LIVER PATH 1,2,3 PICTURES Flashcards
I highly recommend using the ipad to study pictures, or else you can't see anything!
Identify the pathology:
Extrahepatic biliary obstruction
Arrow shows a bile duct plug
Identify the pathology:
Centrilobular hemorrhagic necrosis (nutmeg liver)
ID the pathology:
hepatic infarct
Radiation or hepatotoxins can cause this pathology:
Sinusoidal obstruction syndrome
Parasite causing this pathology?
Echinococcal cyst
Brown pigment these arrows point indicates what exactly?
Cholestasis
Picture shows Acute Viral Hepatitis. Arrow points to what?
Councilman body
(hepatocyte undergoing apoptosis)
Ground glass. Diagnosis?
Chronic HBV hepatitis
ID the path:
Cirrhosis (trimchrome stain)
What is the path here? Where region of liver does it originiate in?
Macrovesicular steatosis (initially begins in the centrilobular region)
What particular problem do we see with these vertical arrows?
Ballooning degeneration (as part of steatohepatitis)
What is the arrowhead pointing to?
The arrow?
Overarchign pathology?
Arrowhead = Neutrophilic inflammation
Arrow = Mallory Body
Path = Steatosis caused by alcoholic liver disease
ID the pathology:
Lymphocytic/granulomatous cholangitis in PBC!
Dx from this cholangiogram?
PSC
Primary sclerosing cholangitis
ID this path specimen:
fibrosing cholangitis
Patient’s hemoglobin is abnormal…. then you see this on liver biopsy
hemochromatosis
See this on physical exam. What labs will confirm suspicions?
To confirm Wilson’s:
Low ceruloplasmin levels
24 hr urinary copeer excretion increased
overall serum copper is low
Cause of this pathological abnormality?
Cytoplasmic globular inclusions
Alpha-1-antitrypsin deficiency!
Dx?
Sarcoidosis
Diagnosis via this contrast CT?
Hemangioma
Dx or this gross specimen?
Focal Nodular Hyperplasia
Dx of this gross gallbladder specimen?
Phrygian cap of gallbladder
Dx from this specimen stained with reticulin?
Nodular Regenerative hyperplasia
Associated with conditions affecting intrahepatic blood flow
EX: Solid-organ transplatns, bone marrow transplants, and vasculitis
Neoplasm dx?
Hepatocellular adenoma
(see confluence of hepatocytes)
Dx of gross specimen?
Bile duct hamartoma
(mimics metastatic carcinoma)
Gross dx?
Biliary mucinous cystadenoma
Dx?
HCC
Hepatocellular carcinoma
Name this variant of HCC:
Fibrolamellar variant of HCC
This patient presented with gallstones seen on US.
Dx?
Chronic Cholescystitis
(see the lymphocytic inflammation?)
This patient also presented with gallstones on US. Dx?
Acute Cholecystitis
(see neutrophilic inflammation?)
Dx for this condition?
cholesterolosis
Dx?
Extrahepatic cholangiocarcinoma of the common bile duct
