Liver metastases
Liver metastases from breast cancer
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Liver metastases from breast cancer
Abdominal axial CT showing a large, well-circumscribed HCC within the liver parenchyma of a patient with chronic hepatitis C infection.
Abdominal axial CT showing numerous well-circumscribed metastases in a patient with primary adenocarcinoma of the breast. [Courtesy of Dr. N. Jaffer]
In the US image presented here, the hypoechoic region, superior and to the left, represents the liver, while the markedly hypoechoic region, central and to the right, represents the gallbladder. [Courtesy of Dr. N. Jaffer]
The purpose of this CT is to illustrate where to localize the gallbladder.
Note the liver at the 9 o’clock position with the gallbladder at the 10 o’clock position.
Transabdominal ultrasound showing dilated bile duct. [Courtesy of Dr. N. Jaffer]
Stone in the Common Bile Duct (CBD)
Stone in the CBD just at the take-off of cystic duct. [Courtesy of Dr. G Haber]
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 – 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 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]