August 26, 2015 - Radiology II

Question 1

Liver Metastasis CT Scan

Answer 1

Notice the thin white borders around the growths. This is due to IV labelling and shows the increased blood supply to the tumor.

Question 2

Liver Cysts

Answer 2

These are rounded but with a density that is similar to water, as seen by looking at the stomach.

Question 3

Signs of Acute Cholecystitis

Answer 3

1. Gallstones
2. Thickened wall ( >3mm)
3. Pericholecystic fluid
4. Positive sonographic Murphy’s sign (pain on palpation)

Question 4

Unknown Case

Answer 4

Acute Cholecystitis

Note the gallstone*, the thickened wall, and the fluid buildup.

Question 5

Choledocholithiasis

Answer 5

A gallstone that is stuck in the common bile duct.

Question 6

Chronic Pancreatitis X-Ray

Answer 6

Often can see calcifications.

Question 7

Chronic Pancreatitis CT

Answer 7

Often enlarged. May be fluid accumulating as well.

Question 8

Hiatus Hernia X-Ray

Answer 8

Where the stomach herniates upwards into the esophagus.

Question 9

Abnormal Stomach X-Ray

Answer 9

May be cancerous. Note the extremely rough, thick, uneven edges of the stomach.

Question 10

Umbilical Hernia

Answer 10

Notice the bowels return to a small, normal size after it passes the hernia. A small bowel obstruction is caused primarily by surgery, pr by a hernia.

Question 11

Inflammatory Bowel Disease X-Ray

Answer 11

Note the very thick wall of the intestine.

Question 12

Crohn’s Disease X-Ray

Answer 12

Note how small the terminal ileum is.

Question 13

Appendicitis X-Ray

Answer 13

Note the changes in fat composition, as well as the fluid around the edges.

Question 14

Diverticula X-Ray

Answer 14

The little blobs along the colon.

Question 15

Diverticulitis X-Ray

Answer 15

You can see the diverticula, however there is fluid and swollen components around them. Note the fluid leakage as well as the swollen wall.