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Radiology

Abdomen Ultrasound

Built from Fundamentals of Diagnostic Radiology

What’s inside

11 sections · 151 slides

  1. 01

    Overview

    • Scope of abdominal ultrasound
    • Organ systems examined

    2 slides

  2. 02

    Peritoneal Cavity

    Free fluid, loculated collections, abscess, and peritoneal tumor

    • Normal peritoneal anatomy
    • Free intraperitoneal fluid
    • Ascites: free and exudative fluid
    • Free fluid versus loculated fluid
    • Intraperitoneal abscess
    • Right subphrenic abscess
    • Peritoneal metastases
    • Primary peritoneal tumors
    • Peritoneal metastases with omental cake

    9 slides

  3. 03

    Retroperitoneum

    Normal landmarks, adenopathy, and retroperitoneal masses

    • Normal retroperitoneal anatomy
    • Retroperitoneal adenopathy
    • Retroperitoneal adenopathy in lymphoma
    • Retroperitoneal tumors and fluid

    4 slides

  4. 04

    Liver

    Diffuse disease, focal masses, portal hypertension, TIPS, and transplant

    • Liver ultrasound overview
    • Normal liver anatomy
    • Fatty infiltration
    • Normal versus fatty liver
    • Acute hepatitis and passive congestion
    • Cirrhosis
    • Cirrhotic liver surface and echotexture
    • Cirrhosis, elastography, and cancer risk
    • Portal hypertension
    • Reversed flow in the portal vein
    • Portal vein thrombosis
    • Portal vein thrombosis
    • Liver cysts and hemangiomas
    • Benign hepatic cyst
    • Cavernous hemangioma
    • Liver metastases, lymphoma, and HCC
    • Liver metastases
    • Hepatocellular carcinoma
    • Liver abscesses and other masses
    • Amebic liver abscess
    • Transjugular intrahepatic portosystemic shunt (TIPS)
    • TIPS malfunction
    • Liver transplants
    • Liver transplant vascular complications

    24 slides

  5. 05

    Bile Ducts

    Normal ducts, dilation, stones, gas, and cholangiocarcinoma

    • Normal bile duct anatomy
    • Common duct size and variants
    • Mickey Mouse configuration and dilation
    • Mickey Mouse configuration of the portal triad
    • Dilated bile ducts on color Doppler
    • Choledocholithiasis and biliary gas
    • Choledocholithiasis
    • Gas in the biliary tree
    • Cholangiocarcinoma and cholangitis
    • Cholangiocarcinoma

    10 slides

  6. 06

    Gallbladder

    Normal wall, sludge, stones, cholecystitis, and gallbladder tumors

    • Normal gallbladder
    • Normal gallbladder
    • Echogenic bile (sludge)
    • Echogenic bile and sludge ball
    • Thickened gallbladder wall
    • Causes of gallbladder wall thickening
    • Gallstones
    • Gallstone with acoustic shadowing
    • Wall-echo-shadow (WES) sign
    • Clean versus dirty shadow
    • Wall-echo-shadow sign
    • Gallbladder polyps
    • Cholesterol polyps
    • Acute cholecystitis
    • Acute cholecystitis
    • Emphysematous cholecystitis
    • Gallbladder carcinoma
    • Gallbladder carcinoma
    • Porcelain gallbladder and adenomyomatosis
    • Adenomyomatosis with comet tail artifacts

    20 slides

  7. 07

    Spleen

    Normal spleen, variants, cystic and vascular lesions, infection, and tumor

    • Normal spleen
    • Splenic variants
    • Normal spleen with splenule
    • Splenosis
    • Splenic cysts and vascular lesions
    • Subcapsular pancreatic fluid in the spleen
    • Splenic infection, tumor, and infarction
    • Splenic abscess
    • Lymphoma in the spleen
    • Splenic infarctions

    10 slides

  8. 08

    Pancreas

    Vascular landmarks, pancreatitis, ductal tumors, and cystic lesions

    • Normal pancreas anatomy
    • Pancreatic duct and sonographic windows
    • Normal pancreas anatomy
    • Acute pancreatitis
    • Acute pancreatitis
    • Necrotizing pancreatitis
    • Chronic pancreatitis and adenocarcinoma
    • Chronic pancreatitis
    • Pancreatic adenocarcinoma
    • Pancreatic neuroendocrine and other tumors
    • Pancreatic fluid collections and cysts
    • Serous cystadenoma of the pancreas
    • Pancreas transplants

    13 slides

  9. 09

    Gastrointestinal Tract

    Gut signature, tumors, inflammatory disease, obstruction, and intussusception

    • GI tract ultrasound overview
    • Normal gut signature
    • Normal gut signature
    • GI tumors
    • Colon carcinoma
    • Inflammatory and obstructive bowel disease
    • Diverticulitis abscess
    • Small bowel obstruction
    • Intussusception and endoscopic ultrasound
    • Ileocolic intussusception in an adult

    10 slides

  10. 10

    Adrenal Glands

    Normal adrenals, masses, cysts, hemorrhage, and calcification

    • Normal adrenal glands
    • Normal adrenal gland
    • Adrenal masses
    • Benign adrenal adenoma
    • Pheochromocytoma, myelolipoma, and cysts
    • Pheochromocytoma
    • Adrenal hemorrhage and calcification
    • Adrenal hemorrhage

    8 slides

  11. 11

    Kidneys

    Obstruction, stones, cysts, solid masses, infection, and vascular disease

    • Normal kidney anatomy
    • Normal kidney echogenicity
    • Urinary obstruction
    • Hydronephrosis
    • Peripelvic cysts
    • Causes of pelvicaliectasis
    • Renal stones
    • Renal calculus with acoustic shadowing
    • Renal calculus with twinkling artifact
    • Nephrocalcinosis and diffuse renal disease
    • Medullary nephrocalcinosis
    • End-stage kidney
    • Medical renal diseases with echogenic parenchyma
    • Renal mass evaluation and simple cysts
    • Renal mass categories on ultrasound
    • Simple renal cyst
    • Peripelvic cysts and cystic disease
    • Autosomal dominant polycystic kidney disease
    • Autosomal recessive polycystic kidney disease
    • Multicystic dysplastic kidney
    • Renal cell carcinoma
    • Renal cell carcinoma
    • Angiomyolipoma and transitional cell carcinoma
    • Angiomyolipoma
    • Transitional cell carcinoma
    • Lymphoma and infection
    • Acute pyelonephritis
    • Pyonephrosis
    • Renal abscess, tuberculosis, and XGP
    • Renal abscess
    • Xanthogranulomatous pyelonephritis
    • Renal artery stenosis
    • Renal artery stenosis (tardus-parvus waveform)
    • Renal vein thrombosis
    • Renal vein thrombosis in a transplant kidney
    • Renal transplantation
    • Key points of abdominal ultrasound
    • Suggested readings
    • Suggested readings
    • Suggested readings
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    41 slides