肝胆胰影像学 医学整合课件.pptVIP

肝门部胆管癌 Polypoid hilar cholangiocarcinoma B:肝外胆管癌 总胆管癌 C：壶腹癌 ??Ampullary carcinoma of the nodular mass type in a 49-year-old man. Ampullary carcinoma of the periductal thickening type in a 64-year-old man. ?Ampullary carcinoma of the periductal thickening type with papillary bulging in a 60-year-old woman. Distal CBD carcinoma of the obstructive type in a 38-year-old man. Distal CBD carcinoma of the polypoid type in a 57-year-old man. 胆囊结石MR（gallbladder stone） 平扫 ★T1WI上与胆汁信号相似 少数 ★T2WI结石在高信号胆汁的衬托下呈低信号充盈缺损 肝内外胆管结石 胆囊结石 小结：胆结石症特点 位于胆管系统内 一般比较规则，边缘光整 CT密度不同，于成分有关，一般是高密度或者环状高密度 MR表现为负