Re: Case on Obgyn-net
From: DuBose, Terry (DuboseTerryJ@exchange.uams.edu)
Thu Jan 7 15:45:13 1999
Martin, if not X-ray, why don't you see if they would bring in the neonate
so you could look with sonography? May be you could find it after birth.
Peace, Terry J. DuBose, M.S., RDMS, FAIUM
University of Arkansas for Medical Sciences, USA
http://www.io.com/~dubose/
http://www.uams.edu/CHRP/dmshome.htm
http://www.obgyn.net/us/panel/dubose_us.htm
---
> -----Original Message-----
> From: Martin Necas and Tania Keep [SMTP:exiled@clear.net.nz]
> Sent: Thursday, January 07, 1999 4:31 PM
> To: Multiple recipients of list
> Subject: RE: Case on Obgyn-net
>
> Anna Worley wrote:
> >
> >Have you found out what that echogenic area just inferior to the
> diaphragm
> >was/is?
> >
> >Could it be a diaphragmatic slip? They are fairly common but I have
> never
> >seen one prenatally.
> >
> >Just curious,
> >
> >Anna Worley
>
> Dear Anna,
>
> Thank you for your interest. Since I noticed the first LUQ echogenic focus
> almost a year ago, I noted the same finding in 3 more patients. The
> finding
> is always exactly the same; the focus does not seem to change in size or
> location. Since the focus appears to produce some degree of shadowing, it
> is
> reasonable to postulate that this is something echo-dense. What this focus
> represents, however, remains a mystery. I am going to try to persuade one
> of
> our obstetricians to order an X-ray on at least one of these babies when
> they are born to see if this focus shows up. If I have any follow-up, I
> will
> post it to the forum. My gut feeling is that this is something
> unremarkable
> and that it could be commonly visualized if sonographers were aware of it
> and specifically looked for it. The reason I am saying that is that
> several
> weeks after I alerted our sonographers to the presence of this focus on
> one
> of my cases, another experienced sonographer found it on a different
> patient. According to her, she had "never seen this before" in the 20 odd
> years she had practiced ultrasound. I find it hard to believe it; -it
> seems
> more likely that she never noticed it (considering I have seen it 4 times
> in
> less than a year).
>
> Many Regards,
>
> Martin Necas.
