Diagnostic Ultrasound - Abdomen and Pelvis

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PART II SECTION 8 Abdominal Wall/Peritoneal Cavity Approach to Sonography of Abdominal Wall/Peritoneal Cavity 608 Abdominal Wall Hernia 612 Groin Hernia 618 Ascites 624 Peritoneal Carcinomatosis 628 Peritoneal Space Abscess 634 Segmental Omental Infarction 638
Approach to Sonography of Abdominal Wall/Peritoneal Cavity 608 Diagnoses: Abdominal Wall/Peritoneal Cavity Anatomy-Based Imaging Issues Abdominal Wall The anterolateral muscles of the abdominal wall are the external oblique, internal oblique and the transversus abdominis muscles. The aponeuroses of the internal oblique and transversus abdominis join medially to form the rectus sheath which contains the paired rectus abdominis muscles. These muscle groups protect the abdominal organs and assist in trunk flexion, twisting, walking and sitting as well as increasing intraabdominal pressure. The linea alba is a midline raphe between the two rectus muscles. The linea semilunaris/spigelian fascia is a vertical fibrous band at the lateral edge of rectus sheath. These are sites of weakness and locations of abdominal wall hernias. Midline hernias through the linea alba include epigastric, umbilical and hypogastric hernias. Lateral hernias through the spigelian fascia are spigelian hernias. Deep to muscle layer is the transversalis fascia, followed by the extraperitoneal fascia and fat and the parietal peritoneum. The inguinal ligament is the inferior edge of the external oblique aponeurosis, running from the anterior superior iliac spine to the pubic tubercle. The inguinal canal runs between the external oblique and the transversalis fascia, above the inguinal ligament. The inguinal canal begins at the deep inguinal ring and opens medially and inferiorly at the superficial inguinal ring. The deep inguinal ring is a defect in the transversalis fascia half way between the anterior superior iliac spine and the pubic tubercle. It is lateral to the inferior epigastric artery which is a key landmark for hernia evaluation. The Hesselbach triangle lies medial to the inferior epigastric artery, lateral to the rectus sheath and above the inguinal ligament. Indirect inguinal hernias pass through the deep inguinal ring to emerge at the superficial inguinal ring with a neck lateral to the inferior epigastric artery. Direct inguinal hernias emerge through Hesselbach triangle, medial to the inferior epigastric artery. Femoral hernias pass through the femoral canal, inferior to the inguinal ligament and medial to the femoral vein. The posterior abdominal wall muscles are the psoas major and minor, iliacus and quadratus lumborum. They assist in hip flexion, maintenance of posture and lateral trunk flexion. Paraspinal muscles are the three columns of the erector spinae: Iliocostalis, longissimus and spinalis which extend the vertebral column. The latissimus dorsi arises from the thoracolumbar fascia lateral to the erector spinae. Lumbar hernias arise in two lumbar triangles: Superior (Grynfeltt) below the 12th rib, lateral to erector spinae and medial to the internal oblique muscle; inferior (Petit) above iliac crest between latissimus dorsi medially and external oblique laterally. Peritoneal Cavity The peritoneal cavity is a potential space between abdominal visceral and parietal peritoneum. It is divided into greater and lesser sacs which communicate at the foramen of Winslow. Compartments include right and left supramesocolic and inframesocolic spaces, paracolic gutters and pelvic cavity. The peritoneal cavity normally contains a small amount of lubricating fluid. Fluid collects in dependent pouches of the peritoneal cavity such as the pouch of Douglas (rectouterine pouch) and Morison pouch (hepatorenal pouch). This is where fluid should be sought initially. With increasing volumes of intraperitoneal fluid, fluid will spill over into all recesses and spaces. The greater omentum and lesser omentum are folds of peritoneum that drape from the stomach. The greater omentum extends to cover the transverse colon and the small bowel and serves to contain inflammation or tumor. The lesser omentum extends from the lesser curve to the liver and proximal duodenum. The mesentery is a layer of peritoneum that encloses mobile bowel, connecting it to the posterior abdominal wall. The ascending and descending colon are not mobile and are retroperitoneal. Ligaments connect viscera to each other or to the abdominal wall, folds are peritoneal reflections. In the absence of ascites, sonographic evaluation of these normal structures is limited. Pathologic Issues Ultrasound has many advantages for imaging of the anterior abdominal wall and peritoneal cavity. For the abdominal wall, real-time, high-resolution ultrasound and the dynamic ability to provoke hernias makes it an ideal imaging test. For fluid detection, ultrasound is highly sensitive within limitations of body habitus. One of the most common indications for imaging the abdominal wall and groin is for the evaluation of hernias. The most common hernias are acquired inguinal and incisional hernias. Risk factors include abdominal wall laxity and increased intraabdominal pressure, prior surgery and trauma. Femoral and umbilical hernias are not uncommon. Congenital hernias are typically umbilical and indirect inguinal hernias. Other than confirming the clinically suspected diagnosis, ultrasound can determine the type of hernia and contents as well as complications such as strangulation. Ultrasound is often used for the evaluation of lumps and swelling. Masses include lipomas and other soft tissue tumors, fat necrosis, epidermal inclusion cysts, endometriosis, desmoid tumors, and metastases. Careful search for tumor blood flow and comparison to the other asymptomatic side are recommended. Some lesions have characteristic findings, others require further imaging or biopsy. Other indications for ultrasound of the abdominal wall include suspected fluid collections or abscesses. Ultrasound can be an ideal modality for localized fluid collections, able to detect internal contents and vascularity. Hematomas and abscesses are more complex than seromas. Ultrasound of the peritoneal cavity usually consists of a search for ascites or acute hemorrhage (as in the FAST scan after abdominal trauma). Complexity of ascites, peritoneal nodularity or discrete soft tissue masses may suggest causes for the ascites, such as carcinomatosis or bacterial peritonitis. Imaging Protocols Prior to imaging, a good clinical history is obtained. Specific details regarding location and onset of symptoms and exacerbating factors are very important. The study can then be tailored to the patient. Abdominal Wall A high-frequency (8-15 MHz) linear transducer is required. The trapezoid format and extended field of view/panoramic format are very useful techniques for imaging larger structures. Curvilinear lower frequency transducers may also be required for larger lesions. More penetration and deeper field of view are needed for deeper lesions. For complex and
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Diagnostic Ultrasound
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Diagnostic Ultrasound Aya Kamaya, M
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Dedications To my sweet and support
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Asef Khwaja, MD Assistant Professor
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Preface
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Acknowledgements Text Editors Nina
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Sections PART I - Anatomy SECTION 1
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TABLE OF CONTENTS VASCULAR CONDITIO
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TABLE OF CONTENTS 562 Perigraft Flu
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TABLE OF CONTENTS 906 Hyperechoic G
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Diagnostic Ultrasound
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PART I SECTION 1 Abdomen Liver 4 Bi
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Liver ○ Appear as echolucent defe
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Liver Coronary ligament HEPATIC ATT
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Liver Segment 8 HEPATIC SEGMENTS Se
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Liver Rectus abdominis muscle LEFT
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Liver Abdominal muscle LEFT LOBE OF
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Liver Anterior right portal vein RI
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Liver PORTA HEPATIS Anatomy: Abdome
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Liver Inferior liver margin OTHER V
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Biliary System • Harmonic imaging
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Biliary System Left hepatic duct Ri
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Biliary System Right rectus muscle
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Biliary System COMMON BILE DUCT Ana
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Biliary System LEFT INTRAHEPATIC DU
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Spleen SPLEEN ANATOMY AND HISTOLOGY
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Spleen Fat in splenic hilum Left he
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Spleen SPLENIC VESSELS Anatomy: Abd
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Spleen Splenosis ANATOMICAL VARIANT
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Pancreas PANCREAS IN SITU Anatomy:
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Pancreas PANCREAS, TRANSVERSE VIEW
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Pancreas Left lobe of liver PANCREA
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Kidneys - Normal peak systolic velo
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Kidneys KIDNEY ARTERIES AND INTERIO
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Kidneys RENAL FASCIA AND PERIRENAL
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Kidneys Right hemidiaphragm RIGHT K
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Kidneys RIGHT KIDNEY, CT CORRELATIO
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Kidneys Right erector spinae muscle
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Kidneys RIGHT INTRARENAL ARTERY AND
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Kidneys LEFT KIDNEY, CT CORRELATION
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Kidneys LEFT KIDNEY, CT CORRELATION
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Kidneys Subcutaneous fat Left latis
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Kidneys LEFT MAIN RENAL ARTERY AND
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Kidneys Right lobe of liver MULTIPL
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Bowel - Forms an incomplete ring in
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Bowel Falciform ligament STOMACH AN
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Bowel SMALL INTESTINE Anatomy: Abdo
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Bowel Abdominal wall STOMACH Anatom
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Bowel Rectus muscle SMALL BOWEL Ana
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Bowel Abdominal wall musculature Ce
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Bowel LARGE BOWEL Abdominal wall mu
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Bowel Urinary bladder RECTOSIGMOID
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Abdominal Lymph Nodes RETROPERITONE
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Abdominal Lymph Nodes LYMPHANGIOGRA
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Peritoneal Spaces and Structures PE
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Peritoneal Spaces and Structures PE
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Peritoneal Spaces and Structures Li
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Peritoneal Spaces and Structures IN
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Abdominal Wall ANTERIOR ABDOMINAL W
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Abdominal Wall MUSCLES OF BACK IN S
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Abdominal Wall Subcutaneous fat Rig
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Abdominal Wall Right lobe of liver
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Abdominal Wall Right rectus abdomin
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Abdominal Wall Subcutaneous fat Rig
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PART I SECTION 2 Pelvis Ureters and
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Ureters and Bladder - Distended bla
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Ureters and Bladder URINARY BLADDER
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Ureters and Bladder CT UROGRAM CORR
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Ureters and Bladder Liver URETER An
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Ureters and Bladder WEIGERT-MEYER L
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Prostate ○ Sac-like structures su
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Prostate ZONAL ANATOMY OF THE PROST
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Prostate SEMINAL VESICLES AND VAS D
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Prostate PROSTATE ANATOMY Anatomy:
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Testes ○ Internal oblique muscle
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Testes EPIDIDYMIS AND SCROTAL WALL
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Testes TESTIS, SAGITTAL VIEW Anatom
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Testes Scrotal wall EPIDIDYMIS, HEA
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Testes TESTICULAR AND EPIDIDYMAL AP
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Testes ARTERIAL AND VENOUS SUPPLY A
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Uterus ARTERIES OF UTERUS AND ADJAC
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Uterus NORMAL VARIATIONS, UTERINE P
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Uterus UTERINE VARIATIONS WITH AGE
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Uterus CYCLIC CHANGES OF ENDOMETRIU
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Uterus FALLOPIAN TUBE Anatomy: Pelv
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Cervix GRAPHICS OF CERVIX ANATOMY A
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Cervix TRANSVAGINAL ULTRASOUND OF C
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Cervix CHANGES OF CERVIX DURING PRE
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Vagina GRAPHICS OF NORMAL VAGINAL A
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Vagina Urinary bladder TRANSVERSE U
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Vagina SPECTRAL WAVEFORM OF VAGINAL
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Ovaries Mesosalpinx LIGAMENTOUS SUP
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Ovaries Transvaginal transducer NOR
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Ovaries Ovarian artery SPECTRAL WAV
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Ovaries CYCLIC CHANGES OF OVARY Ana
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Ovaries CYCLIC CHANGES OF INTRAOVAR
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Liver Transplant Hepatic Artery Ste
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Approach to Hepatic Sonography (Lef
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Approach to Hepatic Sonography (Lef
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Acute Hepatitis TERMINOLOGY Definit
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Acute Hepatitis (Left) Transverse g
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Hepatic Cirrhosis TERMINOLOGY Defin
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Hepatic Cirrhosis (Left) Longitudin
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Hepatic Steatosis TERMINOLOGY Synon
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Hepatic Steatosis (Left) Transverse
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Hepatic Schistosomiasis TERMINOLOGY
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Venoocclusive Disease TERMINOLOGY A
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Venoocclusive Disease (Left) Graysc
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Hepatic Cyst TERMINOLOGY Synonyms
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Hepatic Cyst (Left) Transverse and
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Biliary Hamartoma TERMINOLOGY Synon
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Biliary Hamartoma (Left) Ultrasound
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Caroli Disease TERMINOLOGY Synonyms
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Caroli Disease (Left) Oblique abdom
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Biloma TERMINOLOGY Definitions •
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Biliary Cystadenoma/Carcinoma TERMI
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Biliary Cystadenoma/Carcinoma (Left
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Pyogenic Hepatic Abscess TERMINOLOG
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Pyogenic Hepatic Abscess (Left) Obl
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Amebic Hepatic Abscess TERMINOLOGY
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Amebic Hepatic Abscess (Left) Longi
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Hepatic Echinococcus Cyst TERMINOLO
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Hepatic Echinococcus Cyst (Left) Ob
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Hepatic Diffuse Microabscesses TERM
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Peribiliary Cyst TERMINOLOGY Synony
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Ciliated Hepatic Foregut Cyst TERMI
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Hepatic Cavernous Hemangioma TERMIN
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Hepatic Cavernous Hemangioma (Left)
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Hepatic Cavernous Hemangioma (Left)
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Focal Nodular Hyperplasia TERMINOLO
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Focal Nodular Hyperplasia (Left) Tr
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Hepatic Adenoma TERMINOLOGY Synonym
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Hepatic Adenoma (Left) Transverse t
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Hepatocellular Carcinoma TERMINOLOG
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Hepatocellular Carcinoma (Left) Tra
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Hepatocellular Carcinoma (Left) Tra
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Hepatic Metastases TERMINOLOGY Defi
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Hepatic Metastases (Left) Transvers
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Hepatic Lymphoma TERMINOLOGY Defini
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Hepatic Lymphoma (Left) Transverse
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Transjugular Intrahepatic Portosyst
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Transjugular Intrahepatic Portosyst
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Portal Vein Occlusion TERMINOLOGY A
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Portal Vein Occlusion (Left) Color
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Budd-Chiari Syndrome TERMINOLOGY Ab
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Budd-Chiari Syndrome (Left) Color D
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Portal Vein Gas TERMINOLOGY Abbrevi
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Liver Transplant Portal Vein Stenos
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Liver Transplant Biliary Stricture
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PART II SECTION 2 Biliary System In
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Approach to Biliary Sonography hosp
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Approach to Biliary Sonography (Lef
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Approach to Biliary Sonography (Lef
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Cholelithiasis TERMINOLOGY Synonyms
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Cholelithiasis (Left) Longitudinal
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Cholelithiasis (Left) Abdominal rad
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Echogenic Bile TERMINOLOGY Synonyms
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Echogenic Bile (Left) Transverse ul
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Gallbladder Cholesterol Polyp TERMI
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Gallbladder Cholesterol Polyp (Left
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Acute Calculous Cholecystitis TERMI
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Acute Calculous Cholecystitis (Left
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Acute Acalculous Cholecystitis TERM
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Acute Acalculous Cholecystitis (Lef
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Chronic Cholecystitis TERMINOLOGY D
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Xanthogranulomatous Cholecystitis T
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Porcelain Gallbladder TERMINOLOGY A
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Hyperplastic Cholecystosis (Adenomy
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Hyperplastic Cholecystosis (Adenomy
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Gallbladder Carcinoma TERMINOLOGY A
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Gallbladder Carcinoma (Left) Sagitt
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Biliary Ductal Dilatation IMAGING G
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Choledochal Cyst TERMINOLOGY Synony
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Choledochal Cyst (Left) Longitudina
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Choledocholithiasis TERMINOLOGY Abb
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Choledocholithiasis (Left) A single
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Biliary Ductal Gas TERMINOLOGY Syno
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Cholangiocarcinoma TERMINOLOGY Syno
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Cholangiocarcinoma (Left) Ultrasoun
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Ascending Cholangitis TERMINOLOGY S
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Ascending Cholangitis (Left) Longit
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Recurrent Pyogenic Cholangitis TERM
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Recurrent Pyogenic Cholangitis (Lef
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AIDS-Related Cholangiopathy TERMINO
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PART II SECTION 3 Pancreas Introduc
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Approach to Pancreatic Sonography C
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Approach to Pancreatic Sonography (
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Acute Pancreatitis TERMINOLOGY Abbr
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Acute Pancreatitis (Left) Transvers
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Pancreatic Pseudocyst TERMINOLOGY D
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Pancreatic Pseudocyst (Left) Transv
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Chronic Pancreatitis TERMINOLOGY Ab
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Chronic Pancreatitis (Left) Transve
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Mucinous Cystic Pancreatic Tumor TE
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Mucinous Cystic Pancreatic Tumor (L
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Serous Cystadenoma of Pancreas TERM
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Serous Cystadenoma of Pancreas (Lef
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Intraductal Papillary Mucinous Neop
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Pancreatic Ductal Carcinoma TERMINO
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Pancreatic Ductal Carcinoma (Left)
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Pancreatic Neuroendocrine Tumor TER
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Pancreatic Neuroendocrine Tumor (Le
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Solid Pseudopapillary Neoplasm TERM
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Solid Pseudopapillary Neoplasm (Lef
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PART II SECTION 4 Spleen Introducti
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Approach to Splenic Sonography sple
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Approach to Splenic Sonography (Lef
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Approach to Splenic Sonography (Lef
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Splenomegaly TERMINOLOGY Abbreviati
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Splenomegaly (Left) US in a 92-year
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Splenic Cyst TERMINOLOGY Definition
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Splenic Cyst (Left) Grayscale US of
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Splenic Tumors TERMINOLOGY Definiti
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Splenic Tumors (Left) Longitudinal
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Splenic Tumors (Left) A solid, hypo
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Splenic Infarct TERMINOLOGY Abbrevi
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Splenic Infarct (Left) Power Dopple
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Vascular Conditions Renal Artery St
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Approach to Urinary Tract Sonograph
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Approach to Urinary Tract Sonograph
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Column of Bertin, Kidney TERMINOLOG
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Renal Junction Line TERMINOLOGY Syn
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Renal Ectopia TERMINOLOGY Abbreviat
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Renal Ectopia (Left) Grayscale ultr
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Horseshoe Kidney TERMINOLOGY Defini
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Horseshoe Kidney (Left) Longitudina
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Ureteral Duplication TERMINOLOGY Sy
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Ureteral Duplication (Left) Longitu
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Ureteral Ectopia TERMINOLOGY Abbrev
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Ureteral Ectopia (Left) Coronal T2
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Ureteropelvic Junction Obstruction
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Ureteropelvic Junction Obstruction
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Urolithiasis TERMINOLOGY Abbreviati
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Urolithiasis (Left) Longitudinal US
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Urolithiasis (Left) Intravenous pye
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Nephrocalcinosis TERMINOLOGY Abbrev
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Nephrocalcinosis (Left) Coronal MIP
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Hydronephrosis TERMINOLOGY Synonyms
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Hydronephrosis (Left) Longitudinal
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Simple Renal Cyst TERMINOLOGY Defin
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Simple Renal Cyst (Left) Longitudin
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Complex Renal Cyst TERMINOLOGY Defi
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Complex Renal Cyst (Left) Transvers
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Cystic Disease of Dialysis TERMINOL
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Cystic Disease of Dialysis (Left) L
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Multilocular Cystic Nephroma TERMIN
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Acute Pyelonephritis TERMINOLOGY Ab
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Acute Pyelonephritis (Left) Longitu
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Renal Abscess TERMINOLOGY Definitio
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Emphysematous Pyelonephritis TERMIN
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Emphysematous Pyelonephritis (Left)
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Pyonephrosis TERMINOLOGY Definition
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Xanthogranulomatous Pyelonephritis
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Tuberculosis, Urinary Tract TERMINO
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Tuberculosis, Urinary Tract (Left)
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Renal Cell Carcinoma TERMINOLOGY Ab
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Renal Cell Carcinoma (Left) Longitu
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Renal Metastases IMAGING General Fe
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Renal Angiomyolipoma TERMINOLOGY Ab
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Renal Angiomyolipoma (Left) Longitu
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Upper Tract Urothelial Carcinoma TE
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Upper Tract Urothelial Carcinoma (L
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Renal Lymphoma TERMINOLOGY Abbrevia
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Renal Lymphoma (Left) Longitudinal
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Renal Artery Stenosis TERMINOLOGY A
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Renal Artery Stenosis (Left) Obliqu
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Renal Vein Thrombosis TERMINOLOGY A
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Renal Vein Thrombosis (Left) Longit
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Renal Infarct TERMINOLOGY Definitio
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Perinephric Hematoma TERMINOLOGY De
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Prostatic Hyperplasia TERMINOLOGY A
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Prostatic Hyperplasia (Left) Axial
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Prostatic Carcinoma TERMINOLOGY Abb
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Prostatic Carcinoma (Left) Transver
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Prostatic Carcinoma (Left) Transver
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Bladder Carcinoma TERMINOLOGY Defin
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Bladder Carcinoma (Left) Transverse
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Ureterocele TERMINOLOGY Definitions
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Ureterocele (Left) Transabdominal l
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Bladder Diverticulum TERMINOLOGY Ab
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Bladder Diverticulum (Left) Transab
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Bladder Calculi TERMINOLOGY Synonym
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Schistosomiasis, Bladder TERMINOLOG
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PART II SECTION 6 Kidney Transplant
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Approach to Sonography of Renal All
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Approach to Sonography of Renal All
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Page 580 and 581: Allograft Hydronephrosis TERMINOLOG
Page 582 and 583: Allograft Hydronephrosis (Left) Lon
Page 584 and 585: Perigraft Fluid Collections TERMINO
Page 586 and 587: Perigraft Fluid Collections (Left)
Page 588 and 589: Transplant Renal Artery Stenosis TE
Page 590 and 591: Transplant Renal Artery Stenosis (L
Page 592 and 593: Transplant Renal Artery Thrombosis
Page 594 and 595: Transplant Renal Vein Thrombosis TE
Page 596 and 597: Renal Transplant Arteriovenous (AV)
Page 598 and 599: Renal Transplant Pseudoaneurysm TER
Page 600 and 601: Renal Transplant Rejection IMAGING
Page 602 and 603: Delayed Renal Graft Function TERMIN
Page 604 and 605: PART II SECTION 7 Adrenal Gland Adr
Page 606 and 607: Adrenal Hemorrhage TERMINOLOGY Abbr
Page 608 and 609: Adrenal Hemorrhage (Left) Longitudi
Page 610 and 611: Myelolipoma TERMINOLOGY Definitions
Page 612 and 613: Myelolipoma (Left) Longitudinal US
Page 614 and 615: Adrenal Adenoma TERMINOLOGY Synonym
Page 616 and 617: Adrenal Adenoma (Left) Longitudinal
Page 618 and 619: Adrenal Cyst TERMINOLOGY Definition
Page 620 and 621: Pheochromocytoma TERMINOLOGY Defini
Page 622 and 623: Pheochromocytoma (Left) Longitudina
Page 624 and 625: Adrenal Carcinoma TERMINOLOGY Synon
Page 626 and 627: Adrenal Carcinoma (Left) Transverse
Page 630 and 631: Approach to Sonography of Abdominal
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Page 634 and 635: Abdominal Wall Hernia TERMINOLOGY D
Page 636 and 637: Abdominal Wall Hernia (Left) Transv
Page 638 and 639: Abdominal Wall Hernia (Left) Transv
Page 640 and 641: Groin Hernia TERMINOLOGY Definition
Page 642 and 643: Groin Hernia (Left) Graphic shows a
Page 644 and 645: Groin Hernia (Left) Longitudinal ul
Page 646 and 647: Ascites TERMINOLOGY Definitions •
Page 648 and 649: Ascites (Left) Transverse ultrasoun
Page 650 and 651: Peritoneal Carcinomatosis TERMINOLO
Page 652 and 653: Peritoneal Carcinomatosis (Left) Lo
Page 654 and 655: Peritoneal Carcinomatosis (Left) Tr
Page 656 and 657: Peritoneal Space Abscess TERMINOLOG
Page 658 and 659: Peritoneal Space Abscess (Left) Tra
Page 660 and 661: Segmental Omental Infarction TERMIN
Page 662 and 663: PART II SECTION 9 Bowel Approach to
Page 664 and 665: Approach to Bowel Sonography Given
Page 666 and 667: Approach to Bowel Sonography (Left)
Page 668 and 669: Appendicitis TERMINOLOGY Definition
Page 670 and 671: Appendicitis (Left) Axial ultrasoun
Page 672 and 673: Appendicitis (Left) Axial ultrasoun
Page 674 and 675: Appendiceal Mucocele TERMINOLOGY De
Page 676 and 677: Appendiceal Mucocele (Left) Sagitta
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Intussusception TERMINOLOGY Definit
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Intussusception (Left) Transverse t
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Epiploic Appendagitis TERMINOLOGY A
Page 684 and 685:
Epiploic Appendagitis (Left) Graysc
Page 686 and 687:
Diverticulitis TERMINOLOGY Definiti
Page 688 and 689:
Diverticulitis (Left) Acute diverti
Page 690 and 691:
Crohn Disease TERMINOLOGY Synonyms
Page 692 and 693:
Crohn Disease (Left) Long-axis ultr
Page 694 and 695:
Crohn Disease (Left) Long-axis ultr
Page 696 and 697:
Large Bowel Malignancy TERMINOLOGY
Page 698 and 699:
Large Bowel Malignancy (Left) Hepat
Page 700 and 701:
PART II SECTION 10 Scrotum Introduc
Page 702 and 703:
Approach to Scrotal Sonography (Lef
Page 704 and 705:
Testicular Germ Cell Tumors TERMINO
Page 706 and 707:
Testicular Germ Cell Tumors (Left)
Page 708 and 709:
Gonadal Stromal Tumors, Testis TERM
Page 710 and 711:
Gonadal Stromal Tumors, Testis (Lef
Page 712 and 713:
Testicular Lymphoma/Leukemia TERMIN
Page 714 and 715:
Epidermoid Cyst TERMINOLOGY Synonym
Page 716 and 717:
Tubular Ectasia of Rete Testis TERM
Page 718 and 719:
Testicular Microlithiasis TERMINOLO
Page 720 and 721:
Testicular Microlithiasis (Left) Tr
Page 722 and 723:
Testicular Torsion/Infarction TERMI
Page 724 and 725:
Testicular Torsion/Infarction (Left
Page 726 and 727:
Undescended Testis TERMINOLOGY Syno
Page 728 and 729:
Epididymitis/Orchitis TERMINOLOGY S
Page 730 and 731:
Epididymitis/Orchitis (Left) Sagitt
Page 732 and 733:
Scrotal Trauma TERMINOLOGY Definiti
Page 734 and 735:
Scrotal Trauma (Left) Transverse gr
Page 736 and 737:
Hydrocele TERMINOLOGY Definitions
Page 738 and 739:
Spermatocele/Epididymal Cyst TERMIN
Page 740 and 741:
Adenomatoid Tumor TERMINOLOGY Defin
Page 742 and 743:
Varicocele TERMINOLOGY Definitions
Page 744 and 745:
Non-Ovarian Cystic Masses Hydrosalp
Page 746 and 747:
Approach to Sonography of the Femal
Page 748 and 749:
Nabothian Cyst TERMINOLOGY Synonyms
Page 750 and 751:
Nabothian Cyst (Left) Longitudinal
Page 752 and 753:
Cervical Carcinoma IMAGING General
Page 754 and 755:
Cervical Carcinoma (Left) Longitudi
Page 756 and 757:
Cervical Carcinoma (Left) Longitudi
Page 758 and 759:
Adenomyosis TERMINOLOGY Synonyms
Page 760 and 761:
Adenomyosis (Left) Longitudinal tra
Page 762 and 763:
Leiomyoma TERMINOLOGY Abbreviations
Page 764 and 765:
Leiomyoma (Left) Transvaginal ultra
Page 766 and 767:
Leiomyoma (Left) Transverse transab
Page 768 and 769:
Uterine Anomalies TERMINOLOGY Abbre
Page 770 and 771:
Uterine Anomalies (Left) 3D ultraso
Page 772 and 773:
Uterine Anomalies (Left) Graphic of
Page 774 and 775:
Hematometrocolpos TERMINOLOGY Abbre
Page 776 and 777:
Hematometrocolpos (Left) Transverse
Page 778 and 779:
Endometrial Polyp TERMINOLOGY Abbre
Page 780 and 781:
Endometrial Polyp (Left) Longitudin
Page 782 and 783:
Endometrial Polyp (Left) Transabdom
Page 784 and 785:
Endometrial Carcinoma TERMINOLOGY A
Page 786 and 787:
Endometrial Carcinoma (Left) Longit
Page 788 and 789:
Endometritis TERMINOLOGY Synonyms
Page 790 and 791:
Endometritis (Left) Longitudinal tr
Page 792 and 793:
Intrauterine Device TERMINOLOGY Abb
Page 794 and 795:
Intrauterine Device (Left) Longitud
Page 796 and 797:
Tubal Ectopic Pregnancy TERMINOLOGY
Page 798 and 799:
Tubal Ectopic Pregnancy (Left) Tran
Page 800 and 801:
Tubal Ectopic Pregnancy (Left) Sagi
Page 802 and 803:
Unusual Ectopic Pregnancies TERMINO
Page 804 and 805:
Unusual Ectopic Pregnancies (Left)
Page 806 and 807:
Unusual Ectopic Pregnancies (Left)
Page 808 and 809:
Failed First Trimester Pregnancy TE
Page 810 and 811:
Failed First Trimester Pregnancy (L
Page 812 and 813:
Failed First Trimester Pregnancy (L
Page 814 and 815:
Retained Products of Conception TER
Page 816 and 817:
Retained Products of Conception (Le
Page 818 and 819:
Gestational Trophoblastic Disease T
Page 820 and 821:
Gestational Trophoblastic Disease (
Page 822 and 823:
Functional Ovarian Cyst TERMINOLOGY
Page 824 and 825:
Functional Ovarian Cyst (Left) Typi
Page 826 and 827:
Hemorrhagic Cyst TERMINOLOGY Abbrev
Page 828 and 829:
Hemorrhagic Cyst (Left) Using color
Page 830 and 831:
Ovarian Hyperstimulation Syndrome T
Page 832 and 833:
Ovarian Hyperstimulation Syndrome (
Page 834 and 835:
Serous Ovarian Cystadenoma/Carcinom
Page 836 and 837:
Serous Ovarian Cystadenoma/Carcinom
Page 838 and 839:
Mucinous Ovarian Cystadenoma/Carcin
Page 840 and 841:
Mucinous Ovarian Cystadenoma/Carcin
Page 842 and 843:
Ovarian Teratoma TERMINOLOGY Synony
Page 844 and 845:
Ovarian Teratoma (Left) Ultrasound
Page 846 and 847:
Polycystic Ovarian Syndrome TERMINO
Page 848 and 849:
Endometrioma TERMINOLOGY Synonyms
Page 850 and 851:
Endometrioma (Left) Longitudinal en
Page 852 and 853:
Hydrosalpinx TERMINOLOGY Definition
Page 854 and 855:
Hydrosalpinx (Left) Longitudinal tr
Page 856 and 857:
Tubo-Ovarian Abscess TERMINOLOGY De
Page 858 and 859:
Tubo-Ovarian Abscess (Left) Longitu
Page 860 and 861:
Parovarian Cyst TERMINOLOGY Abbrevi
Page 862 and 863:
Peritoneal Inclusion Cyst TERMINOLO
Page 864 and 865:
Peritoneal Inclusion Cyst (Left) Sa
Page 866 and 867:
Bartholin Cyst TERMINOLOGY Definiti
Page 868 and 869:
Gartner Duct Cyst TERMINOLOGY Abbre
Page 870 and 871:
Gartner Duct Cyst (Left) Longitudin
Page 872 and 873:
Sex Cord-Stromal Tumor TERMINOLOGY
Page 874 and 875:
Sex Cord-Stromal Tumor (Left) Trans
Page 876 and 877:
Sex Cord-Stromal Tumor (Left) Sagit
Page 878 and 879:
Adnexal/Ovarian Torsion TERMINOLOGY
Page 880 and 881:
Adnexal/Ovarian Torsion (Left) Long
Page 882 and 883:
Ovarian Metastases Including Kruken
Page 884 and 885:
Ovarian Metastases Including Kruken
Page 886 and 887:
PART III SECTION 1 Liver Hepatomega
Page 888 and 889:
Hepatomegaly - Firm consistency (du
Page 890 and 891:
Hepatomegaly Lymphoma Lymphoma (Lef
Page 892 and 893:
Diffuse Liver Disease Acute/Chronic
Page 894 and 895:
Cystic Liver Lesion ○ May be soli
Page 896 and 897:
Cystic Liver Lesion Peribiliary Cys
Page 898 and 899:
Hypoechoic Liver Mass - Adjacent he
Page 900 and 901:
Hypoechoic Liver Mass Infected Bilo
Page 902 and 903:
Echogenic Liver Mass • Fibrolamel
Page 904 and 905:
Echogenic Liver Mass Hepatic Ligame
Page 906 and 907:
Target Lesions in Liver Hepatic Met
Page 908 and 909:
Multiple Hepatic Masses ○ Cluster
Page 910 and 911:
Multiple Hepatic Masses Cirrhosis W
Page 912 and 913:
Hepatic Mass With Central Scar Foca
Page 914 and 915:
Periportal Lesion Helpful Clues for
Page 916 and 917:
Periportal Lesion Peribiliary Cyst
Page 918 and 919:
Irregular Hepatic Surface Subcapsul
Page 920 and 921:
Portal Vein Abnormality Bland Porta
Page 922 and 923:
PART III SECTION 2 Biliary System
Page 924 and 925:
Diffuse Gallbladder Wall Thickening
Page 926 and 927:
Diffuse Gallbladder Wall Thickening
Page 928 and 929:
Hyperechoic Gallbladder Wall Porcel
Page 930 and 931:
Focal Gallbladder Wall Thickening/M
Page 932 and 933:
Echogenic Material in Gallbladder S
Page 934 and 935:
Dilated Gallbladder ○ Distended n
Page 936 and 937:
Dilated Gallbladder Mucocele/Hydrop
Page 938 and 939:
Intrahepatic and Extrahepatic Duct
Page 940 and 941:
PART III SECTION 3 Pancreas Cystic
Page 942 and 943:
Cystic Pancreatic Lesion Helpful Cl
Page 944 and 945:
Cystic Pancreatic Lesion Mucinous C
Page 946 and 947:
Solid Pancreatic Lesion ○ Usually
Page 948 and 949:
Solid Pancreatic Lesion Serous Cyst
Page 950 and 951:
Pancreatic Duct Dilatation Chronic
Page 952 and 953:
PART III SECTION 4 Spleen Focal Spl
Page 954 and 955:
Focal Splenic Lesion - Typically mu
Page 956 and 957:
Focal Splenic Lesion Pyogenic Absce
Page 958 and 959:
Focal Splenic Lesion Splenic Infarc
Page 960 and 961:
PART III SECTION 5 Urinary Tract 9
Page 962 and 963:
Intraluminal Bladder Mass Bladder C
Page 964 and 965:
Abnormal Bladder Wall □ Uterine c
Page 966 and 967:
Abnormal Bladder Wall Invasion by P
Page 968 and 969:
PART III SECTION 6 Kidney Enlarged
Page 970 and 971:
Enlarged Kidney - Nonneoplastic cau
Page 972 and 973:
Enlarged Kidney Perinephric Fluid C
Page 974 and 975:
Small Kidney ○ Pseudotumors from
Page 976 and 977:
Small Kidney Postobstructive Atroph
Page 978 and 979:
Hypoechoic Kidney • Multiple Myel
Page 980 and 981:
Hypoechoic Kidney Acute Renal Arter
Page 982 and 983:
Hyperechoic Kidney ○ Echogenic co
Page 984 and 985:
Hyperechoic Kidney Chronic Glomerul
Page 986 and 987:
Cystic Renal Mass ○ Associated wi
Page 988 and 989:
Cystic Renal Mass Multicystic Dyspl
Page 990 and 991:
Solid Renal Mass • Horseshoe Kidn
Page 992 and 993:
Solid Renal Mass Renal Lymphoma Ren
Page 994 and 995:
Renal Pseudotumor Column of Bertin
Page 996 and 997:
Dilated Renal Pelvis • Intrarenal
Page 998 and 999:
Dilated Renal Pelvis Pyonephrosis P
Page 1000 and 1001:
PART III SECTION 7 Abdominal Wall/P
Page 1002 and 1003:
Diffuse Peritoneal Fluid Hemoperito
Page 1004 and 1005:
Solid Peritoneal Mass - Higher dens
Page 1006 and 1007:
Solid Peritoneal Mass Mimics Benign
Page 1008 and 1009:
Cystic Peritoneal Mass ○ Women of
Page 1010 and 1011:
Cystic Peritoneal Mass Pseudomyxoma
Page 1012 and 1013:
PART III SECTION 8 Prostate Enlarge
Page 1014 and 1015:
Enlarged Prostate Benign Prostatic
Page 1016 and 1017:
Focal Lesion in Prostate ○ Variab
Page 1018 and 1019:
Focal Lesion in Prostate Müllerian
Page 1020 and 1021:
PART III SECTION 9 Bowel Bowel Wall
Page 1022 and 1023:
Bowel Wall Thickening - Distal ileu
Page 1024 and 1025:
Bowel Wall Thickening Crohn Disease
Page 1026 and 1027:
Bowel Wall Thickening Clostridium D
Page 1028 and 1029:
PART III SECTION 10 Scrotum 1008
Page 1030 and 1031:
Diffuse Testicular Enlargement Test
Page 1032 and 1033:
Decreased Testicular Size Testicula
Page 1034 and 1035:
Testicular Calcifications Sertoli C
Page 1036 and 1037:
Focal Testicular Mass - Most common
Page 1038 and 1039:
Focal Testicular Mass Testicular Ly
Page 1040 and 1041:
Focal Extratesticular Mass - 3-50 m
Page 1042 and 1043:
Focal Extratesticular Mass Inguinal
Page 1044 and 1045:
Focal Extratesticular Mass Liposarc
Page 1046 and 1047:
Extratesticular Cystic Mass Varicoc
Page 1048 and 1049:
PART III SECTION 11 Female Pelvis
Page 1050 and 1051:
Cystic Adnexal Mass □ Hemorrhagic
Page 1052 and 1053:
Cystic Adnexal Mass Dermoid (Mature
Page 1054 and 1055:
Solid Adnexal Mass - May masquerade
Page 1056 and 1057:
Solid Adnexal Mass Fibrothecoma Hem
Page 1058 and 1059:
Extraovarian Adnexal Mass Helpful C
Page 1060 and 1061:
Extraovarian Adnexal Mass Paraovari
Page 1062 and 1063:
Extraovarian Adnexal Mass Lymph Nod
Page 1064 and 1065:
Enlarged Ovary - Often bilateral (5
Page 1066 and 1067:
Enlarged Ovary Theca Lutein Cysts T
Page 1068 and 1069:
Enlarged Uterus Leiomyoma Adenomyos
Page 1070 and 1071:
Abnormal Endometrium ○ Multiple e
Page 1072 and 1073:
Abnormal Endometrium Pregnancy and
Page 1074 and 1075:
Abnormal Endometrium Tamoxifen-Indu
Page 1076 and 1077:
INDEX A Abdominal aorta, 34, 40, 42
Page 1078 and 1079:
INDEX - myelolipoma vs., 590 - stag
Page 1080 and 1081:
INDEX Biliary cyst. See Choledochal
Page 1082 and 1083:
INDEX Caroli disease, 204-207 - bil
Page 1084 and 1085:
INDEX - solid renal mass vs., 968 -
Page 1086 and 1087:
INDEX diagnostic checklist, 839 dif
Page 1088 and 1089:
INDEX Efferent ductules, 130 Ejacul
Page 1090 and 1091:
INDEX Focal myometrial contraction
Page 1092 and 1093:
INDEX - hydrocele vs., 715 - sperma
Page 1094 and 1095:
INDEX Hepatocellular carcinoma (HCC
Page 1096 and 1097:
INDEX Inflammatory pseudotumor, sol
Page 1098 and 1099:
INDEX - focal extratesticular mass
Page 1100 and 1101:
INDEX irregular hepatic surface vs.
Page 1102 and 1103:
INDEX Normal postpartum, enlarged u
Page 1104 and 1105:
INDEX Pararenal fat, posterior, 64
Page 1106 and 1107:
INDEX - inflammatory, gallbladder c
Page 1108 and 1109:
INDEX Pyelogenic cyst - dilated ren
Page 1110 and 1111:
INDEX Renal infection - renal lymph
Page 1112 and 1113:
INDEX - macrocystic variant, mucino
Page 1114 and 1115:
INDEX - right, 92 lesser sac, 93 Su
Page 1116 and 1117:
INDEX Tunica albuginea cyst - calci
Page 1118:
INDEX X Xanthogranulomatous cholecy
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Diagnostic Ultrasound - Abdomen and Pelvis

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