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Atlas of Human Body Ultrasound Scanning_ Methods and Diagnostic Applications ( PDFDrive ).pdf
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8  The Digestive System Organ Scanning

1.17\ Oblique Scanning of the Right Anterior Liver and the Left Medial Lobe of the Liver by Right Intercostal Space

Fig. 8.17  Oblique view of the right anterior liver and the left medial lobe of the liver by right intercostal space.

Note: 1 Branch of RPV, 2 Branch of MHV, and 3 Branch of LPV

RL

2

1

RPV

IVC

237

LL

3

238

M. Zhang

 

 

1.17.1\ Scanning Method

The patient should be on fast for 8–12 h. Supine. Probe is placed inside the right midclavicular line, the fifth to sixth intercostal space transversely, scanning toward the right posterior-supe- rior for the right anterior lobe and toward the left posterior-superior for the left medial lobe.

1.17.2\ Section Structure

Oblique section of the right anterior lobe and left lobe of the liver, right portal vein, inferior vena

cava, branch of the right hepatic vein, and left hepatic venous branch.

1.17.3\ The Clinical Application Value

Scanning the right anterior lobe and left lobe on the upper area of the liver, especially to observe the lesion of the right anterior lobe and left medial lobe. This section shows the boundary area of left lobe and right lobe, and should be observed carefully.

8  The Digestive System Organ Scanning

239

 

 

1.18\ Oblique Scanning

of the Dome Area in the Right Liver from the Right Intercostal Space Approach

Fig. 8.18  Oblique scan of the dome area in the right liver from the right intercostal space approach. Note: 1 The inferior lobe of right lung

1

RL

Dia

240

M. Zhang

 

 

1.18.1\ Scanning Method

The patient should be on fast for 8–12 h with a supine position. Probe is placed transversely to the right fourth or fifth intercostal space between the anterior axillary line and midclavicular line and scanning toward the right posterior.

1.18.2\ Section Structure

The dome area of the right hepatic lobe near the diaphragm. The right inferior diaphragm space and right inferior lobe of the lung can be shown.

1.18.3\ The Clinical Application Value

The abnormality in the dome area near the diaphragm of the right liver, the right hepatic subcapsular lesion, and the fluid collection under the right diaphragm as well as in the right pleural cavity can be diagnosed by this section. The lesions in this area is near the edge of the right liver, are not easy to be scanned, or may be overlooked.