Fall, 2014

Fall, 2014

Hello NCUS Members!

I know this is a crazy time of year for the family/holiday preparations in our homes on top of our work schedules, but I hope you will take the time to enjoy this edition of the newsletter on your mobile device. Included in this newsletter are several case studies and some interesting information regarding the status of sonography education in the state. Our President, Marta Thorup, reminds us of the importance of our profession and why the NCUS even exists!

Be sure to watch for the email for the Board of Directors Election Ballot that will be sent from the NCUS Central Office after the first of the year. It is important for you to be informed and vote for someone to represent you so the society can meet your needs as a sonographer. I wish you all a safe and peaceful holiday season and that 2015 will be a great and productive year! Don’t forget--- Wilmington in March!!

Thank you,

In describing to non-imagers how operator-dependent ultrasound can be, consider this metaphor of walking into a radiologist's dark room, with an imaging technologist as a guide. With most modalities, the technologist flips a switch on the wall, turning a ceiling-light on that illuminates the entire room. Everything that can be seen is on display for the radiologist to view. But with the ultrasound modality, there is no light on the ceiling. Instead, the sonographer has a flashlight, and the radiologist can only see what’s painted by the sonographer's beam.

We as sonographers have a responsibility to provide the most competent and thorough studies we can to ensure the best possible patient outcome. After graduating your primary diagnostic medical sonography program your real life education begins and continues until retirement. We all agree that we can't know everything there is to know, but we can sure keep trying. The sole purpose of North Carolina Ultrasound Society is to get all in attendance closer to the goal of knowing more. Our Fall Symposium 2014 in Concord was a great success! There was a whole lot of learning going on! We appreciate all of our speakers who came to give us some of their knowledge. We appreciate all the vendors who came to show us what products and services are available in the ultrasound field. Of course we appreciate everyone in attendance who came out to learn with us! You are all awesome!

We look forward to seeing everyone next March 13-15, 2015 in the beautiful Wilmington, NC. We already have a strong lineup of speakers. For the first time we will offer a Friday hands-on workshop tackling MSK imaging with Dr. Randy Moore. Saturday and Sunday features some very strong lectures including one of our most requested speakers, Mr. Mani Montazemi. We will be introducing to NCUS Mr. Brian Sapp who will be tackling common vascular dilemmas such as imaging those pesky calf veins.

We also look forward to more fun as we finish Saturday with a linger-longer after-party with our vendors. We would love to see everyone there.

Hope everyone has a safe and happy winter.

Keep those flashlights focused and shining bright!

Marta Thorup
NCUS President

The patient is a newborn, full term white male infant. During his initial exam, he revealed to have a regular rhythm and rate. There was a normal S1 and soft single S2. A grade 3/6 high pitched harsh systolic murmur auscultated at the ULSB with moderate radiation. There was no diastolic murmur. There wasn’t any cyanosis. An echo was performed at two days of life.

During the echo the patient appeared to have an overriding aorta with a moderately large ventricular septal defect. The report confirmed these findings along with normal cardiac function. The velocity of flow in the pulmonary artery was 4.2 m/s. The flow arised from the mid-portion of the right ventricle.

What is the diagnosis?

  • Studycast by Core Sound Imaging
  • DiagnosticHealth Group
  • Parks Medical Electronics
  • Hitachi Aloka Medical
  • Esaote
  • Cardiovascular Credentialing International (CCI)
  • Imaging Associates Inc
  • Siemens Medical
  • GE Healthcare

These companies and organizations participated in the Fall 2014 Symposium at Great Wolf Lodge. The NCUS thanks them for their valuable support.

The new 2014 – 2015 NCUS Mentees were chosen in June 2014 from applications sent from rising senior sonography students of North Carolina Diagnostic Medical Sonography Programs. This year the board is pleased to announce the following mentees: Phoebe Blankinship from Cape Fear Community College mentored by Alice Bradley, Brittany Davis from South Piedmont Community College mentored by Chris Mann and Carmmen Gurganeous also from Cape Fear Community College mentored by Teresa Jones.

The mentees have been hard at work with their school studies along with their responsibilities assisting with the recent Fall Symposium in Concord, NC and their case studies included in this newsletter.

Hello fellow NCUS members,
I hope that if you were not able to join us for the Fall 2014 Symposium at the Great Wolf Lodge in Concord NC that you will mark your calendars for March 13-15, 2015 and join us in Wilmington, NC for the Spring meeting.

I would like to take a few moments to update you on what is going on in regarding to educational programs in North Carolina. Currently, there are eight accredited General Concentration (Abdomen and OB/Gyn) programs, six Cardiovascular programs and one Cardiovascular Technology (invasive/non-invasive) program in North Carolina. They are as follows:

Hydronephrosis is defined as urine dilatation of the renal pelvis, calyceal structures and infundibula of the kidney. Hydroureter is dilation of the ureter. Hydronephrosis occurs when there is either blockage of the outflow of urine or reverse flow of urine from the bladder. When the urine flow is obstructed the urine backs up into the kidneys proximal to the obstruction and pressure inside the kidney is elevated. Elevated pressures within the kidney can causes blood vessel compression and alter the function of the kidney. If obstruction is complete, it can result in serious irreversible kidney damage which can occur after 3 weeks, and after 3 months if incomplete obstruction is left untreated. There are many possible causes of hydronephrosis, some intrinsic causes are calculi, hematoma, neoplasm, ureteropelvic stricture or obstruction, ureterocele etc. Extrinsic causes include neoplasm, trauma, neurogenic bladder, surgery, bladder outlet obstruction, etc. (Kawamura & Lunsford, 2012).


Body stalk anomaly is a congenital abnormality that presents with a shortened umbilical cord and can associate with thoracic and/or abdominal organs outside of the abdominal cavity. Body stalk anomaly is a rare finding and has been reported in 1 in 15,000 pregnancies in the first trimester (Shibata, Terada, Igarashi, & Suzuki, 2014, p. 3). There are different anomalies that body stalk can be associated with, including neural tube defects, genitourinary malformation, abnormalities of the chest wall, intestinal atresia, and craniofacial defects (Quijano, Rey, Echeverry, & Axt-Fliedner, 2014, p. 1). This congenital anomaly is lethal and the fetus may only survive a few days after birth. Due to the severity of this anomaly termination of pregnancy is a commonly suggested method of treatment. Body Stalk Anomaly and Associated Anomalies

The patient’s examination and findings are consistent with Tetrology of Fallot. He has moderate to severe right ventricular outflow tract obstruction at both subvalvar and valvar levels. At one month of age, he began having episodes of pallar and diaphoresis. With concern for changes to come, it was discussed to have surgery repair late September or early October.

Post op:
The four month old infant with TOF s/p repair late September did well postoperatively. It was decided to place a patch closure on the ventricular septum, and perform a pulmonary valvotomy. There was a tiny residual ventricular septal defect, with normal systolic function. Also there was mild pulmonary valve insufficiency and stenosis.