Imaging in Gastroenterology

Hepatocellular Carcinoma

KEY FACTS Imaging Patients with chronic liver disease must be in surveillance program Small, curable hepatocellular carcinomas (HCCs) can be diagnosed by CT & MR Criteria for HCC are often specific enough to guide therapy without tissue confirmation Multiphasic contrast-enhanced…

Hepatic Angiomyolipoma and Lipoma

KEY FACTS Terminology Benign mesenchymal tumor containing variable amounts of smooth muscle (myoid), fat (lipoid), and proliferating blood vessel (angioid) components You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If…

Biliary Hamartomas

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Hepatic Adenoma

KEY FACTS Imaging Key features (not always present): Hypervascular, fat-containing, hemorrhagic, encapsulated MR shows some elements better than CT (lipid & hemorrhage) T1WI: Mass: Heterogeneous signal intensity – Increased signal intensity (due to fat or recent hemorrhage) – Decreased signal…

Hepatic Cyst

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Hepatic Transplantation

KEY FACTS Terminology Orthotopic liver transplantation (OLT) Imaging Allograft rejection No reliable imaging findings to suggest or confirm diagnosis Biliary leak From entry of T tube: Easily treated From biliary anastomosis: Requires revision From intrahepatic ducts: Biliary necrosis; catastrophic Biliary…