Podcast
Questions and Answers
What should be done if there is still doubt about the position of gallstones?
What should be done if there is still doubt about the position of gallstones?
- Perform an MRI scan
- Scan the patient in hands/knees position (correct)
- Prescribe medication
- Ignore the doubt
What may cause acoustic shadowing in ultrasound when gallstones are smaller than the ultrasound beam?
What may cause acoustic shadowing in ultrasound when gallstones are smaller than the ultrasound beam?
- Blood clots
- Pyogenic debris
- Gallbladder sludge (correct)
- Hydatid membranes
What is the most common cause of nonmobile internal echoes with shadowing in ultrasound scans?
What is the most common cause of nonmobile internal echoes with shadowing in ultrasound scans?
- Gallstones
- Polyp
- Cysts
- Impacted calculus (correct)
What is the indication for scanning the liver for cysts during imaging?
What is the indication for scanning the liver for cysts during imaging?
How can a polyp be identified during ultrasound imaging?
How can a polyp be identified during ultrasound imaging?
What is the recommended method for cases with poor visualization of the pancreas?
What is the recommended method for cases with poor visualization of the pancreas?
How can gas interference in imaging due to bowel gas be managed?
How can gas interference in imaging due to bowel gas be managed?
What area of the pancreas should be paid attention to as lesions there do not affect the MPD or extrahepatic bile duct?
What area of the pancreas should be paid attention to as lesions there do not affect the MPD or extrahepatic bile duct?
Why is visualization of the tail of the pancreas challenging?
Why is visualization of the tail of the pancreas challenging?
In which cases is the liquid-filled stomach method highly recommended?
In which cases is the liquid-filled stomach method highly recommended?
What is a common challenge in the visualization of the gallbladder by ultrasound?
What is a common challenge in the visualization of the gallbladder by ultrasound?
Which factor is crucial for managing gas interference during imaging?
Which factor is crucial for managing gas interference during imaging?
In ultrasound imaging, what can lead to potentially life-threatening complications if left untreated?
In ultrasound imaging, what can lead to potentially life-threatening complications if left untreated?
Which method can help create a suitable environment for clear imaging by ultrasound?
Which method can help create a suitable environment for clear imaging by ultrasound?
What can result in persistent nonvisualization of the gallbladder by ultrasound?
What can result in persistent nonvisualization of the gallbladder by ultrasound?
What is the main reason for traditionally using sonography in evaluating patients with suspected gallbladder disease?
What is the main reason for traditionally using sonography in evaluating patients with suspected gallbladder disease?
In what scenario might CT be used as an adjunct to an inconclusive sonography examination?
In what scenario might CT be used as an adjunct to an inconclusive sonography examination?
What is the typical appearance of a normal gallbladder wall on sonography?
What is the typical appearance of a normal gallbladder wall on sonography?
When does a thickened gallbladder wall typically measure more than 3 mm?
When does a thickened gallbladder wall typically measure more than 3 mm?
What condition might lead to generalized thickening of the gallbladder wall?
What condition might lead to generalized thickening of the gallbladder wall?
What imaging challenge can arise when gallstones are suspected but not clearly visible on routine scans?
What imaging challenge can arise when gallstones are suspected but not clearly visible on routine scans?
What technique is recommended for managing gas interference in imaging suspected gallstones?
What technique is recommended for managing gas interference in imaging suspected gallstones?
In which body position should the patient be rescanned if gallstones are not clearly visible on initial scans?
In which body position should the patient be rescanned if gallstones are not clearly visible on initial scans?
What is the recommended method to enhance visualization when gallstones are suspected but not clearly visible during imaging?
What is the recommended method to enhance visualization when gallstones are suspected but not clearly visible during imaging?
Which technique is used to minimize gas interference and improve imaging clarity during gallstone assessment?
Which technique is used to minimize gas interference and improve imaging clarity during gallstone assessment?
What is the first method of choice for evaluating a biliary disease when it is suspected?
What is the first method of choice for evaluating a biliary disease when it is suspected?
In what position should fasting patients ideally be examined to evaluate the gallbladder?
In what position should fasting patients ideally be examined to evaluate the gallbladder?
What structures are assessed regarding their size, wall thickness, and content during ultrasound evaluation of the gallbladder and biliary tree?
What structures are assessed regarding their size, wall thickness, and content during ultrasound evaluation of the gallbladder and biliary tree?
What is the appearance of a normal gallbladder on a longitudinal scan?
What is the appearance of a normal gallbladder on a longitudinal scan?
In what body position might the gallbladder be found if a patient is erect during scanning?
In what body position might the gallbladder be found if a patient is erect during scanning?
What is the purpose of giving the patient 3 or 4 glasses of water before examination?
What is the purpose of giving the patient 3 or 4 glasses of water before examination?
When performing transverse scans across the abdomen for pancreas imaging, what structure is seen joining the splenic vein at the level of the body of the pancreas?
When performing transverse scans across the abdomen for pancreas imaging, what structure is seen joining the splenic vein at the level of the body of the pancreas?
What is the recommended direction for transverse scans across the abdomen when visualizing the pancreas?
What is the recommended direction for transverse scans across the abdomen when visualizing the pancreas?
What should be identified first when scanning the pancreas according to the text?
What should be identified first when scanning the pancreas according to the text?
Which body position is recommended for viewing the pancreas through a water-filled stomach?
Which body position is recommended for viewing the pancreas through a water-filled stomach?
How can gas interference due to bowel gas be managed in imaging?
How can gas interference due to bowel gas be managed in imaging?
In pancreatic imaging, what should appear homogeneous similar to the adjacent liver?
In pancreatic imaging, what should appear homogeneous similar to the adjacent liver?
What landmarks should be identified after the superior mesenteric artery when scanning the pancreas?
What landmarks should be identified after the superior mesenteric artery when scanning the pancreas?
What is challenging to visualize when scanning the pancreas between the inferior vena cava and portal vein?
What is challenging to visualize when scanning the pancreas between the inferior vena cava and portal vein?
When is visualization of 'head of pancreas' and 'uncinate process' necessary during imaging?
When is visualization of 'head of pancreas' and 'uncinate process' necessary during imaging?
