Atlas of Endoscopic Ultrasonography

Figure 7.6 Image of left kidney by radial ultrasound.

Figure 7.7 Image of left kidney by linear ultrasound.

With the probe in the gastric fundus, the left adrenal gland can be found immediately proximal to the celiac artery and left of the aorta. It is seen as an echo‐poor, thin strip of tissue (“seagull” shaped). The left adrenal gland can also be located by tracing the left kidney cephalad, located medial to the upper pole of the kidney ( Figure 7.8).

Figure 7.8 Image of left adrenal gland by radial ultrasound.

Figure 7.9 Image of left adrenal gland by linear ultrasound.

With the probe at the level of the celiac trunk take‐off, slight clockwise rotation brings into view the left adrenal gland seen as a thin echo‐poor structure ( Figure 7.9).

Video 7.1 Normal imaging of liver, spleen, kidney, and adrenal by radial ultrasound. Source: Aloka.

Video 7.2 Normal imaging of liver, spleen, kidney, and adrenal by linear ultrasound. Source: Aloka.

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