Изображения. Брюшная полость. Пищеварительная система 2. Патология из коллекции Gillian Lieberman. +

Gillian Lieberman

Autosomal Dominant Polycystic Kidney Disease (ADPKD) on CT ScansAutosomal Dominant Polycystic Kidney Disease (ADPKD) on CT Scans

Findings: This patient presents with marked enlarged kidneys bilaterally with multiple well-defined round macrocysts. ...

Diverticulitis of the Sigmoid Colon on CT ScanDiverticulitis of the Sigmoid Colon on CT Scan

Findings: There are diverticula and thickening of the walls of the sigmoid colon compatible with uncomplicated...


 

Gastric Band on BaSwGastric Band on BaSw

Findings: There is a radio-opaque gastric band. The esophagus demonstrates tertiary peristalsis.   Discussion: In...

 

Diverticulitis of the Sigmoid Colon with Colovesical Fistula on CT ScansDiverticulitis of the Sigmoid Colon with Colovesical Fistula on CT Scans

Findings: The sigmoid shows diverticula and is attached to the dome of the bladder. A fistulous tract is seen filled with...

Autosomal Dominant Polycystic Kidney Disease (ADPKD) on MRI ScanAutosomal Dominant Polycystic Kidney Disease (ADPKD) on MRI Scan

Findings: The MRI scans demonstrate hepatic cysts and enlarged kidneys with multiple renal cysts.   Discussion:...

Esophageal Adenocarcinoma on BaSws and PET CT ScanEsophageal Adenocarcinoma on BaSws and PET CT Scan

Findings: The BaSw demonstrates a polypoid mass (filling defect) in the lower esophagus. The PET CT scan demonstrates...

Hereditary Angioedema Manifesting in the Small Bowel on CT ScansHereditary Angioedema Manifesting in the Small Bowel on CT Scans

Findings: The CT scans demonstrate ascites and bowel wall thickening with intramural low attenuation.  ...

Autosomal Dominant Polycystic Kidney Disease (ADPKD) on CT Scan and USAutosomal Dominant Polycystic Kidney Disease (ADPKD) on CT Scan and US

Findings: The CT demonstrates an enlarged kidney and liver containing multiple cysts, one of which is calcified. The US...

Diaphragmatic Rupture with Nasogastric Tube Displacement on Plain Film and CT ScansDiaphragmatic Rupture with Nasogastric Tube Displacement on Plain Film and CT Scans

Findings: This patient presents with an abnormal position of a nasogastric tube (NGT) overlying the left hemithorax. This...

Dropped Radioopaque Gallstones after Distant Cholecystectomy on CT ScansDropped Radioopaque Gallstones after Distant Cholecystectomy on CT Scans

Findings: The CT scans demonstrate clips in the gallbladder fossa secondary to the distant cholecystectomy. There are...

Gallstone Ileus on CT ScansGallstone Ileus on CT Scans

Findings: This CT demonstrates the classic Rigler’s Triad of gallstone ileus: Pneumobilia (air in the biliary tract), low...

Liver Laceration, Gallbladder Devascularization, and Adrenal Hemorrhage on CT ScansLiver Laceration, Gallbladder Devascularization, and Adrenal Hemorrhage on CT Scans

Findings: The CT scans demonstrate ascites and a large low attenuation area in the left lobe of the liver with contrast...

Autosomal Dominant Polycystic Kidney Disease (ADPKD) Complications: Berry Aneurysm on CT Scan, Diverticulitis on BEAutosomal Dominant Polycystic Kidney Disease (ADPKD) Complications: Berry Aneurysm on CT Scan, Diverticulitis on BE

Findings: The CT demonstrates a berry aneurysm off the Circle of Willis. The BE demonstrates diverticulosis of the sigmoid...

 

Femoral Hernia with Small Bowel Obstruction on CT ScansFemoral Hernia with Small Bowel Obstruction on CT Scans

Findings: The CT scans demonstrate a bowel loop in the femoral canal with proximal small bowel dilatation.  ...

Dropped Radiolucent Gallstones in Abscess after Distant Cholecystectomy on CT and MRI ScansDropped Radiolucent Gallstones in Abscess after Distant Cholecystectomy on CT and MRI Scans

Findings: The CT and MRI scans show a cystic mass with enhancing wall. The CT shows clips from a prior...

Liver Laceration with Active Bleeding s/p MVA on CT ScansLiver Laceration with Active Bleeding s/p MVA on CT Scans

Findings: The CT scans demonstrate a large low attenuation area in the left lobe of the liver. A central high attenuation...

Abscess s/p Appendectomy on CT ScansAbscess s/p Appendectomy on CT Scans

Findings: There is a gas containing mass in the RLQ compatible with abscess.   Discussion: This patient is four...

Autosomal Dominant Polycystic Kidney Disease (ADPKD) on Plain Films, UGI, and BEAutosomal Dominant Polycystic Kidney Disease (ADPKD) on Plain Films, UGI, and BE

Findings: The plain film, UGI, and BE demonstrate mass effect from a markedly enlarged left kidney. There are surgical...

Diverticulitis of the Sigmoid Colon with Extraluminal Air on CT ScanDiverticulitis of the Sigmoid Colon with Extraluminal Air on CT Scan

Findings: There are diverticula and thickening of the walls of the sigmoid colon with an adjacent extraluminal air pocket...

Esophageal Adenocarcinoma on CT ScansEsophageal Adenocarcinoma on CT Scans

Findings: The CT scans demonstrate an esophageal mass obstructing the mid esophagus with a markedly dilated gas-filled...

Hereditary Angioedema Manifesting in the Stomach and Small Bowel on CT ScansHereditary Angioedema Manifesting in the Stomach and Small Bowel on CT Scans

Findings: The CT scans demonstrate ascites with diffuse low attenuation gastric wall thickening and small bowel wall...

Acute Pancreatitis, Balthazar Grade E, on CT ScansAcute Pancreatitis, Balthazar Grade E, on CT Scans

Findings: There are multiple poorly organized peri- and intrapancreatic fluid collections.   Discussion: The...

Bowel Wall Hemorrhage and Obstruction from Coumadin Overdose on CT ScansBowel Wall Hemorrhage and Obstruction from Coumadin Overdose on CT Scans

Findings: The proximal small bowel is enlarged with high-density intramural thickening and regularly thickened folds. The...

Dropped Radiolucent Gallstones after Distant Cholecystectomy on CT ScansDropped Radiolucent Gallstones after Distant Cholecystectomy on CT Scans

Findings: The CT scans demonstrate clips in the gallbladder fossa secondary to the distant cholecystectomy. There is a...

Esophageal Varices on CT ScanEsophageal Varices on CT Scan

Findings: There are tortuous and dilated esophageal varices.   Discussion: Esophageal varices result from portal...

Liver Laceration on CT ScansLiver Laceration on CT Scans

Findings: Both the arterial phase and delayed phase CTs show active bleeding into the laceration involving the left lobe of...

Partial Large Bowel Obstruction on CT ScanPartial Large Bowel Obstruction on CT Scan

Findings: This patient is s/p sigmoid resection with surgical sutures noted at the anastamosis. Proximal bowel loops are...

Катенёв Валентин Львович аватар
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Acute Pancreatitis, Balthazar Grade C, on CT ScanAcute Pancreatitis, Balthazar Grade C, on CT Scan

Findings: There is a fatty infiltration of the pancreas with prominent peripancreatic stranding along Gerotta’s...

Bowel Ischemia with Pneumatosis Coli and Portal Venous Gas on CT scansBowel Ischemia with Pneumatosis Coli and Portal Venous Gas on CT scans

Findings: The contrast enhanced CTs show air in the bowel wall and portal venous system, which is classic for bowel ischemia...

Diverticulitis: Pelvic Abscess with FistulaeDiverticulitis: Pelvic Abscess with Fistulae

Findings: There is a large gas containing pelvic abscess with adjacent tiny collections of air and contrast in fistulous...

Esophageal Candidiasis in CREST Syndrome on BaSwEsophageal Candidiasis in CREST Syndrome on BaSw

Findings: The BaSw demonstrates the typical features of scleroderma / CREST of the esophagus with superimposed mucosal...

Liver Abscess, Pneumobilia, and Portal Vein Thrombosis on CT ScansLiver Abscess, Pneumobilia, and Portal Vein Thrombosis on CT Scans

Findings: There is a large abscess in the left and caudate lobes of the liver containing fluid and air. There is resultant...

Portal Vein Thrombosis on CT ScansPortal Vein Thrombosis on CT Scans

Findings: The contrast-enhanced portal vein demonstrates the low attenuation filling defect due to a clot. The liver is...

Shock Bowel on CT ScansShock Bowel on CT Scans

Findings: The IV contrast enhanced abdominal CT scans show dilated fluid-filled bowel loops with thickened enhancing...

Thyroid Carcinoma on BaSw and CT ScanThyroid Carcinoma on BaSw and CT Scan

Findings: The BaSw demonstrates an extrinsic mass impression on the right posterior esophagus. The CT demonstrates an...

Portal Hypertension on CT ScanPortal Hypertension on CT Scan

Findings: The liver has a nodular contour and relative left lobe enlargement compatible with cirrhosis. There are ascites,...

Sciatic Hernia Causing Small Bowel Obstruction on CT ScansSciatic Hernia Causing Small Bowel Obstruction on CT Scans

Findings: The CT scans demonstrate a bowel loop projecting into the sciatic foramen with proximally dilated small bowel...

TB: Low Attenuation Lymph Nodes and Splenic Lesions on CT and MRI ScansTB: Low Attenuation Lymph Nodes and Splenic Lesions on CT and MRI Scans

Findings: There is retroperitoneal and cervical lymphadenopathy with low-attenuation centers.   Discussion: This...

Nonrotation of the Intestine on UGI and SBFTNonrotation of the Intestine on UGI and SBFT

Findings: The small bowel loops are on the right side. The cecum and colon are on the left side.   Discussion:...

Post Traumatic Bowel Wall Hemorrhage on CT ScansPost Traumatic Bowel Wall Hemorrhage on CT Scans

Findings: The CT scan demonstrates bowel wall thickening in the terminal ileum and free hemorrhagic peritoneal...


Portal Vein Thrombus and IMV Thrombophlebitis on CT ScansPortal Vein Thrombus and IMV Thrombophlebitis on CT Scans

Findings: The CT Scans demonstrate a thrombus in the splenic vein, thrombosis of the left inferior mesenteric vein, and...

 
Sickle Cell Disease on CXRSickle Cell Disease on CXR

Findings: The CXR demonstrates cardiomegaly, increased pulmonary markings, RUQ surgical clips, and a prominent gastric air...

Renal Abscess with IVC Thrombosis on CT ScansRenal Abscess with IVC Thrombosis on CT Scans

Findings: The CT scans show a heterogeneous, hypodense lesion in the right kidney. There is extension of the abscess into...

Surgicel Presenting as Focal Gas Containing Area on CT ScansSurgicel Presenting as Focal Gas Containing Area on CT Scans

Findings: There are surgical clips and a gas containing collection in the RUQ/gallbladder fossa.   Discussion:...

Pancreas Divisum on CT ScansPancreas Divisum on CT Scans

Findings: There are two pancreatic ducts: the dorsal pancreatic duct is superior, the ventral pancreatic duct is inferior....

Катенёв Валентин Львович аватар
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Post Traumatic Chronic Ischemic Changes to the Terminal Ileum on CT ScansPost Traumatic Chronic Ischemic Changes to the Terminal Ileum on CT Scans

Findings: The distal ileum shows bowel wall thickening, prominent vasa rectae, and fat stranding/fibrosis.  ...

Sitz Markers for Colonic Transit Study on Plain FilmSitz Markers for Colonic Transit Study on Plain Film

Findings: Multiple radiopaque markers are evident throughout the GI tract.   Discussion: Sitz markers are given to...

Achalasia on BaSwAchalasia on BaSw

Findings: The BaSw demonstrates a dilated esophagus with tertiary contractions and a bird beak appearance to the lower...

Boerhaave's Syndrome on CXR and BaSwBoerhaave's Syndrome on CXR and BaSw

Findings: The CXR shows aberrant air secondary to the perforated esophagus; subcutaneous emphysema and pneumomediastinum....

Diverticulitis of the Sigmoid Colon with Fat Stranding on CT ScanDiverticulitis of the Sigmoid Colon with Fat Stranding on CT Scan

Findings: There are diverticula and thickening of the walls of the sigmoid colon with significant surrounding fat...

Esophageal Cancer on CT ScansEsophageal Cancer on CT Scans

Findings: The CT scans demonstrate eccentric thickening of the esophagus with punctate internal calcifications.  ...

Intussusception of the Duodenum on CT ScansIntussusception of the Duodenum on CT Scans

Findings: There is a long-segment intussusception of the 1st through 3rd parts of the duodenum, evidenced by the classic...

Pancreatic Adenocarcinoma on CT ScanPancreatic Adenocarcinoma on CT Scan

Findings: There is a hypodense mass in the uncinate process of the pancreas. There is no fat plane between the mass and the...

Post Traumatic Progression of Bowel Injury on CT ScansPost Traumatic Progression of Bowel Injury on CT Scans

Findings: The presentation CT demonstrates bowel wall hemorrhage and free fluid. The four-day CT demonstrates increased...

Spigelian Hernia on CT ScansSpigelian Hernia on CT Scans

Findings: The CT scans show a right lateral ventral hernia containing a small bowel loop. The hernia is causing small bowel...

Rectal Tube: Appropriate Placement of a Rectal Tube in a Patient with a Sigmoid VolvulusRectal Tube: Appropriate Placement of a Rectal Tube in a Patient with a Sigmoid Volvulus

Findings: The sigmoid volvulus shows the classic "coffee bean" appearance to the dilated, gas filled, closed loop sigmoid...

Splenic Laceration on CT ScansSplenic Laceration on CT Scans

Findings: The CTs show active bleeding from the splenic laceration. There is hemoperitoneum.   Discussion: The...

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Острый аппендицит

Acute appendicitis</p /> <p>CECT abdomen demonstrates inflamed appendix.

ID: 9417 Acute appendicitis Dr Hani Alsalam - 15 Apr 2010 A young female patient with acute appendicitis.

Inflammed appendix with appendicolith</p /> <p>

ID: 12326 Acute appendicitis Dr Hani Alsalam - 10 Nov 2010 Acute appendicitis.

Right lower quadrant: dilated appendix with a small appendicolith inside; inflammatory phlegmon as well.</p /> <p>

ID: 13030 Acute appendicitis Dr Bruno Di Muzio - 20 Feb 2011 The prevalence of appendicitis in patients who present with abdominal pa...

ID: 22892 Acute appendicitis Dr David Ferreira - 1 May 2013 The findings consistent with acute appendicitis.

Acute Appendicitis</p /> <p>

ID: 9072 Acute appendicitis Dr Hani Alsalam - 15 Mar 2010 Acute appendicitis.

Acute appendicitis</p /> <p>Abdomen

ID: 9308 Acute appendicitis Dr Hani Alsalam - 3 Apr 2010 3 year old girl presented with history of abdominal pain, anorexia and v...

Acute appendicitis</p /> <p>Normal proximal appendix is seen. Narrow transition from normal to abnormally dilated appendix is noted. No fecolith is seen at this point.

ID: 13043 Acute appendicitis Dr Maulik S Patel - 21 Feb 2011 Findings of acute appendicitis with fluid -debris level affecting distal...

Acute appendicitis</p /> <p>

ID: 10498 Acute appendicitis Dr Hani Alsalam - 17 Aug 2010 Acute appendicitis.

ID: 20592 Acute appendicitis Dr Saeed Soltany Hosn - 27 Nov 2012

ID: 7966 Acute appendicitis Dr Frank Gaillard - 24 Dec 2009 Typical appearances of acute appendicitis in a 45 year old woman.

ID: 23280 Acute appendicitis Dr Jack Ren - 2 Jun 2013 This patient had a strikingly enlarged and thickened appendix, so much s...

Acute appendicitis</p /> <p>

ID: 8195 Acute appendicitis Dr Hani Alsalam - 17 Jan 2010  18-year-old male with acute abdomen. Abdomen CT confirm the presen...

Right adnexal tender, fluid-filled, blind-ending tubular mass with surrounding free fluid

ID: 16447 Acute appendicitis - detected on transvaginal ultrasound Dr Chris O'Donnell - 19 Jan 2012

Appendix transverse</p /> <p>An inflamed-appearing, point tender appendix with a maximum diameter of 2.1cm.

ID: 12826 Acute appendicitis - paediatric Brendan Cullinane - 15 Jan 2011 A 6 year old male was referred for an abdominal ultrasound to confirm cl...

ID: 19970 Acute appendicitis arising from a malrotated caecum Dr Chris O'Donnell - 26 Oct 2012 Findings typical of appendicitis with thickening of the wall and surroun...

ID: 16172 Acute appendicitis complicated by ovarian vein thrombophlebitis Dr Hani Alsalam - 26 Dec 2011

ID: 23662 Acute appendicitis with appendicolith Dr J. Ray Ballinger - 1 Jul 2013 The peak incidence of acute appendicitis is in the late childhood and ad...

ID: 21148 Acute appendicitis with appendicoliths Dr MT Niknejad - 6 Jan 2013 Typical appearances of acute appendicitis in a 25 year old male.

Coronal MIP reconstruction.

ID: 21474 Acute appendicitis with CT arrowhead sign Dr Bita Abbasi - 25 Jan 2013 Acute appendicitis is one of the commonest causes of an ‘‘acute abdomen’...

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Gastrointestinal

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Бодров Юрий Дмитриевич

Больная В. 38 лет Диагноз: «Карциноид тела желудка малых размеров 11х9мм» (подтверждён гистологически).

1.-Пневмогастротопограмма

2.-Компьютерная пневмогастротомограмма

 

3.-2D -изображения с раздуванием желудка воздухом

4.-3D-реконструкция раздутого воздухом желудка (вид сзади)

5.-Виртуальная КТ-гастроскопия

6.- Гастроскопия. Фото представлены с разрешения доктора эндоскопического отделения ГБУЗ ЯО «ОКОБ» Д.В. Гусева.

Гастроскопия в режиме узкоспектральной эндоскопии (NBI)

 

Карциноид

-Нейроэндокринная опухоль ЖКТ с высокой и низкой степенью дифференцировки, секретирующая серотонин и другие медиаторы.

- Возраст 40-60 лет;

- Составляют 2% опухолей ЖКТ (при этом 85-90% карциноидов являются опухолями ЖКТ);

- 2-я по частоте опухоль тонкого кишечника: (подвздошная кишка - 25%, прямая кишка - 14%,аппендикс - 12%, редко в желудке, 12п кишке, поджелудочной железе)

- Обладают медленным ростом;

-Опухоли гиперваскуляризированы;

- Мелкие опухоли характеризуются подслизистым ростом;

- 70% карциноидов являются злокачественными опухолями,

- 20-30% опухолей менее 1 см. дают метастазы;

- Метастазирует в лимфатические узлы и печень;

- 30% многоочаговые поражения;

- 10 % карциноидный синдром (приливы, диарея, астма и отёк, сердечные осложнения);

- 5-летняя выживаемость 50%.

КТ-картина: гиперваскуляризированые опухолевые узлы. За пределами ЖКТ (брыжейка и т.д.) в виде нечётко определяемых объёмных новообразований с кальцификатами и расходящимися узлами соединительной ткани, создающими «звёздчатый паттерн».

Диф. Диагностика от GIST:

- локализуется в тощей и подвздошной кишке;

- часто крупная опухоль;

- с областям центрального некроза.

Литература:

 

-Лучевая диагностика «Желудочно -кишечный тракт» Ханс -Юрген Брамбс. Перевод с английского. Под общей редакцией проф. М.Ю. Валькова. Москва «МЕД пресс-инфарм» 2010г.