医学影像学课件：solid organ disorders.pptVIP

Pancreatic cancer Pancreatic cancer Splenic trauma Splenic trauma 脾脏外伤 包膜下血肿 挫裂伤 撕裂伤 实质内新鲜血肿 破裂伴活动性动脉出血 血管栓塞脾梗死 Hemenginoma 脾淋巴瘤 Splenic lymphoma 均匀肿大 粟粒状结节 多发性团块 大的孤立性团块 * 肝脓肿 Solid organ disorders Solid organ disorders Liver Diffuse liver disease Cirrhosis Fatty infiltration hemochromatosis Localized liver lesion Abscesses Hepatic cysts Cavernous hemangioma Hepatocellular carcinoma Metastatic disease Solid organ disorders Biliary tree gallbladder Congenital disorders 胆囊炎 胆系结石 胆系肿瘤 Pancreas Acute/chronic pancreatitis Pancreatic cancer Spleen Fatty infiltration Lack of mass effect Lack of displacement of hepatic blood vessels Diffuse low density Sometimes fatty infiltration can also be localized Imaging tools Barium swallow: esophagus varices CT：shape MRI：nodular regeneration differential diagnosis DSA：therapy Radiographic features: Hepatomegaly Hepatic atrophy Coarsening of hepatic parenchymal texture Nodularity of liver surface Hypertrophy of caudate lobe with atrophy of right lobe nodular regeneration Cirrhosis Hepatic abscess Thick wall (enhanced) mass with low-attenuation center Pyogenic; fungal; amebic Ring–like enhancement Single ring：wall 脓肿壁 Dual ring：wall + edema 脓肿壁＋水肿带 Triple ring：necrosis+fibroticogranuloma+edema 炎性坏死＋纤维肉芽＋水肿 Hepatic cyst Hepatic hemengingoma Classification solitary massive 5cm multicentric small nodular 5cm diffuse microscopic 1cm Enhancement during arterial phase (inhomogeneous contrast accumulation), Washout during portal phase Metastatic disease 影像学征象 CT平扫：多发大小不等圆形结节，边缘光整或不光整，多呈低密度； 增强扫描：环状或结节状增强，血供丰富的显著强化，少数增强后变为等密度； MRI：“靶征”、“晕圈征”； DSA：多血管、等血管、少血管型。 肝转移癌 Congenital deformity of bile duct Congenital choledochocyst Cholecystolithiasis (胆囊结石) Chololithiasis (胆管结石) Chololithiasis (胆管结石) Cholecystitis (胆囊炎) 胆囊增大 囊壁增厚 囊周水肿 胆囊增大或缩小 囊壁均匀增厚 囊壁可见钙化 Acute Chronic 胆囊癌 Cholecystocarcinoma 隆起型 厚壁型 实块型 混合型 肝门部胆管细胞癌伴肝内胆管扩张 急性胰腺炎 acut pancreatitis 急性水肿型胰腺炎： 平扫胰腺体积弥漫性或局限性增大，密度减低，边缘模糊，肾前及肾周筋膜增厚，增强扫描胰腺