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Ultrasound of the Pancreas. Wendy Blount, DVM. Click on the blue arrow at bottom left or hit the “return” key to advance the show (mouse over to reveal). Free PowerPoint Templates. Patient Preparation. Fast for 12 hours Place in dorsal recumbency Lateral recumbency for:

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  1. Ultrasound of the Pancreas Wendy Blount, DVM Click on the blue arrow at bottom left or hit the “return” key to advance the show (mouse over to reveal) Free PowerPoint Templates

  2. Patient Preparation • Fast for 12 hours • Place in dorsal recumbency • Lateral recumbency for: • Compromised or deep chested patients • Left lateral recumbency for the right limb & body of the pancreas (intercostal in deep chested dogs) • Right lateral recumbency for left limb of the pancreas • Standing/sternal may be necessary for patients with large abdominal masses Free PowerPoint Templates

  3. Transition Adjustments • Depth – more superficial for right limb & body in the dog • Frequency – varies 5-7.5 MHz • May need higher frequency for smaller pets • Gain and Contrast – usually no change from liver & spleen • Setting the gain too high can cause false negatives • TGC – top levers to the right Free PowerPoint Templates

  4. Landmarks for Pancreas • Right Limb – Between the right kidney and the duodenum • Body - between the pylorus and the portal vein/colon • Left Limb – caudal to greater curvature of the stomach • Between stomach & transverse colon • In triangle between stomach, spleen, kidney Free PowerPoint Templates

  5. Landmarks for Pancreas • Right Limb – Between the right kidney and the duodenum • Dorsomedial to duodenum, at mesenteric border • Ventral to the right kidney and caudate lobe of liver • Lateral and ventral to the portal vein • Triangular in transverse view (easier to locate in this view) • Hypoechoic pancreatic duct and vein in the center • Body - between the pylorus and the portal vein • Caudodorsal to pylorus • Lateral to the portal vein • If you can see the gall bladder, you are likely in the body Free PowerPoint Templates

  6. Landmarks for Pancreas • Left Limb – caudal to greater curvature of the stomach • slide from right limb to body to left limb • Triangle just caudal to the greater curvature of the stomach on transverse view • medial to spleen and left kidney • cranial to colon • Just ventral to the splenic vein Free PowerPoint Templates

  7. Image Views Right Limb (2) - right kidney, duodenum Short Axis (transverse) Long Axis (sagittal) Body (2) - gall bladder, portal vein, stomach Sagittal Transverse Left Limb (2) - stomach, spleen, left kidney Short Axis (sagittal) Long Axis (transverse) Free PowerPoint Templates

  8. Image Views Right Limb (2) - right kidney, duodenum Short Axis (transverse) Long Axis (sagittal) Body (2) - gall bladder, portal vein, stomach Sagittal Transverse Left Limb (2) - stomach, spleen, left kidney Short Axis (sagittal) Long Axis (transverse) Free PowerPoint Templates

  9. Scanning the Pancreas Right Limb Long Axis sagittal

  10. Scanning the Pancreas Right Limb Long Axis sagittal

  11. Scanning the Pancreas Right Limb DUOD Long Axis sagittal RK

  12. Scanning the Pancreas Right Limb DUOD RK Long Axis sagittal PANCREAS

  13. Scanning the Pancreas Right Limb DUOD PANCREAS Long Axis sagittal

  14. Scanning the Pancreas Right Limb Long Axis sagittal

  15. Scanning the Pancreas Right Limb Long Axis sagittal

  16. Scanning the Pancreas Right Limb Long Axis sagittal

  17. Scanning the Pancreas Right Limb Long Axis sagittal

  18. Scanning the Pancreas Right Limb Long Axis sagittal

  19. Scanning the Pancreas Body Sagittal

  20. Scanning the Pancreas Body Sagittal

  21. Scanning the Pancreas Body GB Sagittal

  22. Scanning the Pancreas Body R Limb of Pancreas Body of Pancreas Sagittal

  23. Scanning the Pancreas Body Sagittal

  24. Scanning the Pancreas Body Sagittal

  25. Scanning the Pancreas Left Limb Short Axis sagittal

  26. Scanning the Pancreas Left Limb Short Axis sagittal

  27. Scanning the Pancreas Left Limb Short Axis sagittal

  28. Scanning the Pancreas Left Limb Short Axis sagittal

  29. Scanning the Pancreas Left Limb Stomach Short Axis sagittal L limb panc

  30. Scanning the Pancreas Left Limb Spleen Stomach L Kidney Short Axis sagittal L limb panc

  31. Scanning the Pancreas Left Limb Spleen Stomach Short Axis sagittal L Kidney L limb panc

  32. Scanning the Pancreas Left Limb Spleen Stomach Short Axis sagittal L Kidney L limb panc

  33. Scanning the Pancreas Left Limb Short Axis sagittal

  34. Scanning the Pancreas Left Limb Short Axis sagittal

  35. Scanning the Pancreas Left Limb Short Axis sagittal

  36. Scanning the Pancreas Left Limb LK Stomach Short Axis sagittal L limb panc

  37. Scanning the Pancreas Left Limb Long Axis transverse

  38. Scanning the Pancreas Left Limb Long Axis transverse

  39. Scanning the Pancreas Left Limb Stomach Long Axis transverse L limb pancreas

  40. Scanning the Pancreas Left Limb iver tomach Long Axis transverse L limb pancreas

  41. Scanning the Pancreas Left Limb Long Axis transverse

  42. Scanning the Pancreas Left Limb Long Axis transverse

  43. Scanning the Pancreas Left Limb Long Axis transverse

  44. Scanning the Pancreas Body Transverse

  45. Scanning the Pancreas Body Transverse

  46. Scanning the Pancreas Body Stomach duodenum Transverse Body pancreas

  47. Scanning the Pancreas Body Transverse

  48. Scanning the Pancreas Right Limb Short Axis transverse

  49. Scanning the Pancreas Right Limb Short Axis transverse

  50. Scanning the Pancreas Right Limb Short Axis transverse

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