eeGallbladder/Liver Ultrasound Protocol
- Pancreas
- Aorta
- Liver and biliary tract
- Gallbladder and common bile duct
- Right Renal tract
Pancreas
Assess:
- Pancreatic size
- Pancreatic echotexture / echogenicity
- Pancreatic shape
- Pancreatic duct / caliber
- Peri-pancreatic area
Standard documentation:
- Long axis views of pancreas (transverse epigastrium)
- Oblique views to show tail of pancreas
- Common bile duct in the head of pancreas
- Sagittal view of the pancreatic head through the SMV (ie. transverse to the pancreas)
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Aorta
Assess:
- Aorta size
- Aorta wall / lumen
- Para-aortic region
- Relationship to renal arteries if AAA present
<a>Standard documentation</a>:
- Long axis view of abdominal aorta
- Transverse views with measurements if enlarged – measure outer wall to outer wall
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Liver and Biliary Tract
<a>Assess:</a>
- Hepatic size
- Hepatic echotexture / echogenicity
- Hepatic contour
- Intrahepatic Biliary tree
- Hepatic vasculature
- Bile duct caliber
- Bile duct lumen
- Peri-hepatic collections / pleural space
- IVC phasicity
Standard documentation:
- Longitudinal view of lateral segment of the left lobe
- Longitudinal view of the left lobe and caudate lobe and IVC
- Longitudinal view of the porta hepatis
- Longitudinal views of the right lobe and gall bladder
- Longitudinal view of the mid right hepatic lobe
- Longitudinal view of the right lobe and right kidney
- Transverse view of the hepatic veins / IVC
- Transverse view of the portal vein
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Gall bladder and Common Bile duct Assess:
- Distension
- GB wall / thickness
- GB lumen
- GB tenderness
- Peri-cholecystic region
- Mobility of calculi when possible
Standard documentation:
- Longitudinal view of gall bladder body / fundus in oblique or supine
- Longitudinal view of gall bladder neck
- Alternate position with view of gall bladder such as LLD or erect (when possible)
- Bile duct view with intrahepatic measurement.
- Transverse view of body / neck / wall thickness
- Bile duct view with extrahepatic measurement
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Kidneys Assess:
- Renal length
- Renal contour
- Parenchymal echotexture / echogenicity
- Collecting system
- Adrenal region
- Peri-nephric area
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Spleen Assess Splenic size Splenic texture/echogenicity Splenic contour Splenic vasulature Peri splenic collections / pleural space
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