SPHP

1. 3 Sagittal right kidney- medial, mid, and lateral (measure length and AP dimension) Include spleen/kidney interface
2. Sag right kidney color doppler
3. 3 Transverse right kidney- upper, mid, lower (measure width dimension)
4. 3 Sagittal left kidney- medial, mid, and lateral (measure length and AP dimension) Include liver/kidney interface
5. Sag left kidney color doppler
6. 3 Transverse left kidney- upper, mid, lower (measure width dimension)
7. 4 Sagittal aorta - prox, mid, distal and bifurcation
8. 4 Transverse aorta - prox, mid, distal and bifurcation with AP measurements
9. Use color and doppler interrogation of the kidneys and aorta, as necessary

Kidneys:

Sagittal views of the kidneys, three images. Measure longitudinal dimension. Transverse view of the kidneys (upper, mid, and lower poles) in this order and label.

Aorta:

Sagittal and transverse views of proximal, mid and distal segments and bifurcation

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

- an abnormality should be shown in sag and trans, (ie: renal stone, cyst, angiomyolipoma, solid mass). Measure in longest dimension if 1cm or less. If greater than 1 cm, measure in three dimensions. (AP and length on sagittal view, width on transverse view)

- show the liver/kidney interfacee for echogenicity comparison.

- If hydronephrosis is present, look at bladder. If the bladder is full, empty bladder and reimage the kidneys