???????? Diagnosis of Liver Disease with Ultrasound Sonography

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???????? Diagnosis of Liver Disease
with Ultrasound Sonography
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• ???????
• Diffuse Liver Disease

??????? Focal Abnormalies
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• ???????????
• size shape capsule boundary
• ????? liver parenchyma
• echo pattern isoechoic homogeneous
• ??????
• hepatic artery portal vein hepatic veins
• intrahepatic biliary
• ???

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left lobe sagittal section
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right lobe sagittal oblique view
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right lobe sagittal oblique view
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Port vein (color Doppler mode)
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Port vein (color Dopplerspectrum)
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Hepatic artery
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Hepatic artery (color Dopplerspectrum)
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Hepatic vein
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Hepatic vein
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Hepatic vein (color Dopplerspectrum)
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Cystic lesion

• simple hepatic cysts (congenital hepatic cysts)
• Traumatic cysts
• parasitic cysts
• inflammatory cysts
• polycystic disease
• pseudo-cysts

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Simple Hepatic Cysts

• Ultrasound findings
• The cyst walls are thin with well-defined
• borders
• anechoic in the cyst
• distal posterior enhancement
• Sometimes cysts contain fine linear
• internal septal.

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Hepatic Abscess

• Ultrasound findings
• Round or ovoid shape with thick wall
• Hypoechoic , complex , may be have a fluid
  level
• (with some debris along the posterior margin)
• hyperechoic with dirty shasowing (if gas is
  present)
• posterior enhancement
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Cavernous Hemangioma

• ultrasound findings
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
• round , oval, or lobulated shape with well-
• defined borders
• hyperechoic, anechoic, mixed pattern
• posterior enhancement

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Hepatocellular Carcinoma

• ultrasoud findings
• round, irregular shape
• hypoechoic, hyperechoic, isoechoic
• a halo surround the lesion
• color Doppler signal was presented in the tumor
  or surround the tumor
  
  
  
  
  
  
  
  

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Metastatic Disease

• ultrasoun findings
• shape round or oval
• number two or more than
• echoic pattern various
• color Doppler no flow inside

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Cirrhosis

• Ultrasound findings
• the liver size smaller
• nodularity of the liver edge
• parenchyma coarsening, increased
  attenuation
• portal hypertention
• the diameter of hepatic vein tiny and
  twist
• severe invisible
• hardness

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regenerating
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HCC secondary cirrhosis
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portal vein spectrum pattern
flatten
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Portal hypertention

• portosystemic venous collaterals
• paraumbilical vein coronary vein
• gastroesophageal vein
• splenorenal-gastrorenal vein
• splenomegaly
• ascites

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ascites
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Fatty Liver (fatty infiltration)

• Ultrasound findings
• increased echogenicity with increased
• atenuation ( far field )
• hepatic vessel unclare
• focal sparing
• masslike hypoechoic

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Fatty Liver (fatty infiltration)

• Ultrasound findings
• increased echogenicity with increased
• atenuation ( far field )
• hepatic vessel unclare
• focal sparing
• masslike hypoechoic

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