Pediatric Liver, Gallbladder & Bile Ducts Ultrasound Normal Vs Abnormal Images | Newborn & Child USG

Support the channel on Patreon: patreon.com/drsamsimaginglibrary Pediatric Liver, Gallbladder & Bile Ducts Ultrasound Normal Vs Abnormal Images | Newborn & Child USG *Cases Biliary Atresia - 0:00 Choledochal Cyst Type 1 - 1:34 Gallbladder Ghost Triad - 2:00 Hepatic Steatosis (Fatty Liver) - 3:22 Liver Cirrhosis - 5:05 Cholelithiasis - 5:46 Sludge - 6:43 Infantile Hepatic Hemangioma - 7:30 Focal Infantile Hemangioma - 8:20 Multiple Infantile Hemangiomas - 8:35 Mesenchymal Hamartoma - 9:00 Hepatoblastoma - 9:23 Liver Abscess - 10:20 Normal Liver Size In Children: Size (Craniocaudal Length)- 0-3 months: 4-9 cm approx. Size (Craniocaudal Length)- 3-6 months: 5-10 cm approx. Size (Craniocaudal Length)-1-2.5 years: 7-11 cm approx. Size (Craniocaudal Length)-3-5 years: 7-12 cm approx. Biliary Atresia: Absence of normal intrahepatic and extrahepatic bile ducts Neonates present with jaundice 2-3 weeks after birth Triangular Cord Sign: Hyperechoic triangular shaped area anterior to portal vein. Measures greater than 4mm. Sign of biliary atresia Choledochal Cyst Type 1: Cylindrical/Saccular dilation of common bile duct Anechoic cystic structure at the location of the common bile duct (at the liver hilum) Gallbladder Ghost Triad: Atretic gallbladder, measuring 1.9cm or less. Irregular or lobular gallbladder contour. Absence of echogenic mucosal layer Hepatic Steatosis (Fatty Liver): Increased echogenicity of liver parenchyma. Due to cystic fibrosis Liver Cirrhosis: Irregular liver surface (Surface nodularity) Heterogeneous liver appearance Ascites Can occur due to biliary atresia, Hepatitis B/C, Wilson’s Disease, Glycogen Storage Diseases, etc. Cholelithiasis: Presence of hyperechoic gallstones within the gallbladder Causes include hemolytic anemia, cystic fibrosis, sickle cell anemia, obesity, blood transfusions, etc. Sludge: Echogenic thickened mobile bile No posterior acoustic shadowing Usually occurs in children receiving total parenteral nutrition Infantile Hepatic Hemangioma: Heterogeneous mass Microcalcifications Hepatomegaly Increased vascularity on color doppler Focal Infantile Hemangioma: A well defined hyperechoic mass Multiple Infantile Hemangiomas: Multiple hypoechoic liver lesions Mesenchymal Hamartoma: Multi-septated mass Multiple cysts Usually presents in children under 2 years Hepatoblastoma: Most common primary malignant tumor in children Usually presents in children under 4 years Echogenic/heterogeneous mass Liver Abscess: Well-defined mass Heterogeneous Peripheral vascularity on color doppler