Ultrasound of the Liver

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Presentation transcript:

Ultrasound of the Liver Wendy Blount, DVM Click on the blue arrow at bottom left or hit the “return” key to advance the show (mouse over to reveal) Free PowerPoint Templates

Image Views - Liver Sagittal Views (6 – 3 right, 1 middle, 2 left) Right lateral cranial – right liver, diaphragm, maybe gall bladder Right medial – gall bladder, diaphragm Porta Hepatis (midline) – common bile duct, portal vein, caudal vena cava Right lateral caudal – caudate lobe and right kidney Left medial – aorta, L hepatic vein, L portal vein, stomach Left lateral – liver, head of spleen, maybe stomach Landmarks in blue Free PowerPoint Templates

Image Views - Liver Sagittal Views (6 – 3 right, 1 middle, 2 left) Right lateral cranial – right liver, diaphragm, maybe gall bladder Right medial – gall bladder, diaphragm Porta Hepatis (midline) – common bile duct, portal vein, caudal vena cava Right lateral caudal – caudate lobe and right kidney Left medial – aorta, L hepatic vein, L portal vein, stomach Left lateral – liver, head of spleen, maybe stomach Landmarks in blue 2 3 1 5 6 4 Free PowerPoint Templates

Image Views - Liver Transverse Views (3-6) Cranial – liver, diaphragm Middle – gall bladder, portal vein Caudal – caudal vena cava, hepatic vein, maybe gall bladder (Advanced – intercostal port hepatis) May need separate R and L views of each in the large dog Free PowerPoint Templates

Image Views - Liver Transverse Views (3-6) Cranial – liver, diaphragm Middle – gall bladder, portal vein Caudal – caudal vena cava, hepatic vein, maybe gall bladder (Advanced – intercostal port hepatis) May need separate R and L views of each in the large dog 1 (4) 2 3 Free PowerPoint Templates

Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver Diaphragm Maybe Gall Bladder

Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver Diaphragm Maybe Gall Bladder

Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver Diaphragm Maybe Gall Bladder

Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver Diaphragm Maybe Gall Bladder

Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver Diaphragm Maybe Gall Bladder

Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver Diaphragm Maybe Gall Bladder

Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver Diaphragm Maybe Gall Bladder

Scanning the Liver Sagittal Views Right Medial Gall Bladder Diaphragm

Scanning the Liver Sagittal Views Right Medial Gall Bladder Diaphragm

Scanning the Liver Sagittal Views Right Medial Gall Bladder Diaphragm

Scanning the Liver Sagittal Views Right Medial Gall Bladder Diaphragm

Scanning the Liver Sagittal Views Right Medial Gall Bladder Diaphragm Far field enhancement Mirror image

Scanning the Liver Sagittal Views Porta Hepatis Common Bile Duct Portal Vein Caudal Vena Cava

Scanning the Liver Sagittal Views Porta Hepatis Common Bile Duct Portal Vein Caudal Vena Cava

Scanning the Liver Sagittal Views Porta Hepatis Common Bile Duct Portal Vein Caudal Vena Cava

Scanning the Liver Sagittal Views Porta Hepatis Common Bile Duct Portal Vein Caudal Vena Cava

Scanning the Liver Sagittal Views Porta Hepatis Common Bile Duct Portal Vein Caudal Vena Cava stomach

Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe Right Kidney

Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe Right Kidney

Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe Right Kidney

Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe Right Kidney

Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe Right Kidney

Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe Right Kidney

Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe Right Kidney

Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe Right Kidney

Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe Right Kidney

Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein L Portal Vein Stomach

Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein L Portal Vein Stomach

Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein L Portal Vein Stomach

Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein L Portal Vein Stomach

Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein L Portal Vein Stomach

Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein L Portal Vein Stomach

Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein L Portal Vein Stomach

Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein L Portal Vein Stomach

Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein L Portal Vein Stomach

Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein L Portal Vein Stomach

Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein L Portal Vein Stomach

Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein L Portal Vein Stomach

Scanning the Liver Sagittal Views Left Lateral Left Liver Head of Spleen

Scanning the Liver Sagittal Views Left Lateral Left Liver Head of Spleen

Scanning the Liver Sagittal Views Left Lateral Left Liver Head of Spleen

Scanning the Liver Sagittal Views Left Lateral Left Liver Head of Spleen

Scanning the Liver Transverse Views Cranial Right Liver Left Liver Diaphragm

Scanning the Liver Transverse Views Cranial Right Liver Left Liver Diaphragm

Scanning the Liver Transverse Views Cranial Right Liver Left Liver Diaphragm

Scanning the Liver Transverse Views Cranial Right Liver Left Liver Diaphragm

Scanning the Liver Transverse Views Cranial Right Liver Left Liver Diaphragm

Scanning the Liver Transverse Views Cranial Right Liver Left Liver Diaphragm

Scanning the Liver Transverse Views Cranial Right Liver Left Liver Diaphragm

Scanning the Liver Transverse Views Cranial Right Liver Left Liver Diaphragm

Scanning the Liver Transverse Views Cranial Right Liver Left Liver Diaphragm

Scanning the Liver Transverse Views Middle Gall Bladder Portal Vein

Scanning the Liver Transverse Views Middle Gall Bladder Portal Vein

Scanning the Liver Transverse Views Middle Gall Bladder Portal Vein

Scanning the Liver Transverse Views Caudal Caudal Vena Cava Hepatic Vein Maybe Gall Bladder

Scanning the Liver Transverse Views Caudal Caudal Vena Cava Hepatic Vein Maybe Gall Bladder

Scanning the Liver Transverse Views Caudal Caudal Vena Cava Hepatic Vein Maybe Gall Bladder

Tips – Liver Ultrasound Some prefer two long axis views of the gall bladder One fundus and one neck If you are having trouble locating the gall bladder Try the right intercostal approach Free PowerPoint Templates

Acknowledgments Stephanie Lisciandro, ACVIM (Internal Medicine) Chapter 3: Focused or COAST3 – Liver and Gall Bladder Focused Ultrasound Techniques for the Small Animal Practitioner Editor Greg Lisciandro - 2014 Bob Cole, ACVR Auburn University The Academy of Veterinary Imaging 2409 Avenue J, Suite C Arlington, TX 76006 (800) 268-5354

Acknowledgments John Mattoon, Danelle Auld, Thomas Nyland Chapter 4 – Abdominal Ultrasound Scanning Techniques Small Animal Diagnostic Ultrasound Editor, Nyland & Mattoon – 3rd edition 2014 Thomas Nyland, John Mattoon, Eric Herrgesell, Erik Wisner Chapter 6 – Liver Small Animal Diagnostic Ultrasound Editor, Nyland & Mattoon – 3rd edition 2014 Oklahoma State University Small Animal Cases http://vet.osu.edu/assets/courses/vm718/sam4/case4.html

Acknowledgments University of Missouri-Columbia Liver-Spleen-Pancreas http://studyblue.com John P. Graham, MVB, MSc, DVR, MRCVS Diplomate, ECVDI, Diplomate, ACVR Diagnostic Imaging in Dogs and Cats Nestle Purina – Clinical Handbook Series

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