Diagnostic Ultrasound - Abdomen and Pelvis

Hepatic Cirrhosis
(Left) Longitudinal
transabdominal ultrasound in
a cirrhotic patient shows
heterogeneous liver
echotexture with an enlarged
caudate lobe ſt compared to
the atrophic medial segment
of left lobe . (Right) Oblique
transabdominal ultrasound in
the same patient shows
splenomegaly (23 cm) and
splenic varices ſt due to
portal hypertension and
cirrhosis
Diagnoses: Liver
(Left) Oblique transabdominal
ultrasound shows
recanalization of the
paraumbilical vein ſt, which
acts as a portosystemic
collateral to compensate for
portal hypertension. Largevolume
ascites is partially
visualized . (Right)
Longitudinal color Doppler
ultrasound in the same patient
shows portal venous flow in
the recanalized paraumbilical
veins ſt as a result of portal
hypertension. Large-volume
ascites is again partially
visualized .
(Left) Transverse
transabdominal ultrasound
shows thickened loops of
bowel ſt floating within
ascites. Mural edema may be
due to portal hypertension or
hypoalbuminemia. (Right)
Oblique transabdominal
ultrasound shows diffuse
gallbladder wall thickening ſt
in a cirrhotic patient, related
to hypoalbuminemia or poor
venous drainage.
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