By Gabriel Conder, John Rendle, Sarah Kidd, Dr Rakesh R. Misra
A-Z of stomach Radiology presents a concise, simply obtainable radiological advisor to the imaging of the typical problems of the stomach and pelvis. Organised through A-Z, each one access supplies quick access to the most important medical good points of the . part 1 reports the proper radiological anatomy of the stomach and pelvis. this is often by means of over eighty belly issues, directory features, scientific good points, radiological gains and correct scientific administration. every one illness is very illustrated to assist prognosis. A-Z of stomach Radiology is a useful quickly reference for the busy clinician and aide memoir for examination revision in either drugs and radiology.
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Extra resources for A-Z of Abdominal Radiology
No signal on Doppler interrogation. • Chronically may have cystic appearance with echogenic calcific foci. • CT: • Oval mass with peri-adrenal fat stranding. • Chronically, cystic change and calcification can occur. • MRI: signal will depend on the age of haematoma and the associated blood breakdown products. 36 A Adrenal masses Adrenal carcinoma. Large heterogeneous right adrenal mass (arrow). The central low attenuation is secondary to necrosis. (A) (B) Right myelolipoma. Axial (A) and coronal (B) reformatted CECT: a large fatty mass replacing the right adrenal gland (arrows).
20 A Achalasia Achalasia. Note the large volume of debris within the dilated oesophagus and the characteristic ‘bird’s beak’ tapering at the lower sphincter. • The radiological findings characteristic of achalasia, with normal manometric readings, are a feature of pseudoachalasia, a condition that occurs in tumours of the distal oesophagus or lower oesophageal sphincter. • CT: demonstrates the dilated oesophagus but this is non-specific. • NM, MRI and USS: these modalities do not have a role in the diagnosis of achalasia.
It lies in front of the left crus of the diaphragm. • Usually the limbs are 3–6mm thick and the width of the entire gland is <1cm. • The adrenal cortex produces glucocorticoids (cortisol), mineralocorticoids (aldosterone) and androgens. The adrenal medulla produces adrenaline and noradrenaline. Causes of adrenal masses • Functional: • adenoma causing Conn’s or Cushing’s syndrome. • phaeochromocytoma. • adrenal carcinoma. • Malignant: • metastases. • carcinoma. • lymphoma. • neuroblastoma. • Benign: • non-functioning adenoma.