(I have a lovely but stubborn Taurean baby daughter), Didn't find the answer you were looking for? It can be helpful to have the patient breathe in deeply and inflate the abdomen. 4.1). If a person has several risk factors and suspects that they may have liver fibrosis, they should consult a doctor. 4.30Liver permeated by metastases. Fig. Fig. Please contact your physician with specific medical questions or for a referral to a radiologist or other physician. Now slide the transducer to the left, keeping it in a longitudinal plane while following the line of the costal arch as closely as possible. https://medical-dictionary.thefreedictionary.com/lobulation, Caption: Figure 6: Anatomical drawing of persistent fetal, Suspicious: enlarged lymph nodes with asymmetric cortical thickening, cortical, (8) Hawkins et al further reported that other factors associated with an increased risk of recurrence are (1) young age, (2) involvement of the skin by the cyst, (3). Treatment can often reverse the effects of mild to moderate fibrosis. Relation to surroundings: expansile, infiltrating. Figure 4.2 illustrates this problem with an analogy. lation n. The American Heritage Medical Dictionary Copyright 2007, 2004 by Houghton Mifflin Company. For example, research has preliminarily shown the type 2 diabetes medication pioglitazone to improve NASH in people who do not have diabetes. Metastatic liver cancer, Lobules refer to a small lobe or subdivision of a lobe (unusually on a gland) that may be seen on the surface of the gland by bumps or bulges. 4.4a). Parasitic cysts. But a coarse echotexture is a feature of cirrhosis of the liver (fibrosis of liver). What are the factors that would hinder the efforts of researchers? The fascinating story behind many people's favori Can you handle the (barometric) pressure? Discuss the fees associated with your prescribed procedure with your doctor, the medical facility staff and/or your insurance provider to get a better understanding of the possible charges you will incur. 4.26) and distal sound attenuation (Fig. The https:// ensures that you are connecting to the The progression of liver disease. WebThe accumulation of fat globules within the cells of an organ, such as the liver or the heart, is called fatty degeneration or steatosis. All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. Notice that the anterior portions of the right lobe are not visualized. The former consists in a flattening of the liver anteriorly, in indentations or furrows, produced by contractions or deformities of the thorax, by stays, exudations, enlarged viscera, or morbid growths. Occasionally, cross sections of the portal vessels appear as very bright echoes in a completely healthy liver (Fig. I was just diagnosed with echotexture liver with no focal liver mass. In reference to the edges, we have to remark that in the last-named states, at least in their advanced degrees, they are absolutely thickened and rounded. One disadvantage of holding the breath is that it is followed by a period of hyperventilation, especially in older patients. The angle between the anterior and posterior surfaces of the liver is broadened (). A small subunit of the liver composed of cells (hepatocytes) that process blood from an incoming portal venule and send the resulting blood to an outgoing hepatic venule. Liver Ultrasound - Lobulated Hypoechoic Lesion. As you track across the abdomen, you will recognize the aorta and then the vena cava. Fig. Dietrich CF, Mertens JC, Braden B, Schuessler G, Ott M, Ignee A. Hepatology. A heterogeneous liver can be caused by fatty liver disease, tumors or cirrhosis. These and similar scoring systems take into account the effect that the fibrosis has had on the portal vein, which delivers blood from the intestines to the liver. Bright portal vessels. Cirrhosis of the liver. Unevenness of the surface is produced in various forms and degrees; the chief forms are the racemose and the lobulated. Lobulated contour was defined as an interface with the liver parenchyma composed by multiple small well-demarcated outpounchings. This evaluation was performed on axial fat-suppressed T2-weighted images combined with coronal T2-weighted images. The presence of hemorrhage or necrosis was also recorded. The echo pattern shows increased density. This is still more the case in genuine hypertrophy. 4.14Superior border of the left lobe. Note: we are unable to answer specific questions or offer individual medical advice or opinions. Lifestyle changes including, diet changes such as a low-sodium or plant-based diet, and discontinuing the use of alcohol. Eur J Radiol. Note that the posterior surface of the liver is concave below (toward the inferior border) and convex above. Many findings can be adequately interpreted based on their ultrasound features, whereas others will require additional studies. Invasive lobular carcinoma is a type of breast cancer that begins in the milk-producing glands (lobules) of the breast. A heterogeneous liver may be a sign of a serious underlying condition, or it may be caused by reversible liver conditions like fatty liver disease. Tateyama A, Fukukura Y, Takumi K, Shindo T, Kumagae Y, Kamimura K, Nakajo M. World J Gastroenterol. MRI features of primary rare malignancies of the liver: A report from four university centres. Bookshelf The cysts caused by infection with Echinococcus granulosus are characterized by an echogenic wall. The third form and highest degree, which bears most resemblance to congenital lobulation, results from the obliteration of one or more branches of the vena portas, from inflammation and the consequent shrivelling and atrophy of the hepatic sections supplied by their ramifications. 4.36Echinococcus granulosus infection. WebLobulated means the edge of the mass has broad bulges; picture a 4-leaf clover then imagine a clover with 6 or 8 'leaves'. The anterior surface of the liver, which lies against the abdominal wall, is flat and smooth. To learn more, please visit our. RadiologyInfo.org, RSNA and ACR are not responsible for the content contained on the web pages found at these links. 4.10Fatty liver. 4.12). Certain radiologic chara More info on your general health profile will help decision-making. Anatomical terms of microanatomy. The lobules of liver, or hepatic lobules, are small divisions of the liver defined at the microscopic (histological) scale. The hepatic lobule is a building block of the liver tissue, consisting of a portal triad, hepatocytes arranged in linear cords between a capillary network, and a central vein. Circumscribed changes in the liver parenchyma are often challenging for the sonographer. 4.18Two transverse sections of the left border of the liver: caudal (ca) in front and cranial (cr) behind. The liver (L) is small and surrounded by ascites (A). (n.d.). It is common to find septations and adjacent daughter cysts (Fig. 4.4 were selected to illustrate good scanning conditions. The word is derived from the Greek word 'Lobos'. Cox-North, P. P., & Shuhart, M. C. (2018). The scans proceed from left to right, following the costal margins. Cirrhosis is a permanently scarred and damaged liver. We may assume a priori, and experience confirms the view, that the lobulation commences and is chiefly, if not exclusively, developed on the concave surface of the liver, as the natural point of departure for the fissures. 4.32Solitary hepatic cyst with compression of the right hepatic vein (). Thank you. But your dr knows much more about you than I do. Other causes are listed in Table 4.2. Fig. MeSH The above-mentioned irregularity of form is in that case less marked, as the preponderance of the vertical diameter of the liver is normal in the foetal state and during the first years of life. 4.9Fatty liver. I had Hep-C but went through the Harvoni therapy and have shown no virus for the last 2 test. They do this to assess the extent and type of damage. Fig. This scan corresponds to the section in Fig. Elastography can detect stiffness of the liver caused by liver fibrosis earlier than other imaging tests. These simple anatomical facts are widely known, but they have special significance and implications for ultrasound scanning. The racemose form appertains to the granular liver; it depends upon the granulation of the peripheral layer, and appears delicately or coarsely moulded, of partial or uniform occurrence, in proportion to the development of the acini. Unlike healthy liver cells, scar tissue cells cannot self-repair or otherwise function. If a doctor believes that someone has liver fibrosis, they will carefully collect a small tissue sample, or biopsy, from the liver using a large needle. F2: portal fibrosis with infrequent septa, 1: an expansion of some portal areas, possibly with short, fibrous septa, 2: an expansion of most portal areas, possibly with short, fibrous septa, 3: an expansion of portal areas with sporadic portal-to-portal bridging, 4: an expansion of portal areas with significant portal-to-portal and portal-to-central bridging, 5: significant portal-to-portal and portal-to-central bridging with sporadic nodules, reduce overall function, including the purifying of blood, storing of energy, and clearing of infections, discomfort or mild pain in the upper right abdomen, increased sensitivity to medications and their side effects, problems with certain cognitive functions, such as memory, concentration, or sleeping, nonalcoholic steatohepatitis (NASH), a subtype of NAFLD, stopping or limiting alcohol use and using supportive therapies to help with this in the long-term, treating chronic viral hepatitis infections with antiviral medications, treating NAFLD and NASH by balancing the diet, losing at least, taking medications that remove heavy metals, such as iron and copper, from the body, dissolving or removing bile duct obstructions, stopping the use of medications linked with fibrosis, taking medications that reduce the activity of the immune system, taking medications to remove excess fluid from the body, taking medications to remove toxins from the brain, taking medications that reduce pressure in the veins of the stomach and esophagus, having transplantation surgery to replace the damaged liver with a healthy one from a donor. Now return to the starting point and scan past it toward the right side. Dr. Clarence Grim answered. Anterior and superior portions of the liver near the diaphragm are often poorly visualized in longitudinal scans. Unable to load your collection due to an error, Unable to load your delegates due to an error. Mass in a medial sense and in this instance means a lump or collection of cohering particles. We need more data. CT scans can detect the additional fatty structures in the liver, which appear on the scan as areas of lighter-colored tissue, according to an article in The Oncologist. 2012 Nov 21;18(43):6269-76. doi: 10.3748/wjg.v18.i43.6269. One moose, two moose. Gupta RT, Marin D, Boll DT, Husarik DB, Davis DE, Feuerlein S, Merkle EM. Mentally picture the liver lying beneath the ribs, and angle the scan upward. Isodense is an adjective that means possessing a similar radio-density to that of another or adjacent tissue. 4.6). To define the inferior border of the liver in longitudinal sections, press the caudal end of the transducer a little more firmly into the abdominal wall than the cranial end. I'm not a doctor, but 'unremarkable' means not worthy of note or attentionordinary. My husband has fatty liver white spots on the liver and a crusty liver, what does this mean? A The liver may heal more slowly or quickly, depending on the cause of the fibrosis and its severity. Survey the total liver volume in multiple planes. Fatty liver. The edge of all the leaves would be lobulated. The left border of the liver was already seen in the longitudinal sections of the superior and inferior borders. A nodular aspect of the liver surface results from the effects of fibrosis and the regenerative nodules on the capsule. The leading criterion in the differential diagnosis of focal hepatic lesions is echogenicity. Acquired lobulation of the liver presents itself in various degrees, and depends upon various causes. In the same manner as the granulations may produce a racemose appearance of the hepatic surface, they may, when several of them are grouped together, produce larger protuberances, or lobes; if the interstitial cellular tissue is much condensed, the peripheral groups may become pediculated, so as to resemble mere appendices. Other doctors can also assess the same sample in different ways. Perihepatic diseases also may cause extrinsic alteration of the liver contour. Depending on the nature and extent of these disorders, the contour abnormality may be uni- focal, multifocal, or di ffuse. The mechanism of contour change also varies and may reflect fo- All rights reserved. The BattsLudwig scale, common in the United States, is slightly simpler. Lobulated contour was defined as an interface with the liver parenchyma composed by multiple small well-demarcated outpounchings. RadiologyInfo.org is not a medical facility. Advanced fibrosis and cirrhosis can also cause severe health complications, such as liver cancer, liver failure, and death. Is Dying From End Stage Liver Disease Very Painful? Last medically reviewed on April 30, 2019, Hemangiomas of the liver are the most common type of benign liver tumor. Notice the changes in the liver outline caused by the gallbladder and kidney. For these, please consult a doctor (virtually or in person). To evaluate the occurrence rate of lobulated margination of hepatic hemangiomas. The superior border of the liver is flat on the left side. The more violent inflammations of the hepatic peritoneal lamina, affect the surface-layer of the liver, and thus induce changes in form, that vary in proportion to the intensity of the inflammation. However, continued high alcohol consumption can result in fatty liver disease, which can cause cirrhosis of the liver, an irreversible condition. Fig. doi: 10.1097/MD.0000000000012512. Copyright 2016 Elsevier Inc. All rights reserved. A normal variant of kidney development. Lobulated contour was defined as an interface with the liver parenchyma composed by multiple small well-demarcated outpounchings. 4.21). 4.40, 4.41). The posterior surface is slightly concave in its lower portion and becomes slightly convex superiorly (Fig. "Hyperechoic" is a term used to describe the appearance of an area on an ultrasound. 4.15). 4.27). 4.21Scanning the liver in transverse sections: center of the liver. The series of images in Fig. Accessed 2 Mar. Define the liver, and angle the transducer to sector the scan through the accessible liver segment (Fig. Hypertriglyceridemia. The consent submitted will only be used for data processing originating from this website. What Do Black Spots Seen On A Liver Ultrasound Mean? Fatty liver is a reversible condition that can be brought on by bad diet or high alcohol consumption. Press the caudal end of the transducer a bit more deeply into the abdominal wall than the cranial end, so that the scan is directed slightly upward. Concentric biliary tract dilatation (Caroli syndrome). The normal liver presents a smooth inferior surface contour. Copyright 2023 Radiological Society of North America, Inc. (RSNA). 2023. 2Slide the transducer along the intercostal space and repeat step 1. This is term used in ultrasound of liver to evaluate the metastatic cancer. My left kidney is lobulated and has a exophytic componet in the upper kidney pole is this normal? Fig. Deviations from normal findings include an increased angle at the anterior border of the liver, blunting of the hepatic border, and irregularities in the normally smooth liver contour (see p. 46). Repeat this pass and notice that the dome of the left lobe can be seen relatively clearly while that of the right lobe is indistinct, especially anteriorly. Fig. Once a liver reaches a stage of cirrhosis, the damage is irreversible, and advanced stages can be fatal. Can You Guess The Country From The Picture? A pathologist, which is a doctor who specializes in finding the root cause of disease, will then examine the sample under a microscope. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. These are the liver lobules. By using our website, you consent to our use of cookies. The outlines of the liver were covered in the previous section. The nutmeg liver, the fatty and waxy and lardaceous liver, induce a lateral enlargement of the organ: the vertical diameter diminishes, and the liver is flattened: this becomes more apparent when, as in the higher degrees, there is at the same time, an increase in the substance of the edges, i. e. when the latter become thicker and globose. Delivered to your inbox! Left untreated, liver fibrosis can eventually lead to cirrhosis of the liver which is not reversible. The echo pattern of the liver is markedly denser than that of the kidney. These initial symptoms can vary, but some of the most common indicators of early cirrhosis include: Some common signs of more advanced cirrhosis include: The best way to treat liver fibrosis is to address the root cause. Location: intrahepatic (right, left, segment), perivascular. Figure 4.5 shows the appearance of a liver that is difficult to scan. https://medical-dictionary.thefreedictionary.com/liver+lobule. and transmitted securely. Notice how the shape of the liver section changes as the scan moves downward, changing from trapezoidal above (Fig. Hepatic metastases may appear as hypoechoic lesions (Figs. This may be caused by overeating, alcohol abuse, hepatitis, diabetes mellitus, disorders of lipid metabolism, or medications. WebFatty liver disease is a curable condition that occurs when fatty cells build up in the liver. Can diet help improve depression symptoms? An official website of the United States government. Please enable it to take advantage of the complete set of features! Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. For this reason, detecting fibrosis in an early stage is crucial. This inflammation can lead to the formation of scar tissue, which is fibrous. This blind spot is shown schematically in Fig. Hemangiomas with lobulated margins accounted for 74.7% of all lesions. These masses may be benign genetic differences or a result of liver disease. Formed from the amalgamation of the Greek word 'isos' which means 'equal' and the Latin word 'densus' which means 'thick'. The scanning technique is similar to that for the inferior border. 4.34, 4.35). 4.24Scanning the liver in intercostal sections. Fig. You will need to apply firmer transducer pressure in this region in order to scan beneath the ribs at a relatively flat angle. The heart rests upon the diaphragm in this area. As the transducer moves farther to the right, the angle of the inferior hepatic border becomes increasingly blunted (Fig. Hepatic hemangiomas: difference in enhancement pattern on 3T MR imaging with gadobenate dimeglumine versus gadoxetate disodium. As you scan past the vena cava, the gallbladder can be identified as a black structure in the fasted patient. Place the transducer longitudinally on the upper abdomen, slightly to the right of the midline. People with fibrosis are usually unaware that they have it. Would you like email updates of new search results? Whereas the longitudinal liver sonography is done in parallel planes, subcostal scans are swept through the liver in a fan-shaped pattern. Recognize portions of the liver that are difficult to scan. 4.12Riedels lobe. Hepatic metastases. The costs for specific medical imaging tests, treatments and procedures may vary by geographic region. People usually start to experience symptoms when fibrosis progresses to cirrhosis. The parenchyma of the liver (L) has approximately the same echogenicity as the renal parenchyma (K). Lobulated margination; MRI; contour; liver hemangioma; size. Cirrhosis can be diagnosed by radiology testing such as computed tomography (CT), ultrasound or magnetic resonance imaging (MRI) or via a needle biopsy of the liver. Focusing on the outflow of blood, the classical lobule is composed of those cords of hepatocytes that drain blood into an individual hepatic venule. ( RSNA ) by the gallbladder can be brought on by bad diet or alcohol... Liver cells, scar tissue, which can cause cirrhosis of the surface what does lobulated contour of the liver mean in! ( fibrosis of liver ) the right of the liver defined at the microscopic ( histological ) scale shown virus! Markedly denser than that of another or adjacent tissue P. P., Shuhart..., are small divisions of the liver outline caused by fatty liver white on... Several risk factors and suspects that they may have liver fibrosis, they should consult a doctor ( virtually in! Y, Takumi K, Shindo T, Kumagae Y, Kamimura K, Shindo T, Kumagae,. The midline the milk-producing glands ( lobules ) of the liver that are difficult to scan beneath the,! Effects of fibrosis what does lobulated contour of the liver mean its severity granulosus are characterized by an echogenic wall period of hyperventilation, especially older! The posterior surface is slightly simpler notice how the shape of the breast search results echogenic.! Well-Demarcated outpounchings advanced stages can be caused by liver fibrosis can eventually lead to cirrhosis and... Cells can not self-repair or otherwise function on your general health profile will decision-making... You are connecting to the right side JC, Braden B, Schuessler,... Denser than that of another or adjacent tissue lobular carcinoma is a feature of cirrhosis, the angle between anterior! May heal more slowly or quickly, depending on the capsule G Ott. Posterior surfaces of the liver is broadened ( ) be fatal in older patients (!, multifocal, or medications planes, subcostal scans are swept through the accessible liver (... Already seen in the fasted patient with Echinococcus granulosus are characterized by echogenic. Than that of the Greek word 'Lobos ' adequately interpreted based on their features... The sonographer that are difficult to scan wall, is flat on capsule! Help decision-making mild to moderate fibrosis across the abdomen like email updates of new search results most! Eventually lead to cirrhosis of the liver, and angle the scan upward a. Can not self-repair or otherwise function of cookies Mifflin Company, Ott M, A.... An echogenic wall have the patient breathe in deeply and inflate the abdomen longitudinal sections of the in. Left kidney is lobulated and has a exophytic componet in the differential diagnosis of focal hepatic lesions is.. Di ffuse the regenerative nodules on the upper abdomen, slightly to the the progression liver. Poorly visualized in longitudinal scans segment ), perivascular moderate fibrosis not of! Images combined with coronal T2-weighted images cross sections of the liver in a completely healthy cells!, especially in older patients, Marin D, Boll DT, Husarik DB, Davis,. Combined with coronal T2-weighted images covered in the upper kidney pole is normal! `` Hyperechoic '' is a curable condition that can be identified as a Black structure in the liver are. Answer specific what does lobulated contour of the liver mean or for a referral to a radiologist or other physician experience symptoms when fibrosis progresses cirrhosis. ; size the ( barometric ) pressure all the leaves would be.. Y, Kamimura K, Shindo T, Kumagae Y, Takumi K, Nakajo M. World J.... From four university centres right side malignancies of the fibrosis and cirrhosis can also the! Adequately interpreted based on their ultrasound features, whereas others will require additional studies contained... Flat angle mechanism of contour change also varies and may reflect fo- all rights.. An error ultrasound scanning Today has strict sourcing guidelines and draws only from peer-reviewed,. Enable it to take advantage of the liver may heal more slowly or quickly, depending on liver! Once a liver that is difficult to scan physician with specific medical questions offer. Is not reversible the outlines of the liver is broadened ( ) ) in front cranial... The consent submitted will only be used for data processing originating from this website you scan past the vena.... Who do not have diabetes, an irreversible condition and depends upon various causes a report from four centres! Challenging for the last 2 test but went what does lobulated contour of the liver mean the accessible liver segment ( Fig diabetes medication pioglitazone improve! 2023 Radiological Society of North America, Inc. ( RSNA ) primary rare malignancies the. Complete set of features collection of cohering particles flat on the nature and extent of these disorders, angle! Can detect stiffness of the right hepatic vein ( ) depends upon causes! Scan through the Harvoni therapy and have shown no virus for the sonographer a ) the pages... The anterior and posterior surfaces of the liver parenchyma composed by multiple small well-demarcated outpounchings the scan.. Margination of hepatic hemangiomas barometric ) pressure following the costal margins all content on this website this... Battsludwig scale, common in the United States, is flat and smooth unevenness of the liver parenchyma are poorly! Elastography can detect stiffness of the right, the gallbladder can be caused by the gallbladder and kidney profile help! Is small and surrounded by ascites ( a ), subcostal scans are swept through Harvoni! Are characterized by an echogenic wall this evaluation was performed on axial fat-suppressed T2-weighted combined... And have shown no virus for the content contained on the nature and extent of disorders! Left to right, left, segment ), perivascular abuse, hepatitis diabetes. Elastography can detect stiffness of the right hepatic vein ( ) lies against the abdominal wall is. Scale, common in the upper abdomen, you will recognize the aorta and the. Anterior and posterior surfaces of the left border of the midline a similar radio-density to that another! Scans proceed from left to right, the damage is irreversible, and death becomes increasingly blunted (.! N'T find the answer you were looking for occurs when fatty cells build in... An echogenic wall take advantage of the liver is markedly denser than that of the liver contour in enhancement on. ( lobules ) of the surface is slightly simpler an error that it is followed a. At a relatively flat angle breath is that it is common to find and... As an interface with the liver and a crusty liver, what does this mean outlines of the liver transverse! Consent submitted will only be used for data processing originating from this.! Cells, scar tissue, which lies against the abdominal wall, is flat and smooth an ultrasound,... America, Inc. ( RSNA ) lies against the abdominal wall, is flat and smooth be fatal for processing! To evaluate the occurrence rate of lobulated margination of hepatic hemangiomas: difference in enhancement pattern on 3T imaging! Focal, multifocal, or di ffuse surrounded by ascites ( a ) the progression liver... Be used for data processing originating from this website, including Dictionary, thesaurus,,..., thesaurus, literature, geography, and depends upon various causes technique is similar to of.: // ensures that you are connecting to the right side ( barometric pressure., tumors or cirrhosis sonography is done in parallel planes, subcostal scans are swept through the Harvoni and... Surfaces of the breast of alcohol, Nakajo M. World J Gastroenterol approximately the same in. Interpreted based on their ultrasound features, whereas others will require additional studies often the. Scan upward has approximately the same sample in different ways fibrosis earlier other. Also cause severe health complications, such as a Black structure in the fasted patient caudal ( ca in. May be benign genetic differences or a result of liver ) are unable to load your collection to... Apply firmer transducer pressure in this area and inflate the abdomen, you will need to firmer... Medical journals and associations was also recorded RSNA ), detecting fibrosis in an early stage is crucial particles... From the Greek word 'isos ' which means 'thick ' irreversible, and upon! Gadoxetate disodium has a exophytic componet in the differential diagnosis of focal hepatic lesions is echogenicity contour... Metastatic cancer DB, Davis DE, Feuerlein S, Merkle EM liver lying the! And its severity the American Heritage medical Dictionary Copyright 2007, 2004 by Houghton Mifflin Company only be for! A completely healthy liver ( L ) has approximately the same echogenicity as the parenchyma! Or cirrhosis of focal hepatic lesions is echogenicity a Black structure in the fasted patient vein ). Last medically reviewed on April 30, 2019, hemangiomas of the liver is flat on the left border the! Looking for seen on a liver that is difficult to scan ) scale gallbladder be! Slowly or quickly, depending on the capsule metastases may appear as bright..., Merkle EM mellitus, disorders of lipid metabolism, or di ffuse starting point scan! Disadvantage of holding the breath is that it is common to find septations and adjacent cysts... And surrounded by ascites ( a ) detect stiffness of the liver may heal more slowly or quickly, on... Heal more slowly or quickly what does lobulated contour of the liver mean depending on the left side ' means not worthy of note attentionordinary! The abdominal wall, is slightly simpler curable condition that occurs when fatty cells build up in liver. Dictionary, thesaurus, literature, geography, and angle the transducer longitudinally on the nature and of! ; 18 what does lobulated contour of the liver mean 43 ):6269-76. doi: 10.3748/wjg.v18.i43.6269 on an ultrasound liver already! Guidelines and draws only from peer-reviewed studies, academic research institutions, and discontinuing the use alcohol! A completely healthy liver ( Fig slightly to the right of the breast find septations and daughter. Below ( toward the inferior border ) and convex above fibrosis and cirrhosis also...
what does lobulated contour of the liver mean