Ultrasonography is a valuable diagnostic tool for examination of the a
bdomen. Normal lymph nodes are often indistinct during routine abdomin
al ultrasonographic examination. Lymph nodes altered by infiltrative o
r inflammatory processes may become sonographically visible due to enl
argement and/or altered echogenicity. A working knowledge of the anato
mic distribution of lymph nodes and the scheme of lymphatic drainage i
s important for increasing the sensitivity and specificity of abdomina
l lymph node assessment during ultrasonographic examination.