If you see a lesion in the liver and video clip the liver with the lesion in it,  write which direction you are scanning from and toward. For example, please start at the GB/CBD/Portal Hilus in sagittal position with marker toward the head (subxyphoid) and drop the tail of the probe. In this manner you will image the left liver and mark on the screen “GB to L”. Then start at the Gb again and raise the probe tail to image the right liver and write “GB to R.” Pair these videos with “Left IC” and “Right IC” for left intercostal and right intercostal approaches as well. This minimum series of 4 clips for the liver, when a clinical player or if it has lesions in it, will allow you and the remote interpreter to decide if the lesion is resectable or not and better define where the lesions are located. So basically send 4 video clips of the liver as a minimum when there are lesions there.

Eric Lindquist DMV (Italy) DABVP
Cert./Pres. IVUSS
Director SE NJ Mobile Associates
Founder/CEO: SonoPath.com