Traumatic Diaphragmatic Rupture

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Traumatic Diaphragmatic Rupture

 Discontinuity of hemidiaphragm with focal defect (segmental diaphragmatic defect)  Dangling diaphragm sign: Free edge of torn diaphragm curls inward on axial images rather than continuing its normal course parallel to chest…

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Xanthogranulomatous Cholecystitis

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Xanthogranulomatous Cholecystitis

 XGC cannot be confidently distinguished from gallbladder carcinoma radiologically • CT: GB wall may be focally or diffusely thickened   Low-attenuation intramural nodules and bands (corresponding to foamy cell infiltrate and abscesses)…

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Duodenal Polyps

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Duodenal Polyps

 Single, lobulated or cauliflower-like surface • Hyperplastic polyps  Multiple, small, sessile polyps of uniform size • Hamartomas: Cluster of broad-based polyps  Can occur as part of Peutz-Jeghers syndrome  More common are hamartomas…

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Sclerosing Mesenteritis

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Sclerosing Mesenteritis

 Misty mesentery: Increased attenuation of mesentery with fat stranding and induration  Thin (usually < 3 mm) pseudocapsule encasing inflamed mesentery (tumoral pseudocapsule sign)  Cluster of mildly enlarged mesenteric nodes  Usually located…

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Biliary Hamartoma

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Biliary Hamartoma

 a.k.a. von Meyenburg complex  Asymptomatic and of no clinical concern IMAGING • Multiple, near water density/intensity liver lesions < 15 mm in diameter  Varied enhancement based on cystic and solid components…

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Villous Adenoma

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Villous Adenoma

 Accounts for 5-15% of colonic adenomas IMAGING • Polypoid lesion with nodular or frond-like surface on BE or CT colonography • Location: Rectosigmoid > cecum > ascending colon > stomach > duodenum…

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Imaging Approach to the Pancreas

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Imaging Approach to the Pancreas

(Left) Graphic shows the ventral pancreatic anlagen developing as an outpouching of the hepatic-biliary diverticulum. As the stomach and duodenum elongate, the ventral pancreas and bile ducts rotate clockwise and…

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Biloma

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Biloma

 Usually simple in appearance, but may rarely have internal debris, blood products, etc.  No identifiable capsule/peripheral enhancement • MR: Usually well-defined fluid collection, which is T2WI hyperintense and T1WI hypointense  Hepatobiliary…

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