Pedro Bañuelos Peña

Médico de familia en medio rural apasionado de la ecografía clínica.

[Joaquín Martínez @JMMR83]

Plexo pampiniforme.

[Javier Teigell @javiteigell]

¿Alguna vez has confundido un derrame pleural y un pericárdico?
Aunque no es habitual, en pacientes con derrame pleural izquierdo y derrame pericárdico se puede generar una ventana ecográfica curiosa en la que cuesta diferenciar el origen del líquido. #InternistaIntervencionista

[Manavendra Upadhyaya,MD @ManavendraUpad1]

Splenic Infarct.

[Dr Jörg Dünkel @SportklinikBern]

Myoofascial muscleinjury of the rectus femoris after 10 days - scan from proximal to distal - #mskus #pocus #pocushub #GElogiqE10sr4

[Dr Jörg Dünkel @SportklinikBern]

Ultrasound guided injection of the lateral meniscus with PRP - #mskus #pocus #pocushub #GElogiqE10sr4

[Dr Jörg Dünkel @SportklinikBern]

Bakers cyst with puncture due to severe clinical symptoms- #mskus #pocus #pocushub #GElogiqE10sr4

[Joaquín Martínez @JMMR83]

Enfermedad renal crónica. Paciente en CKD st V (KDIGO). Halo perirenal y derrame pleural asociado.

[Gonzalo Serrano-Belmar. @GSERRANOB_MSK]

Demonstrative video answering the case previously shown.

Full-thickness tear of the supraspinatus tendon without retraction, resting on the distal stump at the footprint, demonstrated by forcing the bursal fluid to separate the margins.

#mskrad

[Rheumatology US Case-based Learning @RheumMSKUS]

Chondrocalcinosis of the knee 👇

Pearls:
- Fibrocartilage CPPD (in the meniscus) occurs at a younger age and is more prevalent than femoral hyaline cartilage CPPD.
- Chondrocalcinosis in both the fibrocartilage and hyaline cartilage is frequent in patients > 80 years old (47% and 23%, respectively).

What is your age cutoff to screen for secondary causes of CPPD?! --> hypophasatesia, hypomagnesemia, hyperparathyroidism and hemochromatosis

Reference for a deeper dive: Cipolletta E, Francioso F, Smerilli G, Di Battista J, Filippucci E. Ultrasound reveals a high prevalence of CPPD in consecutive patients with knee pain. Clin Rheumatol. 2024 Jan;43(1):435-441. doi: 10.1007/s10067-023-06805-3. Epub 2023 Nov 17. PMID: 37975949.

#MSKUS #RheumUS

[A.N Moh’d, ☢️🩺 @Janburji1]

Giant benign exophytic lipomatous lesion.

[Joaquín Martínez @JMMR83]

Lesión sólida en testículo izquierdo.

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

A Narrative Review of the Design of Ultrasound Indices for
Detecting Enthesitis
https://t.co/8lM5HDvtW5

[A.N Moh’d, ☢️🩺 @Janburji1]

23/F nil complain, My opinion on it.

The sonogram demonstrates dilated regional large bowel loops with normal caliper. The loops show oscillatory dense intraluminal contents.
No mural wall thickening seen, No intraluminal masses demonstrated.

Impression:
Dilated bowel loops with pendulous dense intraluminal contents.

Possible etiologies:
Gastroenteritis
Irritable bowel syndrome
Partial large bowel obstruction
Paralytic ileus

NB; Patient's clinical correlation advised✍🏻

What do you think ???

[ultrasound_campus @ultrasound_camp]

A 34-year-old male with a history of infertility underwent testicular #CEUS examination.
#samsunghealthcare #samsunghme #SamsungR20 #SuperResolution #Urology #menshealth #contrastenhancedultrasound #icussociety #sonovue #ultrasoundcampus #infertility

[Manavendra Upadhyaya,MD @ManavendraUpad1]

Gall Bladder Carcinoma directly invading upon duodenum resulting in cholecystoduodenal fistula formation.

[WINFOCUS WORLD @WINFOCUS]

Tips to get an “A” in lung ultrasound - for the best A lines.

1️⃣ Choose lung or FAST preset
2️⃣ Reduce the gain
3️⃣ Distance don't lie
4️⃣ Use a high frequency probe

[Rheumatology US Case-based Learning @RheumMSKUS]

Lateral elbow enthesitis (common extensor tendon) in a patient with ankylosing spondylitis on a TNF inhibitor.

Pearl:
Not all OMERACT entheseal elementary lesions are equally important!

-More specific 👉 erosions and 🔥power Doppler signal (especially ≤2 mm from cortex)

-Less specific 👉 heterogeneity, calcifications and enthesophytes (can occur due to biomechanical loading/stress, esp. LE enthesis with high BMI)

#MSKUS #RheumUS

[A.N Moh’d, ☢️🩺 @Janburji1]

A case of giant Vesicolithiasia☘️👌

What would you advise???

[ABCDEcografía @ABCDEcografia]

Microbubbles in pleural effusion suggest hydropneumothorax. Also described in empyema, post-drainage, or post-surgical decortication…

[Jamal Ali @The_sonoguy]

It’s not the machine - it’s the hand. 🖐️✨

We’ve all been there: a high BMI, a gassy abdomen, or a patient who can’t hold their breath. Your first instinct might be to reach for the gain or depth settings, but the real „magic“ happens in how you manipulate the transducer.
🧵1/3