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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Colonic Diverticulosis

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Colonic Diverticulosis

 CT shows diverticula as outpouchings from colonic wall, filled with gas or feces  Circular muscle hypertrophy (myochosis coli) causes irregularly spaced indentations and narrowing of lumen of colon TOP DIFFERENTIAL…

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Post-Transplant Lymphoproliferative Disorder

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Post-Transplant Lymphoproliferative Disorder

 Site of presentation may depend partially on transplanted organ  Extranodal (80%) > nodal involvement (20%) • Imaging findings of post-transplant lymphoproliferative disorder parallel those of non-Hodgkin lymphoma (NHL) in immunocompetent patients…

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Pancreatobiliary Parasites

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Pancreatobiliary Parasites

 CT: Linear high-density foci within dilated biliary tree  US: Tubular echogenic structure, 3-6 mm in diameter, with central anechoic area (digestive tract of worm) • Clonorchiasis: Flukes typically involve peripheral intrahepatic ducts,…

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Pancreatic Metastases and Lymphoma

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Pancreatic Metastases and Lymphoma

 Can be solitary (73%),  multiple (10%), or diffusely infiltrative (15%)  Enhancement pattern mimics primary tumor – Hypervascular: Most commonly renal cell cancer (RCC) – Hypovascular: Lung, breast, colon, melanoma  Concomitant intraabdominal metastases…

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