Liver | The Common Vein

The Liver

Ashley Davidoff MD

All Needed For the Dance
Ashley Davidoff

From the Atom to the Solar System
The collage takes us from the proton (top left) through to element and molecule and finally to strands of DNA in the first row. The second row starts with a group of cells advances to the tissues, to the organ which in this case is the liver.
The third row represents units2unity from the organ (liver with its connections (arteries and veins to body systems and the body.
The fourth row advances from the body to the person, couple family home community.
The last row is the village advancing to the city, state, country, earth and solar system.
Note the similarity between the proton and the earth, and between the atom and the solar system.
body systems – through 13440c11.8 units to unity atom element molecule chromosome DNA cell tissue organ liver system body person couple family community town village city state country world solar system universe Ashley Davidoff MD TheCommonVein.net

Liver Cells to Organ
by Ashley Davidoff MD
TheCommonVein.net

Parts of the Liver in a Sphere
by Ashley Davidoff MD TheCommonVein.net

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Life Depends on the Liver
Note this title has 2 meanings
This has and will always be true – from the dawn of man through ancient times when the liver was used by the Etruscans as a divine agent to predict the future – (hepatomancy – middle image) – to modern times of liver transplantation
Ashley Davidoff MD TheCommonVein.net Art of Radiology

Hepatomancy

Sacrificed sheep’s liver was used by Etruscan priests to predict the future
The center image include a clay model used to train the Etruscan priests and the second image explains the segments

The liver was divided into 40 segments with 24 gods named in the inscriptions. Piacenza, 120-80 BCE.

The Liver Factory
44426b01 liver hepatic clockwork purple anatomy Courtesy Ashley Davidoff Davidoff art

Liver cells on the moon
This artistic rendition of a group of histological group of liver cells that have been transformed into a ball with a crater like appearance of a colorful moon.
13440c06i01 Ashley Davidoff MD TheCommonVein.net

Tissue Aligns and Combines – Shapes – New Unit – Lobule
The sinusoids and hepatic cords combine to form a liver lobule which is a functional and structural unit of the liver. At the center of the lobule is the central vein from which emanate many cords of liver tissue. At the periphery of the lobule there are 4-5 groups of portal triads consisting of distal branches of the portal vein (dark blue), hepatic artery (red) and biliary radicle (green). They create the border of the lobule.
(Image courtesy of Ashley Davidoff MD TheCommonVein.net 13009 W

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Abstract of the Liver lobule
by Ashley by Ashley Davidoff MD TheCommonVein.net

Hepatic Veins Draining Multiple Lobules
by Ashley Davidoff MD
TheCommonVein.net

Hepatic Vein Draining a Lobule
by Ashley Davidoff MD
TheCommonVein.net

Liver Cells to Tissues to Segments to Organ
by Ashley Davidoff MD TheCommonVein.net

Segments of the Liver
by Ashley Davidoff MD TheCommonVein.net

Undersurface of the Liver
82220b01.2k05.81s liver gallbladder porta hepatis hepatic artery portal vein IVC inferior vena cava falciform ligament ligamentum teres bare area of the liver left lobe segment IV segment I caudate lobe quadrate lobe gastrohepatic ligament right lobe hepatic Ashley Davidoff MD TheCommonVein.net

Liver with Jello Consistency
24719c liver gallbladder + fx normal + anatomy + drawing Ashley Davidoff MD TheCommonVein.net

Liver and Connections
42645.8 liver histology gallbladder bile duct normal anatomy histology Ashley Davidoff MD TheCommonVein.net

Mardi Gras Liver in Green
Mardi Gras Liver and Connections
The artistic rendition in party colors shows a background of liver lobules with the connecting structures, including the hepatic veins (orange) biliary system (purple) hepatic artery (blue) and the portal vein (green)
Ashley Davidoff MD TheCommonvein.net
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The Portal Vein and the Splenic vein
by Ashley Davidoff MD TheCommonVein.net

Portal Tree
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Portal Tree
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Biliary Tree
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Endoderm of the Foregut
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b01.8s Ashley Davidoff MD TheCommonVein.net

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Single Kidney Tree
An MRA of the abdomen with a single kidney is rendered to create a tree like structure containing the kidney, liver. spleen and abdominal aorta.
The original image is on the left and the rendereed image on the right.
Ashley Davidoff MD TheCommonVein.net
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Seasons of the Biliary Tree
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Ashley Davidoff MD TheCommonVein.net

Night in the Biliary Tree – The Work Goes On
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Small Bowel Tree
Ashley Davidoff MD TheCommonVein.net 46778b06.8

Derivation of Small Bowel Tree
a) Coronal View of the Abdomen on CT
b) Image Turned Upside Down
c) and d) progressive Enhancement of the Small Bowel Tree with its Mesentery
Ashley Davidoff MD TheCommonVein.net

Tubes in the Body
Ashley Davidoff MD
TheCommonVein.net

The Celiac Axis and the Foregut
The artistic rendering shows the celiac axis (red) giving rise to the splenic artery and the hepatic artery.
The portal vein (blue) is derived from the splenic vein and superior mesenteric vein, and drains into the liver.
The biliary system (green) consists of the intrahepatic ducts, that drain into the common hepatic duct that lies in the porta hepatis. Once the CHD receives the cystic duct from the gallbladder it becomes the common bile duct.
Ashley Davidoff MD TheCommonVein.net
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Hepatic Artery
Angiogram of the celiac axis is overlaid in red with hepatic branch going to the liver and the splenic artery directed to the spleen
Ashley Davidoff MD Copyright 2018
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Playboy Bunny in the Liver
Derived from an ultrasound of the liver
Ashley Davidoff MD copyright 2018
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Rudol[h the Reindeer in the Liver
Seasonal Ultrasound
Derived from an ultrasound of the liver
Its That Time of the Year
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The Shark Gobbling up the Fish
by Ashley Davidoff MD TheCommonVein.net

Anemones in the Sea
Top image
75 year old male with end stage liver disease presents for a therapeutic paracentesis
Lower image
Ascites and Floating Small Bowel
Derived from an ultrasound of the abdomen
Ashley Davidoff MD copyright 2018
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Conversation Liver Fish and Spleen Mollusc in thew Ocean Bed
Derived from an axial CT scan of the abdomen
Ashley Davidoff MD copyright 2018
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Bird in the Liver
Branch of the intrahepatic portal vein has a shape reminiscent of a bird
Derived from an ultrasound of the liver
Ashley Davidoff MD copyright 2018
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Normal (above) and Cirrhotic Liver (below)
Ashley Davidoff MD Copyright 2018
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Bunny Ears in the Liver
Ultrasound of the hepatic veins of the liver
Ashley Davidoff MD Copyright 2018
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The Woodpecker in the Caudate lobe
The normal caudate lobe of the liver in cross section has a wooodpecker like appearance with a biconcave shape to the beak. In disease this shape may change.
Derived from a transverse view of an abdominal CT scan
Ashley Davidoff MD Copyright 2018
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Shark Treat in the Porta
The cirrhotic liver has a small right lobe and a large left lobe as a compensation for reduced size and function of the right lobe. This gives the left lobe a snout like shape in contrast to the small triangular right lobe. This liver thus takes on a shark head like appearance and the structures (arteries vein nerves and ligaments entering the porta of the liver look like shark feed.
Derived from a transverse view of an abdominal CT scan
Ashley Davidoff MD Copyright 2018
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The Liver Mushroom
by Ashley by Ashley Davidoff MD TheCommonVein.net

MRI of the Abdomen
by Ashley by Ashley Davidoff MD TheCommonVein.net

CT of the Abdomen
by Ashley Davidoff MD TheCommonVein.net

Drink Alcohol in Moderation
by Ashley Davidoff MD
TheCommonVein.net

Normal and Cirrhosis
by Ashley Davidoff MD
TheCommonVein.net

Cirrhosis and Ascites
by Ashley Davidoff MD TheCommonVein.net

Alcohol
by Ashley Davidoff MD TheCommonVein.net

Kick the Habit or Kick the Bucket
by Ashley Davidoff MD
TheCommonVein.net

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Normal and Hepatocellular Carcinoma
by Ashley Davidoff MD TheCommonVein.net

TCV