4 Cardiac liver Aspecific hepatomegaly (‘trop belle image du foie’) Pericardial/pleural effusionAscitesDilatation inferior caval vein, loss respiratory variationDilatation hepatic veins (> 1 cm at 2 cm from the confluence)
20 Cirrhosis: dysmorfism Liver dysmorfism in patients with cirrhosisHypertrophy caudate lobeDifferent indices possibleCAVE Budd Chiari SyndromeHypotrophy right liverHypertrophy left liverPathological mechanism:Anatomy of caudate lobe (changes in blood supply)
26 Umbilical vein Recanalization in presence of PHT Normally obliterated fibrous remnant in ligament teresExtends from the umbilicus to the left portal veinFrom the umbilicus it extends to inferior epigastric veins communicating with the iliofemoral systemUS features:Hypoechogenic band running in lig teres
42 Summary Diffuse liver disease Gallbladder and bile duct disorders Renal disordersAbdominal aneurysmTrauma
43 Gallbladder and bile ducts CholecystitisBile duct dilatation
44 Acute cholecystitis Thickening gallbladder wall Oedema gallbladder wall (continuous echo-poor rim around gallbladder or focal echopoor zone in the wall)Ultrasonic Murphy’s signPericholecystic fluidRound shapeGallstones
48 Common bile duct: sizeMeasurement: proximal portion, just caudal to porta hepatisAverage in adults 4 mm, up to 6 mm is normalIncrease with age up to 10 mm ??Increase after cholecystectomy up to 8-10 mm ??