Characterization of tendon pathologies of the hand and fingers remains problematic, despite advances in imaging. By using clinical history and imaging appearance, one can determine the diagnosis. Ultrasonography (USG) may be used as the first imaging modality when MRI unavailable or has a higher cost for patients. Assessment of role of USG in evaluation of tendons abnormalities in hand and fingers USG detected 20 of 20 cases (100%) of tenosynovitis, 8 of 10 cases (80%) of trigger finger, 10 of 12 cases (83.3%) of tendon tear, 3 of 3 cases (100%) of foreign body impaction, 12 of 12 cases (100%) of simple ganglion, and 3 of 3 cases (100%) of solid masses with sensitivity, specificity, and accuracy 93.8%, 97.8%, and 95.8%, respectively. USG is a powerful, easy, and inexpensive imaging tool that allows accurate assessment of the hand and finger’s tendons abnormalities.

Background: Micro-ultrasound (micro-US; 29-MHz) offers real-time, high-resolution prostate imaging, but its stand-alone diagnostic accuracy remains uncertain. We synthesized prospective evidence to evaluate micro-US for classifying clinically significant prostate cancer (csPCa) using histopathology as the reference standard. Methods: We searched PubMed, Embase, Scopus, and Web of Science (inception–20 May 2025) for prospective studies assessing micro-US as an index test on a diagnostic pathway. Data were pooled using random-effects models on logit-transformed sensitivity and specificity, with an HSROC representation and model diagnostics. Subgroup and meta-regression analyses explored heterogeneity, including threshold (PRI-MUS) and spectrum effects. Clinical utility was appraised using Fagan nomograms and a likelihood-ratio scatter. Small-study effects were evaluated with Deeks’ test. Results: Five prospective studies met criteria. Pooled sensitivity was 0.84 (95% CI 0.65–0.94) and pooled specificity was 0.41 (95% CI 0.25–0.59), indicating moderate discrimination on HSROC. Secondary metrics were concordant (PLR 1.45, 95% CI 1.17–1.80; NLR 0.37, 95% CI 0.23–0.61; DOR 3.95, 95% CI 2.48–6.30). On a 25% pre-test probability, the Fagan nomogram showed modest shifts (~ 33% after a positive test; ~11% after a negative), supporting a triage/rule-out role. Heterogeneity was substantial and strongly influenced by threshold and clinical spectrum differences; subgroup and meta-regression suggested that spectrum-related factors were associated with lower specificity, whereas no covariate robustly altered sensitivity (exploratory given small k). Model checks were acceptable, and Deeks’ test showed no evidence of small-study effects ( p ≈ 0.70). Conclusion: As a stand-alone index test for csPCa classification, micro-US demonstrates high sensitivity but low specificity, yielding modest impact on post-test probability. These findings support micro-US as a complementary/triage (rule-out) adjunct, particularly when mpMRI is unavailable, contraindicated, or delayed, while highlighting the need for standardized PRI-MUS thresholds, reader training, and larger multicenter studies to refine specificity and clarify integration with MRI-based pathways.

Background: Atherosclerosis is an inflammatory reaction of the vessel wall. Emphysema may induce systemic inflammation, part of which may be the development or progression of atherosclerosis. So, the relationship between emphysema and atherosclerosis, whether both are due to the same causative agent and pathogenesis or emphysema led to atherosclerosis, is still not clearly understood. So, the aim of this work is to study the relationship between carotid atherosclerosis versus pulmonary emphysema extent and airflow obstruction.Results: Cigarette smoking index was higher in patients than controls. According to FEV1%, patients were classified into: GOLD 1 (mild): FEV1 ≥ 80% predicted, GOLD 2 (moderate): 50% ≤ FEV1 < 80% predicted, GOLD 3 (severe):30% ≤ FEV1 < 50% predicted, and GOLD 4 (very severe): FEV1 < 30% predicted. There was a significant difference between the studied groups as regard to ABG parameters. Emphysema score showed a positive correlation with thrombus size, plaque size, and stenosis percent. Approximately 2/3 of patients had atherosclerotic changes and the other 1/3 had increased IMT. GOLD staging, also, correlated with thrombus size and stenosis percent. So, there was a strong positive correlation between both emphysema score and GOLD staging and carotid atherosclerosis.Conclusion: The relationship between emphysema and atherosclerosis is suggested to be the chronic inflammatory reaction (against the same risk factor) based on the positive correlation between carotid atherosclerosis versus emphysema score and GOLD staging. The inherence of emphysema and atherosclerosis may be considered a syndrome. If so, targeting the same pathogenic mechanism will be valuable for their control.

Between ultrasound-guided and open surgical venous cut down for central venous catheter (CVC) placement. Patients and methods The study included 40 patients, divided into two equal groups: group A (open CVAD group) and group B (ultrasound-guided CVAD group). For each group, patient data, procedure success rate, time of the procedure, and any complications were documented and compared in both groups. Results Both groups were comparable regarding patient age, sex, cauterized vein, indication for CVC insertion, success rate, first-attempt success, number of attempts, and complications. Conclusion Ultrasound guidance was confirmed to be effective and safe as an open method for insertion of CVC insertion with preservation of the vein intact....

Background: Thyroid swellings are common in daily medical practice. Surgery was the standard curative treatment. However, the higher complications of surgery induced the search for alternative safe and effective options. Ethanol ablation under ultrasound guidance was introduced and considered a convenient alternative. However, no consensus yet was reached regarding the optimal treatment option. The aim of the work: Evaluating the value of ultrasound guided ethanol ablation in the treatment of benign cystic thyroid nodules. Patients and Methods: One hundred patients with cystic thyroid swelling were included. Patient evaluation was performed by careful history taking, clinical examination, laboratory investigations and ultrasound examination. Then drainage of the cyst followed by ethanol ablation was performed and outcome was assessed directly after the intervention, after 1 and 3 months. The reduction of cystic volume was recorded and any complications were documented. Results: The majority of patients were females [78.0%] and compressive symptoms were the commonest presentation [95.0%]. The purely cystic nodules represented the highest nature [70.0%] followed by the septated cystic [20.0%] and predominantly cystic [10.0%]. The volume of injected ethanol ranged from 3 to 10 CC. By ultrasound, there was significant reduction of the nodule volume, and significant increase of VRR % after one month than the basal values and at three months than the first month in all patients. At the end of the third month, the volume reduction rate showed significant increase in the purely cystic than the predominantly cystic nodules [80.0- 97.2% vs 56.8 – 90.0%, respectively]. The complications during the procedure was reported in 4 cases in the form of acute severe cervical pain. After the intervention, 7 patients reported mild neck pain. Conclusion: Ethanol ablation is an effective and safe procedures for cystic and predominantly cystic benign thyroid nodules on the short term follow up.