I'm very happy to have started a column about ultrasound that appears at AuntMinnie.com. If you bop over there, peruse the selections and sometime type Birnholz into the search list and links to the articles will appear.
The term 'Aunt Minnie' is attributed to Ben Felson, who was an excellent plane film radiologist, and very likely the very best radiology educator in the history of the specialty. I had the pleasure of meeting him personally a few times when I was a resident. He was very fond of jokes and humor, and his lectures sparkled with wit. He used the term Aunt Minnie for something you recognize almost instantly on an X-ray film without necessarily having to think about how you know it - just like knowing that it is your Aunt Minnie when she visits.
The latest article at Aunt Minnie is entitled menstrual ultrasound and it is about the ultrasound exploration of the dynamics of menstruation and of pathological vaginal bleeding. There is a lot of discussion of the 'hypervascular' myometrium, which is equivalent to diffuse adenomyosis clinically. These images are baseline and energy Doppler views of the uterus in a woman with vaginal bleeding and pelvic pain. The top image is a shear wave elastogram showing that the myometrium is quite hard with diffuse adenomyosis. A blog treat, since I'm reserving elastography for a future article there.
Long axis, through a thin endometrium with some liquid blood in the endometrial cavity. Energy Doppler is monocolor. directional Energy Doppler is multicolored
transverse views
All Images are made with a Supersonic Imagine Aixplorer.
