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Caption: Oblique scan of the liver.
Description: The liver shows a coarse echotexture with a nodular surface and poor through transmission of sound. These findings are consistent with changes of cirrhosis. Also noted is ascitic fluid surrounding the liver.
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Caption: Oblique image at the inferior part of the liver.
Description: In a more medial plane, a large anechoic channel is seen coursing from the porta hepatis toward the anterior abdominal wall.
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Caption: Oblique scan in the right hypochondrium.
Description: In an oblique plane through the right upper quadrant a shunt tube is identified within the previously seen venous channel. The round structure at the bottom of the image is the distended gallbladder floating in ascitic fluid.
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Caption: Color Doppler image of the tubular structure.
Description: Color Doppler indicates flow within the shunt.
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Caption: Transverse color Doppler image of the tubular structure.
Description: In this transverse image of the shunt there is complete wall to wall filling of color, suggesting that it is patent.
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Caption: Spectral Doppler display of flow within the tubular structure.
Description: A venous waveform is recorded from the color- filled anechoic channel.
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