1. 72 Shadowing Lesions in the
Liver

2. CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL

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

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

5. • 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

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

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