Abdomen Ultrasound

Question 1

Right diaphragmatic crus is larger, more lobular, and inserts lower, extending to __ vertebral body

Answer 1

L3

Question 2

Left crus is more uniform in thickness inserting on __ and ___vertebral bodies

Answer 2

L1 ; L2

Question 3

Serves as landmarks for the identification of the adrenal gland

Answer 3

Crura

Question 4

The echogenicity of the liver parenchyma is homogeneous and equal to or slightly greater than that of the ____

Answer 4

Kidney

Question 5

Forms the portal triad (3)

Answer 5

Portal veins, hepatic arteries and bile ducts

Question 6

Intrahepatic ducts normally do not exceed _ mm in diameter in the central liver or 40% of the diameter of the adjacent portal vein

Answer 6

2

Question 7

Marks the division between the intrahepatic and extrahepatic portions of the biliary tree

Answer 7

Junction of the right and left lobe bile ducts to form the common hepatic duct

Question 8

Marks the commencement of the COMMON BILE DUCT

Answer 8

The junction of the cystic duct with the common hepatic duct

Question 9

Common duct diameter = ___ mm is normal for an adult

Answer 9

6

Question 10

Mickey Mouse sign’s right ear

Answer 10

Common bile duct

Question 11

Normal GB wall does not exceed __ mm in thickness

Answer 11

3

Question 12

Diameter of the GB wall is less than __ cm in 96% of normals

Answer 12

4

Question 13

The Spleen is best visualized with UTZ with a ___ approach with the patient supine

Answer 13

Posterolateral intercostal

Question 14

When the spleen is large, an _____ approach with the patient in deep inspiration is also useful

Answer 14

Anterior subcostal

Question 15

The splenic parenchyma is homogeneous and normally more ____ than the liver

Answer 15

Echogenic *in children: reticulonodular rather than homogeneous

Question 16

The body and tail of the pancreas are immediately ____ to the splenic vein as it courses from the splenic hilum toward the liver

Answer 16

Anterior

Question 17

The neck of the pancreas is ____ to the junction of the SV with the SMV that marks the commencement of the portal vein

Answer 17

Anterior

Question 18

The head of the pancreas envelopes the portal confluence and lies anterior to the ____

Answer 18

IVC

Question 19

The uncinate process lies ____ to the level of the splenic vein, between the ___ and ___

Answer 19

Caudal; SMV; IVC

Question 20

Normal pancreatic duct does not exceed ____ mm in diameter and tapers progressively toward the tail

Answer 20

3

Question 21

Serves as the best sonographic window to the pancreas

Answer 21

Left lobe of the liver

Question 22

Most effective in displacing gas to visualize the pancreas

Answer 22

Progressive transducer pressure

Question 23

The limbs of the normal adult adrenal gland are ____ in length and ____ in width

Answer 23

4-5 cm; 5-7 mm

Question 24

Renal cortex is _______ compared to the LIVER and is distinctly ____ compared to the SPLEEN

Answer 24

Isoechoic or slightly hypoechoic; hypoechoic

Question 25

Visualized as hypoechoic cone shaped structures surrounded by more echogenic cortex

Answer 25

Medullary pyramids

Question 26

Adult kidneys range from _____ cm in length

Answer 26

9 to 13 cm

Question 27

A normal anatomic variant caused by incomplete fusion of the upper and lower poles of the kidney -UTZ shows a wedge-shaped echogenic defect in the renal parenchyma at the junction of the upper and middle thirds of the kidney

Answer 27

Junctional parenchymal defect