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33 Terms

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Anechoic

completely dark or black on an ultrasound image because it doesn’t reflect any sound waves

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Echogenic

bright or white on an ultrasound image because the tissue reflects a lot of sound waves back to the machine.

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Hypoechoic

Low-level echoes within a structure, the area looks darker than the surrounding tissue on an ultrasound image because it reflects fewer sound waves.

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Isoechoic

Very close to the normal parenchyma echogenicity pattern

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Heterogeneous

Not uniform in texture or composition; common in many tumors.

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Homogeneous

Completely uniform in texture or composition; often seen in organs like the liver.

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Enhancement

Increased brightness seen posterior to an anechoic structure, indicating good through transmission.

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Shadowing

A dark area behind a structure that blocks the sound waves; something dense stops the sound from passing through creating a shadow

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Fluid-fluid Level

Interface between two fluids with different acoustic characteristics; changes with patient position.

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Infiltrating

Usually refers to a diffuse disease process or metastatic disease.

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Irregular Borders

Borders that are not well defined or absent, often seen in abscesses and thrombus.

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Loculated Mass

Well-defined borders separating fluid filled compartments

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Hyperechoic

Too bright; structures that reflect sound strongly, such as gallstones.

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Fluid-filled

Describes a structure that is filled with fluid and typically appears anechoic on ultrasound.

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Cyst

A fluid-filled sac that is typically anechoic on ultrasound.

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Vascular structures

Structures such as veins and arteries that usually appear as anechoic on ultrasound.

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Gallbladder

An organ that can appear anechoic when filled with bile.

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Urinary Bladder

A fluid-filled organ that usually appears anechoic on sonograms.

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Amniotic Cavity

Fluid-filled space surrounding the fetus, typically appearing anechoic.

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Baker's cyst

A fluid-filled cyst at the back of the knee that may show heterogeneous echogenicity.

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Dermoid Tumor

A tumor that may contain different types of tissue and show fluid-fluid levels.

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Carcinoid infiltration

A type of infiltrating disease process characterized by the presence of carcinoid tumors.

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Sarcoid infiltration

A type of infiltrating disease associated with immune system overreacting and forming small clumps of inflammation called granulomas.

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Hepatic hemangioma

A benign liver tumor often appearing hyper-echoic on ultrasound.

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Fibroid

A benign tumor of the uterus that often appears hypoechoic compared to normal uterine tissue.

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Abscess

A collection of pus that often appears as a heterogeneous mass with irregular borders.

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Thrombus

A blood clot that may appear as a heterogeneous mass with irregular borders.

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Renal Stones

Calcified structures in the kidneys that can cause shadowing on ultrasound.

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Cholelithiasis

The condition of having gallstones that can cause shadowing.

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Diaphragm

A muscle that separates the thoracic cavity from the abdominal cavity; may be visualized in ultrasound.

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Transducer

An instrument used in ultrasound to emit and receive sound waves.

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Acoustic Characteristics

how different parts of the body reflect absorb or transmit sound waves

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Through Transmission

the ability of sound waves to pass straight through a area without being blocked or absorbed