
M C
M bnh l: Ch m tng hi m (gan nhim m). Ch m gim hi m (vim ty cp). Thay i kch thc v gii hn. M tn sinh ngoi ch m chnh (hch di cn, huyt khi).
12/14/2013
18
HNH NH CU TRC C BN
M C
Huyt khi trong TMC t HCC
12/14/2013
19
HNH NH CU TRC C BN
M C
Gan nhim m
12/14/2013
C.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005
20
HNH NH CU TRC C BN
M C
Vim ty cp
12/14/2013
21
DN BI
22
12/14/2013
HNH NH CU TRC C BN
M M
M m c hi m thay i ty thuc vo t l thnh phn m x trong m m. M di da: echo mng. M xoang thn, angiomyolipoma: echo dy.
12/14/2013
23
HNH NH CU TRC C BN
M M
Cu trc hi m dy pha trn tinh hon (T)
Cu trc m m ng bn (T)
LIPOMA THNG TINH

12/14/2013
Syed Ali Akbar, MD et al. Multimodality Imaging of Paratesticular Neoplasms and Their Rare Mimics. Radiographics. 2003;23:1461-1476.
24
LIPOMA THNG TINH
Sagittal T1 v T2: tng tn hiu
Ct dc: khi hi m km trn tinh hon
Coronal T2 kh m: gim tn hiu

Paula J. Woodward, MD et al. Extratesticular Scrotal Masses: Radiologic-Pathologic Correlation. Radiographics. 2003;23:215-240. 12/14/2013 25
HNH NH CU TRC C BN
M M
Xoang thn c hi m dy do m m to thnh
12/14/2013
26
DN BI
27
12/14/2013
HNH NH CU TRC C BN
M RN
Xng v si: hi m dy v c bng lng.
SI TI MT + CN BN TI MT
12/14/2013
28
DN BI
29
12/14/2013
HNH NH CU TRC C BN
HI
Hi trong ng tiu ha, hi t do trong bng, hi trong TM ca, hi trong ng mt trong gan. Echo dy km bng lng nh si nhng khng sc nt, thay i theo thi gian v t th. Lu rng hi t do trong bng khng ng ngha vi thng tng rng v khng tm thy hi t do cng khng loi tr c thng tng rng.
12/14/2013
30
HNH NH CU TRC C BN
HI
Hi trong ng tiu ha
12/14/2013
31
HNH NH CU TRC C BN
HI
Hi t do trong bng
12/14/2013 32
HNH NH CU TRC C BN
HI
Cn phi phn bit gia hi trong TM ca v hi trong ng mt trong gan: Di tc ng ca dng chy, kh trong TMC b y v ngoi vi (b gan), trong khi , kh ng mt b y v trung tm (rn gan). Kh ng mt hay km theo kh trong ti mt.
12/14/2013
33
HNH NH CU TRC C BN
HI
BN c kh trong TMC thng trong bnh cnh rt nng trong khi BN c kh ng mt thng khng c triu chng g. Ngoi ra ta cn dng Doppler mu phn bit hai cu trc ny.
12/14/2013
34
HNH NH CU TRC C BN
HI
12/14/2013
35
HNH NH CU TRC C BN
HI
12/14/2013
36
HNH NH CU TRC C BN
HI
12/14/2013
37
HNH NH CU TRC C BN
HI
12/14/2013
38
DN BI
39
12/14/2013
Khi c Bnh l U GAN
Khi dch NANG Chon ch Echo trng
Khi vim
Khi hoi t
m vi ha SI Khng chon ch Echo dy C bng lng B trc r
VIM TY ABSCESS CP Chon ch Echo mng Tng m nh M Chon ch Echo hn hp Tng m nh M
Hi chng Chon ch hi m Echo dy
Sau khi u Khng tng C tng m m B Vin r, echo mng R trc sau, m 2 bn
Hnh nh
12/14/2013
40
DN BI
41
12/14/2013
MT S DU HIU SIU M

Du hiu vin bao (halo sign, rim sign). Du hiu mt b (bulleye sign). Tn thng hnh sao (stellate pattern). Du hiu sng sn hoc knh i (shotgun sign, double channel sign). Du hiu bng hi m vch (WES sign Wall Echo Shadow sign). Du hiu gi thn (pseudo-kidney sign). Du hiu bia bn (target sign). Du hiu mn ca (curtain sign). Du hiu bc thang (step-ladder sign). Bnh mc ni (omental cake). Du hiu bnh sandwich (sandwich sign). Du hiu thm nhim m (fat stranding sign). Du hiu v hnh (onion skin sign). Du hiu xoy nc (whirlpool sign).
12/14/2013
42
MT S DU HIU SIU M

Du hiu vin bao (halo sign, rim sign). Du hiu mt b (bulleye sign). Tn thng hnh sao (stellate pattern). Du hiu sng sn hoc knh i (shotgun sign, double channel sign). Du hiu bng hi m vch (WES sign Wall Echo Shadow sign). Du hiu gi thn (pseudo-kidney sign). Du hiu bia bn (target sign). Du hiu mn ca (curtain sign). Du hiu bc thang (step-ladder sign). Bnh mc ni (omental cake). Du hiu bnh sandwich (sandwich sign). Du hiu thm nhim m (fat stranding sign). Du hiu v hnh (onion skin sign). Du hiu xoy nc (whirlpool sign).
12/14/2013
43
DU HIU VIN BAO

(HALO SIGN, RIM SIGN)
nh ngha: l tn thng gan c ranh gii r rt vi phn gan cn li. Nhn bit: Tn thng thy r gii hn trn siu m, CT trc v sau chch thuc, T1, T2 v T1Gado. Du cng r chng t khi u cng pht trin mnh. Khi nghi ng ta c th th v mt vng theo gii hn ca tn thng, nu c s ngp ngng th c ngha l tn thng khng c gii hn r rng.
L.Arrive. Guide d'imagerie Abdominopelvienne. 2004
44
12/14/2013
DU HIU VIN BAO

Nguyn nhn: C hai loi hnh nh tn thng gan c gii hn: Khi tn thng c ng vin bao quanh - Rim sign (+) th thng l tn thng c tnh nguyn pht (Hepatocellular Carcinoma-HCC) hoc th pht (metastasis). Khi tn thng khng c ng vin bao quanh Rim sign (-) th thng l tn thng lnh tnh (Nang gan, Hemangioma, FNH).
45
12/14/2013
Rim sign (+) Trn siu m l ng vin hi m km bao quanh tn thng c hi m dy hoc hn hp. ng vin c th u n hoc khng u n.
12/14/2013
46
ng vin tng ng vi v bao (capsule) hoc gi v bao (pseudocapsule). ng vin ny hnh thnh do phn ng vim hoc xm ln ca khi u. i vi abscess, ng vin do phn ng vim to thnh.
HCC
12/14/2013
47
DU HIU VIN BAO

Abscess gan
Joseph K.T.Lee. Lee computed body tomography with MRI correlation. 1998.
12/14/2013
48
DU HIU VIN BAO

Lu 1: Khi tn thng x y mch mu k cn (TMC hoc TM gan), n c th cho ra hnh nh gi ng vin do vch mch mu to thnh (trong trng hp ny ng vin khng lin tc). Lu 2: Mt ng vin tht s quanh tn thng c th b gin on ti v tr m khi u tng trng qu mc hoc mt tn thng v tinh nm k cn tn thng chnh.
12/14/2013
49
MT S DU HIU SIU M

Du hiu vin bao (halo sign, rim sign) Du hiu mt b (bulleye sign). Tn thng hnh sao (stellate pattern). Du hiu sng sn hoc knh i (shotgun sign, double channel sign). Du hiu bng hi m vch (WES sign Wall Echo Shadow sign). Du hiu gi thn (pseudo-kidney sign). Du hiu bia bn (target sign). Du hiu mn ca (curtain sign). Du hiu bc thang (step-ladder sign). Bnh mc ni (omental cake). Du hiu bnh sandwich (sandwich sign). Du hiu thm nhim m (fat stranding sign). Du hiu v hnh (onion skin sign). Du hiu xoy nc (whirlpool sign).
12/14/2013
50
DU HIU MT B
(BULLS EYE SIGN)
Nhn bit: Du hiu ny dng cho siu m gan. N l nhng nt trn, ng knh 1-4cm, hi m km, c trung tm hi m dy. ngha: Hnh nh ny khng c hiu, n c th gp trong nhiu bnh l. Nm Candida ngi suy gim min dch. Di cn gan, c bit l t Bronchogenic carcinoma. Lymphoma. Leukemia. Sarcoidosis. Kaposi sarcoma.
51
12/14/2013
DU HIU MT B
(BULLS EYE SIGN)
Nm Candida gan v lch
12/14/2013
52
DU HIU MT B
(BULLS EYE SIGN)
Ung th phi di cn gan

12/14/2013
53
DU HIU MT B
(BULLS EYE SIGN)
Ung th ng tiu ha di cn gan

12/14/2013 54
MT S DU HIU SIU M

12/14/2013
55
TN THNG HNH SAO

(STELLATE PATTERN)
Nhn bit: Du hiu ny dng trong siu m Doppler v siu m c cht cn m. Cc mch mu t ngoi vi hi t v trung tm ging nh cc nan hoa ca bnh xe. Lu rng du hiu ny ch c gi tr khi ta thy c mch mu trung tm. ngha: Hnh nh ny c hiu chn on Tng sn nt khu tr (FNH-focal nodular hyperplasia).
12/14/2013
56
TN THNG HNH SAO

(STELLATE PATTERN)
M.P.Federle.La Radiologie de poche-Abdomen.2004.p36
12/14/2013
57
TN THNG HNH SAO

(STELLATE PATTERN)
FNH
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58
TN THNG HNH SAO

(STELLATE PATTERN)
FNH
12/14/2013
59
MT S DU HIU SIU M

12/14/2013
60
DU HIU SNG SN HOC KNH I

(DOUBLE CHANNEL SIGN - SHOTGUN SIGN)
Hai cu trc ng chy song song trong gan do TMC v ng mt trong gan b dn to thnh. m tnh gi: trong tc mt cp tnh. Dng tnh gi: dn M gan trong x gan, bnh nhn sau ct ti mt (OMC v ng mt trong gan dn).
12/14/2013
61
12/14/2013
DOUBLE CHANEL SIGN
62
MT S DU HIU SIU M

12/14/2013
63
DU HIU BNG HI M VCH

(WES SIGN - WES=Wall Echo Shadow sign)
Nhn bit: Du hiu ny dng cho siu m vng ti mt. N biu hin bng hai ng cong song song hi m dy, chen gia l mt ng mng hi m km. Km theo l bng lng pha sau cc ng cong ny. ngha: Hoc l si to ti mt, gn nh lp y TM ch c mt khoang dch mt nh chen gia hai ng hi m dy. Hoc l c nhiu si nh lp gn nh y TM.
Frank J. Rybicki, MD, PhD.The WES Sign. (Radiology. 2000;214:881-882.)
12/14/2013
64
DU HIU BNG HI M VCH

Si to lp y TM
12/14/2013
65
DU HIU BNG HI M VCH

Nhiu si nh lp y TM
12/14/2013
66
MT S DU HIU SIU M

12/14/2013
67
DU HIU GI THN
(PSEUDO-KIDNEY SIGN)
nh ngha: Hnh nh thy c trn siu m l mt khi c hnh dng v hi m ging nh thn. Nguyn nhn: Do thnh rut dy to hnh nh ging nh v thn (xoang thn chnh l lng rut): Carcinoma i trng (annular), Vim ng tiu ha. Do lng rut, cc quai rut lng vo nhau, mc treo rut i theo quai rut lng to hi m dy trung tm.
68
12/14/2013
DU HIU GI THN
CARCINOMA I TRNG
12/14/2013
69
DU HIU GI THN
Pseudo-kidney
Right kidney
LNG RUT
David R. Anderson, MD. The Pseudokidney Sign. Radiology. 1999;211:395-397.
12/14/2013
70
MT S DU HIU SIU M

12/14/2013
71
DU HIU BIA BN
(TARGET SIGN)
Hnh nh nhng vng ng tm hi m dy v hi m km xen k hoc l vng trn hi m km vi trung tm hi m dy. Du hiu ny c th thy nhiu bnh l ca ng tiu ha. N c th l s dy ln ca vch ng tiu ha do vim (VRT, vim T gi mc), u, thiu mu, ph i (hp mn v ph i). Hoc c th l hnh nh ca cc on ng tiu ha lng vo nhau (lng rut).
72
12/14/2013
Vim rut tha cp

12/14/2013 73
DU HIU BIA BN
(TARGET SIGN)
Vim i trng gi mc
12/14/2013 74
DU HIU BIA BN
(TARGET SIGN)
12/14/2013
Thiu mu rut non do vim mch mu mc treo / Lupus ban
75
DU HIU BIA BN
(TARGET SIGN)
MN V BNH THNG
HP MN V PH I
12/14/2013
76
DU HIU BIA BN
(TARGET SIGN)
HP MN V PH I
12/14/2013 77
12/14/2013
78
DU HIU BIA BN
(TARGET SIGN)
Lng rut
12/14/2013
79
MT S DU HIU SIU M

12/14/2013
80
DU HIU MN CA
CURTAIN SIGN
Du hiu ny c to thnh bi hai bc mn kh: Bc mn th nht do kh trong phi gc sn honh (P) di ng theo nhp th. Bc mn th hai do kh t do trong bng ph trn b mt gan to thnh. Khi bnh nhn th, hai bc mn kh ny s chuyn ng ging nh khi ta ng m bc mn ca, nhng lu rng 2 bc mn ny di chuyn khng ng b (asynchrone).
81
12/14/2013
DU HIU MN CA
CURTAIN SIGN
12/14/2013
82
12/14/2013
83
MT S DU HIU SIU M

12/14/2013
84
DU HIU BC THANG
STEP-LADDER SIGN
Du hiu ny c to thnh bi hai bc thang: Bc thang trn do kh trong phi gc sn honh (P) ph trn vm honh. Bc thang di do kh t do trong bng ph trn b mt gan v mt di vm honh. Khong cch gia hai bc chnh l b dy ca vm honh.
12/14/2013
85
DU HIU BC THANG
STEP-LADDER SIGN
12/14/2013
86
MT S DU HIU SIU M

12/14/2013
87
BNH MC NI
(OMENTAL CAKE)
Bnh thng ta khng thy c mc ni trn siu m. Bnh mc ni l hnh nh c th tm thy bnh nhn u mng bng v nhi mu mc ni. Phn di (P) ca mc ni ln l ni thng thy bnh mc ni. Siu m (Puylaert): Khi bu dc (cakelike), hi m dy, khng p c, y cng l im au nht ca BN. V tr thng gp l gia thnh bng trc v T gc gan.
Clare J. Roche, MD et al. Selections from the Buffet of Food Signs in Radiology. Radiographics. 2002;22:1369-1384. 12/14/2013 88
BNH MC NI
(OMENTAL CAKE)
OMENTAL CAKE / U MNG BNG

Anthony E. Hanbidge, MD et al. US of the Peritoneum. Radiographics. 2003;23:663-685.
12/14/2013
89
BNH MC NI
(OMENTAL CAKE)
OMENTAL CAKE / U MNG BNG

12/14/2013 90
BNH MC NI
(OMENTAL CAKE)
OMENTAL CAKE / NHI MU MC NI

12/14/2013 Anthony E. Hanbidge, MB.US of the Peritoneum. (Radiographics. 2003;23:663-685.) 91
MT S DU HIU SIU M

12/14/2013
92
DU HIU BNH SANDWICH

(SANDWICH SIGN)
Khi mc treo b dy ln do hch to thnh lp m mm dy. Mch mu bt thuc chy gia 2 lp mc treo ny cho ra du hiu bnh sandwich (sandwich sign). y l du hiu c hiu cho Lymphoma mc treo (Mesenteric Lymphomas), bnh ny c th gy ra tng mng hch ph i nh th m c th cha c triu chng lm sng.
12/14/2013
Seth M. Hardy, MD. The Sandwich Sign. Radiology 2003;226:651-652.
93
DU HIU BNH SANDWICH

(SANDWICH SIGN)
Cc u c tnh khc thng nhanh chng xm ln thnh rut gy thng rut, xut huyt, ch khng to thnh tng mng hch ph i. Cc bnh Vim nhim cng khng to nn tng mng hch ph i nh th.
12/14/2013
94
DU HIU BNH SANDWICH

(SANDWICH SIGN)
SANDWICH SIGN
12/14/2013
95
12/14/2013
96
MT S DU HIU SIU M

12/14/2013
97
DU HIU THM NHIM M

(FAT STRANDING SIGN)
nh ngha: Tng hi m (trn siu m) v m (trn CT), ca m mc ni. Nhn bit: Bnh thng m mc ni c hi m km v khng d nhn bit (trn siu m), m km (trn CT). Khi mt on ng tiu ha b tn thng th m mc ni bao quanh, thm nhim, tr nn tng hi m, tng m . Du hiu ny c xem nh du hiu ch im v tr tn thng. Nguyn nhn: Nhim trng, vim hoc u ng tiu ha.
L.Arrive..Guide de Semiologie en Scanner.2001.p6
12/14/2013
98
VIM RUT THA CP
12/14/2013
99
THM NHIM M MC NI
(FAT STRANDING SIGN)
VIM TI THA I TRNG

Martin E. OMalley, MD.US of Gastrointestinal Tract Abnormalities with CT Correlation. (Radiographics. 2003;23:59-72.)
12/14/2013
100
VIM BM M I TRNG (EPIPLOIC APPENDAGITIS)
12/14/2013
101
MT S DU HIU SIU M

12/14/2013
102
DU HIU V HNH
(ONION SKIN SIGN)
Hnh nh in hnh gm nhiu lp hi m dy, mng ng tm ging nh ta ct ngang c hnh ty. C th thy trong u nhy rut tha v nang biu b tinh hon. Hnh nh ny c hiu chn on u nhy rut tha, nu thy c HCP (vi iu kin bung trng (P) bnh thng), d rng c ch cho ra hnh nh ny n nay vn cha r.
Carol.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005. p849-883 Benjamin Caspi, MD et al. The Onion Skin Sign-A Specific Sonographic Marker of Appendiceal Mucocele. Journal of Ultrasound in Medicine 2004 23:117-121
12/14/2013
103
DU HIU V HNH
(ONION SKIN SIGN)
Mt trong nhng c ch c a ra l do s bi tit dch nhy xy ra tng t, do vy to thnh tng lp lng ng. C ch khc c nu ra l c ch p sut: lp hi m dy tng ng vi giai on p sut trong nang nhy tng cao do bt tc hon ton, lp hi m mng tng ng vi p sut trong nang thp do bt tc khng hon ton. Vi nang biu b tinh hon th cc lp ny tng ng vi nhng lp xen k keratin v squamous cells.
Carol.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005. p849-883 Benjamin Caspi, MD et al. The Onion Skin Sign-A Specific Sonographic Marker of Appendiceal Mucocele. Journal of Ultrasound in Medicine 2004 23:117-121
12/14/2013
104
DU HIU V HNH
(ONION SKIN SIGN)
U NHY RUT THA (APPENDICEAL MUCOCELE)

Benjamin Caspi, MD et al. The Onion Skin Sign-A Specific Sonographic Marker of Appendiceal Mucocele. Journal of Ultrasound in Medicine 2004 23:117-121 12/14/2013 105
DU HIU V HNH
(ONION SKIN SIGN)
NANG BIU B TINH HON (TESTICULAR EPIDERMOID CYST)
Zeev V. Maizlin, MD et al. Epidermoid Cyst and Teratoma of the Testis-Sonographic and Histologic Similarities. J Ultrasound Med 2005; 24:1403-1409 12/14/2013 106
MT S DU HIU SIU M

12/14/2013
107
DU HIU XOY NC
(WHIRLPOOL SIGN)
Hnh nh ging nh xoy nc thy c trn siu m, CT v MRI. Du hiu ny thy bnh nhn b xon cc c quan nh: xon tinh hon, xon u nang bung trng, xon lch lc ch (wandering spleen), xon rut bnh nhn xoay rut bt ton (malrotation), xon i trng
108
12/14/2013
DU HIU XOY NC
(WHIRLPOOL SIGN)
CT DC TINH HON: TINH HON XOAY NGANG, WHIRLPOOL SIGN CC TRN TINH HON.
Carol.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005. p849-883 S. Boopathy Vijayaraghavan, MD. Sonographic Differential Diagnosis of Acute Scrotum 12/14/2013 Real-time Whirlpool Sign, a Key Sign of Torsion. J Ultrasound Med 2006; 25:563-574
109
DU HIU XOY NC
(WHIRLPOOL SIGN)
U NANG BUNG TRNG XON

S. Boopathy Vijayaraghavan,MD et al. Sonographic Whirlpool Sign in Ovarian Torsion. Journal of Ultrasound in Medicine 2004 23:1643-1649 12/14/2013 110
XON LCH LC CH
Cengiz Yinmaz, MD et al. Torsion of a Wandering Spleen Associated With Portal Vein Thrombosis. J Ultrasound Med 2005; 24:379-382 12/14/2013 111
DU HIU XOY NC
(WHIRLPOOL SIGN)
XON RUT TRN BNH NHN XOAY RUT BT TON

12/14/2013 112
DU HIU XOY NC
(WHIRLPOOL SIGN)
XON RUT TRN BNH NHN XOAY RUT BT TON
12/14/2013
Journal de Radiologie. Tome 85. Avril 2004 .p.578.
113
DU HIU XOY NC
(WHIRLPOOL SIGN)
XON MANH TRNG

Bharti Khurana, MD. The Whirl Sign. Radiology 2003;226:69-70.
12/14/2013
114
CM N S CH THEO DI CA QU BC S
Vn hoa Thabor Rennes thng 11/2005

12/14/2013 115
TI LIU THAM KHO

1. 2. 3.
4.
5. 6. 7. 8.
9.
10. 11. 12. 13. 14. 15.
C.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005 L.Arrive. Guide d'imagerie Abdominopelvienne. 2004 Joseph K.T.Lee. Lee computed body tomography with MRI correlation. 1998. M.P.Federle. La Radiologie de poche-Abdomen. 2004. p36 Frank J. Rybicki, MD, PhD.The WES Sign. (Radiology. 2000;214:881-882.) Seth M. Hardy, MD. The Sandwich Sign. Radiology 2003;226:651-652. Anthony E. Hanbidge, MD et al. US of the Peritoneum. Radiographics. 2003;23:663-685. Clare J. Roche, MD et al. Selections from the Buffet of Food Signs in Radiology. Radiographics. 2002;22:1369-1384. S. Boopathy Vijayaraghavan, MD. Sonographic Differential Diagnosis of Acute ScrotumReal-time Whirlpool Sign, a Key Sign of Torsion. J Ultrasound Med 2006; 25:563-574 Cengiz Yinmaz, MD et al. Torsion of a Wandering Spleen Associated With Portal Vein Thrombosis. J Ultrasound Med 2005; 24:379-382 S. Boopathy Vijayaraghavan,MD et al. Sonographic Whirlpool Sign in Ovarian Torsion. Journal of Ultrasound in Medicine 2004 23:1643-1649 Benjamin Caspi, MD et al. The Onion Skin Sign-A Specific Sonographic Marker of Appendiceal Mucocele. Journal of Ultrasound in Medicine 2004 23:117-121 Zeev V. Maizlin, MD et al. Epidermoid Cyst and Teratoma of the Testis-Sonographic and Histologic Similarities. J Ultrasound Med 2005; 24:1403-1409 David R. Anderson, MD. The Pseudokidney Sign. Radiology. 1999;211:395-397. Bharti Khurana, MD. The Whirl Sign. Radiology 2003;226:69-70.
116
12/14/2013

Trieu Chung Hoc Sieu Am

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Trieu Chung Hoc Sieu Am

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TRIU CHNG HC SIU M

BS. NGUYN QU KHONG BS. NGUYN QUANG TRNG

KHOA CHN ON HNH NH BNH ViN AN BNH TP.HCM

MT NGN CCH V VCH

MT NGN CCH V VCH

MT NGN CCH V VCH

NANG GI LCH SAU CHN THNG

C.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005.p147-168

Abscess rut tha

Huyt khi trong TMC t HCC

C.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005

C.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005

Cu trc hi m dy pha trn tinh hon (T)

LIPOMA THNG TINH

LIPOMA THNG TINH

Sagittal T1 v T2: tng tn hiu

Ct dc: khi hi m km trn tinh hon

Coronal T2 kh m: gim tn hiu

Xoang thn c hi m dy do m m to thnh

Xng v si: hi m dy v c bng lng.

C.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005

Khi c Bnh l U GAN

Khi dch NANG Chon ch Echo trng

m vi ha SI Khng chon ch Echo dy C bng lng B trc r

VIM TY ABSCESS CP Chon ch Echo mng Tng m nh M Chon ch Echo hn hp Tng m nh M

Hi chng Chon ch hi m Echo dy

DU HIU VIN BAO

DU HIU VIN BAO

L.Arrive. Guide d'imagerie Abdominopelvienne. 2004

DU HIU VIN BAO

DU HIU VIN BAO

Nm Candida gan v lch

C.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005

Ung th phi di cn gan

C.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005

Ung th ng tiu ha di cn gan

TN THNG HNH SAO

C.M.Rumack et al. Diagnostic Ultrasound. 3rdEdition. 2005

TN THNG HNH SAO

M.P.Federle.La Radiologie de poche-Abdomen.2004.p36

TN THNG HNH SAO

TN THNG HNH SAO

DU HIU SNG SN HOC KNH I

DOUBLE CHANEL SIGN

DU HIU BNG HI M VCH

DU HIU BNG HI M VCH

DU HIU BNG HI M VCH

Vim rut tha cp

Thiu mu rut non do vim mch mu mc treo / Lupus ban

OMENTAL CAKE / U MNG BNG

OMENTAL CAKE / U MNG BNG

OMENTAL CAKE / NHI MU MC NI

DU HIU BNH SANDWICH

Seth M. Hardy, MD. The Sandwich Sign. Radiology 2003;226:651-652.

DU HIU BNH SANDWICH

Seth M. Hardy, MD. The Sandwich Sign. Radiology 2003;226:651-652.

DU HIU BNH SANDWICH

Seth M. Hardy, MD. The Sandwich Sign. Radiology 2003;226:651-652.

DU HIU THM NHIM M

VIM RUT THA CP

VIM TI THA I TRNG

VIM BM M I TRNG (EPIPLOIC APPENDAGITIS)

U NHY RUT THA (APPENDICEAL MUCOCELE)