multiple ultrasound patterns of ectopic pregnancy

Ectopic pregnancy [EP] has a variable and misleading clinical presentation contributing to the confusion with medical or other gynecological disorders. The rapid recourse to diagnostic methods, human chorionic gonadotropin [beta-hCG] titers and transvaginal ultrasonography, represents the best approach not only in the early diagnosis but also in the management and monitoring of patients with diagnosed EP. The purpose of this article is to provide a pictorial essay about EP and its multiple ultrasound [US] patterns. We present a large spectrum of EP aspects diagnosed on US and confirmed by pathology. We also review miscellaneous gynecologic diseases that may mimic EP on US. Although endovaginal US combined with quantitative [beta-hCG] analysis is an excellent tool for identifying EP, it may be normal sometimes in early pregnancies. Knowledge of all these patterns is helpful in establishing an early correct diagnosis, therefore leading to elective and conservative management in stable patients and preventing tubal rupture or substantial hemorrhage

[Inflammations pseudotumors of the lung with spontaneous regression]

Inflammatory pseudotumors of the lung can be confusing in their presentation because they lack specific symptoms clinically and can easily be mistaken for malignancy on imaging studies. Their definite diagnosis requires pathologic analysis of tissue which is usually obtained only after surgical resection of the lesion.We report herein the case of a 65-year-old man who presented with recent onset of cough, shortness of breath and hemoptysis. CT scan of the chest showed several ill-defined suspicious densities in both lungs. CT guided needle core biopsy of one of the nodules showed changes consistent with inflammatory pseudotumor of the lung without any evidence of malignancy. The pul-monary lesions, which had rapidly progressed initial-ly, resolved completely with simple clinical observa-tion.The total regression of the "tumor nodules" in this case, without any treatment, illustrates a very unusual outcome of these pseudotumors