Medical necessity: Evaluate for intraperitoneal or pericardial fluid

Structures studied: Hepatorenal space, splenorenal recess, pericardial space, and pelvic views.

Guidelines

1.) Video in the longitudinal plane, fanning through Morrison’s pouch (hepatorenal space) to include the inferior tip of the liver/inferior pole of right kidney.

2.) Video clip fanning through the bladder in both the longitudinal and transverse planes. 

3.) Video clip in the longitudinal plane scanning through the spleen and kidney. Must include diaghram, spleno-renal space, and inferior tip of the spleen/lower pole of left kidney.

4.) Video clip of the subxiphoid cardiac view in the transverse plane.

5.) If subxiphoid view is techniquely inadequate, a video clip of the parasternal long axis will suffice. 

6.) Obtain one static representative image.

Hepatorenal Space static image on fast examination

Hepatorenal Space static image on fast examination

 

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