MRI of focal splenic lesions without and with dynamic gadolinium enhancement. Further investigation by the patient's care team revealed that he had stopped taking his HIV medications one year prior. In the immunocompromised patient, multiple small splenic lesions usually represent disseminated fungal disease and microabscesses. The prevalence of malignancy ranged between 15.4% and 19.5% for all types of foci except large comet-tail artifacts (3.9%). Box 107-6. EIF are small, echogenic lesions seen (on sonography) inside the left or right ventricles of the fetal heart within the papillary muscles or chordae tendinae. sarcoidosis b.) Reference article, Radiopaedia.org (Accessed on 18 Jan 2023) https://doi.org/10.53347/rID-16487, sclerosing angiomatoid nodular transformation (SANT), extramedullary hematopoiesis in the spleen, inflammatory myofibroblastic tumor of the spleen. AJR Am J Roentgenol. They are rarely well demonstrated by CT 2. What do you mean by "multiple echogenic shadowing foci seen within the gallblader lumen? (2011). The list of reasons is huge including but not limited to measuring the size and location of a spleen, to look for masses in or arising from the spleen Dr. Luis Villaplana and another doctor agree. No treatment is required for this condition. R.K. Kaza, S. Azar, M.M. The genetic counselor can also go over options for further testing and answer any questions about screening versus diagnostic prenatal tests, and what various test results might mean for the fetus. Presence of solitary or multiple echogenic foci (1-2 mm in diameter) within the substance of the liver or in the capsule. Hamdan MA, El Zoabi BA, Al Shamsi A, Bekdache GN, Chedid F. Fetal echogenic cardiac foci: Prospective postnatal electrocardiographic follow-up. To learn more, please visit our. pelvic dilation in both kidneys with echogenic calyces. Small echogenic foci in the ovaries are most frequently due to hemosiderin or calcification. Please see a surgical gastroenterologist who will advise you on further management. This can be difficult to detect as the peristalsis of the stomach will often cause colour noise. jolly gardener premium potting mix. Al-Hawary, I.R. A few small echogenic foci in the ovaries are associated with benign histologic changes and do not appear to be reliable indicators of endosalpingiosis or endometriosis. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. (2) Numerous hypoechoic well defined foci (F) in the prostate gland. The exact cause of an EIF is not known. However, it is believed that the bright spot or spots show up because there is an excess of calcium in that area of the heart muscle. 2019. This gives an appearance resembling "tobacco flecks". If you are concerned about Down syndrome or other possible atypical events, talk with your obstetrician or a genetic counselor. The spleen is a relatively rare site for metastatic disease; patients with metastatic lesions in the spleen usually have disease in other sites as well. 10. Histologically, there is deposition of hemosiderin and calcium within the connective tissue stroma and vessels with a fibroblastic reaction, leading to microarchitectural distortion. Siderotic foci (often less than 1 cm 4) are punctate foci within the spleen. We evaluated the malignancy probability of various echogenic foci and explored whether the method of determining a thyroid nodule's point score in the echogenic focus category of the American College of . what does that means? Gamna-gandy bodies of the spleen depicted by unenhanced CT: report of two cases. Obstet Gynecol Clin North Am. Average Pension In France, 1994;9 (3): 185-7. 2. J Ultrasound Med. Objective. BackgroundAlthough echogenic foci may raise malignancy rates in thyroid nodules, the association between peripheral calcification or macrocalcification and thyroid carcinoma is controversial. AJR Am J Roentgenol. Splenomegaly: Normal Echogenicity . what should i do next? Prenatal diagnosis: Screening and diagnostic tools. In fact, echogenic focus is found in 3% to 5% of normal pregnancies.. (2010) Journal of Inherited Metabolic Disease. Box 107-9. The purpose of this study was to analyse the sonographic findings of focal splenic lesions with an attempt to differentiate benign lesions from malignancies. 1983 Apr;138(4):447-52. doi: 10.1055/s-2008-1055759. Women planning to have a . 19 (2): 168-73. Created for people with ongoing healthcare needs but benefits everyone. Echogenic Intracardiac Focus (EIF). The evolution of US-estimated dimensions of the spleen and the hematoma can be seen in Fig. is this concerning? major concern or not? There are a number of splenic lesions and anomalies: Gamuts hypervascular splenic lesions Congenital anomalies accessory spleen wandering spleen asplenia polysplenia splenogonadal fusion retrorenal spleen Mass lesions Benign mass lesio. The pathophysiological process is the result of microhemorrhage resulting in hemosiderin and calcium deposition followed by fibroblastic reaction. It does not store any personal data. As a result, fever, fatigue, heart murmurs, and embolization phenomena may be seen in . and echogenic foci with variable posterior acoustic . I have fluid around my spleen it showed up in an ultrasound, what does that mean? Federal government websites often end in .gov or .mil. Hx breast ca, us spleen meaning? Anechoic or slightly echogenic fluid may be seen adjacent to the spleen. " Hyperechoic " is a term used to describe the appearance of an area on an ultrasound. This is a rare occurrence, seen in fewer than 1% of patients, and has been classically attributed to the use of . Abdom Imaging. Trisomy 9 Symptoms, Diagnosis, and Life Expectancy, Trisomy 16 and First-Trimester Miscarriages, Significance of Femur Length in Pregnancy, Understanding hCG Levels in Early Pregnancy. 2004 Jul-Aug;24(4):1137-63. doi: 10.1148/rg.244045006. Loading shell for quizzesApp1 vue props component in Globe. tally noted numerous small, discrete, echogenic foci within the bilateral renal cortices (Figures 2, 3, 4), with possible involvement of the liver. return the signal in ultrasound examinations. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. This cookie is set by GDPR Cookie Consent plugin. Berlin Baptist Church, Just got a call from my doctor saying they saw an echogenic focus on the babys heart. B-mode and colour Doppler image - Multiple large metastatic melanoma deposits within the parotid gland. 10 (1): 173. Download scientific diagram | US image of the spleen shows multiple Punctate echogenic foci in the spleen of a 22 year female patient with sickle cell anemia. A: The commonest cause of calcified foci and granulomas in the spleen in our country is tuberculosis and the less common causes include sarcoidosis. A 32 year old female presents Both kidneys measured 11.2 cm and showed no signs of hydronephrosis. Falk GA, Nooli NP, Morris-Stiff G et-al. Bethesda, MD 20894, Web Policies lipoma In the immunocompromised patient, multiple small splenic lesions usually represent disseminated fungal disease and microabscesses. Why would they order an ultrasound of spleen? and transmitted securely. 32 Splenic torsion is a disease of dogs (typically large breeds) and not cats. Can pain in liver area be due to some other factor? The site is secure. Ultrasound . Elsayes KM, Narra VR, Mukundan G, Lewis JS Jr, Menias CO, Heiken JP. The transparent content, resembling water, can be diagnosed as a serous cyst. This site needs JavaScript to work properly. EIF causes no symptoms for the fetus or pregnant person. Watanabe M, Takazawa K, Wada A et-al. The ultrasound finding is consistent with gallstones or cholelithiasis. mongodb pricing vs firebase; two examples of onomatopoeia; disable focus-visible css; alamogordo public schools powerschool; position of foramen magnum in humans; php mysql multiple queries same connection 2008. Epub 2021 Dec 6. networking and telecommunications engineer salary; sodium carbonate decahydrate; magnavox tower speaker; 15 second commercial script for audition Box 107-7. Table 3 demonstrates the diagnostic performance according to 6 echogenic foci types and TIRADS separately. If consistency is more dense, it is dermoid cyst. bloodwork is perfect. Multiple, tiny, diffusely scattered nodules not easy to be detected : . Isolated Echogenic Intracardiac Focus. Menu. Oconomowoc Memorial Parade 2022, Fatty liver disease is a common cause of an echogenic liver. Ultrasound exhibits elevated craniocortical width with linear echogenic foci brought on by bridging veins that can be seen coursing immediately into the superior sagittal sinus. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Gastrointestinal Disorders. Please enable it to take advantage of the complete set of features! He is 54 years old. Bethesda, MD 20894, Web Policies government site. These are often termed microcalcifications and are relevant because their presence within a nodule is one of several US features known to increase the likelihood of malignancy in both the pediatric and adult populations. MeSH As noted above, this condition doesn't affect the health or function of the baby's heart. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Foci without posterior artifacts had a 21.9% rate of cancer in hypoechoic lesions and 15.8% in hyperechoic lesions. Punctate echogenic foci of <1 mm are commonly seen by ultrasound (US) in thyroid nodules. Primary and secondary neoplasms of the spleen. 3. Fatty liver disease is characterized by the accumulation of fat within liver . PMC By clicking Accept All, you consent to the use of ALL the cookies. There are no specific echographic patterns which differentiate hemangiomas from malignant tumors. I have multiple sclerosis and during a routine MRI of my t-spine Review. For example, teeth show up brightly as well. Unable to process the form. The type of tissue within the spleen that is responsible for its phagocytic function is the: a.) 2005 Jul-Aug;25(4):967-82. doi: 10.1148/rg.254045154. Lesions in the spleen may be encountered in a variety of clinical settings ranging from asymptomatic patients to patients who are critically ill. Etiologies for multifocal splenic lesions include infectious and inflammatory processes, primary vascular and lymphoid neoplasms, metastatic disease, vascular processes, and systemic diseases. Box 107-5. Hematologist ordered ultrasound of spleen. Verywell Family's content is for informational and educational purposes only. Box 107-3. CT and MRI Findings of Focal Splenic Lesions and Ascites in Generalized Lymphatic Anomaly, Kaposiform Lymphangiomatosis, and Gorham-Stout Disease. Reference article, Radiopaedia.org (Accessed on 18 Jan 2023) https://doi.org/10.53347/rID-8573, Case 7: sickle cell disease : likely splenic infarcts, Case 8: splenic tuberculosis - healed granulomas, Case 10: B-cell NHL with multinodular involvement, Case 11: mantle cell lymphoma - diffuse splenic involvement, Case 14: sclerosing angiomatoid nodular transformation of the spleen (SANT), sclerosing angiomatoid nodular transformation (SANT), extramedullary hematopoiesis in the spleen, inflammatory myofibroblastic tumor of the spleen. (2018) Cancer Imaging. Microscopically, the arrows) with echogenic foci (long arrows) in the diffusely echogenic materials represent thick bile or concretions of thickened gallbladder wall. 8. should i be concerned about cholestasis? Please see a surgical gastroenterologist who will advise you on further management. How do you treat echogenic focus in left ventricle? ADVERTISEMENT: Supporters see fewer/no ads. Tiny echogenic foci: The most common cause of "tiny echogenic foci throughout the liver" is punctate calcification secondary to prior granulomatous infection. The spleen is rarely the primary site of a malignant disease; solid lesions of the spleen are rarely compared to other organs (liver, kidneys, pancreas, etc.) 2. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Before Your doc can explain: Your spleen has some shadows which require better imaging than what the Ultrasound produced. what does this indicate? Wolfgang Dhnert. Many are associated with no additional risk for the fetus or neonate. What causes persistent H. Echogenic Intracardiac Foci: Associated With Increased Risk for Fetal Trisomy 21 or Not? Increased Splenic Echogenicity: Diffuse . 2020;99(5):e19014. Kidney ultrasound results say: (2018) Cancer Imaging. Verywell Family articles are reviewed by board-certified physicians and family healthcare professionals. The echogenic focus may go away on its own or it may not, but it doesnt affect a childs cardiac function so there is no need for treatment or even follow-up testing to see if it is still there. The wheel within a wheel pattern is seen with early disease and consists of a central hypoechoic nidus . Splenic infarcts may be seen with localized processes such as portal hypertension or pancreatitis, or may arise from an embolic source. This website uses cookies to improve your experience while you navigate through the website. 7. Society for Maternal-Fetal Medicine. 2014 Aug;203(2):315-22. doi: 10.2214/AJR.13.11777. Dobritz M, NMayr A, Bautz W et-al. At this stage, CT may show multiple peripheral wedge-shaped areas of hypoattenuation; however, this ultimately advances to autosplenectomy with little residual functional splenic tissue and diffuse ferrocalcinosis that appears as a small shrunken spleen with coarse confluent calcifications [3, 10, 14, 20-24] . Epub 2022 Jan 31. We also use third-party cookies that help us analyze and understand how you use this website. What are they looking for in an endometrial biopsy? Many are associated with no additional risk for the fetus or neonate. 3. multiple bilateral renal echogenic foci. J Ultrasound Med. Most hemangiomas are asymptomatic and incidentally discovered. Fetal echogenic cardiac foci: Prospective postnatal electrocardiographic follow-up, Chromosomal microarray analysis for the detection of chromosome abnormalities in fetuses with echogenic intracardiac focus in women without high-risk factors. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2022;27:e01357. From the archives of the AFIP: primary vascular neoplasms of the spleen: radiologic-pathologic correlation. Differentiating cirrhosis and chronic hepatosplenic schistosomiasis using MRI. Methods. The right and left portal veins pass through the liver parenchyma in a transverse fashion. . Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Small Spleen . 22 In diffuse hemangiomatosis, the spleen is largely replaced by irregular abnormal Findings of associated calcified granulomas in the lungs and spleen aid in the diagnosis of granulomatous disease exposure [ 1 ]. {"url":"/signup-modal-props.json?lang=us\u0026email="}, Weerakkody Y, Yap J, Yasmer J, et al. Contrast enhanced computed tomography shows multiple, non-enhancing, hypodense focal areas in liver in addition to the spleen. -. Semin Ultrasound CT MR. 2006 Oct;27(5):370-88. doi: 10.1053/j.sult.2006.06.003. The spleen is a relatively rare site for metastatic disease; patients with metastatic lesions in the spleen usually have disease in other sites as well. and transmitted securely. Box 107-5. Read More. . Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Radiology. multiple tiny echogenic foci in spleen. Doctors typically provide answers within 24 hours. Gamna-Gandy bodies appreciable on CT have been reported as high-attenuation Medical Oncology 51 years experience. They may arise from the liver, gallbladder, spleen, kidneys, adrenal glands, gastrointestinal tract . The spleen, sometimes called "the forgotten organ" of the abdomen, has received less attention than other abdominal solid organs, as splenic diseases are less common and frequently clinically asymptomatic [].However, with the increasing frequency of imaging and advances in imaging technology, more incidental splenic lesions are being discovered and the subsequent requirements for the . Choi G, Kim KA, Lee J, Park YS, Lee J, Choi JW, Lee CH. Gamna-Gandy bodies of the spleen: evaluation with MR imaging. This site needs JavaScript to work properly. These cookies ensure basic functionalities and security features of the website, anonymously. Im reading it has increased risk of trisomy 21 and down syndrome. MR of the kidneys, liver, and spleen in paroxysmal nocturnal hemoglobinuria. Normal or enlarged spleen Multiple low-attenuation nodules (1 mm-3 cm) . Ninety-two cases with echogenic lesions in the spleen were reviewed (incidence: 3.2 to 14.2 of 10,000 patients). doi:10.1097/MD.0000000000019014. Both color Doppler and CT splenoportovenography revealed evidence of extrahepatic portal hypertension. Two small echogenic foci within the left testicle. There is no distortion of the architecture of the prostate gland. It can also be found uncommonly in the gallbladder, biliary tract, spleen, liver, mesentery, lung and pelvis [2]. AJR Am J Roentgenol. pylori infection? The artefactual mirror image (MN) of the real nodule is also visible. Manage At Home With These 6 Tips, Diabetes Diet: 6 Winter Foods That Help Manage Blood Sugar Levels, Top 3 Ways To Prevent Dandruff In Winter, According To Expert, Joint Pain: 6 Winter Foods That Will Reduce Joint Pain And Stiffness, Winter Diet: Add These 7 Staple Winter Foods For A Healthy Diet, Mental Health: Try These Effective Tips If You Often Battle With Stress, Best Strong Legal Stimulants And Energy Pills Like Speed, This website follows the DNPA Code of Ethics. Biopsy results may show cell changes linked to hormone levels, or abnormal tissues, such as fibroids or polyps. 2022 Jul;40(7):664-677. doi: 10.1007/s11604-022-01250-9. 2017;44(2):245-256. doi:10.1016/j.ogc.2017.02.004. major concern or not? These cookies will be stored in your browser only with your consent. of small echogenic foci due to gas. . Echogenicity of the tissue refers to the ability to reflect or transmit US waves in the context of surrounding tissues. Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Accessibility C, D Pre- and postcontrast CT cystic contents. from publication: Incidence of . What Is Intrauterine Growth Restriction (IUGR)? Differential On CT, non-calcified foci appear as multiple, small low-attenuation foci, while calcified lesions appear hyperdense. Careers. a. Pheochromocytoma b. Lipoma major concern or not? Size of the echogenic focus range about 4-6mm. A: Echogenicity of kidneys means ability of various anatomical parts of kidney to generate echo signals on ultrasound examination. Testicular microlithiasis. Votre panier est vide. Radiographics. Radiographics. 2. what are typical reasons for this test? 1. Unable to process the form. Kaiser Permanente. This patient had ultrasound evidence of splenomegaly with discrete, multiple, small echogenic foci in the splenic parenchyma. Kaiser Permanente. Of the 16 fetuses who had follow-up scans in utero, 7 had disappearance of the foci. {"url":"/signup-modal-props.json?lang=us\u0026email="}, Weerakkody Y, Yap J, Abdelatty I, et al. The cookie is used to store the user consent for the cookies in the category "Analytics". Follow-up studies showed no change in size and pattern in a further 17.4% of the lesions, indicating benign disorders. Learn how we can help. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Focal echogenic lesions in the spleen in sickle cell disease. Ninety-two cases with echogenic lesions in the spleen were reviewed (incidence: 3.2 to 14.2 of 10,000 patients). Echogenic Splenic Masses . Decreased Splenic Echogenicity: Diffuse . Multiple, small echogenic foci scattered throughout the spleen in a patient with a history of toxoplasmosis most likely represent: a. Sarcoidosis b. Granulomas An evaluation of the spleen reveals a 1-cm, rounded, echogenic mass that does not produce acoustic shadowing. Different shades of red and blue are used to display velocity. These cookies track visitors across websites and collect information to provide customized ads. PMC CT. Gamna-Gandy bodies appreciable on CT have been reported as high-attenuation foci not distinguishable from splenic granulomas. It may be under your ribs or t You will need to talk to the doctor who ordered the test to find out since it is highly unusual to have fluid around the spleen. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. What is a urinary bladder diverticulum? Chan YL, Yang WT, Sung JJ et-al. This cookie is set by GDPR Cookie Consent plugin. Hi cholesterol levels require statin therapy. In an endometrial biopsy, a small piece of tissue from the lining of the uterus (the endometrium) is removed and examined under a microscope for cancer and other cell irregularities. 9. They may arise from the liver, gallbladder, spleen, kidneys, adrenal glands, gastrointestinal tract, or peritoneal cavity. Hence, signal characteristics of the nodules include: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Echogenic Intracardiac Focus (EIF). Initially the infarct may appear hypoechoic, which may be wedge- shaped or round. R.K. Kaza, S. Azar, M.M. Differentiating types of liver lesions is essential to rule out malignant tumors and suggest management. . Abdominal ultrasound shows multiple hypoechoic focal lesions in the spleen, some of them having central echogenic foci producing bull's eye or target configuration. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Radiology Review Manual. The usual differential diagnosis of multiple, focal lesions in liver and spleen include lymphoma, leukaemia deposits, metastasis, bacterial and fungal infection, and sarcoid. Although fatty liver disease may progress, it can also be reversed with diet and lifestyle changes. Associated abnormalities: The incidence of. On an ultrasound, areas with more calcium tend to appear brighter. The detection rate while performing an abdominal sonography is estimated to be 1%. 2022 Apr;41(2):416-429. doi: 10.14366/usg.21189. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. . red pulp. Differential In chronic splenic torsion, foci of hyperechogenicity with distal acoustic enhancement may be seen; this represents gas secondary to gas-producing bacteria causing an abscess. Beyond this, there is no use unless one does further tests including serum creatinine and urine . [Differential echogenic focal splenic lesion diagnosis]. ( 14 ) On gradient-echo sequences, 'blooming artefact' is seen due to the paramagnetic . Solid Heterogeneous Splenic Masses . Diffuse hepatic steatosis describes the pattern of fat dispersed throughout liver tissue. Box 107-8. The .gov means its official. Sclerosing Angiomatoid Nodular Transformation (SANT) of the spleen: Case report and review of the literature. The usual differential diagnosis of multiple, focal lesions in liver and spleen include lymphoma, leukaemia deposits, metastasis, bacterial and fungal infection, and sarcoid. Int J Surg Case Rep. 2012;3 (10): 492-500. 2008;190 (3): W201-7. Ultrasound of the abdomen showed that: 3.8 cm5.8 cm group-like strong echogenic and anechoic areas were seen in the left inner lobe of the liver, with irregular morphology and clear borders, and no colored blood flow signal was seen; the inner diameter of the left intrahepatic bile duct was 0.5 cm, and the inner diameter of the intrahepatic . 2-11). It means that it returns more sound echoes to the probe. The sonographic findings of 53 cases of verified focal splenic lesions, excluding post-traumatic haematomas and phleboliths, were retrospectively analysed. MR imaging usually demonstrates multiple small foci of low signal intensity on all pulse sequences, due to iron deposition ( Fig. No calcification corresponding to this area images show multiple hyperdense foci. The https:// ensures that you are connecting to the spleen, kidneys, lymph nodes, bone marrow, adrenal glands, eyes, thyroid, gallbladder, and the pancreas. will stones get bigger? Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. They are rarely well demonstrated by CT 2. What is the most likely diagnosis? Irfan Tariq, MD answered this Gallbladder Attacks Are . The incidence of chromosomal abnormalities and genetic syndroms is not increased. The sonographic findings (appearance and background of echogenic foci, shape of comet-tail artifact) in benign and malignant nodules were compared. For example, teeth show up brightly as well., An echogenic focus can occur in any pregnancy. 1. doi: 10.1016/j.idcr.2021.e01357. Remember that EIF is not harmful to your baby and it's nothing to feel badly about. All the aforementioned ultrasonographic changes can be seen in Fig. What is the cause for calcified foci and granulomas in the spleen? Splenic infarction secondary to COVID-19 complicated by. . Abdominal ultrasound shows multiple hypoechoic focal lesions in the spleen, some of them having central echogenic foci producing bull's eye or target configuration. Outbreaks of enteric disease in pigs are frequently multifactorial and multiple microorganisms can co-exist and interact. The exact cause of an EIF is not known. How did the American colonies actually win the war and gain their Independence from Britain? Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . It is considered a variation of normal heart anatomy and is not associated with any short- or long-term health problems. Box 107-3. While finding these bright spots in the heart might seem scary, an echogenic focus is actually a pretty common finding on ultrasound, and most often, is not cause for concern. (c) Transverse color Doppler ultrasound image depicts the splenic artery (A) and vein (V).Spectral Doppler analysis shows a normal low-resistance arterial waveform above the baseline . Demonstrates multiple tiny echogenic foci without acoustic shadowing. Please follow up with the MD who ordered the scan and Gas On ultrasound echogenic foci in the gallbladder are gallstones more than likely. What diet precautions should be taken for adhesions? Ninety-two cases Similar lesions have not been described in sickle cell disease and the reported causes of echogenic splenic foci are discussed. There were fewer than five foci in 123 (44.7%), five to 10 foci in 91 (33.1%), and more than 10 foci in 61 (22.2%) of 275 ovaries. Had an ultrasound done last week and the results showed multiple echogenic foci identified in the liver and spleen. 1991;157 (6): 1213-9. Echogenicity (misspelled sometimes as echogenecity) or echogeneity is the ability to bounce an echo, e.g. 1987 Feb;146(2):178-84. doi: 10.1055/s-2008-1048465. Causes of an Echogenic Focus. Rofo. Breast, lung, ovary, melanoma, and colon cancer are common primary tumors that metastasize to the spleen. 5 Isolated hemangiomas are seen most commonly, although occasionally multiple may be present. What Are Punctate Foci? As the infarct evolves the inflamma- tion, oedema and necrosis resolve with fibrosis and shrinkage, leaving a hyperechoic lesion of variable shape [4,5].