Liver and Biliary TractThis is a featured page



Scanning Technique

Begin doing a full sweep through the liver.You will need the patient to take deep inspirations to fully visualise the diaphragmatic borders of the liver.Look in transverse up and down the left lobe from asubcostal approach.Look in transverse through the right lobe subcostally andintercostally.Roll the patient in a left semi-lateral decubitus position for assessment of the right lobe only after checking for fluid along the liver edge.Bowel gas can overlie the liver in a subcostal approach so getting the patient to distend their abdomen can help visualisation. Also looking intercostally between each rib space can ensure thorough visualisation.

Look For:


  • Homogenous v's Attenuative(normal v'sfatty liver)
  • Smooth v's coarse echotexture
  • Size:To measure the size of the liver, use a sagittal approach in the mid clavicular line. Measure from the superior to the inferior border. This can be very subjective. Also look at the lower edge of liver in relation to the Right Kidney.It should finish half way down the kidney although a normal variant is a Reidel's lobe which is a tongue of liver extending below the kidney. An enlarged liver will have rounded borders.
  • Look for SOLs due to benign cysts or secondary deposits, amoebic abscess, echinococcus
  • Also look for dilated intrahepatic biliary radicles due to obstructed CBD
Once you have thoroughly scanned though the liver,thenstart taking images.




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skmishraindia
Latest page update: made by skmishraindia , Aug 23 2013, 6:03 AM EDT (about this update About This Update skmishraindia Edited by skmishraindia

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smtarthur ultrasound images of liver 0 Jul 14 2014, 9:31 PM EDT by smtarthur
Thread started: Jul 14 2014, 9:31 PM EDT  Watch
I think there should be images from just an enlarged liver without fatty infiltration, to the various stages of fatty infiltration?
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