# @dr.grey_scale on Instagram

- **Type:** Video
- **Original URL:** https://www.instagram.com/p/DdrqPxFzoLE
- **Gondola URL:** https://gondola.cc/posts/70764943-drgrey-scale-instagram
- **Thumbnail:** https://img.gondola.cc/tr:w-,h-,fo-auto/postThumbnails/48eb85c958.jpg
- **Posted:** 2026-09-24T19:45:17.000+00:00
- **Account Owner:** Dr Sahidul Islam MBBS MD (Radiodiagnosis) (@dr.grey_scale) — https://gondola.cc/dr.grey_scale

## Caption

Ultrasound features - ✅ Hepatic Abscess 🎯

* Complex cystic hepatic lesion with thick, wall and internal debris.

* Posterior acoustic enhancement ± septations/loculations.

* Peripheral hyperemia on Doppler, with absent/minimal internal vascularity.

* Gas with dirty shadowing, when present, strongly supports abscess.

* Adjacent inflammatory change may be present.

Differentials

* Amoebic abscess: sonographically overlaps considerably; clinical/serological correlation is needed.

* Necrotic metastasis/HCC: consider if there is a vascularized solid component, mural nodule, multiple lesions, known malignancy or tumour thrombus.

* Infected cyst: usually a pre-existing cyst with new wall thickening/debris.

* Hydatid cyst: daughter cysts, membranes or calcification favour the diagnosis.

* Cystic neoplasm: thick vascularized septa or mural nodules favour neoplasm.

* Hematoma: trauma/intervention history and lack of inflammatory hyperemia favour this diagnosis.

Impression

Thick-walled complex cystic hepatic lesion with internal debris, posterior enhancement and peripheral hyperemia, without definite internal vascularity—features favour hepatic abscess. 

Necrotic tumour/infected cyst are less likely in the absence of a vascularized solid component.

Pyogenic versus amoebic etiology cannot be reliably differentiated on ultrasound alone.

#radiologyresident #medicalstudent #radiodiagnosis #sonopaedia #usg

## Stats

- **Views:** 1,488
- **Likes:** 35
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- **Comments:** 1

## Tags

sonopaedia, radiodiagnosis, radiologyresident, medicalstudent, usg

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