Mammographic-Sonographic co-relation in the diagnosis of breast lump

This study investigated the sensitivity of adding ultrasound [US] to mammography in the diagnosis of breast lumps. All women attending Radiology department Sir Ganga Ram Hospital, Lahore for mammography during a period of three months from June to August 2008 underwent bilateral mammography followed by whole-breast US and results were documented prospectively and preoperatively and verified by histopathology. Among the total 129 patients screened at our hospital in the three month period 73 patients came with the history of breast lump. US was positive in 69 [94%] and mammography in 67 [93%]. But when both the imaging techniques were combined the number of breast lumps detected was 72[98%]. So the ultrasound examination detected cancer in three additional women. Adding a screening ultrasound examination to routine mammography reveals more breast cancers were found than mammography alone. The combination of US and mammography is significantly better than either modality used alone, together resulting in 9% more breast cancers detected. High-quality breast ultrasound after mammography is of great value in diagnostic breast imaging and is being explored for supplemental screening of selected groups of women When ultrasound and mammography are properly correlated, abnormalities noted on screening mammography and even many palpable abnormalities can be dismissed as benign findings after complete work-up. For suspicious findings that can be seen sonographically, core biopsy under ultrasound guidance is desirable

Role of high resolution ultrasound in diagnosing diabetic muscle infarction

The study was carried out on eight patients with clinical presentation of non-traumatic painful swelling of lower limbs and were examined with high resolution Ultrasound probe of 12 MHz on Logic 700 expert series, with average patients age of about 37 years with H/O of uncontrolled diabetes Mellitus, showed discrepancy of circumference / thickness of Calf muscles compared to the opposite normal lower limb with areas of low echogenicity and one patient showed areas of necrosis / abscesses in muscle planes. All were diagnosed and latter confirmed on biopsy as Diabetic muscle infarctions with superadded inflammation