Still Vs Video. Can You Tell What This Is?
In the past and still in some remote interpretation services overt diagnoses are made from still images. I once played a bad trick on a good friend that knew her patient had nothing wrong but the owner was insistent that there was something wrong with his 3 year old labx. She said “Please just scan…
Defining A Liver Lesion As Resectable Or Not On US
If you see a lesion in the liver and video clip the liver with the lesion in it, write which direction you are scanning from and toward. For example, please start at the GB/CBD/Portal Hilus in sagittal position with marker toward the head (subxyphoid) and drop the tail of the probe. In this manner you…
Gastric FB vs. pills on sonogram
Response to a veterinarian that sent a GI case to me that had the presentation similar to the ones in these images: They are likely foreign bodies but I don’t know what medications were given because some pills will hang in the pylorus without dissolving in light of gastritis. If scoping for bx then…
On Diagnostic Efficiency
This is an addendum to a prior email and questions regarding how soon to utilize ultrasound in a clinical workup. This was spinning off a GI case that was interpreted: EL: Thank you Nancy for the kind words, If a GI case animal is sick enough to bring into the hospital.. anorexia 2 days and…
Ultrasound Training Of Veterinary Technicians??? Learning Curves in US.
CVT US TRAINING An ultrasound educator posted this question: “I was contacted by a vet/clinic owner who sent an associate vet to Sound courses to the tune of $5k. This person is not performing up to expectation. The owner is considering sending her certified veterinary technician (CVT) for training thinking that if one person in…
Renal Biopsy; does the end justify the means?
Image posted is an example of a cat kidney with calculi, dystrophic mineralization and a caudal pole infarction. This is not the exact image of the case discussed below. My client is not sure why this cat is losing weight. No definitive diagnosis. now–still waiting for colbal and folate levels. If these are abnormal, suspect…
The Mystery Of False Or Temporary GI Obstruction Patterns
False GI obstruction patterns Nancy: I am hoping you could comment specifically on the chest rads ( esp the VD) + also the lateral abd view. There was heavy debate among us about the likelihood of intestinal obstruction -though surgery was not pursued that particular evening. Now- in hindsight + with abd scan-can see that…
Bladder TCC and is it resectable? What is your criteria?
EL on TCC resectable and non in borderline TCC case near ureter Hello Doc, the resection is the surgeon’s call depending on abilities. My query into boarded surgeons is that most surgeons like to have at least 1cm of clean tissue between the thickening to resect and the right ureteral papilla. This is pushing that…
Case sends to sonopath for review & Logic XP vs Logic E
Joe Sonographer asks: ” I have a Logic book XP and would like to send cases to you. I can image all the abdominal organs including the adrenals and portal hilus. what is your opinion on my machine and how may I send you cases.” EL: So you are interested in sending me cases for…
Touring Italy, a letter of travel recs for a friend
To Joe Member regarding where to go in Rome, Italy region when on a 20 day tour and whether to stay in Rome or outside of Rome in Frascati (hill town above Rome to the south): It depends on your price range regarding hotels in Frascati or Rome. Re Frascati, I usually have family stay…