Practical Applications in Diagnostic Imaging

May 18th, 2013May 23rd, 2013
Fish Camp, CA
US
https://www.radiology.ucsf.edu/postgrad
Phone:415-476-5731
Clinically relevant topics in diagnostic imaging: chest, abdominal, pelvic, musculoskeletal, pediatric, and breast Imaging. Also, oncologic imaging and diagnosis of malignancies of the breast, lung, adrenals, colon, liver, pancreas, and bones.
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Images depict a 49-year-old female participant with cryptogenic cirrhosis who presented with a 3.2-cm liver lesion. This biopsy-confirmed hepatocellular carcinoma (HCC) with an initial categorization of Liver Imaging Reporting and Data System (LI-RADS) category LR-4 (probably HCC) at CT was upgraded to LR-5 (definitely HCC) at contrast-enhanced ultrasound (CEUS). (A) Precontrast CT images in the liver show vague hypoattenuation in the medial left hepatic lobe (arrows). (B) Arterial phase images demonstrate no definite arterial phase hyperenhancement (arrows). (C) Washout and an enhancing capsule (arrows) on a late-phase image resulted in an LR-4 categorization. (D) B-mode ultrasound shows a round hypoechoic nodule (arrows). (E) An early-phase CEUS image shows clear arterial-phase hyperenhancement (arrows); (F) No washout at one minute (arrows), and (G) late, mild washout at four minutes (arrows) resulted in a CEUS LR-5 categorization.
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