Lecture 25: Radiology and Ultrasound of Pancreas and Adrenal Gland

Question 1

what is the best modality to evaluate pancreas

Answer 1

ultrasound

Question 2

T or f: can see normal pancreas on rads

Answer 2

false

Question 3

abnormal pancreas displaces duodenum __

Answer 3

peripherally

Question 4

The portal vein crosses _- to the body of the pancreas

Answer 4

dorsal

Question 5

where does the left limb of the pancreas sit

Answer 5

Triangle between spleen, stomach and colon

Question 6

what are some indications for pancreatic ultrasound

Answer 6

1. Suspect pancreatitis
2. Undiagnosed or non-responsive vomiting
   3, mass detect in region
3. Suspect biliary obstruction
4. Abdominal pain

Question 7

t or f: difficult to ultrasound normal pancreas

Answer 7

true

Question 8

t or f: pancreatic ultrasound lack specificity: inflammatory vs neoplasia

Answer 8

true

Question 9

identify 1-5 and what wrong and how do you know

Answer 9

1. Liver
2. Stomach
3. Spleen
4. Pancreas
5. Colon

Problem with pancreas because only thing between stomach and colon and pushes colon dorsally

Question 10

ultrasound of pancreas- what circled

Answer 10

Pancreatic duct

Question 11

how does pancreatitis look on ultrasound

Answer 11

hypoechoic mass dorsomedial to duodenum, caudal to stomach

Question 12

What wrong and how do you know

Answer 12

pancreatitis- C- shaped duodenum pushed to periphery

Question 13

ultrasound of pancreas what wrong

Answer 13

pancreatitis

Question 14

which is more likely to have more fluid- pancreatitis or pancreatic neoplasia on ultrasound

Answer 14

neoplasia

Question 15

what are some complications of pancreatitis

Answer 15

1. Pseudo cyst
2. Abscessation
3. Bile duct obstruction

Question 16

Patient dx with pancreatitis what is indicated by 1

Answer 16

pseudocyst

Question 17

what are some examples of neoplasias of pancreas

Answer 17

1. Adenocarcinoma
2. Insulinoma

Question 18

what do you see with adenocarcinoma of pancreas on ultrasound

Answer 18

1. Carcinomatosis
2. Hepatic metastasis
3. Fluid

Question 19

what do you see on ultrasound of insulinoma and what is classic BW finding

Answer 19

hypoechoic mass
Hypoglycemia

Question 20

Ultrasound of pancreas what wrong

Answer 20

metastatic carcinoma- very nodular mesentery

Also fluid

Question 21

patient presents with extreme hypoglycemia- take ultrasound of pancreas and see this what likely dx

Answer 21

Insulinoma

Question 22

what are the landmarks for left adrenal gland

Answer 22

1. Caudal to adrenal gland- left renal artery
2. Cranial to adrenal gland- cranial mesenteric artery

Question 23

what are some landmarks for right adrenal gland

Answer 23

between caudal vena cava and aorta

Question 24

the left adrenal gland is bilobed in __

Answer 24

Small dogs

Question 25

the left adrenal gland is __in larger dogs

Answer 25

elongated ellipse

Question 26

what is the normal width of dog left adrenal gland

Answer 26

0.75cm/7.5mm or less

Question 27

what is shape of cat adrenal gland

Answer 27

oval

Question 28

what is normal width of cat adrenal gland

Answer 28

0.4cm/4.0mm

Question 29

what circled

Answer 29

adrenal gland

Question 30

what are some adrenal gland, liver, and biliary abnormalities seen with pituitary dependent hyperadrenocorticism/ cushings

Answer 30

1. Normal 2. Bilateral adrenomegaly 3. Hepatomegaly 4. Biliary debris

Question 31

what neoplasia are associated with adrenal gland

Answer 31

1. Adenoma, adenocarcinoma (mineralizes) 2. Pheochromocytoma

Question 32

patient presents with alopecia, pendulous belly- do ultrasound of adrenal gland and see this- based on size what is likely dx

Answer 32

Pituitary dependent hyperadrenocorticism

Question 33

what wrong

Answer 33

adrenal gland tumor

Question 34

Patient presented with tachycardia, tachypnea ultrasound adrenal gland and see mass invading caudal vena cava. What likely dx

Answer 34

Pheochromocytoma