72 Shadowing Lesions in the Liver

CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSIS

EISENBERG

DR. Muhammad Bin Zulfiqar PGR-FCPS III SIMS/SHL

• Fig GI 72-1 Calcified granuloma in the liver. Note the posterior shadowing.111

Fig GI 72-2 Calcified hydatid cyst. The calcified wall is sharply delineated and there is posterior acoustic shadowing.112

• Fig GI 72-3 Recurrent pyogenic cholangiohepatitis. Sagittal sonogram of the right lobe of the liver shows a linear band of shadowing stones (arrows) in the bile ducts. The bile ducts are close to the edge of the liver, an appearance that reflects marked atrophy of the involved hepatic segment.113

• Fig GI 72-4 Gas in the biliary tree. Focal hyperechoic structure with shadowing (arrow).95

• Fig GI 72-5 Gas in the biliary tree. Multiple hyperechoic foci (arrows) anterior to the portal vein (P).95