An examination is interpreted as positive if
free fluid is found in any of the 4 acoustic windows, negative if no fluid is seen and indeterminate if any of the windows cannot be adequately assessed.
A surgery consultation was taken and a Contrast CT abdomen was ordered which revealed multiple tiny Cholelithiasis with minimal
free fluid in the para-colic gutter.
Age Clinical Data USG & Doppler Findings Case 1 40 Pain lower abdomen & Enlarged, edematous vomiting right Ovary with peripherally arranged follicles, no colour flow and
free fluid in Pouch of douglas(POD) Case 2 20 Left pelvic pain, Left ovary enlarged nausea/vomiting (20ml) peripherally placed follicles, edematous,
free fluid present, Right ovary(5ml), echogenic fluid present, no color flow seen in left ovary Case 3 26 30 wks- Third trimester Well encapsulated left pregnancy with left ovarian cyst with fatty lower abdominal pain component in wall and intracystic hair like echoes.
A computed tomography (CT) scan of the abdomen with intravenous contrast showed a large amount of
free fluid in the abdominal cavity and a uterine myoma with a diameter of 77x58 mm (Figure 1a).
Focused assessment with sonography in trauma revealed
free fluid in all abdominal quadrants.
Ultrasound examination showed a dilated and thickened appendix, hypoechoic with loss of normal mural stratification, and appendicular lump with
free fluid in the peritoneal cavity.
Liver was normal and there was no
free fluid. No evidence for distant spread.
Abdominal ultrasonography revealed bilateral pleural effusion and intra-abdominal
free fluid. Radiologically, a high-density (89 HU) intra-abdominal
free fluid was detected on unenhanced CT scans.
Five patients (14.2%) who had normal abdominal X-rays findings underwent abdominal ultrasonography (USG), and were determined intraabdominal
free fluid in all cases.
The outside hospital CT scan demonstrated a large amount of
free fluid measuring simple fluid attenuation within the right pelvis.
It is used to identify presence of
free fluid in the peritoneal cavity, which may represent hemoperitoneum, and enables for an early referral to further imaging and/ or surgery.
On abdominal tomography,
free fluid around the stomach antrum and free air around the gallbladder were detected.