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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 />

Right rectus muscle<br />

Bowel<br />

Right external oblique muscle<br />

Right internal oblique muscle<br />

Right transversus abdominis<br />

Inferior vena cava<br />

Right psoas muscle<br />

Right quadratus lumborum muscle<br />

Vertebral body<br />

Transverse process<br />

Right rectus muscle<br />

Linea semilunaris<br />

Bowel gas<br />

Right external oblique muscle<br />

Right internal oblique muscle<br />

Right transversus abdominis muscle<br />

Right psoas muscle<br />

Right iliac crest<br />

Right iliacus muscle<br />

Right rectus abdominis muscle<br />

Shadowing from bowel gas<br />

Right oblique muscles<br />

Right iliopsoas muscle<br />

Tendon of psoas muscle<br />

Right external iliac artery<br />

Right iliac crest<br />

Right external iliac vein<br />

(Top) Transverse grayscale ultrasound in the lower abdominal region shows the right psoas muscle, composed of the psoas minor which<br />

rests upon the psoas major. The 2 muscles cannot be separated clearly on ultrasound. Because of their depth, the paraspinal muscles<br />

cannot be demonstrated in detail. (Middle) Transverse grayscale ultrasound of the right lower abdomen, continued from the previous<br />

image, shows that the distal psoas muscle has diminished in size. It rests on the medial portion of the iliacus muscle; the latter is a flat<br />

muscle that fills the iliac fossa. Both continue inferiorly together. (Bottom) Distally, the fibers from the iliacus muscle converge <strong>and</strong><br />

insert into the lateral side of the psoas muscle to form the iliopsoas muscle. Common iliac vessels can be seen medially.<br />

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