By Professor Dr. med. Harald Lutz, Privatdozent Dr. med. Rudolf Meudt (auth.)
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Additional symptoms are: - enlargement; - a rounded inferior border; - a convex, wavy, or nodulated surface contour; - a change in sound absorption of the parenchyma (Fig. 5). In many cases it will not be possible to achieve a further differential diagnosis of diffuse hepatic change, even when an analysis of the foregoing symptoms is combined with an evaluation of splenic size and other secondary changes. Typically, the various parenchymal diseases can be characterized as follows: Acute Hepatitis: Not a true indication for ultrasonography.
The first-mentioned difficulty factor has made the use of ultrasound guidance fairly common in percutaneous renal biopsies. It is also recommended in cases where initial attempts at the blind aspiration of pleural effusions or ascites, like those commonly observed in tumor patients, are unsuccessful. Ultrasound-guided fine needle aspiration is useful in differentiating between benign and malignant changes in parenchymatous organs and in providing morphologic evidence of malignancy in the case of solid tumors and cystic masses.
Signs of degenerative change include: - nonuniform echo structure; - small, cystic cavities; - strong single echoes representing calcifications (Fig. 3 b). Of greater clinical importance is the recognition and differentiation of circumscribed changes in echo structure. 5 cm in size and are symmetrically arranged on both sides of the trachea, which serves as the guide (light air echo with distal acoustic shadow). The isthmus is several millimeters wide. The echo structure is of uniform density. Large cervical vessels and muscles are located lateral to the lobes (Fig.