x x x x x x x x x
ARDMS xAbdomen xDavies xQuestions xAnd x
Answers xWell xIllustrated.x x x x x x x x x x x You xare xscanning xa xpatient xwith xa xknown xmass xin xthe xleft xmedial xsegment xof xthe xliver.x What xanatomic xlandmark xcan xyou xuse xto xidentify xthe xleft xmedial xsegment xseparate xfrom x the xright xanterior xsegment xof xthe xliver? x- x xcorrect xanswer. x xMiddle xHepatic xVein x x Which xorgan xis xthe xlargest xvisceral xorgan xin xthe xbody x? x- x xcorrect xanswer. x xLiver x x Where xis xthe xmajor xportion xof xthe xliver, xthe xright xlobe xlocated? x- x xcorrect xanswer. x xin xthe x right xupper xquadrant xof xthe xabdomen x x What xorgan xis xcovered xin xlarge xpart xby xthe xperitoneum x, xexcept xfor xa xsmall xarea xposterior x to xthe xdome xknown xas xthe xbare xarea? x- x xcorrect xanswer. x xthe xLiver x x Which xorgan xis xcovered xin xa xlayer xof xfibrous xtissue, xglisson's xcapsule? x- x xcorrect xanswer. x x the xLiver x x You xsuspect xenlargement xof xthe xcaudate xlobe xin xa xpatient xwith xliver xdisease. xWhat xstructure xlocated xat xthe xanterior xborder xof xthe xcaudate xlobe xwill xhelp xyou xto xidentify xthis xlobe xof xthe xliver? x- x xcorrect xanswer. x xFissure xfor xthe xligamentum xvenosum x x You xare xasked xto xrule xout xthe xpresence xof xa xrecannalized xparaumbilical. xWhich xanatomic x structure xis xa xuseful xlandmark xin xlocation xof xthis xstructure? x- x xcorrect xanswer.x x Ligamentum xteres x 1 / 3
x What xis xthe xleft xportal xvein xin xcontact xwith? x- x xcorrect xanswer. x xLigamentum xteres x x Where xdoes xthe xparaumbilical xvein xbegins? x- x xcorrect xanswer. x xbegins xat xthe xleft xportal x vein xand xexits xthe xliver xat xthe xligamentum xteres x x Which xvessel xcourse xwithin xthe xmain xlobar xfissure? x- x xcorrect xanswer. x xmiddle xhepatic x vein x x Oxygenated xblood xis xsupplied xto xthe xliver xvia xthe: x- x xcorrect xanswer. x xPortal xvein xand x hepatic xartery x x You xare xperforming xa xsonogram xon xa xslender xfemale xand xnotice xa xlong, xthin xextension xof x the xinferior xaspect xof xthe xright xlobe xof xthe xliver. xThe xmost xlikely xrepresents: x- x xcorrect x answer. x xReidel's xlobe x x What xforms xthe xcaudal xborder xof xthe xleft xportal xvein? x- x xcorrect xanswer. x xLigamentum x teres x x What xligament xdivides xthe xleft xlobe xof xthe xliver xinto xmedial xand xlateral xsegments? x- correct xanswer. x xLigamentum xteres x x You xare xasked xto xperform xa xDoppler xstudy xon xthe xhepatic xveins xin xthe xliver. xWhat xdifferentiates xthe xhepatic xveins xfrom xthe xportal xveins? x- x xcorrect xanswer. x xthe xportal xveins xare xaccompanied xby xbranches xof xthe xbiliary xtree xand xhepatic xartery x x You xhave xdetected xa xmass xanterior xand xto xthe xleft xof xligamentum xvenosum. xThis xmass xis x located xin xwhat xlobe xof xthe xliver x? x- x xcorrect xanswer. x xLeft xLobe x x The xthin xcapsule xsurrounding xthe xliver xis xknown xas: x- x xcorrect xanswer. x xGlisson's xcapsule x x What xcourses xinterlobar xand xintersegmental xwithin xthe xliver? x- x xcorrect xanswer. x xHepatic x veins x x 2 / 3
You xare xperforming xan xultrasound xexam xof xthe xliver xon xa xsmall xpatient xwith xa x5MHz xcurved xlinear xarray. xAlthough xyou xhave xincreased xthe xoverall xgain xto xits xmaximum xsetting, xthe xposterior xborder xof xthe xliver xand xdiaphragm xare xnot xvisualized. xWhat xshould xyou xdo? x- x xcorrect xanswer. x xRescan xthe xliver xwith xa xlower xfrequency xtransducer. x x Correctly xdescribe xthe xprobe xplacement xand ximaging xplane xyou xwould xuse xto xdemonstrate xthe xthree xhepatic xveins xand xinferior xvena xcava xin xthe xone xview? x- x xcorrect xanswer. x xSubcostal xoblique xapproach xwith xthe xprobe xangled xsuperiorly xand xto xthe xpatient's xright. x x You xare xperforming xa xfollow-up xsonogram xon xa xpatient xin xwhich xa x5 x-mm xcyst xwas x previously xidentified xat xthe xanterior xborder xof xthe xleft xlobe xliver. xAlthough xyou xare xusing xa x 3.5 xMHz xcurved xlinear xarray xprobe, xyou xdo xnot xsee xthe xcyst. xWhat xwould xbe xmost xhelpful x in ximproving xvisibility xof xthis xcyst? x- x xcorrect xanswer. x xRescan xthe xleft xlobe xwith xa xhigher xfrequency xtransducer. xVisibility xof xsmall xcysts xis xlimited xby xspatial xresolution.xTo ximprove xspatial xresolution, xthe xbest xoption xis xto xincrease xthe ximaging xfrequency. x x What xdo xyou xneed xto xdo xto ximprove xspatial xresolution xto xvisualize xsmall xcysts x(which xhas x a xlimited xspatial xresolution)? x- x xcorrect xanswer. x xThe xbest xoption xis xto xincrease xthe x imaging xfrequency x x You xare ximaging xa xpatient xwith xa xhigh xliver. xSubcostal ximages xdo xnot xclearly xdemonstrate xthe xliver xtissue. xWhat xshould xyou xdo? x- x xcorrect xanswer. x xScan xthe xpatient xin xdeep xinspiration x x A xpatient xis xreferred xfor xultrasound xevaluation xof xa xquestionable xmass xin xthe xdome xof xthe x liver xseen xon xa xCAT xscan. xWhat xwould ximprove xvisualization xin xthis xarea xof xthe xliver? x- x x correct xanswer. x xPerform xa xsubcostal xscan xwith xthe xprobe xangled xsuperior xand xthe x patient xin xdeep xinspiration x x A xpatient xis xreferred xfor xa xliver xultrasound xwith xthe xclinical xhistory xof xa xraised xserum xalpha-fetoprotein xlevel. xWhat xshould xyou xlook xfor? x- x xcorrect xanswer. x xHepatocellular xcarcinoma x x If xa xnon xpregnant xperson xwith xelevated xlevels xof xserum xalpha-fetoprotein xAFP x, xwhat xis xassociated xwith xthis? x- x xcorrect xanswer. x xHepatocellular xcarcinoma, xgerm
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