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A 55-year-old male with a history of alcohol-related cirrhosis presents to the emergency department vomiting bright red blood (hematemesis). Examination reveals ascites, splenomegaly, and dilated abdominal veins (caput medusae). He was hypotensive, suggesting ruptured esophageal varices due to portal hypertension, requiring stabilization and endoscopy. Match the ultrasound after stabilization of the patient.

Sequestration (trapped) of leukocytes in the splenomegaly (enlarged spleen) may produce——-.

Which of the following arrows is pointing to a normal direction?

The superior component of the spleen extends more —- than the inferior component. 

Based on the clinical presentation of a 32-year-old female in a motor vehicle accident (seatbelt sign, tachycardia, hypotension) with LUQ pain and referred left shoulder pain (Kehr’s sign), the most likely diagnosis is splenic rupture causing hemoperitoneum. The 5-minute ultrasound (FAST scan) would show the following in the left upper quadrant (LUQ) view. Which of the following is correct?

With the Transverse scans of the spleen, the sonographer should look for  ——–.

All of the directions of the portal vein branches are normal, EXCEPT.

A normal individual, the spleen contains only about 20 to 30 ml of erythrocytes. In splenomegaly the reservoir function is greatly ——-, and the abnormally enlarged spleen contains many times this volume of red blood cells, despite the anemia in the circulation at the same time.

Which of the following is the differential diagnosis of this image?

Please match the following useful (some) artifact.