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Diagnostic Ultrasound - Abdomen and Pelvis

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Abdominal Wall<br />

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

POSTERIOR ABDOMINAL WALL<br />

Subcutaneous fat<br />

Right oblique muscles<br />

Right psoas muscle<br />

Right kidney<br />

Vertebrae<br />

Subcutaneous fat<br />

Right rectus abdominis muscle<br />

Bowel<br />

Inferior vena cava<br />

Right oblique muscles<br />

Right vertebral body<br />

Right kidney<br />

Right erector spinae muscle<br />

Right psoas muscle<br />

Quadratus lumborum<br />

Bowel<br />

Inferior vena cava<br />

Right oblique muscles<br />

Right quadratus lumborum muscle<br />

Vertebral body<br />

Right psoas muscle<br />

Right erector spinae<br />

(Top) Longitudinal oblique grayscale ultrasound through the lower right abdomen shows the right psoas muscle, which originates from<br />

the lumbar spine <strong>and</strong> inserts into the proximal femur. (Middle) Transverse grayscale ultrasound of right mid abdomen using the kidney<br />

as an acoustic window is shown. The kidney is anterior <strong>and</strong> lateral to the psoas <strong>and</strong> anterior to the quadratus lumborum. The psoas runs<br />

along the paravertebral region in its entire abdominal course. The quadratus lumborum originates from the iliolumbar ligament <strong>and</strong><br />

iliac crest to insert into the last rib <strong>and</strong> lumbar transverse processes. It is easily identified as the muscle on which the kidney rests.<br />

(Bottom) Transverse grayscale ultrasound of the right upper abdomen, continuing the scan inferiorly shows the relationship of the<br />

posterior abdominal wall muscles are maintained.<br />

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