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Differential Diagnosis in ULTRASOUND Differential Diagnosis in ULTRASOUND Second Edition Sumeet Bhargava MBBS DNB (Radiodiagnosis) FCGP FIAMS FICRI MNAMS Assistant Professor Department of Radiology and Imaging Subharti Medical College Meerut, Uttar Pradesh, India Satish K Bhargava MBBS MD (Radiodiagnosis) MD (Radiotherapy) DMRD FICRI FIAMS FCCP FUSI FIMSA FAMS Professor and Head Department of Radiology and Imaging School of Medical Sciences and Research Sharda Hospital Sharda University, Greater Noida, Uttar Pradesh, India Formerly, Professor and Head Department of Radiology and Imaging University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, India ® JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD New Delhi • Panama City • London • Dhaka • Kathmandu ® Jaypee Brothers Medical Publishers (P) Ltd Headquarters Jaypee Brothers Medical Publishers (P) Ltd 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 Email: jaypee@jaypeebrothers.com Overseas Offices J.P. Medical Ltd 83, Victoria Street, London SW1H 0HW (UK) Phone: +44-2031708910 Fax: +02-03-0086180 Email: info@jpmedpub.com Jaypee-Highlights Medical Publishers Inc. City of Knowledge, Bld. 237, Clayton Panama City, Panama Phone: +507-301-0496 Fax: +507-301-0499 Email: cservice@jphmedical.com Jaypee Brothers Medical Publishers (P) Ltd 17/1-B Babar Road, Block-B, Shaymali Mohammadpur, Dhaka-1207 Bangladesh Mobile: +08801912003485 Email: jaypeedhaka@gmail.com Jaypee Brothers Medical Publishers (P) Ltd Shorakhute, Kathmandu Nepal Phone: +00977-9841528578 Email: jaypee.nepal@gmail.com Website: www.jaypeebrothers.com Website: www.jaypeedigital.com © 2013, Jaypee Brothers Medical Publishers All rights reserved. No part of this book may be reproduced in any form or by any means without the prior permission of the publisher. Inquiries for bulk sales may be solicited at: jaypee@jaypeebrothers.com This book has been published in good faith that the contents provided by the contributors contained herein are original, and is intended for educational purposes only. While every effort is made to ensure a accuracy of information, the publisher and the editors specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the editors. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device. Differential Diagnosis in Ultrasound First Edition: 2005 Second Edition: 2013 ISBN 978-93-5025-999-3 Printed at Dedicated to My loving late wife Kalpana Whose inspiration and sacrifice have made possible to bring out this book Contributors Anoop Kumar Durga Das Resident Department of Radiology and Imaging University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, India Avneesh Kumar Singh Senior Resident Department of Radiodiagnosis and Imaging All India Institute of Medical Sciences (AIIMS) Ansari Nagar, New Delhi, India Anubhav Sarikwal Senior Resident Department of Radiology and Imaging University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, India Gopesh Mehrotra Professor Department of Radiology and Imaging University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, India Anupama Tandon Senior Lecturer Department of Radiology and Imaging University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, India Mamta Motla Ex Senior Resident Department of Radiology and Imaging University College of Medical Sciences (University of Delhi) and GTB Hospital Delhi, India Anurag Agarwal Additional Director National Board of Examination Ansari Nagar, New Delhi, India Meenakshi Prakash Resident Department of Radiology and Imaging University College of Medical Sciences (University of Delhi) and GTB Hospital Delhi, India Ashish Verma Assistant Professor Institute of Medical Sciences Banaras Hindu University (BHU) Varanasi, Uttar Pradesh, India viii Differential Diagnosis in Ultrasound Pardeep Kumar Senior Resident Maulana Azad Medical College and Associated GB Pant Hospital New Delhi, India Pushpender Gupta Department of Radiology Wake Forest University Baptist Medical Center, Medical Center Boulevard, Winston-Salem North Carolina, USA Rajul Rastogi Ex Senior Resident Department of Radiology and Imaging University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, India Presently, Yash Diagnostic Center Civil Lines, Moradabad Uttar Pradesh, India Satish K Bhargava Professor and Head Department of Radiology and Imaging University College of Medical Sciences (University of Delhi) and GTB Hospital Delhi, India Shuchi Bhatt Reader Department of Radiology and Imaging University College of Medical Sciences (University of Delhi) and GTB Hospital Delhi, India Sumeet Bhargava Assistant Professor Department of Radiology and Imaging Subharti Medical College Meerut, Uttar Pradesh, India Swati Gupta Resident Department of Radiology and Imaging University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, India Thingujam Usha Resident Department of Radiology and Imaging University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, India Preface to the Second Edition With the feedback from the practicing selenologists and residents, more text and illustrations have been added so as to make this book more handy for better interpretation at bedside. I am sure the book in the present format will be more acceptable and useful to the residents, sonologists and practitioners in their day-to-day practice. Sumeet Bhargava Satish K Bhargava