# Calculus of Residues by Mitrinovic D.S., Michael J.H.

By Mitrinovic D.S., Michael J.H.

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Calculus of Residues

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T ' , . . ,~, . '.. ),~,\ B itling position: this image ( ..... ) docs not shin quickly by changing to the illing po ition. 1-0,\ . : ""-....... C Afier to days, no solid image is observed although from another scanning level a mall stone is seen Fig. 30. Cholcey tolithiasis. Only a part of the gallbladder wall (-+) can be vi ualizcd with gall tone ( ) and acoustic hadow ( ~ ) Fig. 31. Cholecystitis. A thickened gallbladder wall (-+) and onolucenl zone in the wall can be seen (Fig. 35), based on finding dilatation of the intra- and extrahepatic bile duct.

22). ' With acute hepatitis, the echo level in the whole liver becomes lower, and accordingly the echo of the wall of the portal vein is brightly visualized, and the observable range of the portal vein becomes broadened. Conversely, chronic hepatitis is characterized by a weak echo in the wall of the portal vein, the ultrasonically visible portal vein fades, and a rough and moderately enhanced echo in the liver parenchyma can be visualized [48]. 4 Gallbladder and Bile Duct A normal finding observes the gallbladder as an unechoic eggplant-shaped image (Fig.

S em) ( ) with acoustic hadow ( II>- ) Fig. 28 ,B. holecystolithia is. Supine po ition : a trong echo in the gallbladder and a posterior acou tic shadow arc seen. B Sitting po ition : by changing the patient ' po ilion from the upine 10 a illing position . the trong echo hin downward in lhe gallbladder The most valuable diagnostic information is the acoustic shadow. It is said to be consistently demonstrated irrespective of the specific properties of the gallstones in in vitro investigations [26].