Diagnostic Ultrasound - Abdomen and Pelvis
Approach to Hepatic Sonography (Left) Midline sagittal ultrasound shows the lateral segment of left lobe. (Right) Midline sagittal ultrasound shows the lateral segment of left lobe anterior to the aorta ſt. Diagnoses: Liver (Left) Sagittal ultrasound shows the left lobe of the liver and the caudate lobe posterior to the fissure for the ligamentum venosum . (Right) Right parasagittal ultrasound shows the left lobe with the left portal vein , caudate lobe, and inferior vena cava. (Left) Sagittal ultrasound shows the right lobe of the liver with the right kidney posteriorly (calipers). Note that the liver is normally more echogenic than the renal cortex. (Right) Oblique ultrasound along the plane of the porta hepatis shows the common hepatic duct st and the common bile duct . 175
Approach to Hepatic Sonography Diagnoses: Liver (Left) Transverse ultrasound shows the liver dome. (Right) Transverse ultrasound shows the liver dome at the level of the hepatic venous confluence. The hepatic veins are labeled. (Left) Transverse ultrasound shows the right lobe of the liver at the level of the hepatic hilum. The right portal vein is shown . (Right) Inferiormost transverse ultrasound shows the right lobe of the liver at the level of the right kidney. (Left) Color Doppler ultrasound shows the hepatic venous confluence with the hepatic veins labeled. (Right) Color Doppler transverse oblique ultrasound through the plane of the right portal vein st is shown, with the anterior and posterior branches labeled. 176
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Approach to Hepatic Sonography<br />
(Left) Midline sagittal<br />
ultrasound shows the lateral<br />
segment of left lobe. (Right)<br />
Midline sagittal ultrasound<br />
shows the lateral segment of<br />
left lobe anterior to the aorta<br />
ſt.<br />
Diagnoses: Liver<br />
(Left) Sagittal ultrasound<br />
shows the left lobe of the liver<br />
<strong>and</strong> the caudate lobe posterior<br />
to the fissure for the<br />
ligamentum venosum .<br />
(Right) Right parasagittal<br />
ultrasound shows the left lobe<br />
with the left portal vein ,<br />
caudate lobe, <strong>and</strong> inferior<br />
vena cava.<br />
(Left) Sagittal ultrasound<br />
shows the right lobe of the<br />
liver with the right kidney<br />
posteriorly (calipers). Note<br />
that the liver is normally more<br />
echogenic than the renal<br />
cortex. (Right) Oblique<br />
ultrasound along the plane of<br />
the porta hepatis shows the<br />
common hepatic duct st <strong>and</strong><br />
the common bile duct .<br />
175
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