Abdomen >> Liver & Biliary System

Intrahepatic portal vein thrombus

The patient presented to the ultrasound department by refferal from a previous MRI exam, which had suggested malignant liver tumors and the possibility of thrombosed intrahepatic portal veins. The patient presented to the ultrasound department by refferal from a previous MRI exam, which had suggested malignant liver tumors and the possibility of thrombosed intrahepatic portal veins.

Cholesterolosis of the gallbladder

This 42-year-old female patient presented with vague intermittent RUQ pain. A physical examination revealed no significant findings. This 42-year-old female patient presented with vague intermittent RUQ pain. A physical examination revealed no significant findings.

Hepatic hemangioendothelioma

A month old neonate presents with hepatomegaly. She was born at 38 weeks via a normal vaginal delivery. An ultrasound of the liver was performed. A month old neonate presents with hepatomegaly. She was born at 38 weeks via a normal vaginal delivery. An ultrasound of the liver was performed.

Uncomplicated acute calculous cholecystitis

A 40 year old woman presents with acute pain in the right upper quadrant of 3 hours duration. The pain radiates to her shoulder with associated nausea. A 40 year old woman presents with acute pain in the right upper quadrant of 3 hours duration. The pain radiates to her shoulder with associated nausea.

Portal cavernoma (cavernous transformation of the portal vein)

A 32 year old man presented with hematemesis requiring blood transfusions. His laboratory work up revealed abnormal liver function tests and hyperbilirubinemia. A 32 year old man presented with hematemesis requiring blood transfusions. His laboratory work up revealed abnormal liver function tests and hyperbilirubinemia.

Complicated acute calculous cholecystitis - with perforation

An elderly woman, with a history of lung cancer presents with vague pain in the abdomen. However, she reports a single episode of severe excruciating pain in the right upper quadrant [RUQ] one ... An elderly woman, with a history of lung cancer presents with vague pain in the abdomen. However, she reports a single episode of severe excruciating pain in the right upper quadrant [RUQ] one ...

Complicated acute calculous cholecystitis - with cholangitis

An elderly woman with multiple medical problems [including jaundice due to advanced pancreatic head malignancy] presented with pain in the right upper quadrant. A day later, she complained of ... An elderly woman with multiple medical problems [including jaundice due to advanced pancreatic head malignancy] presented with pain in the right upper quadrant. A day later, she complained of ...

Iatrogenic liver hematoma

A 50 year old woman, who is a known case of multiple myeloma, post stem cell transplant and with GVHD [graft versus host disease] of the gut, skin and liver, underwent a tru-cut needle biopsy of ... A 50 year old woman, who is a known case of multiple myeloma, post stem cell transplant and with GVHD [graft versus host disease] of the gut, skin and liver, underwent a tru-cut needle biopsy of ...

Focal Caroli's disease

A 23 year old male presented with pain in the right upper quadrant of the abdomen of two months duration. The pain was characterized as intermittent and cramping and occured after meals. An ... A 23 year old male presented with pain in the right upper quadrant of the abdomen of two months duration. The pain was characterized as intermittent and cramping and occured after meals. An ...

Patent paraumbilical shunt

A cirrhotic patient presented for surveillance ultrasound after undergoing an interventional procedure to relieve his symptoms. A cirrhotic patient presented for surveillance ultrasound after undergoing an interventional procedure to relieve his symptoms.

Primary sclerosing cholangitis

A 48 year old female with recurrent obstructive jaundice. A 48 year old female with recurrent obstructive jaundice.

Micro gallbladder

A 22 year old man with history of cystic fibrosis presents with right upper quadrant pain. An abdominal ultrasound was performed. A 22 year old man with history of cystic fibrosis presents with right upper quadrant pain. An abdominal ultrasound was performed.

Complicated acute calculous cholecystitis -empyema of the gallbladder

A very obese woman presents with acute pain in the right hypochondrium and fever. An ultrasound was performed. A very obese woman presents with acute pain in the right hypochondrium and fever. An ultrasound was performed.

Congenital duplication of gallbladder

This was an incidental finding detected on ultrasound. The patient was being scanned for ureteric calculi. This was an incidental finding detected on ultrasound. The patient was being scanned for ureteric calculi.

Melanoma metastases to the gallbladder

A 60 year old woman receiving chemotherapy for metastatic melanoma presents for ultrasound of the abdomen. A 60 year old woman receiving chemotherapy for metastatic melanoma presents for ultrasound of the abdomen.

Klatskin tumor

A 61 year old man with prior history of pancreatitis presented for an ultrasound. A 61 year old man with prior history of pancreatitis presented for an ultrasound.

Recurrent pyogenic cholangitis

A 50 year old man with chronic pain in the epigastric region of 6 years duration. He is a non-drinker, had been scanned three years ago and was advised surgery, but he declined. Now the patient ... A 50 year old man with chronic pain in the epigastric region of 6 years duration. He is a non-drinker, had been scanned three years ago and was advised surgery, but he declined. Now the patient ...

Hepatic metastases

A woman with a known primary ovarian carcinoma presents for follow-up ultrasound. She has elevated liver function tests. An ultrasound was performed. A woman with a known primary ovarian carcinoma presents for follow-up ultrasound. She has elevated liver function tests. An ultrasound was performed.

Cystic duct remnant in the common hepatic duct

A post liver transplant patient presents with nausea, vomiting and abdominal pain. An abdominal ultrasound was performed and the following incidental finding was noted. A post liver transplant patient presents with nausea, vomiting and abdominal pain. An abdominal ultrasound was performed and the following incidental finding was noted.

Portal cavernoma [Cavernous transformation of the portal vein]

A young man presents with vague pain in upper abdomen. He had a history of neonatal sepsis in the first 2 months of life. A young man presents with vague pain in upper abdomen. He had a history of neonatal sepsis in the first 2 months of life.

Uncomplicated calculous acute cholecystitis

A young woman presents with fever and pain in the right hypochondrium. An ultrasound was performed. A young woman presents with fever and pain in the right hypochondrium. An ultrasound was performed.

Hydatid cyst of the liver

A young man presents with pain in the right upper hypochondrium. An ultrasound was performed. A young man presents with pain in the right upper hypochondrium. An ultrasound was performed.

Mucocele of the Gallbladder

A young man presents with epigastric and right upper quadrant discomfort. An ultrasound of the abdomen was performed. A young man presents with epigastric and right upper quadrant discomfort. An ultrasound of the abdomen was performed.

Mucocele of gallbladder

A young man presents with epigastric and right upper quadrant discomfort. An ultrasound of the abdomen was performed. A young man presents with epigastric and right upper quadrant discomfort. An ultrasound of the abdomen was performed.

Choledocholithiasis and Cholelithiasis

A 56-year-old male presents with a history of alcohol abuse and dull pain in the upper abdomen. An ultrasound of the abdomen was performed. A 56-year-old male presents with a history of alcohol abuse and dull pain in the upper abdomen. An ultrasound of the abdomen was performed.

Ascaris in the gallbladder

A 54-year-old woman presented with colicky right upper quadrant pain. She was sent for an ultrasound to rule out gallstones. The following findings were observed. A 54-year-old woman presented with colicky right upper quadrant pain. She was sent for an ultrasound to rule out gallstones. The following findings were observed.

Adenocarcinoma of ampulla of Vater

A middle aged man presents with jaundice and epigastric pain. An ultrasound scan was performed. A middle aged man presents with jaundice and epigastric pain. An ultrasound scan was performed.

Lymphomatous deposit in the liver

This is the ultrasound scan in a known case of non-Hodgkin lymphoma with increased alkaline phosphatase levels. This is the ultrasound scan in a known case of non-Hodgkin lymphoma with increased alkaline phosphatase levels.

Caudate lobe infarct

This is a follow-up ultrasound performed after a month in a patient with a liver transplant. This is a follow-up ultrasound performed after a month in a patient with a liver transplant.

Phrygian cap of the gallbladder

A young woman with an incidental finding on ultrasound of the abdomen. A young woman with an incidental finding on ultrasound of the abdomen.

Cholesterolosis of the gallbladder

A middle-aged woman presents with vague dull pain in the right upper quadrant. An ultrasound was performed. A middle-aged woman presents with vague dull pain in the right upper quadrant. An ultrasound was performed.

Intra and extrahepatic hematomas

A 52-year-old woman with a history of acute myeloid leukemia and low platelet count presents with abdominal pain. An ultrasound of the abdomen was performed. A 52-year-old woman with a history of acute myeloid leukemia and low platelet count presents with abdominal pain. An ultrasound of the abdomen was performed.

Liver hemangiomas

This was an incidental finding detected on ultrasound in a 30-year-old man with elevated bilirubin and lipase and a history of diarrhea. This was an incidental finding detected on ultrasound in a 30-year-old man with elevated bilirubin and lipase and a history of diarrhea.

Focal nodular hyperplasia in the liver

This is the ultrasound scan of the liver in a 39-year-old woman with right upper quadrant pain. This is the ultrasound scan of the liver in a 39-year-old woman with right upper quadrant pain.

Kasabach Meritt syndrome with associated cholelithiasis and choledocholithiasis

This is a follow-up scan in a 40-year-old woman with an established diagnosis. She is status post liver embolization for her condition. What is this syndrome? [clue: she has a histroy of ... This is a follow-up scan in a 40-year-old woman with an established diagnosis. She is status post liver embolization for her condition. What is this syndrome? [clue: she has a histroy of ...

Left lobe hepatocellular carcinoma

A known cirrhotic presents with nausea, vomiting and weight loss. He also had complaints of abdominal distention. An ultrasound of RUQ was performed. A known cirrhotic presents with nausea, vomiting and weight loss. He also had complaints of abdominal distention. An ultrasound of RUQ was performed.

Choledochal cyst

This is a young patient who recently underwent surgery for scoliosis repair and had an abdominal CT. An ultrasound was performed to compliment the CT findings. This is a young patient who recently underwent surgery for scoliosis repair and had an abdominal CT. An ultrasound was performed to compliment the CT findings.

Adenomyomatosis

40 year old female with RUQ abdominal pain 40 year old female with RUQ abdominal pain

Biliary and Hepatic Ascariasis with Cholangitis and Hepatic Abscess.

4 year old female patient with severe illness, high fever, pain in right hypochondrium, extended to the rest of the abdomen. She had low growth rate and malnutrition. 4 year old female patient with severe illness, high fever, pain in right hypochondrium, extended to the rest of the abdomen. She had low growth rate and malnutrition.

Acute Acalculous Cholecystitis and Ascites (Dengue Fever Stage III)

5 year old female patient, 5 days with high fever, pain in right hypochondrium, headache, retro-ocular and muscular pain, nausea and dehydration. The patient lives in a tropical region of South ... 5 year old female patient, 5 days with high fever, pain in right hypochondrium, headache, retro-ocular and muscular pain, nausea and dehydration. The patient lives in a tropical region of South ...

Hepatic Amebic Abscess

44 year old male patient, 10 days with high fever, pain in right hypochondrium, night sweats and loss of appetite. The patient lives in a tropical country. 44 year old male patient, 10 days with high fever, pain in right hypochondrium, night sweats and loss of appetite. The patient lives in a tropical country.

Diffuse Hepatic Parenchymal Disease with Portal Hypertension and Splenomegaly.

54 year old female patient, with altered hepatic function laboratory tests. Previous episode of upper digestive tract bleeding. 54 year old female patient, with altered hepatic function laboratory tests. Previous episode of upper digestive tract bleeding.

Telangiectatic Focal Nodular Hyperplasia

39-year-old female with increased serum alkaline phosphatase 39-year-old female with increased serum alkaline phosphatase

Cholesterolosis of Gallbladder

A 39 Year old female presented with right upper abdominal pain. A 39 Year old female presented with right upper abdominal pain.

Hepatic Echinococcus Cyst

A 72 year old Italian woman presents with urticaria and a history of vague pain in the right upper quadrant. On examination there is a palpable mass in the RUQ. Laboratory data: Eosinophilia A 72 year old Italian woman presents with urticaria and a history of vague pain in the right upper quadrant. On examination there is a palpable mass in the RUQ. Laboratory data: Eosinophilia

Cholelithiasis and choledocholithiasis

35 year old female presents with right upper quadrant pain. 35 year old female presents with right upper quadrant pain.

Gallbladder Polyp

52 year old male with sharp right upper quadrant abdominal pain. No history of similar kind of pain, no nausea, vomiting or fever. No history of gallstones. On Physical exam, abdomen is soft with ... 52 year old male with sharp right upper quadrant abdominal pain. No history of similar kind of pain, no nausea, vomiting or fever. No history of gallstones. On Physical exam, abdomen is soft with ...

Thickened Gallbladder Wall in Hepatitis A

A 32 year-old man presents with right upper quadrant pain, fever, abnormal liver function tests, and a negative sonographic Murphy’s sign. A 32 year-old man presents with right upper quadrant pain, fever, abnormal liver function tests, and a negative sonographic Murphy’s sign.

Hepatic Focal Nodular Hyperplasia

A 35 -year-old woman with a history of oral contraception presents with right upper quadrant pain. A 35 -year-old woman with a history of oral contraception presents with right upper quadrant pain.

Mirizzi syndrome with dilatation of the common hepatic duct and intrahepatic bile ducts caused by external compression of a stone in the cystic duct

68 year old female with painless jaundice 68 year old female with painless jaundice

Perforated emphysematous cholecystitis with abscess in the omental bursa

80 year old male patient with severe pain in the right upper abdomen and fever. The patients medical history is unremarkable without previous surgery or an ERCP. 80 year old male patient with severe pain in the right upper abdomen and fever. The patients medical history is unremarkable without previous surgery or an ERCP.

Hepatic Adenoma

A 49 yo woman presents with hx of chronic hepatitis C genotype 1B , grade 6, staging 3 (Ishak) initially diagnosed in 2001. After therapy with pegylated interferon and ribaverin weight based, she ... A 49 yo woman presents with hx of chronic hepatitis C genotype 1B , grade 6, staging 3 (Ishak) initially diagnosed in 2001. After therapy with pegylated interferon and ribaverin weight based, she ...

Transient hepatic portal venous gas in a patient with small bowel dilatation

81 year old male patient who was initially admitted with pain in the abdomen. An ultrasound examination was requested because of impaired renal function. He has a previous history of colon ... 81 year old male patient who was initially admitted with pain in the abdomen. An ultrasound examination was requested because of impaired renal function. He has a previous history of colon ...

Hereditary Hemorrhagic Telangiectasia

A 69-year-old woman, with abdominal pain, hepatomegaly, congestive heart failure, epistaxis and melena A 69-year-old woman, with abdominal pain, hepatomegaly, congestive heart failure, epistaxis and melena

Hepatic Cavernous Hemangioma

A 39-year-old woman presented with a history of abdominal distention and recurrent abdominal pain. A 39-year-old woman presented with a history of abdominal distention and recurrent abdominal pain.

Hepatic Lipomas

An obese 73 year old woman with history of hypertension, cholecystectomy and hysteroannessiectomy is referred for abdominal sonography due to a complaint of abdominal pain and constipation. An obese 73 year old woman with history of hypertension, cholecystectomy and hysteroannessiectomy is referred for abdominal sonography due to a complaint of abdominal pain and constipation.

Adenomyomatosis (adenomyomatous hyperplasia) of the gallbladder

A 62 year old woman presents with recurrent abdominal pain in the right upper quadrant associated with abdominal distention and vomiting . A 62 year old woman presents with recurrent abdominal pain in the right upper quadrant associated with abdominal distention and vomiting .

Acute biliary pancreatitis and cholelithiasis and cholecholithiasis

23 year old female patient with pain in the left upper abdomen. An ultrasound examination was requested to rule out renal stones. 23 year old female patient with pain in the left upper abdomen. An ultrasound examination was requested to rule out renal stones.

Ascaris in Gallbladder

18 year old female patient with severe illness, high fever, pain in right hypochondrium, extending to the rest of the abdomen. 18 year old female patient with severe illness, high fever, pain in right hypochondrium, extending to the rest of the abdomen.

Biliary hamartomas (von Meyenburg complexes)

A 23 year old woman presents with abdominal pain in right iliac fossa with suspected acute appendicitis. Ultrasound scan is negative for appendicitis but reveals a liver abnormality. Paziente ... A 23 year old woman presents with abdominal pain in right iliac fossa with suspected acute appendicitis. Ultrasound scan is negative for appendicitis but reveals a liver abnormality. Paziente ...

Hemangioma of the liver

The patient is a 53 y.o male smoker with findings of suspicious opacity on a chest plain film. The patient is a 53 y.o male smoker with findings of suspicious opacity on a chest plain film.

Liver Metastasis (with CEUS imaging)

A 58 y.o. male with history of rhino-pharynx cancer treated by radio-chemotherapy presents for CEUS characterization of a known liver lesion. A 58 y.o. male with history of rhino-pharynx cancer treated by radio-chemotherapy presents for CEUS characterization of a known liver lesion.

Hemangioma of the liver CEUS

Patient with a known hyperechoic focal liver lesion, for CEUS study to characterize lesion. Patient with a known hyperechoic focal liver lesion, for CEUS study to characterize lesion.