Autoimmune (IgG4) Cholangitis

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Autoimmune (IgG4) Cholangitis

 Strictures long and smooth without irregularity and may cause proximal biliary dilatation • MR: MRCP images nicely demonstrate irregularity and strictures of intrahepatic or extrahepatic bile ducts (most commonly affecting distal…

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Nonneoplastic Pancreatic Cysts

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Nonneoplastic Pancreatic Cysts

 Usually unilocular, well-defined cyst with sharp margin and thin imperceptible wall  – Typically no internal complexity, septations, nodularity, or calcifications – Usually no communication with pancreatic duct – Usually single cyst but frequently…

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Mirizzi Syndrome

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Mirizzi Syndrome

 Impression on CHD is often concave to the right  Cholecystocholedochal fistula: Contrast directly passes from biliary tree into GB • MR: Dilated CHD and intrahepatic ducts with stricture at level of stone…

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Biliary IPMN

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

 Massively dilated bile ducts (either diffuse or localized) filled with mucin  Mural nodules best visualized after removal of mucin  Biliary dilation both proximal and distal to mural nodule • CT/MR: Markedly…

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Cystic Fibrosis

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Cystic Fibrosis

 Complete fatty infiltration and replacement of parenchyma (often by end of teenage years)  Pancreatic cysts: Usually small (< 3 mm), but can be larger and can completely replace pancreas (cystosis)…

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Iatrogenic Injury: Feeding Tubes

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Iatrogenic Injury: Feeding Tubes

 Small, soft enteric tubes  Some with flexible metallic tips  Tip of feeding tube should be located beyond stomach (distal duodenum or jejunum) • Nasogastric tubes  Large-bore, moderately stiff  Used for temporary…

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Splenic Cyst

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Splenic Cyst

 Solitary, well-defined, water density, unilocular cystic lesion – Thin wall with sharp interface to normal splenic tissue – No peripheral/intracystic enhancement or solid component  Some cysts can have septations, trabeculations, thick wall,…

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Esophageal Achalasia

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Esophageal Achalasia

 “Bird beak” deformity: Dilated esophagus with smooth, symmetric, tapered narrowing at esophagogastric region  Transient flow of fluid into stomach when hydrostatic pressure of fluid column exceeds tonic LES pressure  Length…

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Small Intestine Transplantation

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Small Intestine Transplantation

 Usually for liver failure due to chronic TPN • Donor bowel has copious lymphoid tissue and bacteria  Higher prevalence of rejection and infectious complications than solid visceral transplants IMAGING • Vascular complications:…

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Mucocele of the Appendix

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Mucocele of the Appendix

 Mucosal hyperplasia (simple mucocele)  Mucinous cystadenoma (most common)  Mucinous cystadenocarcinoma (↑ risk of perforation) • Pseudomyxoma peritonei  Due to rupture of mucocele, usually malignant rather than benign mucocele  Peritoneal cavity filled…

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