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Imaging in Obstructive biliopathy Dr H.S.Das
Hepatic Segments (Couinauds)
Liver masses / nodules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of CT/MR in hepatic lesions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MRI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CT Techniques ,[object Object],[object Object],[object Object],[object Object],[object Object]
Spiral CT:Scan Delays & Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging Plays Crucial Role ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cystic Lesions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Biliary Microcystic Hamartoma  ( Von Meyenburg Complex )  ,[object Object],[object Object],[object Object],[object Object]
Typical Cysts ,[object Object],[object Object],[object Object],[object Object],[object Object]
Atypical Cysts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Liver Cyst
Calcified  Hydatid Cyst
Fatty Liver ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fatty Infiltration & Sparing
Fatty liver -THAD
Lipomatous Tumors ,[object Object],[object Object],[object Object]
Abscess
METASTASIS TYPICAL CT/MRI APPEARANCE ,[object Object],[object Object],[object Object],[object Object],[object Object]
Metastases
Hypovascular Metastasis
Metastases
MRI
Metastases
Metastases
Metastases
Metastases
Hypervascular Mets
Hypervascular metastases
Hypervascular Metastases
Metastases
Metastases- MR
Classification of Hepatocellular Nodules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification of Hepatocellular Nodules ,[object Object],[object Object],[object Object],[object Object]
Dysplastic Nodules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cirrhotic Nodules – Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cirrhotic Nodule
Regenerating Nodules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Liver Nodules
Nodular Regenerative Hyperplasia ,[object Object],[object Object],[object Object]
NRH – CT findings ,[object Object],[object Object]
NRH – Problem Solving ,[object Object],[object Object],[object Object],[object Object],[object Object]
CLD- dysplastic ,regen nodules
CLD with PHTN
LIVER TUMORS  HEPATOCELLULAR  ORIGIN ,[object Object],[object Object],[object Object],[object Object]
LIVER TUMORS   NON-HEPATOCELLULAR ORIGIN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adenoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Focal Nodular Hyperplasia (FNH) ,[object Object],[object Object],[object Object],[object Object]
FNH – CT Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object]
FNH vs. Fibrolamellar HCC ,[object Object],[object Object]
FNH
Adenoma – CT Findings ,[object Object],[object Object],[object Object]
Adenoma – Problem Solving ,[object Object],[object Object],[object Object]
Conventional HCC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HCC in Noncirrhotic Liver ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fibrolamellar HCC – CT Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HCC-Arterial phase
HCC-Venous phase
HCC
HCC-non cirrhotic liver
Hcc-CT guided FNAC
HCC
HCC
HCC
HCC
HCC
HCC
Multifocal HCC
Large HCC
HCC
Diffuse HCC with Portal Vein Thrombus
HCC
Multifocal HCC
CLD-HCC
HCC( Possibly Fibrolamellar )
HCC
HEMANGIOMA Incidence & Clinical Presentation   ,[object Object],[object Object]
Haemangioma  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Haemangiomas  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEMANGIOMA  - CT FINDINGS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEMANGIOMA  CT/MRI APPEARANCE ,[object Object],[object Object],[object Object],[object Object],[object Object]
Haemangioma  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Haemangioma : MR Findings ,[object Object],[object Object],[object Object],[object Object]
Cavernous Haemangioma
Cavernous Haemangioma
Cavernous Haemangioma
Multifocal Cavernous Haemangioma
Cavernous Haemangioma
BILIARY CYSTADENOMA ,[object Object],[object Object],[object Object]
INTRAHEPATIC  CHOLANGIOCARCINOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
I-CAC Pathogenesis/Associations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
I-CAC CT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
I-CAC MRI ,[object Object],[object Object],[object Object],[object Object]
CLD -Icac
DETECTION RATES-MRI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DETECTION RATES -CT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Where do we stand? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Take home message : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU!!

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