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Diagnostic Ultrasound - Abdomen and Pelvis

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Peritoneal Spaces <strong>and</strong> Structures<br />

Anatomy: <strong>Abdomen</strong><br />

LEFT SUPRAMESOCOLIC SPACE<br />

Falciform ligament<br />

Fluid in supramesocolic space<br />

Left portal vein<br />

Caudate lobe<br />

Inferior vena cava<br />

Vertebral body<br />

Fluid in left subphrenic space<br />

Spleen<br />

Left hemidiaphragm<br />

Left kidney<br />

Left pleural effusion<br />

Left lobe of liver<br />

Lesser sac fluid<br />

Perisplenic fluid<br />

Septation<br />

Splenorenal ligament<br />

Inferior spleen<br />

(Top) Subxiphoid transverse grayscale ultrasound shows fluid anterior to the left lobe of the liver that is localized to the left, posterior<br />

subhepatic space. Incidental calculi are seen within a dilated intrahepatic biliary duct. (Middle) Longitudinal grayscale ultrasound of the<br />

left upper quadrant shows a small amount of perisplenic fluid extending under the left hemidiaphragm. The left subphrenic space is<br />

separated from the right subphrenic space by the falciform ligament. (Bottom) Transverse grayscale ultrasound of the left upper<br />

quadrant reveals fluid in the perisplenic space <strong>and</strong> lesser sac.<br />

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