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Ultrasound Rare Remixes: Enjoy the Extended Versions of Classic Hits



After intravenous thrombolysis for AIS, several life-threatening complications, such as hemorrhage and orolingual angiedema, also can cause neck swelling. Urgent intubation and surgery may be required. However, the rare complication, acute diffuse thyroid swelling, is self-limiting and nonfatal and conservative treatment is sufficient. Neck ultrasound is helpful in rapidly distinguishing these complications.




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Although disorders of tendon are quite common, acute extensor hallucis longus (EHL) tendonitis is a very rare occurrence. Repeated friction across the top of the foot or excessive pressure from an ill-fitting shoe is among most common risk factors. We report a 59-year-old lady with acute EHL tendonitis where musculoskeletal ultrasound appears to be an effective choice for both diagnosis and for guiding corticosteroid injection into tendon sheath.


Congenital central nervous system tumors diagnosed during pregnancy are rare, and often have a poor prognosis. The most frequent type is the teratoma. Use of ultrasound and magnetic resonance image allows the suspicion of brain tumors during pregnancy. However, the definitive diagnosis is only confirmed after birth by histology. The purpose of this mini-review article is to describe the general clinical aspects of intracranial tumors and describe the main fetal brain tumors.


Core tip: Congenital central nervous system tumors diagnosed during pregnancy are rare, and often have a poor prognosis. The prenatal diagnosis is possible by ultrasound; however, the magnetic resonance imaging is important to demonstrate the relationship among the tumor and the adjacent structures. Although definitive diagnosis is realized after the birth, the prenatal diagnosis is very important to counseling of parents.


The Median Arcuate Ligament Syndrome (MALS) is a rare clinical entity occurring due to abnormally low insertion of the ligament across the origin of the coeliac axis resulting in varying degrees of celiac artery compression. Its symptoms mimic those of chronic mesenteric ischemia and its diagnosis requires a high index of clinical suspicion coupled with appropriate imaging. We report the case of a young male with pain abdomen, nausea, and vomiting in whom routine evaluation for pain abdomen was inconclusive. He was diagnosed with MALS after multi-modality imaging. The patient was suspected to have MALS by using ultrasound and color Doppler imaging. These findings were confirmed using Computed tomography angiography (CTA) of the abdomen. MALS should be considered as an important differential in patients with symptoms resembling post-prandial angina. A combination of a high index of suspicion with the use of appropriate imaging techniques can clinch this diagnosis. We describe the diagnostic challenges faced in this case with a brief review of the literature. 2ff7e9595c


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