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Diagnostic Ultrasound - Abdomen and Pelvis

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Liver<br />

Rectus abdominis muscle<br />

LEFT LOBE OF LIVER: LEFT PORTAL VEIN<br />

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

Left portal vein<br />

Middle hepatic vein<br />

IVC<br />

RIght hepatic vein<br />

Rectus abdominis muscle<br />

Left portal vein<br />

IVC<br />

Rectus abdominis<br />

Left portal vein<br />

Middle hepatic vein<br />

Right portal vein<br />

Right hepatic vein<br />

IVC<br />

Left lobe lateral segment<br />

Ligamentum venosum<br />

Caudate lobe<br />

Spectral tracing of left portal vein<br />

(Top) Transverse grayscale ultrasound of the left lobe of the liver is shown, centered at the left portal vein. (Middle) Transverse color<br />

Doppler ultrasound of the left lobe of the liver is shown, centered at the level of the left portal vein. Flow in the left portal vein is<br />

directed towards the transducer, indicating that the flow is hepatopetal <strong>and</strong> therefore normal. (Bottom) Spectral tracing of the left<br />

portal vein on this transverse pulsed Doppler ultrasound shows that the flow is monophasic, directed towards the transducer, with a<br />

mildly undulating waveform related to slight transmission of the cardiac cycle, which is a normal appearance for the portal vein.<br />

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