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Microstructure An identical, basic, tubular, cross-sectional structure is present throughout the length of the SI (see Figure 57-1, C): the external serosa surrounds the muscularis, submucosal and mucosal layers which are present throughout, and can be detected ultrasonographically (Figure 57-3 ).4, 5, 6, 7, 8, 9, 10 A very narrow hyperechoic interface between the lumen and mucosal surface is usually visible above the four true layers: (a) a slightly hypoechoic mucosa, (b) hyperechoic submucosa, (c) hypoechoic muscularis, and (d) brightly hyperechoic serosa

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