CHCMUUltrasonic examination content.Liver,gall bladder,pancreasand spleen:location,shape,size,echogenicityandCDFI. Ascites:Around the liver,spleen,andpancreasLiverStomach.Largeabdominal vessels:Tumorembolus,lymphnodePancreas
Ultrasonic examination content • Liver, gall bladder, pancreas and spleen: location, shape, size, echogenicity and CDFI • Ascites：Around the liver, spleen, and pancreas • Large abdominal vessels：Tumor embolus, lymph node
PARTTWOSonography of the Liver and Gall bladderAnatomyExaminationmethodNormal sonographicfindingsDiseasesonographicfindings
PART TWO Sonography of the Liver and Gall bladder ⚫ Anatomy ⚫ Examination method ⚫ Normal sonographic findings ⚫ Disease sonographic findings
1. Liver AnatomyLEFTLOBEMadeup of3lobes,right,RIGHTLOBEleft, and caudateFALCIFORMLIGAMENTRightlobe-anteriorandposteriorsegmentsANTERIORVIEWOFLIVERMiddle hepatio veinIVCLefthepaticveinRighthepaticveirLeftlobe-medial andlateralsegmentsCaudatePortal veinHepatic arteryBile ductThe liver's eight-segmentdivision.Patients undergoing surgeryfor fiver cancerwill have a section(s) of their liver removed inwhich the tumor(s) resides.Following surgery,this sectiongrows back
1. Liver Anatomy ⚫ Made up of 3 lobes, right, left, and caudate ⚫ Right lobe-anterior and posterior segments ⚫ Left lobe- medial and lateral segments ⚫ Caudate
2.Examination methodPositionSupine position, left lateral positionProbelocationBetween the right side of the rib, right subcostalmargin
⚫ Position Supine position, left lateral position ⚫ Probe location Between the right side of the rib, right subcostal margin 2.Examination method
3.The normal liver ultrasoundNormal livetASEGUOIADEMO13Aug989.43:16am4.0MHz140mmABD85dBT1//0/2/3Gain=2dB4=1Store inprogressWOUUDIBAGA
C 3.The normal liver ultrasound