09.07.2019 Views

Diagnostic Ultrasound - Abdomen and Pelvis

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Liver<br />

Inferior liver margin<br />

OTHER VIEWS OF LIVER<br />

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

Right kidney<br />

Right lobe of liver<br />

Diaphragm<br />

Liver capsule<br />

Hepatic vein branch<br />

Portal vein branch<br />

Gallbladder fundus<br />

Gallbladder wall<br />

Gallbladder lumen<br />

Gallbladder wall fold<br />

(Top) Longitudinal grayscale ultrasound of the right lobe of the liver shows the liver ends just above the inferior margin of the right<br />

kidney. Normal hepatic length should be < 15-15.5 cm. Notice that the normal hepatic parenchyma is slightly hyperechoic compared to<br />

the normal kidney. (Middle) Transverse high-resolution ultrasound of the liver capsule, as seen here, is typically obtained with higher<br />

frequencies (7-9 MHz). Subtle nodularity of the capsule <strong>and</strong> small subcapsular liver lesions that may not be as well visualized with<br />

st<strong>and</strong>ard (3-5 MHz) frequencies are best visualized with this view. Note the hepatic veins have no discernible wall, whereas the portal<br />

veins have slightly echogenic walls. (Bottom) Longitudinal oblique ultrasound shows a normal gallbladder with anechoic fluid within<br />

the lumen <strong>and</strong> normal appearance of the gallbladder wall. Normal gallbladder wall thickness should be measured at the interface with<br />

the liver <strong>and</strong> should be less than 3 mm in thickness. A fold in the gallbladder neck is incidentally seen in this patient.<br />

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