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IVER Normal Sonographic Anatomy

25 THELIVERC hapter 2:The LiverDUNSTAN ABRAHAMN ormal Sonographic Anatomy Homogeneous, echogenic texture (Figure 2-1) Measures approximately 15 cm in length and10 cm anterior to posterior; measurementtaken at mid clavicular in longitudinal section Divisions right, left, and caudate lobes (Figure 2-2) Main lobar fissure Echogenic line extending to gallbladder fossa(Figure 2-3) Separates right and the left lobes Falciform ligament (contains ligamentum teres) Round, hyperechoic area in left lobe (Figure 2-3) Divides left lobe into medial and lateralsegments Fissure for ligamentum venosum Echogenic line anterior to caudate lobe(Figure 2-4) Separates caudate from left lobeHepatic Vessels Portal veins Main portal vein enters liver at hilum (Figure 2-5). Divides into right and left branches Right branch divides into anterior andposterior branches. Left branch divides into medial and lateralbranches (Figure 2-6).

Normal Sonographic Anatomy 27 LL RL RK Figure 2-3 Main lobar fissure and falciform ligament. A transverse sonogram shows main lobar fissure (1) sep-arating …

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