Normal Organ Sizes in Abdominal Ultrasound: A Summary Table for Physicians — МЕДТРЕЙН Asia
General ultrasound diagnostics

Normal Organ Sizes in Abdominal Ultrasound: A Summary Table for Physicians

Briefly. The provided source fragments do not contain specific numerical standards for the sizes of the liver, gallbladder, pancreas, spleen, and kidneys. Only methodological provisions from relevant guidelines (ACR/AIUM/SPR/SRU, WFUMB, EFSUMB) and indications of factors affecting organ sizes are available. Specific threshold values require clarification from primary normative tables. [clarify]

Important Methodological Note

The provided source fragments do not contain specific numerical norms for the sizes of abdominal organs (liver, gallbladder, pancreas, spleen, kidneys). Due to the requirements for the reliability of medical information, a summary numerical table based on fragments cannot be constructed without introducing unverified data. The values below are marked as requiring clarification. [clarify]

What is Available in the Source Fragments

The fragments only provide fundamental provisions of relevant guidelines, without specific threshold values:

OrganData from FragmentsSource
LiverAssessed for hepatomegaly, steatosis, cysts; in 2D-SWE ROI ≥10 mm, measurement 15–20 mm below the liver capsule, optimal ARFI push-pulse distance 4–4.5 cm from the probeWFUMB 2024; EFSUMB Core Curriculum
GallbladderAssessed for stones, cholecystitis, stagnant gallbladder, wall polyp, intrahepatic duct dilationEFSUMB Core Curriculum (Andersen et al.)
PancreasListed as an optional organ for description during liver ultrasound surveillanceLI-RADS US Surveillance v2024; ACR-AIUM-SPR-SRU 2023
SpleenSize significantly depends on height and gender; normal values established in a cohort of healthy individuals; assessed for splenomegalyACR-AIUM-SPR-SRU 2023 (Chow et al., Radiology 2016)
KidneysDescribed normal anatomy, variants, and congenital anomalies, Doppler ultrasoundEFSUMB Course Book 2024 (Ultrasound of the renal vessels)

Factors Affecting Sizes (from Fragments)

According to data provided in ACR-AIUM-SPR-SRU (2023), spleen size significantly depends on body height and gender, which must be considered during interpretation; normal values were established in a cohort of 1200 healthy individuals (Chow et al., Radiology 2016). For pediatric practice, spleen length is noted to depend on age, gender, and somatometric parameters (Megremis et al., Radiology 2004). [clarify specific values]

Recommendation for Physicians

To form a correct summary table of norms, it is necessary to refer to the primary normative tables of the relevant guidelines (ACR/AIUM/SPR/SRU for abdominal ultrasound, WFUMB for the liver, EFSUMB for renal vessels) with specific threshold values, which are not presented in the provided fragments.

Frequently asked questions

Are there specific liver size norms in the sources?

No. The fragments only contain methodology (ROI ≥10 mm in 2D-SWE, measurement 15–20 mm below the capsule) without numerical liver size norms. [clarify]

What does the normal spleen size depend on according to the sources?

According to ACR-AIUM-SPR-SRU (2023, Chow et al.), spleen size significantly depends on body height and gender; norms were established in a cohort of 1200 healthy individuals. Specific values are not provided in the fragments.

What gallbladder parameters are assessed according to EFSUMB?

According to the EFSUMB Core Curriculum, stones, cholecystitis, stagnant gallbladder, wall polyp, and intrahepatic duct dilation are assessed. Numerical norms for wall thickness or sizes are not specified. [clarify]

Are kidney size norms provided?

No. The EFSUMB source (Ultrasound of the renal vessels, 2024) describes normal anatomy, variants, congenital anomalies, and Doppler ultrasound, but without numerical size norms. [clarify]

The material is intended for specialists and does not replace clinical judgment. Threshold values are periodically reviewed — refer to the current edition of the applicable consensus.
Sources: ACR-AIUM-SPR-SRU Practice Parameter for the Performance of an Ultrasound Examination of the Abdomen and/or Retroperitoneum (2023); WFUMB Guidelines on Liver Multiparametric Ultrasound Part 1–2 (Ferraioli et al., 2024); EFSUMB Core Curriculum / Position Paper (Andersen et al., 2026); Ultrasound of the renal vessels, EFSUMB Course Book 2nd Ed. (Brkljačić et al., 2024); LI-RADS US Surveillance v2024 Core (ACR, 2024); Textbook of Diagnostic Sonography, 9th Ed. (Hagen-Ansert, 2023).
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