JK Amorosa. What’s in the RUQ?  Liver  GB...

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Transcript of JK Amorosa. What’s in the RUQ?  Liver  GB...

  • JK Amorosa

  • Whats in the RUQ?LiverGBBile ductsPancreasDuodenumR kidneyR adrenal

  • How do you image RUQ?

    Books?Google?Resident? ACR AC American College of Radiology Appropriateness Criteria

  • Diffuse fatty infiltration liver

  • CT: Focal enhancing mass, met from pancreatic ca

  • Liver masses: mets vs abscesses

  • 55 m liver mets from

  • Liver abscess

  • 37 f liver laceration

  • US shows normal GB, CT shows normal GB and pancreas

  • amorosaUS shows GB with a gallstone

  • GB with 2 stones

  • ULTRASOUND Gallbladdertransverselongitudinalgallstones

  • 82 f Porcellain GB

  • US: thick wall, gallstone

  • 48 m US: GB very thick wall

  • GB with very very thick wall, sludge in GB

  • Acute cholecystitis, thick inflamed wallCTMR

  • Acute cholecystitis

  • Pneumobilia

  • Pneumatosis, portal venous air- bowel ischemia

  • Normal pancreas

  • Pancreatitis

  • Acute Pancreatitis, fluid around pancreasNormal Pancreas

  • Chronic pancreatitis

  • R kidney stone

  • Abd-pelvisSolid organs: liver, spleen, k-s, pancreas, adrenalsBowel, mesenteryRetroperitoneumBladderFree air, fluid..itis:

  • Problem- describe clinical presentation

  • 47 m with 10 CT abd/pelvis for ureteral calculi

  • Liver Lac

  • Retroperitoneal bleed

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