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Diagnostic Ultrasound - Abdomen and Pelvis

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Kidneys<br />

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

RIGHT MAIN RENAL ARTERY AND VEIN<br />

Right rectus abdominis muscle<br />

Right lobe of liver<br />

Right renal mid pole<br />

Right renal artery<br />

Right renal vein<br />

Inferior vena cava<br />

Right renal artery<br />

Right renal artery<br />

Continuous forward systolic flow<br />

Continuous forward diastolic flow<br />

Right renal vein<br />

Right renal artery<br />

Pulsatile renal venous waveform<br />

(Top) Transverse split screen showing simultaneous grayscale <strong>and</strong> color Doppler ultrasound of the right renal hilum is shown. Note that<br />

the right renal artery lies posterior to the renal vein <strong>and</strong> inferior vena cava. The renal artery normally measures 5-8 mm in caliber.<br />

(Middle) In this spectral Doppler waveform of the right renal artery, note the low-resistance renal waveform with continuous forward<br />

systolic <strong>and</strong> diastolic flow. Normal PSV ranges from 60-140 cm/s; not more than 180 cm/s. Normal resistivity index is < 0.7 <strong>and</strong> normal<br />

pulsatility index is < 1.8. (Bottom) Spectral Doppler waveform of the right renal vein is shown, which mirrors the pulsatility in the<br />

inferior vena cava. The renal vein normally measures 4-9 mm in caliber. Normal PSV ranges from 18-33 cm/s.<br />

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