What’s in the RUQ?
Liver GB Bile ducts Pancreas Duodenum R kidney R adrenal
How do you image RUQ?
Books? Google? Resident? ACR AC American College of
Radiology Appropriateness Criteria
Diffuse fatty infiltration liver
CT: Focal enhancing mass, met from pancreatic ca
Liver masses: mets vs abscesses
US shows normal GB, CT shows normal GB and pancreas
amorosa
US shows GB with a gallstone
ULTRASOUND Gallbladder
transverse longitudinalgallstones
US: thick wall, gallstone
48 m US: GB very thick wall
GB with very very thick wall, sludge in GB
Acute cholecystitis, thick inflamed wall
CTMR
Pneumatosis, portal venous air- bowel ischemia
Acute Pancreatitis, fluid around pancreas
Normal Pancreas
Abd-pelvis
Solid organs: liver, spleen, k-s, pancreas, adrenals
Bowel, mesentery Retroperitoneum Bladder Free air, fluid
..itis:
Problem- describe clinical presentation
47 m with 10 CT abd/pelvis for ureteral calculi