Liver-ultrasound

1. Introduction 100%

Purpose and Clinical Relevance
Indications for Liver Ultrasound

2. Liver US Anatomy 30%

Lobes US anatomy
Segments US anatomy
Diaphragm thickness assessment via ultrasound
Normal hepatic vasculature US anatomy

Hepatic artery Doppler anatomy ultrasound

Portal vein ultrasound anatomy variations

Hepatic veins ultrasound anatomy

Biliary System
Ligaments and Landmarks

3. Patient Preparation 00%

Positioning & Techniques
Standard Patient Positions (Supine, Left Lateral, Right Lateral)
Scanning Planes in Liver Ultrasound
Systematic Scanning Planes for Liver

4. Technical Assessment 00%

Transducer Selection
Imaging Modes
Machine Settings and Optimization

5. Normal Liver Appearance 30%

Echotexture and Echogenicity
Liver Size and Contours
Portal Triad and Vasculature
Biliary Tree and Gallbladder Overview

6. Liver Pathologies and Diagnostic Clue

1. Congenital and Developmental Disorders

Hepatic Cysts (Simple, Congenital)
Polycystic Liver Disease (PCLD)
Congenital Hepatic Fibrosis
Caroli Disease
Aberrant hepatic veins / accessory fissures

2. Infectious Diseases

Pyogenic Liver Abscess
Amoebic Liver Abscess
Hydatid Cyst (Echinococcosis)
Viral Hepatitis (A, B, C, D, E)
Tuberculous Hepatitis
Fungal Hepatitis

3. Inflammatory and Autoimmune

Autoimmune Hepatitis
Primary Biliary Cholangitis (PBC)
Primary Sclerosing Cholangitis (PSC)
Sarcoidosis of Liver
Chronic Active Hepatitis
Drug-Induced Liver Injury (DILI)

4. Vascular Disorders

Budd-Chiari Syndrome
Portal Vein Thrombosis
Portal Hypertension
Arterioportal Fistula
Hepatic Artery Aneurysm
Passive Congestion

5. Steatosis and Storage Disorders

Non-Alcoholic Fatty Liver Disease (NAFLD)
Non-Alcoholic Steatohepatitis (NASH)
Alcoholic Fatty Liver Disease
Glycogen Storage Diseases
Hemochromatosis
Wilson’s Disease
Amyloidosis

6. Cystic and Biliary Lesions

Simple Hepatic Cyst
Biliary Cystadenoma / Cystadenocarcinoma
Choledochal Cyst
Biliary Hamartomas

7. Benign Tumors

Hemangioma
Focal Nodular Hyperplasia (FNH)
Hepatic Adenoma
Lipoma

8. Malignant Tumors - Primary

Hepatocellular Carcinoma (HCC)
Fibrolamellar HCC
Steatohepatitic HCC
Cholangiocarcinoma (Intrahepatic)
Angiosarcoma
Hepatoblastoma

9. Malignant Tumors - Metastatic

Colorectal Cancer Metastasis
Breast Cancer Metastasis
Pancreatic/Gastric Metastases
Neuroendocrine Tumor Metastases

10. Cirrhosis & Chronic Liver Disease

Alcoholic Cirrhosis
Viral Cirrhosis
Cryptogenic Cirrhosis
Metabolic Cirrhosis
Autoimmune Cirrhosis
Decompensated Cirrhosis

11. Traumatic and Iatrogenic

Liver Laceration
Subcapsular Hematoma
Post-biopsy Hemorrhage
Biloma
Post-Transplant Complications

12. Pediatric Liver Pathologies

Neonatal Hepatitis
Biliary Atresia
Hepatoblastoma
Alagille Syndrome
Glycogen Storage Disorders

13. Interventional and Post-Surgical Imaging 0%

Post-Surgical Liver Imaging
Liver Biopsy Guidance
Percutaneous Drainage of Abscesses
Post-Transplant Evaluation
Post-procedural Complications (Bleeding, Biloma, Leak)

14. Advanced Modalities and Differential Diagnosis 0%

Role of CT, MRI, and MRCP in Liver Pathology
Liver Elastography and Fibrosis Grading
Contrast-Enhanced Ultrasound (CEUS) in Focal Liver Lesions
Differentiating Benign vs. Malignant Lesions Sonographically

15. Case Studies and Quiz Section 0%

Clinical Case Reviews
1. Hepatomegaly
2.Diffuse hepatic steatosis [Fatty liver grade-1]
Image-Based Interpretation Questions
Diagnostic Challenges
Pitfalls and Pearls in Liver Ultrasound Practice

SCRS Ultrasound Report

Patient Details

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Findings

Conclusion

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