臨床見(jiàn)習(xí)課程：影像專(zhuān)科（超聲）強(qiáng)化讀片

1、 消化系統(tǒng) Fatty liver, the liver is diffusely or partially bright and echogenic, Shadowing arising from calculus (stone). A large intraluminal mass,attached on the wall of gallbladder, indicating gallbladder cancer. Stones in gallbladder with posterior acoustic shadowing. 泌尿系統(tǒng) Left adrenal gland enlarge

2、d due to pheochromocytoma. Adrenal cyst: Sagittal sonogram shows a small , well-defined anechoic cyst in right adrenal. Small solid polypoid transitional cell carcinoma in urinary bladder. 生殖系統(tǒng) 心血管系統(tǒng) 超聲改變超聲改變 （一）（一） 室間隔（室間隔（IVS）非對(duì)稱(chēng)性肥厚（）非對(duì)稱(chēng)性肥厚（ASH） 1 IVS增厚的部份一般在中上部，其厚度多增厚的部份一般在中上部，其厚度多 在在 1.93.0cm。 2

3、 室隔與后壁厚度之比大于室隔與后壁厚度之比大于1.4。 內(nèi)分泌系統(tǒng) 其他 A: Parasternal long-axis view recorded in a patient with a dilated cardiomyopathy,showing an enlarged LV. In real time, all walls are uniformly hypokinetic. B: the same view of a normal heart. A B A: Parasternal long-axis views recorded in a patient with classic

4、hypertrophic cardiomyopathy, note the marked thickening of the interventricular septum . B: Apical four-chamber view of another type of hypertrophic cardiomyopathy, showing the marked thickening of the apex. AB A: a mass of highly echogenic in left atrium , indicating a myxoma. B: apical four-chambe

5、r view showing a metastatic mass in right atrium . C: apical four-chamber view in a patient with a lager left atrial thrombus. A BC Gestational sacs in uterus, twins. Fraternal sacs, developed from different fertilized ovum(A) , and identical sac from the same fertilized ovum(B). AB Right ectopic ec

6、hogenic mass, involving the gestational sac. Color doppler imaging showing embryonic heartbeat in the sac of ectopic mass. Endometriosis, chocolate cyst, showing uniform low level echoes within a cystic ovarian mass. Subserous leiomyoma,projecting from the peritoneal surface. Submucosal leiomyoma, p

7、rojecting into the uterine cavity. Multiple linear hyperechogenic interfaces floating within cystic mass, teratoma. Mass containing uniform echoes, and partial cystic area, teratoma. Arterosclerotic plaque in right common carotid artery . Thrombusin RCCA， embolism due to thrombosis Normal left commo

8、n carotid artery Right internal jugular vein thrombosis， the thrombus attached to the inserted tube. Breast cancer: a mass of irregular shape, taller than wide, hypoechogenic. A: Transthoracic parasternal long-axis view echocardiogram recorded in a patient with rheumatic heart disease and mitral ste

9、nosis. In this image, recorded in early diastole, note the doming motion of the anterior mitral valve leaflet with restriction of motion at the tips. B: Parasternal short-axis view has been recorded at the level of the tips of the mitral valve and reveals the actual restrictive orifice. A B Here are

10、 the same views of normal mitral valve in diastolic phase. A: Transthoracic parasternal long-axis view. B: Parasternal short-axis view. A B A: M-mode echocardiogram recorded in a patient with rheumatic mitral stenosis. Note the thickening of the mitral valve leaflets and the flat E-F slope during diastole. The posterior leaflet appears to move anteriorly in diastole as well. B: Normal mitral valve movement recorded by M-mode echocardiogram. A B A:Transmitral Doppler image recorded in a patient with mitral stenosis. B: Normal tra