医学影像学英文课件：The system of digestion.ppt

Polycystic liver disease The cysts are small, under 2 to 3 cm, and multiple throughout the hepatic parenchyma. On ultrasound examination the cyst generally present as anechoic, well-defined borders with acoustic enhancement. Polycystic liver Polycystic renal Of patients with polycystic liver disease, 60% have associated polycystic renal disease. Polycystic spleen Liver abscess Early stage： (inflammatory , no abscess) Hypoechoic Irregular border Abundant CDFI The ultrasound appearance of an abscess may be variable depending on the internal consistency of the mass. Liver abscess Complex: with some debris and irregular walls. Liquefied stage：(abscess lumen) Absorbent stage Hypoechoic area Liver metastases The following three specific patterns have been described: A Well-defined hypoechoic mass. A Well-defined hyperechoic mass. Diffuse distortion of the normal homogeneous parenchymal Pattern without a focal mass. Metastatic disease appear as well-defined hyperechoic lesions throughout the liver. Multiple hypoechoic solid nodules with clear margin bull's-eye configuration ( halo) Metastatic disease appears as diffuse hypoechoic lesions with unclear margin.  The system of digestion ● Gallbladder Gallstones may take several different shapes and size. WES （ Wall-echo-shadow ）Sign When the gallbladder is completely packed full of stones, the sonographer will only be able to image the stones casting a distinct acoustic shadow known as the wall echo shadow (WES) sign.  The system of digestion ● Spleen Location: left hypochondriac region Shape: bean Length:8-12cm;width:3-4cm; The echo intensity is usually slightly less than that of the liver. Normal Anatomy Cyst Hemangioma Hyperechoic/ mixed echoic lesion Clear margin Lymphoma Splenomegaly  Case analysis Case 1 A 61 years old man. The history of pancreatic tumor surgery. What kind of diagnosis may be made for and please give the reasons? Case 2 A 56 year-old m