Biliary - Incidental Hepatic Arterial Calcification
Caption
An elderly patient presented with abdominal pain and hypotension. On eval of liver a linear intrahepatic hyperechoic area was seem consistent with hepatic artery calcification. Pneumobilia and portal venous gas would be include in differentials however pneumobilia would present with air more centrally while portal venous gas would be more peripherally. Here is an example of pneumobilia. Image courtesy of Robert Jones DO, FACEP @RJonesSonoEM Director, Emergency Ultrasound; MetroHealth Medical Center; Professor, Case Western Reserve Medical School, Cleveland, OH View his original post here