Abdominal ultrasound can show a lot, but not all organs in the stomach can be seen and not all changes can always be seen.
"There are situations when we have isoechoic changes on the liver, which means that the changes are not visible, they look like liver tissue, but these are rare cases. We can see, that is, with an ultrasound examination of the liver changes such as cysts, hemangiomas, some calcifications on the liver, we can also see changes on the gallbladder, such as polyps, stones or sludge in the gallbladder. All this can be seen with an ultrasound examination", he said in the show "RTS Practice" radiologist Dr. Vladimir Sinicki. He adds that the pancreas is sometimes more difficult to see, if the patient is not well prepared and if there is a lot of gas.
Dr. Sinicki also explains that some hollow organs such as the stomach, small and large intestine cannot be seen with an abdominal ultrasound.
With this examination, the abdominal aorta can also be clearly seen. Especially in elderly patients, who have hypertension, it is very important whether they have an aneurysm of the abdominal aorta, that is, the expansion of a large blood vessel in the stomach. If they have an aneurysm, it can lead to rupture of the blood vessel, that is, rupture, which is very dangerous and can lead to fatal consequences.
It can happen that the abdominal aorta is fine for years and suddenly an aneurysm appears.
The radiologist explained that this can happen in patients who have high blood pressure and that they are advised to have an ultrasound examination of the abdomen once a year.
During an ultrasound examination of the abdomen, the liver is first moved, the size of the liver is measured and it is checked whether there are any changes in it. The gallbladder is then examined and checked for polyps, sludge or other changes. If there is cancer, it can be seen by ultrasound. It is also possible to see the spleen and see if there are any hemangiomas, cysts, or enlargement of the spleen.
"Ultrasound examination of the prostate is only one of the examinations performed by urologists. As radiologists, we can see if there are any focal changes, if there is prostate hyperplasia, that is, enlargement of the prostate, and after that we can advise the patient, if necessary, to go for a more detailed urological examination," explained Dr. Sinicki.
The doctor explains that it is good when the doctor's report says that there are no focal lesions, it means that there are no pathological changes in any organ. If there happens to be a focal lesion, then it is examined what kind of change it is, whether it is benign or malignant.
When asked whether a person with an enlarged abdominal aorta experiences stronger pulsations in the middle of the abdomen, radiologist Dr. Vladimir Sinicki said that pulsations are an important symptom and advised that if someone feels stronger pulsations in the abdomen, they should go for an ultrasound examination of the abdomen and check the size of the abdominal aorta and its walls.
Bonus video:
