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Radiology
Pancreas and Spleen
Built from Fundamentals of Diagnostic Radiology
What’s inside
3 sections · 118 slides
Overview
- Roadmap: two solid organs
Pancreas
Imaging, anatomy, pancreatitis, and solid and cystic tumors
- Imaging techniques for the pancreas
- Normal pancreatic ducts on ERCP and MRCP
- Pancreas location and relations
- Normal pancreas on CT
- Normal pancreatic size and duct
- Splenic artery pitfalls
- Pancreas on MR
- Acute pancreatitis: role of imaging
- Causes of acute pancreatitis
- Acute pancreatitis imaging studies
- Two morphologic types of acute pancreatitis
- Interstitial edematous pancreatitis
- Interstitial edematous pancreatitis on CT
- 75-80%
- Necrotizing pancreatitis on CT
- Acute necrotizing pancreatitis on CT
- Fluid collections in interstitial pancreatitis
- Pancreatic pseudocyst
- Collections in necrotizing pancreatitis
- Infected walled-off necrosis
- Two collection pathways
- Severity of acute pancreatitis
- Complications of acute pancreatitis
- Pancreas divisum
- Pancreas divisum on MRCP
- Chronic pancreatitis
- Chronic pancreatitis imaging findings
- Chronic pancreatitis: beaded duct and atrophy
- Chronic pancreatitis: calcifications
- Inflammatory mass versus cancer
- Autoimmune pancreatitis
- Autoimmune pancreatitis on CT
- Autoimmune pancreatitis findings
- Groove pancreatitis
- Pancreatic adenocarcinoma
- Adenocarcinoma appearance
- Pancreatic carcinoma: resectable and nonresectable
- Resectability of pancreatic adenocarcinoma
- Signs of unresectability
- Staging and recurrence imaging
- Neuroendocrine (islet cell) tumors
- Insulinoma on arterial phase MDCT
- Imaging functioning neuroendocrine tumors
- Nonfunctioning neuroendocrine tumors
- Nonfunctioning malignant neuroendocrine tumor
- Malignant islet cell tumor with liver metastases
- Metastases to the pancreas
- Metastasis to the pancreas from renal cell carcinoma
- Lymphoma of the pancreas
- Fatty lesions of the pancreas
- Diffuse fatty infiltration of the pancreas
- Cystic fibrosis of the pancreas
- Cystic lesions: the diagnostic challenge
- Pancreatitis-associated fluid collections
- Serous cystadenomas
- Serous cystadenoma: microcystic appearance
- Serous cystadenoma: solid appearance
- Cystic mucinous neoplasms
- Fukuoka guidelines
- Worrisome features on imaging
- High-risk stigmata on imaging
- How Fukuoka guides management
- Intraductal papillary mucinous neoplasm (IPMN)
- Three types of IPMN
- Branch-duct IPMN
- Branch-duct IPMN
- Main-duct IPMN
- Main-duct IPMN
- Mucinous cystic neoplasm (MCN)
- Mucinous cystic neoplasm (cystadenocarcinoma)
- Management of mucinous tumors
- Solid pseudopapillary tumor
- Solid pseudopapillary tumor
- Cystic change in solid tumors
- Other cystic findings
Spleen
Anatomy, variants, and solid and cystic lesions
- Imaging the spleen
- Spleen function and position
- Spleen size and blood supply
- Spleen signal and enhancement
- Transient pseudomasses
- Transient pseudomasses in the spleen
- Spleen variants: lobulations, clefts, accessory spleens
- Accessory spleen in the splenic hilum
- Wandering spleen
- Splenosis and splenic regeneration
- Splenic regeneration after splenectomy
- Polysplenia and asplenia
- Splenomegaly
- Splenomegaly
- Causes of splenomegaly
- Lymphoma of the spleen
- Lymphoma of the spleen
- Metastases to the spleen
- Splenic metastases from melanoma
- Splenic infarction
- Splenic infarction
- Gamna-Gandy bodies
- Gamna-Gandy bodies
- Hemangioma of the spleen
- Hemangioma of the spleen
- Angiosarcoma of the spleen
- Angiosarcoma of the spleen
- Posttraumatic cysts
- Posttraumatic splenic cyst
- Epidermoid cysts
- Epidermoid cyst of the spleen
- Pancreatic fluid in the spleen
- Pancreatic pseudocysts near the spleen
- Splenic abscess
- Splenic abscess
- Microabscesses and hydatid cysts
- Causes of multiple small splenic lesions
- Key takeaways
- Suggested readings
- Suggested readings
- Suggested readings
- Brant and Helms' Fundamentals of Diagnostic Radiology