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xxiiContentsVOLUME IIPART IV Obstetric and Fetal Sonography28 Overview of Obstetric Imaging, 1015Deborah Levine29 Bioeffects and Safety of Ultrasound in Obstetrics, 1034Jacques S. Abramowicz30 The First Trimester, 1048Elizabeth Lazarus and Deborah Levine31 Chromosomal Abnormalities, 1088Bryann Bromley and Beryl Benacerraf32 Multifetal Pregnancy, 1115Mary C. Frates33 The Fetal Face and Neck, 1133Ana P. Lourenco and Judy A. Estroff34 The Fetal Brain, 1166Ants Toi and Deborah Levine35 The Fetal Spine, 1216Elizabeth Asch and Eric Sauerbrei36 The Fetal Chest, 1243Dorothy Bulas37 The Fetal Heart, 1270Elizabeth R. Stamm and Julia A. Drose38 The Fetal Gastrointestinal Tract and AbdominalWall, 1304Nir Melamed, Anne Kennedy, and Phyllis Glanc39 The Fetal Urogenital Tract, 1336Katherine W. Fong, Julia Eva Kfouri, and Kirsten L. Weind Matthews40 The Fetal Musculoskeletal System, 1376Phyllis Glanc, David Chitayat, and Sheila Unger41 Fetal Hydrops, 1412Deborah LevinePART V Pediatric Sonography45 Neonatal and Infant Brain Imaging, 1511Carol M. Rumack and Amanda K. Auckland46 Duplex Sonography of the Neonatal and InfantBrain, 1573Thierry A.G.M. Huisman and Andrea Poretti47 Doppler Sonography of the Brain in Children, 1591Dorothy Bulas and Alexia Egloff48 The Pediatric Head and Neck, 1628Rupa Radhakrishnan and Beth M. Kline-Fath49 The Pediatric Spinal Canal, 1672Ilse Castro-Aragon, Deborah Levine, and Carol M. Rumack50 The Pediatric Chest, 1701Chetan Chandulal Shah and S. Bruce Greenberg51 The Pediatric Liver and Spleen, 1730Sara M. O’Hara52 The Pediatric Urinary Tract and Adrenal Glands, 1775Harriet J. Paltiel and Diane S. Babcock53 The Pediatric Gastrointestinal Tract, 1833Susan D. John and Martha Mappus Munden54 Pediatric Pelvic Sonography, 1870William L. Simpson, Jr., Humaira Chaudhry, and Henrietta KotlusRosenberg55 The Pediatric Hip and Other Musculoskeletal UltrasoundApplications, 1920Leslie E. Grissom and H. Theodore Harcke56 Pediatric Interventional Sonography, 1942Neil Johnson and Allison AguadoAppendix: Ultrasound Artifacts: A Virtual ChapterKorosh Khalili, Hojun Yu, Alexander Jesurum, and Deborah LevineIndex, I-142 Fetal Measurements: Normal and Abnormal Fetal Growthand Assessment of Fetal Well-Being, 1443Carol B. Benson and Peter M. Doubilet43 Sonographic Evaluation of the Placenta, 1465Thomas D. Shipp44 Cervical Ultrasound and Preterm Birth, 1495Hournaz Ghandehari and Phyllis Glanc
Video ContentsxxiiiVIDEO CONTENTS4 The LiverStephanie R. Wilson and Cynthia E. WithersVideo 4.1 Normal liver, sagittal sweepVideo 4.2 Normal liver, subcostal sweepVideo 4.3 Focal fat in the liverVideo 4.4 Geographic fatty iniltration of the liverVideo 4.5 CEUS of FNH with classic enhancement featuresVideo 4.6 CEUS of the lash-illing hemangioma shown in Fig. 4.47Video 4.7 CEUS of focal nodular hyperplasiaVideo 4.8 CEUS of focal nodular hyperplasiaVideo 4.9 CEUS of hepatic adenoma in a young womanVideo 4.10 CEUS of small hepatocellular carcinomaVideo 4.11 CEUS of hepatocellular carcinomaVideo 4.12 Classic colorectal metastasisVideo 4.13 CEUS of liver metastasisVideo 4.14 CEUS of liver metastasis5 The SpleenPatrick M. Vos, John R. Mathieson, and Peter L. CooperbergVideo 5.1 Normal spleen in sagittal planeVideo 5.2 Normal spleen in transverse planeVideo 5.3 Contrast study of lymphoma manifesting as a hypoechoicsolitary splenic lesion6 The Biliary Tree and GallbladderKorosh Khalili and Stephanie R. WilsonVideo 6.1 Distal common bile duct and ampulla of VaterVideo 6.2 Intrahepatic bile duct stonesVideo 6.3 Distal common bile duct stoneVideo 6.4 Choledochoduodenal istulaVideo 6.5 Primary sclerosing cholangitisVideo 6.6 Primary sclerosing cholangitisVideo 6.7 Cholangiocarcinoma complicating primary sclerosingcholangitisVideo 6.8 Cholangiocarcinoma complicating primary sclerosingcholangitisVideo 6.9 CholelithiasisVideo 6.10 Acute cholecystitisVideo 6.11 Perforated cholecystitis with liver abscess7 The PancreasThomas Winter and Maryellen R.M. SunVideo 7.1 Normal pancreasVideo 7.2 Acute pancreatitisVideo 7.3 Acute pancreatitisVideo 7.4 Chronic pancreatitisVideo 7.5 Chronic pancreatitisVideo 7.6 Pancreatic pseudocystVideo 7.7 Pancreatic carcinomaVideo 7.8 Pancreatic carcinomaVideo 7.9 Intraductal papillary mucinous neoplasmVideo 7.10 Mucinous cystic neoplasm8 The Gastrointestinal TractStephanie R. WilsonVideo 8.1 An incidentally detected neuroendocrine tumor(carcinoid) of the small bowelVideo 8.2 Classic features of Crohn disease on a sweep through theterminal ileumVideo 8.3 Loss of stratiication of the bowel wall layers in severesubacute inlammation of the sigmoid colon in a patient withCrohn diseaseVideo 8.4 Stricture in Crohn diseaseVideo 8.5 Color Doppler shows hyperemia in thickened bowel wallin Crohn diseaseVideo 8.6 Contrast-enhanced longitudinal image of Crohn diseaseVideo 8.7 Contrast-enhanced cross-sectional image of CrohndiseaseVideo 8.8 Severe ixation and acute angulation of the ileum withstricture and enteroenteric istulaVideo 8.9 Incomplete small bowel obstruction in patient with CrohndiseaseVideo 8.10 Dysfunctional and excess peristalsisVideo 8.11 Localized perforation with a phlegmonous inlammatorymassVideo 8.12 Enteroenteric istulaVideo 8.13 Normal appendixVideo 8.14 Perforated appendixVideo 8.15 Acute diverticulitis in second trimester of pregnancyVideo 8.16 Paralytic ileusVideo 8.17 Incomplete bowel obstruction due to an inlammatorystricture from Crohn disease seen only on endovaginal scan9 The Kidney and Urinary TractMitchell Tublin, Deborah Levine, Wendy Thurston, and Stephanie R. WilsonVideo 9.1 Doppler jetVideo 9.2 Renal cell carcinomaVideo 9.3 Transitional cell carcinoma of the bladderVideo 9.4 Bladder diverticula11 The Adrenal GlandsChristina Marie Chingkoe, Olga R. Brook, and Deborah LevineVideo 11.1 Normal adrenal glandVideo 11.2 Adrenal adenomaVideo 11.3 Adrenal adenomaVideo 11.4 Adrenal gland with calciication12 The RetroperitoneumRaymond E. Bertino and Elton MustafarajVideo 12.1 Type 2 endoleak from inferior mesenteric artery–aortaVideo 12.2 Type 2 endoleak on enhanced computed tomographyscanVideo 12.3 Type 3 endoleak, transverse imageVideo 12.4 Type 3 endoleak, longitudinal imageVideo 12.5 Aortic pseudoaneurysm (contained rupture), longitudinalimageVideo 12.6 Restenosis of stented accessory left renal arteryVideo 12.7 Angiogram of restenosis of stented accessory left renalarteryxxiii
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Page 10 and 11: viiiContributorsOlga R. Brook, MDAs
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Page 30 and 31: xxviiiVideo Contents42 Fetal Measur
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40 PART I Physicsacoustic power and
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42 PART I PhysicsFIG. 2.6 Acoustic
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44 PART I PhysicsThe AIUM Statement
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46 PART I Physics1. Current ultraso
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48 PART I PhysicsEPIDEMIOLOGYWith a
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50 PART I Physicscontrols whether t
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52 PART I Physics70. Hwang JH, Tu J
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54 PART I PhysicsA B 5 μmFIG. 3.1
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56 PART I Physicsstudies with Levov
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58 PART I Physicsabdominal organs.
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60 PART I PhysicsHarmonic B-Mode Im
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62 PART I PhysicsFIG. 3.9 Contrast-
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64 PART I Physicsdramatic manifesta
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66 PART I Physics5 µmFIG. 3.15 Fra
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68 PART I Physicsplatelet lysis), n
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70 PART I PhysicsEnhancement1 2 3 4
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72 PART I Physics46. Hamilton MF, B
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PART TWO: Abdominal and Pelvic Sono
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76 PART II Abdominal and Pelvic Son
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100 PART II Abdominal and Pelvic So
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ABFIG. 5.20 Microabscesses in Two P
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ABFIG. 6.32 Distal Cholangiocarcino
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CHAPTER7The PancreasThomas Winter a
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CHAPTER8The Gastrointestinal TractS
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ABFIG. 8.16 Lymphadenopathy in Two
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A B CD E FG H IFIG. 8.23 Inlammator
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FIG. 8.56 Gastrointestinal Stromal
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CHAPTER9The Kidney and Urinary Trac
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Remnant ofpronephrosMesonephrosBMes
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CHAPTER11The Adrenal GlandsChristin
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CHAPTER12The RetroperitoneumRaymond
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CHAPTER13Dynamic Ultrasound of Hern
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CHAPTER14The PeritoneumAnthony E. H
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CHAPTER15The UterusDouglas Brown an
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CHAPTER16The AdnexaRochelle Filker
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692 PART III Small Parts, Carotid A
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CHAPTER20The Parathyroid GlandsBonn
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*** *FIG. 21.8 Terminal Ductolobula
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CHAPTER22The ScrotumDaniel Sommers
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CHAPTER23Overview of Musculoskeleta
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CHAPTER25Musculoskeletal Interventi
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ABCDFIG. 25.15 Biceps Tendon Sheath
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CHAPTER27Peripheral VesselsMark E.
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ABFIG. 27.29 Chronic Deep Venous Th
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1000 PART III Small Parts, Carotid
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e2APPENDIXUltrasound Artifacts: A V
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FIG. A.18 Comet-Tail Artifact. On c
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e12APPENDIXUltrasound Artifacts: A
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I-2 IndexAcetabulumdescription of,
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I-4 IndexAnemiafetal, hydrops from,
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I-6 IndexAttenuationcoeicient, 36of
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I-8 IndexBlood low. See also Cerebr
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I-10 IndexBreast(s) (Continued)thic
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I-12 IndexCat-scratch disease, pedi
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I-14 IndexChorion laeve, 1465-1466C
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I-16 IndexContrast agents (Continue
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I-18 IndexCyst(s) (Continued) Cyst(
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I-20 IndexDoppler ultrasound (Conti
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I-22 IndexEndocardial cushion(s), 1
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I-24 IndexFibroma(s) (Continued)par
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I-26 IndexGerminal epithelium, 565G
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I-28 IndexHematoma(s) (Continued)pe
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I-30 IndexHoloprosencephaly (HPE) (
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I-32 IndexImplants, breast (Continu
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I-34 IndexJaundice (Continued)bile
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I-36 IndexLipomyelocele, closed spi
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I-38 IndexMammary ductsnormal sonog
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I-40 IndexMolar pregnancy. See Hyda
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I-42 IndexNonrhizomelic chondrodysp
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I-44 IndexPancreas (Continued)percu
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I-46 IndexPeritoneum (Continued)tum
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I-48 IndexPosterior fossa (Continue
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I-50 IndexPyloric musclehypertrophy
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I-52 IndexSample volume size, Doppl
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I-54 IndexSpectral broadening, in D
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I-56 IndexSuperoanteromedial ridge,
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I-58 Indexhrombosis (Continued)of s
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I-60 IndexTrisomy 18 (Edwards syndr
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I-62 IndexUrinary tract, pediatric
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I-64 IndexWalker-Warburg syndromeco
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DIAGNOSTICULTRASOUND
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DIAGNOSTICULTRASOUND5TH EDITIONCARO
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ABOUT THE EDITORSCarol M. Rumack, M
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ContributorsviiCONTRIBUTORSJacques
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ContributorsixPeter M. Doubilet, MD
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ContributorsxiAna P. Lourenco, MDAs
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ContributorsxiiiWendy hurston, MDAs
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In memory of my parents, Drs. Ruth
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PrefacexviiPREFACEhe ith edition of
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AcknowledgmentsxixACKNOWLEDGMENTSWe
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ContentsxxiCONTENTSVOLUME IPART I P
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Video ContentsxxiiiVIDEO CONTENTS4
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Video Contentsxxv19 The Thyroid Gla
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Video Contentsxxvii33 The Fetal Fac
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Video Contentsxxix52 The Pediatric
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DIAGNOSTICULTRASOUND
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PART FOUR: Obstetric and Fetal Sono
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CHAPTER 28 Overview of Obstetric Im
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ABCDFIG. 28.9 Second-Trimester Biom
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CHAPTER 29 Bioeffects and Safety of
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CHAPTER 30 The First Trimester 1049
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CHAPTER 31 Chromosomal Abnormalitie
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ABCDFIG. 31.12 Sonographic Findings
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CHAPTER32Multifetal PregnancyMary C
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CHAPTER 32 Multifetal Pregnancy 111
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ABFIG. 32.5 Sonographic Findings Se
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CHAPTER33The Fetal Face and NeckAna
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CHAPTER 33 The Fetal Face and Neck
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ABCDFIG. 33.13 Hypertelorism With E
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ABCDFIG. 33.16 Dacryocystocele. (A)
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ABCDEFFIG. 33.24 Unilateral Complet
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CHAPTER 34 The Fetal Brain 1167impo
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CHAPTER 34 The Fetal Brain 1169cmAB
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CingulatePOCalcarineAB21 wkCD25 wkI
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CHAPTER 34 The Fetal Brain 1173FIG.
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CHAPTER 34 The Fetal Brain 1175LTAR
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CHAPTER 34 The Fetal Brain 1177CC12
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CHAPTER 34 The Fetal Brain 1179SPEC
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CHAPTER 34 The Fetal Brain 1181ABCD
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CHAPTER 34 The Fetal Brain 1183asym
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CHAPTER 34 The Fetal Brain 1185FIG.
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CHAPTER 34 The Fetal Brain 1187Cere
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CHAPTER 34 The Fetal Brain 1189loba
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CHAPTER 34 The Fetal Brain 1191ABCF
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CHAPTER 34 The Fetal Brain 1193ABCF
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CHAPTER 34 The Fetal Brain 1195spor
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ABCCCDEFFIG. 34.24 Type 2 Lissencep
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CHAPTER 34 The Fetal Brain 1199ABFI
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CHAPTER 34 The Fetal Brain 120120 w
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CHAPTER 34 The Fetal Brain 1203Ultr
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CHAPTER 34 The Fetal Brain 1205ABCD
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VSSABHHPHCDEFFIG. 34.35 Intracrania
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CHAPTER 34 The Fetal Brain 1209VABC
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CHAPTER 34 The Fetal Brain 1211Huma
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CHAPTER 34 The Fetal Brain 1213121.
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CHAPTER 34 The Fetal Brain 1215221.
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CHAPTER 35 The Fetal Spine 1217ABCF
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CHAPTER 35 The Fetal Spine 1219L1S3
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CHAPTER 35 The Fetal Spine 1221FTFT
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CHAPTER 35 The Fetal Spine 1223FIG.
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CHAPTER 35 The Fetal Spine 1225TABL
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CHAPTER 35 The Fetal Spine 1227Feta
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CHAPTER 35 The Fetal Spine 1229MMAB
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ABCDEFFIG. 35.15 Skin-Covered Myelo
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CHAPTER 35 The Fetal Spine 1233diic
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CHAPTER 35 The Fetal Spine 1235CCSC
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CHAPTER 35 The Fetal Spine 1237chon
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CHAPTER 35 The Fetal Spine 1239BSCT
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CHAPTER 35 The Fetal Spine 124162.
Page 1415 and 1416:
CHAPTER36The Fetal ChestDorothy Bul
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CHAPTER 36 The Fetal Chest 1245seco
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CHAPTER 36 The Fetal Chest 1247TABL
Page 1421 and 1422:
CHAPTER 36 The Fetal Chest 1249Left
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CHAPTER 36 The Fetal Chest 12511ABC
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CHAPTER 36 The Fetal Chest 1253ABCF
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CHAPTER 36 The Fetal Chest 1255cent
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CHAPTER 36 The Fetal Chest 1257Left
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CHAPTER 36 The Fetal Chest 1259ABCD
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CHAPTER 36 The Fetal Chest 1261RTLT
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CHAPTER 36 The Fetal Chest 1263ARig
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CHAPTER 36 The Fetal Chest 12659. B
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CHAPTER 36 The Fetal Chest 1267107.
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CHAPTER 36 The Fetal Chest 1269204.
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CHAPTER 37 The Fetal Heart 1271TABL
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CHAPTER 37 The Fetal Heart 1273TABL
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CHAPTER 37 The Fetal Heart 1275Plac
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CHAPTER 37 The Fetal Heart 1277ADop
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CHAPTER 37 The Fetal Heart 1279LVRV
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CHAPTER 37 The Fetal Heart 1281RARV
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CHAPTER 37 The Fetal Heart 1283RARV
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CHAPTER 37 The Fetal Heart 1285Norm
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CHAPTER 37 The Fetal Heart 1287RVLV
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CHAPTER 37 The Fetal Heart 1289RVTA
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CHAPTER 37 The Fetal Heart 1291LVRA
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CHAPTER 37 The Fetal Heart 1293Aspl
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CHAPTER 37 The Fetal Heart 1295PLVL
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CHAPTER 37 The Fetal Heart 1297HR-L
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CHAPTER 37 The Fetal Heart 129951.
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CHAPTER 38 The Fetal Gastrointestin
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UrogenitalsinusMesonephrosMesonephr
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CHAPTER 39 The Fetal Urogenital Tra
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CHAPTER 40 The Fetal Musculoskeleta
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CHAPTER 41 Fetal Hydrops 1413ABFIG.
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ABCDFIG. 41.2 Ascites. (A) Fluid ou
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CHAPTER 41 Fetal Hydrops 1417A B CD
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CHAPTER 41 Fetal Hydrops 1423later
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CHAPTER 41 Fetal Hydrops 1427CHABCH
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CHAPTER 41 Fetal Hydrops 1429Monoch
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CHAPTER 41 Fetal Hydrops 1431feedin
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CHAPTER 41 Fetal Hydrops 1433TABLE
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CHAPTER 41 Fetal Hydrops 1435sampli
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CHAPTER 41 Fetal Hydrops 1437Predel
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CHAPTER 41 Fetal Hydrops 143973. Ma
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CHAPTER 41 Fetal Hydrops 1441169. I
Page 1615 and 1616:
CHAPTER42Fetal Measurements: Normal
Page 1617 and 1618:
CHAPTER 42 Fetal Measurements 1445F
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CHAPTER 42 Fetal Measurements 1447T
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CHAPTER 42 Fetal Measurements 1451p
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CHAPTER 42 Fetal Measurements 1453d
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CHAPTER 42 Fetal Measurements 1455A
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CHAPTER 42 Fetal Measurements 1459A
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CHAPTER 42 Fetal Measurements 14618
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CHAPTER 42 Fetal Measurements 14631
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CHAPTER43Sonographic Evaluation oft
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CHAPTER 43 Sonographic Evaluation o
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CHAPTER44Cervical Ultrasound and Pr
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CHAPTER 44 Cervical Ultrasound and
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PART FIVE: Pediatric SonographyCHAP
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CHAPTER 45 Neonatal and Infant Brai
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CHAPTER46Duplex Sonography of the N
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CHAPTER 46 Duplex Sonography of the
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CHAPTER47Doppler Sonography of the
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CHAPTER 47 Doppler Sonography of th
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CHAPTER 48 The Pediatric Head and N
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CHAPTER 49 The Pediatric Spinal Can
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RA B CDEFGFIG. 49.27 Neuroblastoma
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CHAPTER50The Pediatric ChestChetan
Page 1875 and 1876:
CHAPTER 50 The Pediatric Chest 1703
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CHAPTER 51 The Pediatric Liver and
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Page 1943 and 1944:
ABCFIG. 51.39 Hepatosplenomegaly. W
Page 1945 and 1946:
Page 1947 and 1948:
CHAPTER52The Pediatric Urinary Trac
Page 1949 and 1950:
CHAPTER 52 The Pediatric Urinary Tr
Page 1951 and 1952:
TABLE 52.4 Mean Total Renal Volumes
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CHAPTER53The Pediatric Gastrointest
Page 2007 and 2008:
CHAPTER 53 The Pediatric Gastrointe
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CHAPTER 54 Pediatric Pelvic Sonogra
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CHAPTER 55 The Pediatric Hip and Ot
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Page 2107 and 2108:
Page 2109 and 2110:
ABCDFIG. 55.13 Normal and Dislocate
Page 2111 and 2112:
Page 2113 and 2114:
Page 2115 and 2116:
CHAPTER 56 Pediatric Interventional
Page 2117 and 2118:
Page 2119 and 2120:
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Page 2123 and 2124:
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Page 2129 and 2130:
Page 2131 and 2132:
ABCFIG. 56.15 Access for Drainage o
Page 2133 and 2134:
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Page 2139 and 2140:
Page 2141 and 2142:
APPENDIXUltrasound Artifacts: A Vir
Page 2143 and 2144:
APPENDIX Ultrasound Artifacts: A Vi
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Page 2177 and 2178:
Page 2179 and 2180:
IndexAAA anastomoses. See Arterial/
Page 2181 and 2182:
Index I-3Adnexa (Continued)transvag
Page 2183 and 2184:
Index I-5Arrays, transducer, 11-12A
Page 2185 and 2186:
Index I-7Bioefects (Continued) Biop
Page 2187 and 2188:
Index I-9Brain, neonatal/infant (Co
Page 2189 and 2190:
Index I-11Carcinoma(s) (Continued)
Page 2191 and 2192:
Index I-13Cervix (Continued)for sym
Page 2193 and 2194:
Index I-15Color Doppler ultrasound
Page 2195 and 2196:
Index I-17Cystic artery, 194promine
Page 2197 and 2198:
Index I-19Diabetes mellituschronic
Page 2199 and 2200:
Index I-21Echinococcal disease (Con
Page 2201 and 2202:
Index I-23Exudate ascites, 506-507E
Page 2203 and 2204:
Index I-25Gallbladder (Continued)ad
Page 2205 and 2206:
Index I-27Gyriabnormalities of, in
Page 2207 and 2208:
Index I-29Hernia(s). See also Diaph
Page 2209 and 2210:
Index I-31Hyperechoic tissue, in br
Page 2211 and 2212:
Index I-33Internal jugular vein (IJ
Page 2213 and 2214:
Index I-35Kidneys, pediatric (Conti
Page 2215 and 2216:
Index I-37Liver transplantation (Co
Page 2217 and 2218:
Index I-39Mesentery, small bowel, 5
Page 2219 and 2220:
Index I-41Nasal bone, fetal (Contin
Page 2221 and 2222:
Index I-43Orbits, fetal (Continued)
Page 2223 and 2224:
Index I-45Patau syndrome. See Triso
Page 2225 and 2226:
Index I-47Pleural efusionsfetal, 12
Page 2227 and 2228:
Index I-49Prostate (Continued)thera
Page 2229 and 2230:
Index I-51Renal transplantation (Co
Page 2231 and 2232:
Index I-53Shunt(s) (Continued) Skel
Page 2233 and 2234:
Index I-55Splenic vein (Continued)t
Page 2235 and 2236:
Index I-57Testis(es) (Continued)cys
Page 2237 and 2238:
Index I-59Transcranial Doppler (TCD
Page 2239 and 2240:
Index I-61Umbilical cord, 1481-1487
Page 2241 and 2242:
Index I-63Vein of Galen (Continued)
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Page 2249:
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