1. Introduction TO SONOGRAPHY
Ultrasound Image Interpretation HHHoldorf
Introduction TO SONOGRAPHY

2. Routine Image Interpretation Assessment Utilized in Sonography

3. Ultrasound Nomenclature
Smooth, well-defined border and or margin (contour)
Focal, well-marginated
Ill-Defined, diffuse lesion
Echogenic
Hyperechoic
Hypoechoic
Echopenic
Anechoic or sonolucent

4. Heterogeneous
Homogeneous
Increased attenuation
Posterior acoustic enhancement
Posterior acoustic shadowing
Reverberation
Simple cyst
Complex cyst – Loculated cyst
Solid mass

5. Why do we explain anatomy the way that we do?
The hedge – saying a lot without actually saying it.
Legal reasons
Sonographers do not diagnosis.
Do we really know what something is, or do we need to biopsy to tell?

6. Definitions-what do these words mean?
Smooth, well-defined border and or margins (contour)
The part (mass) is flat and the demarcation between the area in question and the surrounding tissue is well seen, like a fence.
Contour is how the outer margins appear…are they easy to see and are they flat (smooth)?

8. Focal, well-marginated area

9. Ill-Defined, diffuse lesion

10. Echogenic or Hyperechoic

12. Hypoechoic or Echopenic

13. Anechoic or sonolucent

14. Heterogeneous mass – multiple levels of echogenic material- mixed.

15. Homogenous mass/organ – same echo texture throughout.

16. Homogeneous liver parenchyma

17. Increased attenuation

18. Posterior Acoustic Enhancement

19. Posterior Acoustic Shadowing

20. Reverberation artifact

21. Simple cyst

22. Complex cyst – Multiple internal echoes

23. Loculated cyst (septations)

24. Solid Mass