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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5820_Библиотеки_им_академика_М_И_Перельмана.pdf
Image Protocols for Full Sonographic Studies of the Abdomen n 180
Left Kidney • Longitudinal Image
27. Long axis image of the left kidney.
Labeled: LT KID COR LONG AXIS
SCANNING TIP: Take an additional image of the
superior and/or inferior poles if they are not
clearly represented on the long axis image. Label
accordingly.
Left Kidney • Axial Image
28. Axial image of the left kidney midportion to include the hilum.
Labeled: LT KID LT TRV MID
Image Protocols for Full Sonographic Studies of the Abdomen n 181
PART III
Image Protocols for Full Sonographic Studies of the Abdomen n 182
Spleen • Longitudinal Images
29. Long axis image of the spleen.
Labeled: SPLEEN COR LONG AXIS
SCANNING TIP: If the adjacent pleural space and
a portion of the left kidney were adequately demonstrated on number 29, numbers 30 and/or 31
may be omitted.
30. Superior longitudinal image of the spleen to
include the adjacent pleural space.
31. Inferior longitudinal image of the spleen to
include part of the left kidney for parenchyma comparison.
PART III
Labeled: SPLEEN COR SUP
Image Protocols for Full Sonographic Studies of the Abdomen n 183
Labeled: SPLEEN COR INF
Image Protocols for Full Sonographic Studies of the Abdomen n 184
Spleen • Axial Images
32. Axial image of the spleen to include both anterior and posterior margins.
SCANNING TIP: If the anterior and posterior
margins were adequately demonstrated on
number 32, numbers 33 and/or 34 may be
omitted.
Labeled: SPLEEN LT TRV
33. Axial image of the spleen to include both
anterior margin and splenic hilum.
Labeled: SPLEEN LT TRV ANT
Image Protocols for Full Sonographic Studies of the Abdomen n 185
34. Axial image of the spleen to include the
posterior margin.
PART III
Labeled: SPLEEN LT TRV POST
Image Protocols for Limited Sonographic Studies of the Abdomen n 186
SECTION TWO □ Image Protocols
for Limited Sonographic Studies
of the Abdomen
• Extensive images of the area(s) of interest:
• Aorta Study With Limited Abdomen
• Inferior Vena Cava Study With Limited Abdomen
• Right Upper Quadrant Study With Limited Abdomen
• Gallbladder and Biliary Tract Study With Limited Abdomen
• Pancreas Study With Limited Abdomen
• Renal Study With Limited Abdomen
• Spleen Study With Limited Abdomen
Criteria
• Begin studies with a survey of abdominal structures in at least 2
scanning planes.
• Do not share study results with the patient. Legally, only physicians can
give diagnoses.
Image Protocols for Limited Sonographic Studies of the Abdomen n 187
PART III
Image Protocols for Limited Sonographic Studies of the Abdomen n 188
Aorta Study With Limited Abdomen
Aorta • Longitudinal Images
1. Longitudinal image of the proximal aorta
(inferior to the diaphragm, superior to the
celiac trunk).
Labeled: AORTA SAG PROX
2. Longitudinal image of the middle aorta (inferior to the celiac trunk along the length of the
superior mesenteric artery).
Labeled: AORTA SAG MID
3. Longitudinal image of the distal aorta (inferior
to the superior mesenteric artery, superior to
the bifurcation).
4. Longitudinal image of the aorta bifurcation
(common iliac arteries).
PART III
Labeled: AORTA SAG DISTAL
Image Protocols for Limited Sonographic Studies of the Abdomen n 189
Labeled: AORTA SAG BIF RT or LT OBL or AORTA
LT COR BIF