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Dr/Muhammad Jafar
(Radiologist)
--- < 16cm LS
----- < 10cm LS
------ < 0.65 (Caudate : Right lobe ratio) TS
--- Homogenous or not
✓ Hypo / Iso to Pancreas
✓ Hyper / Iso to Right kidney
✓ Always hypo to spleen.
--- Smooth ---- Irregular etc.
--- < 2mm
--- < 6mm
---- < 8mm, flow away, Triphasic
---- MPV < 13mm or 16mm post-prandial, 10-25/sec
--- intrahepatic < 1.8cm, Extra-hepatic < 2cm.
❖ A transverse plane through the bifurcation of the main
portal vein.
❖ RHV ----- Right lobe to anterior & posterior
❖ MHV, Cantlie's Line (4cm from the falciform) ----- Right lobe
and Left lobe
❖ LHV and Falciform Ligament ----- Left lobe into Lateral and
medial.
❖ Portal vein ---- Superior and Inferior. TRANSVERSE PLANE
❖ GB --- Separates IVB from V
❖ Ligamentum Venosum --- separates II anteriorly from I
posteriorly
❖ Has its own blood supply and biliary drainage.
❖ Triad of Glisson (In the center of each segment there is a
branch of the portal vein, hepatic artery and bile duct.)
❖ HV
❖ Ligamentum Venosum (II from I)
❖ Left PV (Both left superior and inferior segments)
❖ Right PV (Both right superior and inferior segments)
❖ Kidney
❖ Pancreas
❖ Extrahepatic IVC
Radioclinchers.org
Size < 16cm (Average/Increased/Shrunken)
Parenchyma
➢ Texture (Homo/coarse/irregular)
➢ Echogenicity (Nml / or )
Surface/Margins (Smooth/Irregular)
Portal Vein / Hepatic Veins (Dilated or nml + Doppler)
IHBRs and CBD (Dilated or not) +/- SOL
Liver segmental anatomy

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Liver segmental anatomy

  • 2. --- < 16cm LS ----- < 10cm LS ------ < 0.65 (Caudate : Right lobe ratio) TS --- Homogenous or not ✓ Hypo / Iso to Pancreas ✓ Hyper / Iso to Right kidney ✓ Always hypo to spleen. --- Smooth ---- Irregular etc. --- < 2mm --- < 6mm ---- < 8mm, flow away, Triphasic ---- MPV < 13mm or 16mm post-prandial, 10-25/sec --- intrahepatic < 1.8cm, Extra-hepatic < 2cm.
  • 3. ❖ A transverse plane through the bifurcation of the main portal vein. ❖ RHV ----- Right lobe to anterior & posterior ❖ MHV, Cantlie's Line (4cm from the falciform) ----- Right lobe and Left lobe ❖ LHV and Falciform Ligament ----- Left lobe into Lateral and medial. ❖ Portal vein ---- Superior and Inferior. TRANSVERSE PLANE ❖ GB --- Separates IVB from V ❖ Ligamentum Venosum --- separates II anteriorly from I posteriorly ❖ Has its own blood supply and biliary drainage. ❖ Triad of Glisson (In the center of each segment there is a branch of the portal vein, hepatic artery and bile duct.)
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. ❖ HV ❖ Ligamentum Venosum (II from I) ❖ Left PV (Both left superior and inferior segments) ❖ Right PV (Both right superior and inferior segments) ❖ Kidney ❖ Pancreas ❖ Extrahepatic IVC
  • 12. Radioclinchers.org Size < 16cm (Average/Increased/Shrunken) Parenchyma ➢ Texture (Homo/coarse/irregular) ➢ Echogenicity (Nml / or ) Surface/Margins (Smooth/Irregular) Portal Vein / Hepatic Veins (Dilated or nml + Doppler) IHBRs and CBD (Dilated or not) +/- SOL