VARIETY OF GRAY-SCALE SONOGRAPHIC APPEARANCE OF UNTREATED LIVER METASTASES ALI HADIDI

Abstract

Encountered wit h b izarre patterns o f l i v e r metas t a s es dec l i ned our accuracy rate s o the humi liation o f mist ake s motivated me to re-assess t he value o f hepatic sonography in patients s u spe c t ed o f having metastatic l i ver neoplasms . 43 pat ients , who had no t recieved any prior the r a phy , had been studied by gray-scale ult r a s ound . The echographic evidence i n accordance with o ur e x p e r ~ e n ce can be categorized as fo l l ows : I ) l a rge echo g enic or ~c ho poor area , II) d iscrete masse s wi t.h high-level e c hoes spreaded t hroughout a lobe o f the l i ve r , III) e cho f ree mass with i r regular mar q i.n , r .J ) d i f f use a lterat ion of the homogeneous e cho pattern of t he liver , V) Bull ' s - eye ,VI) abscess like,VII) sol id echogenic mass vei th a centra l hyperechoic hor izontal l i ne , VIII echogenic mass ".;i t;l two l a t eral hypo e choic marg i n s, rX) isodense e chog eni c a r ea bounded by an hypoechoic c i r c l e . The f e at u r e s seen i n l iver ultra sonography of t he entire pat t e r ns , a nd those s e en as new c r i teria are presented ~