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What type of fluid can appear anechoic on ultrasound?

Simple cysts or fluid-filled structures

Anechoic fluid on ultrasound refers to a fluid that does not reflect sound waves, resulting in a black or dark area on the imaging. This characteristic is typically associated with simple cysts or fluid-filled structures. Such structures contain clear fluid, allowing sound waves to pass through without significant reflection or attenuation. Consequently, they appear anechoic on the ultrasound image.

In contrast, other types of substances such as blood clots, solid tumors, and calcified lesions demonstrate different acoustic properties. Blood clots can exhibit echogenicity depending on their organization and age. Solid tumors typically reflect sound waves and appear echogenic or heterogeneous, while calcified lesions create strong reflections and are seen as bright areas on an ultrasound. Understanding these differences is crucial for interpreting ultrasound images effectively.

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Blood clots

Solid tumors

Calcified lesions

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