By J. Bates
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Extra info for Abdominal Ultrasound - How, Why and When
33 (A) The duodenum frequently invaginates the posterior wall of the gallbladder and may mimic pathology if the machine settings are not correctly manipulated. (B) Fluid-filled stomach near the gallbladder fossa mimics a gallbladder containing a stone. The real gallbladder was normal. 34), although a small proportion of hepatic arteries lie anterior to the duct (Fig. 20B). 35 Visualization of the lower end of the duct often requires the operator to persevere with technique and patient positioning.
10 Transverse section (TS) through the liver, above the confluence of the hepatic veins. 11 TS at the confluence of the hepatic veins (HV). 12 TS at the porta hepatis. PV = portal vein. 13 TS through the right kidney. 14 TS at the epigastrium. CBD = common bile duct. 15 TS at the inferior edge of the left lobe. 16 LS through the right lobe, demonstrating a Reidel’s lobe extending below the right kidney. ) The segments of the liver It is often sufficient to talk about the ‘right’ or ‘left’ lobes of the liver for the purposes of many diagnoses.
24 Main portal vein at the porta hepatis demonstrating hepatopetal flow. The higher velocity hepatic artery lies adjacent to the Main portal vein (arrow). zone is set over the back wall of the gallbladder to maximize the chances of identifying small stones (see Chapters 1 and 3). ● Alter the time gain compensation (TGC) to eliminate or minimize anterior artefacts and ● Use tissue harmonic imaging to reduce artifact within the gallbladder and sharpen the image of the wall (particularly in a large abdomen).
Abdominal Ultrasound - How, Why and When by J. Bates