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Persiapan Penderita

Puasa

Buli-buli penuh Media kontak/ gel

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Puasa

6-8 jam

Mencegah kontraksi kandung empedu Mencegah udara yang ikut tertelan sewaktu

makan.

Tidak perlu puasa bila memeriksa: hepar,

lien, ginjal atau pada keadaan akut

Bila organ tertutup gas diulangi

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Buli-buli penuh

Khusus untukmemeriksa organpelvis: ovarium,

uterus, prostat danbuli-buli

Minum 1-2 jam

Minum 1 liter

Menahan kencing

Untuk kehamilanTrimester III tidakperlu

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Indikasi

1. General medical check up.2. Rasa nyeri perut kanan atas3. Hepatomegali4. Teraba massa di kanan atas5. Jaundice (intra, ekstra)6. Kondisi fisik yang menurun drastis7. Proses metastase8. Konfirmasi hasil skintigrafi9. Kelainan pada diafragma kanan

Kontra indikasi: tidak ada

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Gambaran USG hati normal

1. Ukuran normal : lob. Ki < 8 cm

lob. Ka < dari 10 cm

2. Permukaan licin, homogen, tepi rata, sudut tajam.

3. Intensitas echo normal ren. dextra4. V. porta/ hepatica normal

Vena porta < dari 1,2 cm

V. hepatica < dari 1 cm

5. IHBD/ CBD tidak dilatasi

IHBD (1-4) mm

CBD 8 mm

CHD < 5mm

6. Tidak ada mass/ cyste/ abscess/ ascites.

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Hepar Normal:

Intensitas echo tampak homogen

Aorta

GB

V. Porta

Left Liver Lobe Right Liver Lobe

Right Liver Lobe

V. Hep

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Kelainan Hati

A. Focal :1. Benign focal liver lesion

Cyste

Abscess

Hemangioma

2. Malignant liver disease HCC

Metastatic

B. Diffuse liver disease1. Fatty infiltration

2. Hepatitis Acute

Chronic

3. Cirrhosis hepatis

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Hepatoma

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http://radiographics.rsnajnls.org/cgi/content/full/20/2/379/F1Ehttp://radiographics.rsnajnls.org/cgi/content/full/20/2/379/F1Dhttp://radiographics.rsnajnls.org/cgi/content/full/20/2/379/F1Chttp://radiographics.rsnajnls.org/cgi/content/full/20/2/379/F1Bhttp://radiographics.rsnajnls.org/cgi/content/full/20/2/379/F1A