Abnormalities That an Ultrasound Can Detect

Updated on February 14, 2025
The right hand of a female doctor moving an ultrasound scanner over the bare stomach of a supine female patient.

Ultrasound imaging plays an essential role in diagnosing a variety of conditions by providing real-time, noninvasive visualization of internal body parts. Its efficiency in detecting potential issues makes it a staple tool in medical settings. If you’re a medical professional, understanding the common abnormalities that an ultrasound can detect ensures early detection and effective management of health concerns.

Ectopic Pregnancy

Ectopic pregnancies occur when a fertilized egg implants outside the uterus, most commonly in the fallopian tubes. During an ultrasound, look for the absence of an intrauterine gestational sac alongside an adnexal mass or free fluid in the pelvis. Prompt identification of this potentially life-threatening condition is vital to prevent complications like tubal rupture.

Fetal Growth Restriction (FGR)

FGR refers to inadequate fetal growth due to various factors, including placental insufficiency. Key ultrasound findings include abnormal Doppler velocimetry in umbilical artery flow, reduced amniotic fluid index, and measurements falling below the 10th percentile for gestational age. Early detection allows for close monitoring and timely delivery planning.

Polycystic Ovary Syndrome (PCOS)

Ultrasound plays a central role in diagnosing PCOS, characterized by the presence of multiple ovarian cysts. Look for patterns in the ovaries that look like strings of pearls, along with increased ovarian volume. Accurately identifying these markers facilitates effective treatment strategies for affected patients.

Hepatic Lesions

Abnormalities in the liver, such as hepatic cysts, hemangiomas, or malignant masses, are detectable via ultrasound. Look for hyperechoic, hypoechoic, or mixed echogenic regions within the liver. These findings often warrant further investigation with contrast imaging or biopsy to confirm the diagnosis.

Cardiac Anomalies in Fetuses

Congenital heart defects are among the most common fetal abnormalities detected during prenatal ultrasounds. Abnormalities in the four-chamber view or outflow tracts, along with irregular heart rhythms, indicate potential structural or functional cardiac issues. Early detection allows for specialized care following the delivery.

Gallstones

Gallstones appear as highly echogenic masses within the gallbladder that cast posterior acoustic shadows. An ultrasound can also indicate gallbladder wall thickening and pericholecystic fluid, which suggest acute cholecystitis. Recognizing these markers helps to diagnose and manage biliary system disorders promptly.

Ultrasound imaging empowers medical professionals to identify and address various concerns with accuracy and speed, and the future of ultrasound technology is only strengthening these abilities. As a medical professional, you should know what abnormalities an ultrasound can detect to improve patient outcomes and underline the critical role of imaging in modern medicine.

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