19 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
reflection on the differential ... peripheral tracking of air ... ultrasound #hepatology #liver ... #pocus #clinical ... #air
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential ... >10 mmHg - clinically ... HTN Signs of portal ... sarcoidosis) • Liver ... metastasis • Fatty liver
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... , Metastasis #Liver ... Contrast #CT #MRI #POCUS ... #radiology #differential ... #diagnosis #comparison
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Liver Disease in ... Hemolysis, Elevated Liver ... features: Liver ... BrighamChiefs #Liver ... #differential #
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
Hepatic Artery Calcifications ... POCUS Liver TRV ... tends to have air ... centrally within liver ... #POCUS #clinical
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
infarction/liver ... transplantation, Trauma, Liver ... changes of the liver ... Choledocho-duodenostomy, Liver ... #differential #
Hepatic Artery Calcifications mimicking portal venous gas on Liver POCUS

A 70yo male presents with abdominal pain.
Hepatic Artery Calcifications ... mimicking portal ... venous gas on Liver ... Calficiations #Liver ... ##POCUS #clinical
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Portal is Peripheral ... #Pneumobilia #air ... #liver #pocus # ... ultrasound #clinical ... #hepatic
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Appearance of Liver ... arterial phase, Portal ... , Metastasis #Liver ... #radiology #differential ... #diagnosis #comparison
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
cholestasis → Cirrhosis/Liver ... failure PBC Signs ... and Symptoms: ... or higher • Liver ... malignancies, Hepatic