Diagnostic Ultrasound - Abdomen and Pelvis

Ascites
(Left) Transverse ultrasound of
the right upper quadrant
shows a small cirrhotic liver
ſt. There is hemorrhagic
ascites , which should raise
suspicion for a bleeding
hepatocellular carcinoma. The
gallbladder st is sludge filled
and thick walled. Also note the
echogenic right kidney .
(Right) Transverse ultrasound
shows the right mid abdomen
in a patient with sepsis and
abdominal pain. Ascites st is
loculated and septated ſt
with bowel displacement .
Paracentesis revealed
Pseudomonas peritonitis from
bowel perforation.
Diagnoses: Abdominal Wall/Peritoneal Cavity
(Left) Transverse ultrasound
shows the left lateral
abdomen in a patient with
abdominal distension after a
2nd renal transplant. Ascites
with low-level echoes st was
nonloculated and mobile.
(Right) Diagnostic
paracentesis of the same
patient shows milky fluid
compatible with chylous
ascites. This can be confirmed
by measuring the triglyceride
level in the fluid.
(Left) Transverse ultrasound
shows the right mid abdomen
in a patient with
pseudomyxoma peritonei from
mucinous appendiceal
carcinoma. The peritoneal
fluid contains multiple lowlevel
echoes ſt, which were
not mobile. Adjacent bowel
is displaced posteriorly. (Right)
Axial CECT of the same
patient shows loculated lowdensity
mucinous fluid ſt with
mass effect on bowel .
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