File:Acute pancreatitis - Balthazar E - post ERCP (Radiopaedia 27562-27778 Axial VIBE C+ 25).png

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Acute_pancreatitis_-_Balthazar_E_-_post_ERCP_(Radiopaedia_27562-27778_Axial_VIBE_C+_25).png ‎(751 × 555 pixels, file size: 289 KB, MIME type: image/png)

Summary:

Description
  • Radiopaedia case ID: 27562
  • Image ID: 5853983
  • Image stack position: 25/72
  • Plane projection: Axial
  • Aux modality: VIBE C+
  • Study findings: Liver of size, morphology and signal are normal. In the posterior segment (VII) hemangioma 2.5 cm is observed. No aggressive focal lesions observed in the thickness of the parenchyma. Main portal vein and its intrahepatic branches, splenic-mesenteric venous system and hepatic veins permeable.  Postsurgical changes cholecystectomy. Cystic duct remnant normal signal.  Mild dilatation of the intrahepatic central bile duct.  The extrahepatic biliar duct reaches 7 mm at the common hepatic duct.  At the level of the distal common bile intrapancreatic hypointense filling defect is observed, lying dependently, consistent with an gallstone estimate of 7 mm. Papillary segment free at the time of examination.
  • Modality: MRI
  • System: Hepatobiliary
  • Findings: Liver with  normal  echostructure and morphology. In the posterior segment of the right hepatic lobe of a homogeneous hyperechogenic 2.9 x 2.5 cm focal lesion is seen, without demonstrable vascular flow with doppler study. Gallbladder not displayed (surgical history).Intrahepatic Biliary tract caliber preserved. The extrahepatic biliar duct reaches 8 mm at the common hepatic duct, common to observe in cholecystectomy patients finding. Obstructive cause is not observed in this study.Spleen and pancreas normal. Both kidneys are of normal size and morphology. Exhibit adequate cortical thickness and good differentiation between parenchyma and renal sinus. No pielocaliciaria dilation or suggestive images of calculations. Visible path of the abdominal aorta preserved caliber.No intraabdominal free fluid is identified.
Date Published: 13th Feb 2014
Source https://radiopaedia.org/cases/acute-pancreatitis-balthazar-e-post-ercp
Author David Cuete
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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