By Rita Joarder
Case stories in belly and Pelvic Imaging offers a hundred case stories, masking either universal every-day stipulations of the stomach and pelvis, in addition to much less universal situations that junior medical professionals and radiologists in education may be conscious of. Compiled by means of specialists within the box, Case experiences in stomach and Pelvic Imaging makes use of the main up to date and top of the range pictures, together with simple movies, CT scans, MRI scans and the occasional nuclear medication photo the place suitable. every one case is gifted in a pedagogical kind, with 1-4 photographs and accompanying questions, via solutions and additional correct images.This is then augmented by means of a proof of the imaging and key educating issues with references for extra examining, making this booklet a beneficial studying consultant in an obtainable form.
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Extra resources for Case Studies in Abdominal and Pelvic Imaging
No enhancement in the hepatobiliary phase (arrow Image 14). Image 10 Image 8 Image 11 Image 9 Image 12 46 Image 13 Case Studies in Abdominal and Pelvic Imaging Patients at risk of hepatocellular carcinoma are usually monitored with 6-monthly liver US and alpha fetoprotein (AFP). In this case a solid focal mass lesion was seen on ultrasound. The AFP was normal (it may be in up to 40% of HCCs). MRI was performed for further assessment and this demonstrated the typical signal and enhancement characteristics of HCC.
What does the control film show? 2. What are the possible background diagnoses? 3. What is the cause of the patient’s pain? Image 1 R. 1007/978-0-85729-366-4_8, © Springer-Verlag London Limited 2011 25 26 Case Studies in Abdominal and Pelvic Imaging Image 3 Image 2 Case 8 27 Answers 1. Bilateral medullary nephrocalcinosis and three renal calculi within the right pelvicalyceal system (Image 4). 2. There are many causes which include: hyperparathyroidism, renal tubular acidosis, medullary sponge kidney, renal papillary necrosis, any cause of hypercalcaemia or hypercalciuria, and primary hyperoxaluria (rare).
Key Points ›› Both US and CT can be used in the diagnosis of appendicitis. increasing age there is an increased incidence of neoplasia. ›› With Further Reading Image 3 van Randen A, Lameris W, van Es H et al (2010) Profiles of US and CT imaging features with a high probability of appendicitis. Eur Radiol 20 (7) :1657-66 Case 13 A 67-year-old male with known cirrhosis secondary to alcohol abuse (who had been abstinent for 8 years) underwent annual liver US and AFP measurement. After the US was reported as abnormal (Image 1) a contrast enhanced MRI of the liver was performed using Gadolinium BOPTA (Image 2, T1 axial; Image 3, T2 axial; Image 4, arterial phase; Image 5, portal venous phase; Image 6, equilibrium phase of dynamic contrast enhancement; and Image 7, delayed hepatobiliary phase of contrast enhancement) Questions 1.