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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 220
Gallbladder and Biliary Tract Study With Limited Abdomen
Liver • Longitudinal Images
1. Longitudinal image of the left lobe of the liver
to include the inferior margin and the aorta.
Labeled: LIVER SAG LT LOBE
2. Longitudinal image of the left lobe of the liver
to include the diaphragm and caudate lobe.
Labeled: LIVER SAG LT LOBE
3. Longitudinal image of the right lobe of the
liver to include the IVC where it passes
through the liver.
4. Longitudinal image of the right lobe of the
liver to include the main lobar fissure,
gallbladder, and portal vein.
PART III
Labeled: LIVER SAG RT LOBE
Image Protocols for Limited Sonographic Studies of the Abdomen n 221
Labeled: LIVER SAG RT LOBE
Image Protocols for Limited Sonographic Studies of the Abdomen n 222
5. Longitudinal image of the right lobe of the
liver to include part of the right kidney for
parenchyma comparison.
Labeled: LIVER SAG RT LOBE
6. Longitudinal image of the right lobe of the
liver to include the dome and adjacent pleural
space.
Labeled: LIVER SAG RT LOBE
Liver • Axial Images
7. Axial image of the left lobe of the liver to include its lateral margin.
Labeled: LIVER TRV LT LOBE
Image Protocols for Limited Sonographic Studies of the Abdomen n 223
PART III
Image Protocols for Limited Sonographic Studies of the Abdomen n 224
8. Axial image of the left lobe of the liver to include the ligamentum teres.
Labeled: LIVER TRV LT LOBE
SCANNING TIP: Depending on liver size and shape, it may be possible to document
an axial image of the left lobe that includes both the lateral margin and ligamentum
teres. If so, label the image as follows:
LIVER TRV LT LOBE
9. Axial image of the right lobe of the liver to
include the hepatic veins.
10. Axial image of the right lobe of the liver to
include the right and left branches of the
portal vein.
PART III
Labeled: LIVER TRV RT LOBE
Image Protocols for Limited Sonographic Studies of the Abdomen n 225
Labeled: LIVER TRV RT LOBE
Image Protocols for Limited Sonographic Studies of the Abdomen n 226
11. Axial image of the right lobe of the liver to include the right lateral inferior lobe.
Labeled: LIVER TRV RT LOBE
12. Axial image of the right lobe of the liver to include the dome and adjacent
pleural space.
Labeled: LIVER TRV RT LOBE
SCANNING TIP: Routine measurements of the liver are not required.
Image Protocols for Limited Sonographic Studies of the Abdomen n 227
PART III
Image Protocols for Limited Sonographic Studies of the Abdomen n 228
Gallbladder and Biliary Tract • First Position
SCANNING TIP: When the gallbladder and biliary
tract are the areas of interest, they are routinely
surveyed in 2 different patient positions and the
gallbladder is documented in both positions.
Gallbladder • Longitudinal Images
13. Long axis image of the gallbladder.
Labeled: GB SAG LONG AXIS
14. Longitudinal image of the gallbladder fundus
and body.
Labeled: GB SAG FUNDUS/BODY
Image Protocols for Limited Sonographic Studies of the Abdomen n 229
15. Longitudinal image of the gallbladder neck.
PART III
Labeled: GB SAG NECK