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What Does The Following Ultrasound Report Indicate?

Posted on Sat, 5 Aug 2017

Question: can my query be pls answeres by dr XXXXXXX chail with continuation to my previous query

sir i have attached a ultrasound image of my latest ultrasound ..can u pls tell me if there is any problem with iind and iiird coloured image

Answered by Dr. Vivek Chail (26 hours later)

Brief Answer:
Cannot find ultrasound images, please upload again

Detailed Answer:
Hi,
Thanks for writing in to us.

I am sorry but there are no ultrasound images attached to this query.
It is requested that you please upload the ultrasound images in which you have doubts and please write back with a follow up.

I will reply back at the earliest after viewing your ultrasound images.

Regards,

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Vivek Chail (19 hours later)

rhanks for reply sir

i have attached the images..can u pls chk and see to my previous query

Answered by Dr. Vivek Chail (10 hours later)

Brief Answer:
Likely increased stiffness in left anterior abdominal wall

Detailed Answer:
Hi,
Thanks for writing back with an update.

The ultrasound images are not too clear but it likely shows the elastography pattern of increased stiffness in the left anterior abdominal wall. There is no focal lesion in this area.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (48 hours later)

thanku sir

sir i attaching the image again ..in second image is there some problem..i m attaching the clear pic again ..what is this star shaped focus

What could be the reason for this stiffness in left abdominal wall

Answered by Dr. Vivek Chail (10 hours later)

Brief Answer:
Stiffness can be from mild fibrosis

Detailed Answer:
Hi,
Thanks for writing back with an update.

Due to recent advances there is a lot of research using the stiffness of tissues to predict various conditions. This is called elastography. This is a new technique and measures stiffness of tissues.

It is predicted that fibrosis causes stiffness in tissues. This can mean different conditions for various organs. Therefore the stiffness in the abdominal wall can be due to mild fibrosis.

Regards,

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Vivek Chail (1 hour later)

thank u sir

can u pls tell me that small star kind shaped focus in my second ultrasound image?? is that some sort of lesion

Answered by Dr. Vivek Chail (37 minutes later)

Brief Answer:
It looks like a plane between muscle and fat

Detailed Answer:
Hi,
Thanks for writing back with an update.

The star like focus in the second image looks like the plane between the fat and muscle area. It is magnified several time. It does not look like a real lesion and might be an area where the deep fascia of the muscle meets the fat.

Regards,

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Vivek Chail (3 days later)

thanks doc

as discussed i consulted a rhumetologist she asked for some blood work abdoimnal wall mri and bioosy.in
my blood work ace levels have come on higher side which is 73 and higher c3 level and normal c 4 level...is it linked with my problem

Answered by Dr. Vivek Chail (19 hours later)

Brief Answer:
Small possibility of increased ACE levels is related to your condition

Detailed Answer:
Hi,
Thanks for writing back with an update.

ACE levels are increased in many chronic conditions and there is a small possibility it might be true that your condition is related to increase in ACE levels.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar