Diagnostic Ultrasound - Abdomen and Pelvis

09.07.2019 Views

Kidneys RIGHT KIDNEY, CT CORRELATION Portal vein Anatomy: Abdomen Inferior vena cava Right lobe of liver Right kidney Vertebral body Pelvicalyceal system Spinal canal Right lobe of liver Right kidney Pelvicalyceal system Portal vein Inferior vena cava Right renal vein Right psoas muscle Right lobe of liver Pancreas Inferior vena cava Vertebral body Right kidney Right psoas muscle Quadratus lumborum (Top) The 1st in a series of 3 correlative transverse CT images of the right kidney, from the upper pole through the kidney to the lower pole, is shown through planes commonly used when examining the patient with ultrasound. This image shows the upper pole of the right kidney. Multidetector row CT with examination in different phases, following intravenous contrast injection, allows superb differentiation between the renal cortex and medulla. (Middle) Correlative transverse CT of the mid pole of the right kidney shows the renal hilum with the renal vein. (Bottom) Correlative transverse CT image of the lower pole of the right kidney. 53

Kidneys Anatomy: Abdomen RIGHT KIDNEY, POSTERIOR ABDOMEN SCAN Subcutaneous fat Right latissimus dorsi muscle Renal cortex Renal sinus echoes Renal medullary pyramids Subcutaneous fat Right latissimus dorsi muscle Right renal cortex Renal arteries Renal vein Right latissimus dorsi muscle Right renal cortex Renal vessels (Top) Longitudinal grayscale ultrasound of the right kidney scanning from the posterior approach shows normal medullary pyramids. It is a good way for standardizing renal length measurements in children. (Middle) Posterior longitudinal color Doppler ultrasound of the right kidney is shown. This evaluation of the position of major vessels is useful to avoid major vessels during renal interventional procedures, such as renal biopsy or nephrostomy. (Bottom) Posterior longitudinal power Doppler ultrasound of the right kidney is shown. Note that power Doppler ultrasound does not provide information about the direction of flow within vessels. 54

Kidneys<br />

RIGHT KIDNEY, CT CORRELATION<br />

Portal vein<br />

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

Inferior vena cava<br />

Right lobe of liver<br />

Right kidney<br />

Vertebral body<br />

Pelvicalyceal system<br />

Spinal canal<br />

Right lobe of liver<br />

Right kidney<br />

Pelvicalyceal system<br />

Portal vein<br />

Inferior vena cava<br />

Right renal vein<br />

Right psoas muscle<br />

Right lobe of liver<br />

Pancreas<br />

Inferior vena cava<br />

Vertebral body<br />

Right kidney<br />

Right psoas muscle<br />

Quadratus lumborum<br />

(Top) The 1st in a series of 3 correlative transverse CT images of the right kidney, from the upper pole through the kidney to the lower<br />

pole, is shown through planes commonly used when examining the patient with ultrasound. This image shows the upper pole of the<br />

right kidney. Multidetector row CT with examination in different phases, following intravenous contrast injection, allows superb<br />

differentiation between the renal cortex <strong>and</strong> medulla. (Middle) Correlative transverse CT of the mid pole of the right kidney shows the<br />

renal hilum with the renal vein. (Bottom) Correlative transverse CT image of the lower pole of the right kidney.<br />

53

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