Abdominal Ultrasound

Gallbladder/Liver Ultrasound Protocol

Pancreas Aorta Liver and biliary tract Gallbladder and common bile duct Right Renal tract

Abdominal Ultrasound Gallbladder/Liver Ultrasound Protocol

Pancreas Aorta Liver and biliary tract Gallbladder and common bile duct Right Renal tract

Pancreas
Assess:

Pancreatic size Pancreatic echotexture / echogenicity Pancreatic shape Pancreatic duct / caliber Peri-pancreatic area Standard documentation: Long axis views of pancreas (transverse epigastrium) Oblique views to show tail of pancreas Common bile duct in the head of pancreas Sagittal view of the pancreatic head through the SMV (ie. transverse to the pancreas)

Aorta
Assess:

Aorta size Aorta wall / lumen Para-aortic region Relationship to renal arteries if AAA present

Standard documentation:

Long axis view of abdominal aorta Transverse views with measurements if enlarged measure outer wall to outer wall

Liver and Biliary Tract

Assess:

Hepatic size Hepatic echotexture / echogenicity Hepatic contour Intrahepatic Biliary tree Hepatic vasculature Bile duct caliber Bile duct lumen Peri-hepatic collections / pleural space IVC phasicity

Standard documentation:

Longitudinal view of lateral segment of the left lobe Longitudinal view of the left lobe and caudate lobe and IVC Longitudinal view of the porta hepatis Longitudinal views of the right lobe and gall bladder Longitudinal view of the mid right hepatic lobe Longitudinal view of the right lobe and right kidney Transverse view of the hepatic veins / IVC Transverse view of the portal vein

Gall bladder and Common Bile duct

Assess:

Distension GB wall / thickness GB lumen GB tenderness Peri-cholecystic region Mobility of calculi when possible

Standard documentation:

Longitudinal view of gall bladder body / fundus in oblique or supine Longitudinal view of gall bladder neck Alternate position with view of gall bladder such as LLD or erect (when possible) Bile duct view with intrahepatic measurement. Transverse view of body / neck / wall thickness Bile duct view with extrahepatic measurement

Right Kidney
Assess:

Renal length Renal contour Parenchymal echotexture / echogenicity Collecting system Adrenal region Peri-nephric area

Standard documentation:

Long axis views of pancreas (transverse epigastrium) Oblique views to show tail of pancreas Common bile duct in the head of pancreas Sagittal view of the pancreatic head through the SMV (ie. transverse to the pancreas)

Aorta
Assess:

Aorta size Aorta wall / lumen Para-aortic region Relationship to renal arteries if AAA present

Standard documentation:

Long axis view of abdominal aorta Transverse views with measurements if enlarged measure outer wall to outer wall

Liver and Biliary Tract

Assess:

Hepatic size Hepatic echotexture / echogenicity Hepatic contour Intrahepatic Biliary tree Hepatic vasculature Bile duct caliber Bile duct lumen Peri-hepatic collections / pleural space IVC phasicity

Standard documentation:

Longitudinal Longitudinal Longitudinal Longitudinal Longitudinal Longitudinal

view of lateral segment of the left lobe view of the left lobe and caudate lobe and IVC view of the porta hepatis views of the right lobe and gall bladder view of the mid right hepatic lobe view of the right lobe and right kidney

Transverse view of the hepatic veins / IVC Transverse view of the portal vein

Gall bladder and Common Bile duct

Assess:

Distension GB wall / thickness GB lumen GB tenderness Peri-cholecystic region Mobility of calculi when possible

Standard documentation:

Longitudinal view of gall bladder body / fundus in oblique or supine Longitudinal view of gall bladder neck Alternate position with view of gall bladder such as LLD or erect (when possible) Bile duct view with intrahepatic measurement. Transverse view of body / neck / wall thickness Bile duct view with extrahepatic measurement