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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 Limited Sonographic Studies of the Abdomen n 210
16. Longitudinal image of the gallbladder fundus
and body.
Labeled: GB SAG FUNDUS/BODY
17. Longitudinal image of the gallbladder neck.
Labeled: GB SAG NECK
Gallbladder • Axial Images
18. Axial image of the gallbladder fundus.
Labeled: GB TRV FUNDUS
Image Protocols for Limited Sonographic Studies of the Abdomen n 211
19. Axial image of the gallbladder body.
PART III
Labeled: GB TRV BODY
Image Protocols for Limited Sonographic Studies of the Abdomen n 212
20. Axial image of the gallbladder neck.
Labeled: GB TRV NECK
Biliary Tract • Longitudinal Images
SCANNING TIP: Biliary tract images may be
magnified to aid interpretation.
SCANNING TIP: The common hepatic duct (CHD)
image may be omitted if the CHD was visualized
on the gallbladder long axis image.
SCANNING TIP: Biliary tract images may be taken
in the second patient position if they were better
visualized there during the survey.
21. Longitudinal image of the CHD.
22. Longitudinal image of the common bile duct
with anterior to posterior measurement at the
widest margins of the lumen.
Labeled: SAG CHD
Image Protocols for Limited Sonographic Studies of the Abdomen n 213
PART III
Labeled: SAG CBD
Image Protocols for Limited Sonographic Studies of the Abdomen n 214
23. Same image as number 22 without measurement calipers.
Labeled: SAG CBD
Gallbladder and Biliary Tract • Second Position
Gallbladder • Longitudinal Image
24. Long axis image of the gallbladder.
Labeled: GB SAG LONG AXIS
Gallbladder • Axial Image
Pancreas • Longitudinal Images
25. Axial image of the gallbladder fundus.
Labeled: GB TRV FUNDUS
Image Protocols for Limited Sonographic Studies of the Abdomen n 215
26. Long axis image of the pancreas to include as
much head, uncinate, neck, body, tail, and
pancreatic duct as possible.
PART III
Labeled: PANC TRV LONG AXIS
Image Protocols for Limited Sonographic Studies of the Abdomen n 216
27. Longitudinal image of the pancreas head to include the uncinate process and
common bile duct (if bile filled).
Labeled: PANC TRV HEAD
Pancreas • Axial Image
28. Axial image of the pancreas head to include the common bile duct (if bile filled).
SCANNING TIP: In some cases, a portion or all
of the pancreas cannot be visualized because of
overlying bowel gas and the patient cannot be
given fluids to displace the gas. When this occurs,
and every effort has been made to image the
pancreas, take the required images in the designated areas and add “AREA” to the labeling.
Labeled: PANC SAG HEAD
Image Protocols for Limited Sonographic Studies of the Abdomen n 217
PART III
Image Protocols for Limited Sonographic Studies of the Abdomen n 218
Right Kidney • Longitudinal Image
29. Long axis image of the right kidney.
Labeled: RT KID SAG 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.
Right Kidney • Axial Image
30. Axial image of the right kidney midportion to include the hilum.
Labeled: RT KID TRV MID
Image Protocols for Limited Sonographic Studies of the Abdomen n 219
PART III