When scanning a liver, sometimes no matter how high on the ribs you are, or other techniques you utilize, it seems like it is forever outside your reach looming elusively somewhere in the chest and it’s a battle between artifact from air in the lung and bowel botching up your beam’s ability. Sometimes the available window within which you can image a liver is limted/reduced by an exorbitant amount of air in the bowels from an ileus, belly virus, constipation that causes abnormal distention of bowel loops, or a herniated diaphragm that allows the bowels to cross their native line and yuck up your image. No fear, these techniques done in tandem will aid you in locating that slippery little liver.
Roll the patient up in left lateral decubitus, this will let the bowel fall off
the liver margins, give it a minute, its not instant. Have them take in…
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ultrasound tips & tricks 