Normal upper abdominal ultrasound

Case contributed by Dennis Odhiambo Agolah , 24 Jun 2022
Diagnosis certain
Changed by Mostafa Elfeky, 1 Jul 2022
Disclosures - updated 11 May 2022: Nothing to disclose

Updates to Case Attributes

Age changed from 13 Years to 13 years.

References changed:

  • 1. Organisation mondiale de la santé, World Health Organization. Manual of Diagnostic Ultrasound. (1995) ISBN: 9789241544610 - <a href="http://books.google.com/books?vid=ISBN9789241544610">Google Books</a>
  • 2. Samia Ali Abdo Gamie, Enas Mahmoud Foda. Essentials of Abdominal Ultrasound. (2019) ISBN: 9781789842111 - <a href="http://books.google.com/books?vid=ISBN9781789842111">Google Books</a>
  • 3. Jane A. Smith (formerly Bates). Abdominal Ultrasound. (2010) ISBN: 9780080982465 - <a href="http://books.google.com/books?vid=ISBN9780080982465">Google Books</a>
  • Organisation mondiale de la santé, World Health Organization. Manual of Diagnostic Ultrasound. (1995) ISBN: 9789241544610 - <a href="http://books.google.com/books?vid=ISBN9789241544610">Google Books</a>
  • Samia Ali Abdo Gamie, Enas Mahmoud Foda. Essentials of Abdominal Ultrasound. (2019) ISBN: 9781789842111 - <a href="http://books.google.com/books?vid=ISBN9781789842111">Google Books</a>
  • Jane A. Smith (formerly Bates). Abdominal Ultrasound. (2010) ISBN: 9780080982465 - <a href="http://books.google.com/books?vid=ISBN9780080982465">Google Books</a>

Updates to Study Attributes

Findings was changed:

The liver is orthotopic, normal in size (10.06 cm measured in the midclavicular line), shape and echopattern. No intra/ extra hepaticextrahepatic parenchymal focal lesions. The hepatic vessels and the biliary radicles are not dilated. The acalculous gallbladder is normal in distension (5.81 x 1.47 cm) with no evidence of wall thickening or peripheral pathology. The sonographic Murphy's sign is negative. IVC, abdominal aorta and the main portal vein are normal (with the MPV showing normal hepato-petal/antegrade flow).

The pancreas (2.07 x 1.22 x 1.08 cm: AP measurement of head, body and tail) and the spleen (8.43 x 2.77 cm) are normal in echostructure and position. No visceral node enlargement, abdominal/ iliac fossa masses or ascites. The appendix is normal and measures 0.27 cm in diameter with no inflammatory changes or appendicolith.

Both kidneys are well perfused and are normal in their sizes (8.87 x 3.15 cm for the right and 7.03 x 2.99 cm for the left), and shapes with good cortical-medullary differentiation bilaterally and normal cortical thickness. No evidence of renal calculi, hydronephrosis or renal masses/ cysts bilaterally. The urinary bladder and the pelvic floor are normal.

Updates to Quizquestion Attributes

Answer was changed:
Curvilinear probe 2-5MHz-5 MHz. It has a longer wavelength (Fraunhofer field) for better penetration of deeper structures.

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