Abstracts progression. A male baby was delivered, weighted as 2,950 gm, with immediate endotracheal intubation and transferred to NICU. Surgery was arranged and a huge retrosternal defect of diaphragm (7 x 5 cm) with left lobe liver herniation into pericardial space was found. Reposition of the liver with closure of the defect was done. Two days after surgery, the baby was removed his ventilator successfully and experienced a very good outcome till his 4-year-old birthday. Conclusion: Intrapericardial CDH is different from those common forms of CDHs which usually having poor perinatal outcome if happened early in gestation with poor pulmonary development. We will present serial ultrasound images and indicate how to predict fetal outcome.
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line of the tongue and the involvement of the base of the oral cavity were estimated. The ultrasonic study allowed visualization of the tongue cancer and to define its local extensivity in 13 (92,9%) patients. There was a failure to visualize the surface of the non-invasive tumor in one patient. Ultrasonographic study was effective in defining positive lymph nodes. Conclusion: Ultrasonography is an effective method of diagnosis of tumor of the tongue. This method allows to visualize the tumor and define its size, the lengh of the organ, the depth of the invasion, its migration across the middle line of the tongue and the involvement of the base of the oral cavity. Besides, this method is effective in diagnosing positive lymph nodes. P 208 se
Head and Neck / General P 206 se High-Resolution Ultrasonography as Diagnostics of Dacryocystitis and Dacryoadenitis E. Privalova,1 M. Vyklyuk2 1 Radiology, Moscow State University of Medicine and Dentistry, Moscow/RU, 2Moscow State University of Medicine and Dentistry, Moscow/RU Purpose: To study the ultrasonic semiotics diseases of the lacrimal gland and lacrimal passages. Material & Methods: Twenty men with pathological lacrimal gland and lacrimal passages at the age of 19 to 75 years were included in the study. All patients underwent high-resolution ultrasound using IU22 unit (Philips) with a probe frequency at 12-15 MHz using Doppler techniques. Results: Investigation at B-mode allowed us to determine the size of the palpebral part of the lacrimal gland and its echogenicity and structure, as well as to visualize the lacrimal canaliculi and lacrimal sac with an estimation of the size and content. In the examined patients, dacryoadenitis and dacryocystitis were identified. Dacryoadenitis was echographically ^ 6 0,1 cm, characterized by enlargement of the lacrimal gland to 2,0 A with smooth, clear contours, irregular structure and reduced echogenicity of the parenchyma. Dacryocystitis was accompanied by increasing ^ 0,1 cm and the walls of the the size of the lacrimal sac to 1,7 A6 bag were diffusely thickened or distorted. The contents of the lacrimal sac were determined by homogeneous liquid with the echogenicity of point inclusions. Conclusion: High-resolution ultrasound and Doppler are highly effective in diagnosing the diseases of the lacrimal gland and lacrimal passages. P 207 se The Possibilities of Ultrasonography with Tongue Cancer Patients L. Mitina, E. Prozorova, V. Solovyev, V. Kazakevich, S. Stepanov Radiology, The Moscow Science Research Oncology Institute named after P.A. Gertsen, Moscow/RU Purpose: To define the possibilities of ultrasonography to diagnose glossoncus. Material & Methods: A total of 14 tongue cancer patients were examined with complex ultrasonography. The tongue was examined through the submandibular field and the base of the oral cavity. Results: Eight patients had the tumor localized on the right or the left sides of the tongue surface and six patients on the base of the tongue.Echographic study of the tumor was done to identify the hypoechogenetic focus with more or less growth into the thickness of the tissue. With US, the sizes of the tumor in 3D, the migration across the middle
High-Resolutional Ultrasonographic Imaging of Augmented Rhinoplasty Including Foreign Body Injection: Correlation with Clinical Findings I. Yang, A. Y. Jung, J. Y. Woo, H. S. Hong, S. K. Jeh, J. Hwang, Y. Lee Radiology, Kangnam Scared Heart Hospital, Seoul/KR Purpose: Augmented rhinoplasty using silicone implants and other foreign body materials (paraffin, botox, filler, artecoll, etc.) are relatively common. Patients with rhinoplasty usually present with nonspecific mild symptoms such as foreign body sensation, nasal pain and headache, but displacement of the implants and associated infection are critical. The aim of our study was to illustrate the high-resolutional ultrasonographic appearances of complicated rhinoplasty lesion. Material & Methods: During the recent 1 year period, 16 patients underwent surgical treatment for complicated rhinoplasty lesions (seven silicone implants, three paraffin injection, three unknown filler, two botox, one artecoll). All patients were subjected to high-resolutional ultrasonographic examination using an IU22 system (Phillips Medical System, Bothell, WA). Results: The most common complication was infection (11 cases, 69%). Ultrasonographic findings of infection were hypo or anechoic fluid collection along foreign body materials with hypervascularity on color or power Doppler ultrasonographic imaging. The other five cases (31%) showed displacement of augmented silicone materials. Ultrasonographic findings also revealed displacement and migration of implants foreign body from the periosteum of the nasal bone. Conclusion: Ultrasonographic findings play a critical role in achieving an accurate diagnosis of complications in an augmented rhinoplasty patients. P 209 ee Imaging Findings of Extrathyroid Lesions Encountered with Neck Ultrasonography J. E. Lee, E. S. Cha, J. H. Yoo Department of Radiology, Ewha Womans University, School of Medicine, Seoul/KR Learning Objectives: 1. Normal sonographic anatomy of the anterior neck. 2. Imaging findings of the various pathologic conditions of patients with extrathyroid lesions. Background: Real-time ultrasonography is increasingly used for evaluation of many pathologies in the neck area. Ultrasonography of the neck is the most sensitive and efficient method of detecting thyroid and parathyroid lesions, cervical lymph nodes and other neck lesions. We illustrates many extrathyroid lesions encountered with neck ultrasonography. Imaging Findings or Procedure Details: 1. Illustrate parathyroid disease: parathyroid adenoma and parathyroid cyst. 2. Illustrate lymph node disease: reactive lymph nodes, malignant lymph nodes (metastatic, lymphoma), tuberculosis and Kikuchi disease. 3. Illustrate esophageal lesions: pharyngoesophageal diverticulum. 4. Illustrate tracheal lesions: