SPHP

1. oblique view of pancreatic head, body, and tail (x4-5)
2. trans LT lobe liver
3. trans RT lobe liver including IVC and hepatic veins
4. trans RT lobe of the liver including portal veins (x1)
5. trans dome of right lobe of liver (x2)
6. sag LT lobe liver with prox abdominal aorta
7. sag mid abdominal aorta (label aorta)
8. sag distal abdominal aorta (label aorta)
9. sag RT lobe of liver with IVC
10. sag RT lobe of liver (x2)
11. sag RT kidney showing liver/kidney interface(x1)
12. sag RT kidney with color doppler
13. sag RT kidney (3) label lateral, mid and medial (measure length and AP dimensions)
14. trans RT kidney (x3) label upper, mid and low (measure width dimensions)
15. sag gb (x3), one of which is a decubitus view
16. trans gb (x3), one of which is a decubitus view
17. trans. gb wall measurement
18. longitudinal view CBD with and without measurements and color doppler (x3)
19. sag spleen (x2) 1 with length measurement
20. trans spleen (x2) 1with a width and length measurement
21. sag spleen/kidney interface
22. sag LT kidney with color doppler
23. sag LT kidney (x3) label lateral, mid and medial (measure length and AP dimensions)
24. trans LT kidney (x3) label upper, mid and low (measure width dimensions)

Abdominal Sonography

Liver:

Sagittal and transverse views of the right and left lobes of the liver. Transverse views of the liver should include a transverse picture with the hepatic veins and IVC and a transverse picture with the portal vein. When ruling out biliary obstruction color right and left lobe proven no dilatation.

CBD:

Longitudinal view of the CBD with and without measurements

Gallbladder:

Sagittal and transverse views

Spleen:

Sagittal and transverse views

Pancreas:

Longitudinal views of the pancreatic head, body and tail

Kidneys:

Sagittal and transverse views.

Aorta/IVC:

Sagittal of abdominal aorta from liver to bifurcation. Sagittal of proximal abdominal aorta can be included in sagittal image of the left lobe of the liver. Sagittal view of the proximal IVC which may be included in the sagittal view of the right lobe of the liver.

Notes: -show all abnormalities in sag and trans. Measure abnormalities in three dimensions- (length and AP direction on sagittal view and width on transverse view)

Aneurysm- measure the AP and width on transverse view. Show level of renal arteries, if possible.

-if multiple lesions, then number and measure an appropriate number of lesions that can be followed on subsequent studies

-label specific location of the abnormality if not obvious on the static image (ie upper pole, right lobe)