By Mukesh G. Harisinghani, Peter R. Mueller
Teaching Atlas of stomach Imaging is a case-based reference protecting the whole spectrum of universal and unusual difficulties of the gastrointestinal and genitourinary tract encountered in daily perform. The booklet organizes circumstances into sections according to the anatomic position of the matter. every one bankruptcy offers succinct descriptions of scientific presentation, radiologic findings, prognosis, and differential prognosis for the case. The bankruptcy then discusses the historical past for every prognosis, scientific findings, universal issues, etiology, imaging findings, therapy, and prognosis.
- Succinct textual content and constant presentation in each one
bankruptcy increase the convenience of use
- Practical dialogue of all present imaging
- Nearly 550 high quality pictures display key
- Bulleted lists of pearls and pitfalls on the finish of
each one bankruptcy spotlight details
- An appendix with 64-slice protocols for numerous CT
scans, resembling dual-phase liver and pancreatic scans
Ideal for either
self-assessment and fast evaluate, this publication is a precious source for
radiologists, gastrointestinal and genitourinary radiologists, and fellows and citizens in those specialties.
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Additional resources for Teaching atlas of abdominal imaging
Diagnosis Calciﬁed hepatic metastases in a patient with breast cancer Differential Diagnosis • • • • • • • Hepatocellular carcinoma or adenoma Granulomatous disease Echinococcal cysts Multiple calciﬁed hemangiomas Treated lymphoma Treated metastases Peliosis hepatis 35 36 TEACHING ATLAS OF ABDOMINAL IMAGING Discussion Background The liver is a common site of metastatic disease. Calciﬁed metastases can occur from many primary sites, but they are particularly common with mucinous adenocarcinoma of the colon, adenocarcinoma of the stomach, adenocarcinoma of the breast, and neuroendocrine tumors of the pancreas.
Radiologic Findings An axial contrast-enhanced computed tomography (CT) image (Fig. 1) shows within the right lobe of the liver a large, hypodense markedly lobulated lesion with a mildly enhancing peripheral wall; the surrounding liver parenchyma appears slightly hypodense probably due to the presence of edema. There is no vessel displacement or biliary tree dilatation. Diagnosis Hepatic lymphoma Differential Diagnosis • • • Metastases (hypovascular) Hepatocellular carcinoma Liver abscess (pyogenic, parasitic, or fungal infection) Discussion Background Secondary hepatic involvement is often described in patients affected by non-Hodgkin and Hodgkin lymphoma, whereas a primary liver lymphoma is a very rare malignancy that has been increasingly reported in patients with chronic hepatitis C virus (HCV) infection.
Larger abscesses may be hypoechoic or hyperechoic, or they may appear as large areas of markedly heterogeneous liver echotexture. Gas-containing foci within the abscess may appear hyperechoic and produce dirty shadows. On CT, the abscess is typically hypodense with respect to the background liver and may have a thick rim of ﬁbrous tissue that demonstrates various degrees of enhancement. At magnetic resonance imaging (MRI), pyogenic abscesses have variable signal intensity on T1- and T2-weighted images.
Teaching atlas of abdominal imaging by Mukesh G. Harisinghani, Peter R. Mueller
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