Sinh mủ áp xe gây ra bởi sinh vật truyền nhiễm thông qua các ống dẫn mật, tĩnh mạch cổng thông tin, động mạch gan, hoặc lây lan từ một cơ quan lân cận hoặc một vết thương cho thấy các tính năng cực kỳ biến khác nhau, từ bộ sưu tập miễn phí dịch echo-, bắt chước một u nang, tổn thương không đồng nhất với tiếng vang mạnh mẽ | 46 2 Typical Sonographic Findings in Inflammatory Diseases Pyogenic abscesses caused by infectious organism via the bile ducts the portal vein the heprticartbrỵor spreading from aneighboring organ or a wouod ranwcxtoombiy variabte Pagturap rangingfrom methireopapd collections inatahinga cysMoibdornogepegur ktstgrpwith s rnab echobs indicatiga li t bubblbsfeigs. Thb cornmor solid ccho-pooe pattern inmer-iikepattsap rusg he diffenintutteorrt mbn he neoplaSt tic lesion. Compared to malignant lesions hepatic abscesses are char- Fig. . Pyogenic hepatic abscess. Note the strong echoes indicating gas. Fig. b. Hepatocellular carcinoma. The tumor shows an inhomogeneous pattern a similar to an older abscess but with power Doppler the typical hypervascularity can be seen b Organ-related Ultrasonic Findings 47 acterized by a sharp contour and a more irregular coalescent shape Fi 2-38a - . . . . . Doppler examination may be necessary to differentiate between ab-scenes and hyperv hrturnKsb ed on Doppler signals from inside the lesion H todtstingsish Sbtwgen abcfesses anO hypo-vascular rnallgncot tnmors rnaisly metastases the use of robsrast aments seems to ban usrfn- withthisteehaiqub Ole -add admtamal eahoanornebt is typical Sou hepallc abscessesinoppdnitr tolDbrnUgharn Dpionsr Fig. .Ob the bSpb hand Ida daprroppcnlus periphaubi nrbrul Sap .ii. missed Cd 0 . - tespse. A diffuse holnrbsarhnt of 0 may besaubsa da d vims hepatitis as well as A a metabolic disorder Of chronic intonation especially by alcohol. Insofar aeshronic dfau b hver are coomonm mcnybreas of the world inerrkime opo c irviroshsactt isas weUas ih aa-cr wha oìcoOoI abuse ctnicigns AopiMOosds acpstdur the bupupabuqt of a prtnbinatiob of these duodena. Beddst a utọọdtỌld asshislocamiac-a there mcy ahas altdordrrhosisOndfpendent gram sha 0 0 O souco and causadby ufermpr hepdlltire iaeodiondfdoalrdhpiium. . laund e ira adpisel symatonr dfhver Bap dm
