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Disease Progression Through Imaging RUQ #1

JK Amorosa. Disease Progression Through Imaging RUQ #1. What’s in the RUQ?. Liver GB Bile ducts Pancreas Duodenum R kidney R adrenal. How do you image RUQ?. Books? Google? Resident? ACR AC American College of Radiology Appropriateness Criteria. Diffuse fatty infiltration liver.

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Disease Progression Through Imaging RUQ #1

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  1. JK Amorosa Disease Progression Through Imaging RUQ #1

  2. What’s in the RUQ? • Liver • GB • Bile ducts • Pancreas • Duodenum • R kidney • R adrenal

  3. How do you image RUQ? • Books? • Google? • Resident? • ACR AC American College of Radiology Appropriateness Criteria

  4. Diffuse fatty infiltration liver

  5. CT: Focal enhancing mass, met from pancreatic ca

  6. Liver masses: metsvs abscesses

  7. 55 m liver mets from

  8. Liver abscess

  9. 37 f liver laceration

  10. US shows normal GB, CT shows normal GB and pancreas

  11. US shows GB with a gallstone amorosa

  12. GB with 2 stones

  13. ULTRASOUND Gallbladder longitudinal transverse gallstones

  14. 82 f Porcellain GB

  15. US: thick wall, gallstone

  16. 48 m US: GB very thick wall

  17. GB with very very thick wall, sludge in GB

  18. Acute cholecystitis, thick inflamed wall MR CT

  19. Acute cholecystitis

  20. Pneumobilia

  21. Pneumatosis, portal venous air- bowel ischemia

  22. Normal pancreas

  23. Pancreatitis

  24. Acute Pancreatitis, fluid around pancreas Normal Pancreas

  25. Chronic pancreatitis

  26. R kidney stone

  27. Abd-pelvis • Solid organs: liver, spleen, k-s, pancreas, adrenals • Bowel, mesentery • Retroperitoneum • Bladder • Free air, fluid • ..itis:

  28. Problem- describe clinical presentation

  29. 47 m with 10 CT abd/pelvis for ureteral calculi

  30. Liver Lac

  31. Retroperitoneal bleed

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