09.07.2019 Views

Diagnostic Ultrasound - Abdomen and Pelvis

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Liver<br />

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

LEFT LOBE OF LIVER: LEFT HEPATIC VEIN<br />

Left rectus abdominous muscle<br />

Right rectus abdominis muscle<br />

Middle hepatic vein<br />

Right hepatic vein<br />

Left hepatic vein<br />

Left rectus abdominis muscle<br />

Segment 8<br />

Segment 7<br />

Middle hepatic vein<br />

Segment 2<br />

Left hepatic vein<br />

IVC<br />

Left rectus abdominis muscle<br />

Middle hepatic vein<br />

Right hepatic vein<br />

Left hepatic vein<br />

A wave<br />

D wave<br />

S wave<br />

(Top) Transverse grayscale ultrasound of the liver centered at the left hepatic lobe shows the right, middle, <strong>and</strong> left hepatic veins as<br />

they join into the intrahepatic IVC. (Middle) Transverse color Doppler ultrasound of the liver, centered at the confluence of the hepatic<br />

veins, shows that the flow direction is away from the transducer, directed towards the IVC. (Bottom) Spectral tracing the left hepatic<br />

vein near the confluence with the IVC shows a characteristic triphasic waveform pattern, which represents reflection of cardiac motion.<br />

12

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!