Hoping you can guide me on the technique for finding the common bile duct. I scanned a canine patient yesterday with an extremely ugly right limb if the pancreas – enlarged with irregular and well defined margination and hypoechoic. Adjacent medentery was bright and extensively swollen. The patient is very depressed and has vomiting/regurgitation so I performed the ultrasound in right and left lateral recumbency.

Hoping you can guide me on the technique for finding the common bile duct. I scanned a canine patient yesterday with an extremely ugly right limb if the pancreas – enlarged with irregular and well defined margination and hypoechoic. Adjacent medentery was bright and extensively swollen. The patient is very depressed and has vomiting/regurgitation so I performed the ultrasound in right and left lateral recumbency. The radiologist report concluded severe, possibly necrotizing pancreatitis and recommended repeat/serial ultrasound of the pancreas and extrahepatic biliary tract to further asses for secondary extrahepatic biliary obstruction.

I am hit or miss when scanning for the CBD and with all the inflammation and scanning laterally, not confident I will be able to find it. Hoping you may have words of wisdom!! (I did view your video on you tube again about common bile duct presentation but the images were on felines.) Thank you for any help and guidance!