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Diagnostic Ultrasound - Abdomen and Pelvis

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Spleen<br />

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

SPLEEN ANATOMY<br />

Fat in splenic hilum<br />

Spleen<br />

Tail of pancreas<br />

Splenic vein<br />

Left hemidiaphragm<br />

Renal pyramids<br />

Spleen<br />

Left hemidiaphragm<br />

Left kidney<br />

Left psoas muscle<br />

Accessory spleen<br />

Splenic vein<br />

Spleen<br />

Left hemidiaphragm<br />

(Top) Longitudinal oblique grayscale ultrasound shows the spleen from a posterolateral intercostal approach. The patient is positioned<br />

in the right lateral decubitus position with examination during full expiration. Note that the tail of the pancreas can be imaged using<br />

the spleen as an acoustic window. (Middle) Longitudinal oblique ultrasound shows the spleen <strong>and</strong> its relationship to the upper pole of<br />

the left kidney with the transducer placed parallel to the intercostal space. (Bottom) Longitudinal oblique grayscale ultrasound of a<br />

splenule (accessory spleen) is shown. Splenules are rounded, well-defined masses commonly found (10-30% of population) in or near the<br />

splenic hilum. They are homogeneous <strong>and</strong> isoechoic to the splenic parenchyma.<br />

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