Abdominal X-ray Radiological Signs - Learning - Home：腹部X线影像学征象-学习-家居.pptVIP

Location Pattern Abdominal Calcifications First exclude artefact Kim Kardashian’s butt – real or artefact? Location Vascular Liver Gallbladder Spleen Pancreas Lymph nodes Adrenals Kidneys Ureters Bladder Prostate Rim-like Calcification that has occurred in the wall of a hollow viscus Cysts renal, splenic, hepatic Aneurysms aortic, splenic, renal artery Saccular organs Gallbladder Urinary bladder Calcified hydatid cysts Linear/Track Calcification in walls of tubular structures Arteries Fallopian tubes Vas deferens Ureter Aortoiliac calcification Chinese Dragon Sign Calcified splenic artery Calcified vas deferens Floccular, Amorphous, Popcorn Formed in solid organ or tumour Pancreas (chronic pancreatitis) Leiomyomas of uterus Ovarian cystadenomas Lymph nodes Adenocarcinomas of stomach, ovary, colon Metastases Soft tissue (previous trauma, crystal deposition) Calcified enteric lymph nodes Calcified fibroids Calcified pancreas Floccular Lamellar or laminar Formed around a nidus inside hollow lumen Concentric layers due to prolonged movement of stone inside hollow viscus Renal stones Gallstones Bladder stones Bladder calculi Lamellar Renal calculi Pelvicalyceal calcifications Staghorn Calcification Renal stones are often small, but if large can fill the renal pelvis or a calyx, taking on its shape which is likened to a staghorn. Tubular Nephrocalcinosis Uncommonly the renal parenchyma can become calcified. This is known as nephrocalcinosis, a condition found in disease entities such as medullary sponge kidney or hyperparathyroidism. Renal calculi Parenchymal calcification Flocculent Putty Kidney Putty kidney – sacs of casseous, necrotic material (TB) Autonephrectomy – small, shrunken kidney with dystrophic calcification Flocculent Calcified gallstones Lamellar Conclusion Approach to AXR should include gas pattern, extraluminal air, soft tissue and calcifications Named radiological signs are a useful way of remembering, identifying and reporting on f