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SIZE AND ECHOGENICITY


Limited FOV
size evaluation difficult
Liver length -- midclavicular line (MCL)
Normal < 15 cm
> 15.5 cm = hepatomegaly
Reidel’s lobe
Normal liver
Homogeneous
Fine level echoes

Pancreas>Liver>Spleen>Kidney(cortex)
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LPV

TS LEFT LOBE WITH PORTAL VEIN 3


HV: HEPATIC VEIN

MIDDLE HV

RT HV

LT HV

TS RT LOBE WITH ‘PLAYBOY’ SIGN 4


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Portal vein

TS MID LOBE WITH ‘H’ SIGN 6


Rt Portal Vein

Aorta

Vertebral
Body 7
LS LT LATERAL LOBE 8
LIGAMENTUM VENOSUM

CAUDATE LOBE

LS LT LIVER WITH CAUDATE LOBE 9


<15cm (adult)
S MID CLAVICULAR MEASUREMENT 10
LS RT LOBE WITH RT KIDNEY FOR COMPARISON 11
Discussion
1) Compare appearance of solid mass and cystic lesion in liver.
2) How to differentiate a liver cyst from a vessel?

3) Discuss the images.


a) b)

4) Reasons absence of gallbladder. 12

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