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Contents
Gray Part: Basic Principles
1 Basic Physical and Technical Principles n 1
1.1 Physics of Ultrasound n 1
1.2 Ultrasound Techniques n 3
1.3 Color Duplex Sonography (CDS) n 7
1.4 Imaging Artifacts n 8
2 The Ultrasound Examination n 16
2.1 Abdominal Sonography n 16
2.2 Ultrasound Imaging of Joints (Arthrosonography) n 31
3 Documentation and Reporting n 46
3.1 Requirements for Documentation n 46
3.2 Guideline-Oriented Documentation n 46
3.3 Sonographic Nomenclature n 47
4 Function Studies n 49
4.1 Basic Principles n 49
4.2 Sonographic Measurements n 49
5 Interventional Ultrasound n 53
5.1 Fine-Needle Aspiration Biopsy (FNAB) n 53
5.2 Therapeutic Aspiration and Drainage n 58
Green Part: Ultrasound Investigation of
Specific Signs and Symptoms
6 Principal Signs and Symptoms n 62
6.1 Upper Abdominal Pain n 62
6.2 Lower Abdominal Pain n 75
6.3 Diffuse Abdominal Pain n 81
6.4 Diarrhea and Constipation n 87
6.5 Unexplained Fever n 92
6.6 Palpable Masses n 99
6.7 Enlarged Lymph Nodes n 107
6.8 Edema n 116
6.9 Renal Insufficiency and Acute Renal Failure n 124
6.10 Jaundice n 139
6.11 Hepatosplenomegaly n 148
6.12 Ascites n 155
6.13 Joint Pain and Swelling n 163
6.14 Goiter, Hyper- and Hypothyroidism n 179
Blue Part: Ultrasonography of Specific Organs
and Organ Systems, Postoperative Ultrasound,
and the Search for Occult Tumors
7 Arteries and Veins n 188
7.1 Examination n 188
7.2 Aorta and Arteries n 194
7.3 Vena Cava and Peripheral Veins n 208
8 Cervical Vessels n 214
8.1 Examination n 214
8.2 Abnormal Findings n 221
9 Liver n 231
9.1 Examination n 231
9.2 Diffuse Changes n 234
9.3 Circumscribed Changes n 241
9.4 Changes in the Portal Venous System n 257
10 Kidney and Adrenal Gland n 262
10.1 Examination n 262
10.2 Diffuse Renal Changes n 267
10.3 Circumscribed Changes in the Renal Parenchyma n 272
10.4 Circumscribed Changes in the Renal Pelvis and Renal Sinus n 283
10.5 Evaluation and Further Testing n 289
10.6 Perirenal Masses and Adrenal Tumors n 292
11 Pancreas n 293
11.1 Examination n 293
11.2 Diffuse Changes n 295
11.3 Circumscribed Changes n 301
12 Spleen n 312
12.1 Examination n 312
12.2 Sonographic Findings n 313
13 Bile Ducts n 322
13.1 Examination n 322
13.2 Intrahepatic Ductal Changes n 325
13.3 Extrahepatic Ductal Changes n 330
13.4 Evaluation and Further Testing n 333
14 Gallbladder n 334
14.1 Examination n 334
14.2 Changes in Size, Shape, and Location n 335
14.3 Wall Changes n 339
14.4 Intraluminal Changes n 346
14.5 Evaluation and Further Testing n 350
15 Gastrointestinal Tract n 352
15.1 Examination n 352
15.2 Stomach n 355
15.3 Small Intestine n 360
15.4 Large Intestine n 366
16 Urogenital Tract n 375
16.1 Examination n 375
16.2 Renal Pelvis, Ureter, and Bladder n 380
16.3 Male Genital Tract n 389
16.4 Female Genital Tract n 395
17 Thorax n 400
17.1 Examination n 400
17.2 Chest Wall n 402
17.3 Pleura n 403
17.4 Lung Parenchyma n 408
18 Thyroid Gland n 412
18.1 Examination n 412
18.2 Diffuse Changes n 414
18.3 Circumscribed Changes n 417
19 Major Salivary Glands n 425
19.1 Examination n 425
19.2 Abnormal Findings n 427
20 Postoperative Ultrasound n 431
20.1 Normal Postoperative Changes n 431
20.2 Postoperative Complications n 434
21 Search for Occult Tumors n 437
21.1 Principal Signs and Symptoms n 437
21.2 Sonographic Criteria for Malignancy n 442
21.3 Evaluation and Further Testing n 449
Subject Index n 454


