Dilated Bile Duct
Transabdominal ultrasound showing dilated bile duct. [Courtesy of Dr. N. Jaffer]
Common Bile Duct
Stone in the Common Bile Duct (CBD)
Stone in the CBD just at the take-off of cystic duct. [Courtesy of Dr. G Haber]
Cholecystitis
Acute Cholecystitis
Abdominal axial CT scans showing pericholecystic fluid (arrow, left image) and mucosal thickening of gallbladder wall (arrow, right image). [Courtesy of Dr. N. Jaffer]
Cholangiogram
Cholangiogram – Post cholecystectomy
Water-soluble contrast was injected into the biliary system via a tube left in place following cholecystectomy. [Courtesy of Dr. N. Jaffer]
Misty Mesentery
Misty mesentery is a term that may be applied when stranding and an indistinctness is noted within the mesentery. This may be appreciated in the CT above in the region superior to the aorta and IVC. The differential includes, but is not limited to: lymphoma, mesenteritis (IBD), and treated lymphoma. [Courtesy of Dr. N. Jaffer]
Barium Retrograde
This patient underwent contrast administration per rectum. The large bowel is outlined above. [Courtesy of Dr. N. Jaffer]
Barium Enema
In this patient, one may note contrast enhancement throughout the GI tract, achieved with both anterograde (swallowed) and retrograde (per rectum) administration. [Courtesy of Dr. N. Jaffer]
Gastric Varices
The gastric “string of pearls” sign is caused by a string of varices around gastric fundus. Etiology: Splenic/Portal venous thrombosis due to pancreatitis. [Courtesy of Dr. N. Jaffer]
Esophageal Stenosis
Esophageal stenosis exemplified with contrast. [Courtesy of Dr. N. Jaffer]
Achalasia – open
Achalasia – Open bird-beak sign
Open “bird-beak” sign suggestive of adenocarcinoma of the gastric fundus. This disease entity presents as ‘achalasia’, however, in true achalasia the radiologic sign is different. [Courtesy of N. Jaffer]
