Spleen ultrasound

1. Spleen Ultrasonography
• Some common indication for splenic ultrasound includes;
• Splenomegaly
• Suspected malignancy
• Liver disease
• Left upper abdominal pain
• Suspected subphrenic abscess

2. Spleen Ultrasonography
• Procedure
A)Preperation
Patient Should take nothing by mouth for 8 hours preceding the examination.
If fluid is essential to prevent dehydration , only water should be given.
Infants should be given nothing by mouth for 3 hours preceding the examination
B)Position
The patient should be supine initially and later on the right side.
The splenic hilus is the reference point to ensure correct identification of the spleen.
It is also important to identify the left diaphragm and the upper edge of the spleen.
The patient should take a deep breath and hold it in when a specific area is scanned.

3. Spleen Ultrasonography
• Sonographic appearance of a normal spleen
• The spleen should show a uniform homogenous echo pattern. It is
slightly less echogenic than the liver.
• Markedly hyperechoic compared to kidney tissue
• Its outer convexity is smooth , whereas the inner margin may be
indented or nodulous.