Liver in Ultrasound

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What Will You Learn?

  • Describe the gross, cross-sectional, relational and segmental anatomy of the liver.
  • Describe the anatomic variations of the liver and their significance.
  • Describe the formation and tracks of the vascular and biliary structures in the liver.
  • Explain the functions for which the liver is responsible.
  • List the normal measurements of the liver, vessels and ducts
  • List the lab data associated for liver function.
  • Explain the significance of abnormal lab values.
  • Explain the difference between hepatocellular and obstructive liver disease.
  • Localize liver abnormalities by describing the liver segmentally.
  • Recognize normal liver parenchymal pattern.
  • Identify common views used to scan the liver.
  • Describe the sonographic appearance of intrahepatic and extrahepatic biliary obstruction and explain the clinical causes.
  • State the lab data which acts as a tumor marker in the case of primary hepatic tumor or secondary metastases.
  • Differentiate between normal and abnormal sonographic appearances by explaining the clinical significance of the following pathologies affecting the liver: Cysts (single, multiple, hydatid, polycystic), Abscesses (Intrahepatic, Subhepatic, Subphrenic), Hematoma, Benign tumors (adenoma, hemangioma, FNH, Lipoma), Malignant tumors (hepatoblastoma, hepatoma-HCC), Metastatic disease (diffuse, focal- bulls-eye, hypoechoic, hyperechoic, cystic, and calcified metastases).
  • Recognize the normal spectral Doppler flow patterns of: Hepatic veins, Hepatic artery, Portal vein, IVC
  • Perform a high quality ultrasound examination demonstrating the liver using the appropriate scanning planes and positions.