JK Amorosa. What’s in the RUQ?  Liver  GB  Bile ducts  Pancreas  Duodenum  R kidney  R adrenal.

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Presentation transcript:

JK Amorosa

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

55 m liver mets from

Liver abscess

37 f liver laceration

US shows normal GB, CT shows normal GB and pancreas

amorosa US shows GB with a gallstone

GB with 2 stones

ULTRASOUND Gallbladder transverse longitudinal gallstones

82 f Porcellain GB

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 CT MR

Acute cholecystitis

Pneumobilia

Pneumatosis, portal venous air- bowel ischemia

Normal pancreas

Pancreatitis

Acute Pancreatitis, fluid around pancreas Normal Pancreas

Chronic pancreatitis

R kidney stone

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

Liver Lac

Retroperitoneal bleed