Articles

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More than 200 results
Article

Fat containing liver lesions

Fat containing liver lesions represent a variety of benign and malignant liver lesions may contain macroscopic and/or intracytoplasmic fat in sufficient quantities enabling characterization on imaging studies. Most fat-containing liver lesions (80%) in patients with cirrhosis are malignant, most...
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Charcot triad

Charcot triad is the finding of pyrexia, right upper quadrant pain and jaundice, and is a traditional clinical sign of acute cholangitis. A meta-analysis of 4288 patients in 16 studies found that the sensitivity of Charcot triad for acute cholangitis was poor (36.3%) with a much better specific...
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Periportal halo (CT/US)

Periportal halo or periportal collar sign refers to a zone of low attenuation seen around the intrahepatic portal veins on contrast-enhanced CT or hypoechogenicity on liver ultrasound. It likely represents periportal edema, which is often used as a synonymous term. Periportal haloes may occur ar...
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Hepatic lymphoma

Hepatic lymphoma is a term given to any form of hepatic involvement with lymphoma. This can be broadly divided into: secondary hepatic involvement with lymphoma: most common by far, many tend to be non-Hodgkin lymphoma (NHL) 1 primary hepatic lymphoma: extremely rare Pathology Risk factors f...
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Biliary atresia

Biliary atresia is a congenital biliary disorder that is characterized by an absence or severe deficiency of the extrahepatic biliary tree. It is one of the most common causes of neonatal cholestasis, often causing cirrhosis immediately and leading to death and accounts for over half of children...
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Ascites

Ascites (hydroperitoneum is a rare synonym) is defined as an abnormal amount of intraperitoneal fluid. Terminology Ascites (plural is the same word) tends to be reserved for relatively sizable amounts of peritoneal fluid. The amount has not been defined formally. It is noted physiologically, h...
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Fitz-Hugh-Curtis syndrome

Fitz-Hugh-Curtis syndrome (FHCS), or perihepatitis, is the inflammation of the liver capsule and overlying peritoneum associated with adhesion formation, without the involvement of the hepatic parenchyma. It is a chronic complication of pelvic inflammatory disease (PID). Epidemiology The preva...
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Extrapulmonary tuberculosis

Extrapulmonary tuberculosis (TB) refers to the hematogenous spread of Mycobacterium tuberculosis. Pathology Extrapulmonary tuberculosis can occur as a primary form of the disease, i.e. direct infection of an extrapulmonary organ without the presence of primary pulmonary tuberculosis or it can ...
Article

Sessile

Sessile is a pathological term which is used for lesions that are attached by their base, that is they lack a stalk i.e. are not pedunculated. It is most commonly used for intraluminal polyps in the GI tract. History and etymology Sessile is derived from the Latin word "sessilis" which means s...
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Serous cystadenoma of the pancreas

Serous cystadenoma of the pancreas, also referred as microcystic adenoma, is an uncommon type of benign cystic pancreatic neoplasm.  Epidemiology There is a recognized strong female predilection (M:F ~ 1:4) and usually presents in middle age to elderly patients (>60 years of age).  Associatio...
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Reynolds pentad

Reynolds pentad is a combination of clinical signs found in acute cholangitis. It consists of Charcot triad 2-4: fever and/or chills RUQ pain jaundice as well as: delirium or lethargy, and shock Usefulness Sensitivity of Reynolds pentad from a large systematic review of nine studies was ...
Article

Variant hepatic arterial anatomy

Variation in hepatic arterial anatomy is seen in 40-45% of people. Classic branching of the common hepatic artery from the celiac artery, and the proper hepatic artery into right and left hepatic arteries to supply the entire liver, is seen in 55-60% of the population.  Terminology An accessor...
Article

Melioidosis

Melioidosis is an infectious disease caused by the bacterium Burkholderia pseudomallei (previously known as Pseudomonas pseudomallei) and is a multisystem disorder which may affect the lungs, brain, visceral organs, or musculoskeletal system. Epidemiology Melioidosis is a disease of the monsoo...
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Pancreatic calcifications

Pancreatic calcifications can arise from many etiologies. Punctate intraductal calcifications chronic pancreatitis alcoholic pancreatitis (20-40%) 2  intraductal, numerous, small, irregular preponderant cause of diffuse pancreatic intraductal calcification gallstone pancreatitis (2%) 2 ​m...
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Hepatic haemangiomatosis

Hepatic haemangiomatosis is a condition in which there are multiple hemangiomas affecting the liver. Terminology When the lesions are spread throughout the liver, then this is termed diffuse hepatic haemangiomatosis. Pathology Associations giant liver hemangioma 2 Radiographic features CT...
Article

Ectopic pancreatic tissue

Ectopic pancreatic tissue, also known as heterotopic pancreatic tissue, refers to the presence of pancreatic tissue in the submucosal, muscularis or subserosal layers of the luminal gastrointestinal tract outside the normal confines of the pancreas and lacking any anatomic or vascular connection...
Article

Klebsiella

Klebsiella is a genus of Gram-negative, oxidase-negative, rod-shaped bacteria, which is relatively commonly encountered in the healthcare environment. It has numerous species, including K. pneumoniae, K. aerogenes, and K. rhinoscleromatis 1. Klebsiella may cause a range of infections, most commo...
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Portal venous gas

Portal venous gas, also known as pneumatosis portalis, is the accumulation of gas in the portal vein and its branches. It needs to be distinguished from pneumobilia, although this is usually not too problematic when associated findings are taken into account along with the pattern of gas (i.e. p...
Article

Primary sclerosing cholangitis

Primary sclerosing cholangitis (PSC) is an uncommon inflammatory condition that affects the biliary tree resulting in multiple strictures, liver damage, and eventually cirrhosis. The diagnosis can be made when there are classical imaging features in the correct clinical context, and secondary c...
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AIDS cholangiopathy

AIDS cholangiopathy refers to an acalculous, secondary opportunistic cholangitis that occurs in AIDS patients as a result of immunosuppression 1.  Pathology Characterized by multiple irregular strictures essentially indistinguishable from primary sclerosing cholangitis (PSC). There are four pa...

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