Category Archives: Radiology

Radiology: colonic dilation

Note in the radiograph above the extensive colonic dilation.  In the world of hepatology, colonic dilation might be seen with ileus from causes such as spontaneous bacterial peritonitis (or secondary peritonitis).  It might be seen in a post-operative setting, ie. … Continue reading

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Radiology: Tumor thrombus

Hepatocellular carcinoma (HCC) has a way of invading local vasculature, in particular the portal vein.  HCC can invade intra or extra hepatic segments of the PV.  It is particularly important that you determine whether a PV thrombus is bland (ie. … Continue reading

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Radiology: Intraductal papillary mucinous neoplasm (IPMN)

Intraductal papillary mucinous neoplasms (IPMN) are frequently discovered during routine abdominal imaging.  Though most are benign, like colonic polyps they have the potential to grow and become dysplastic/malignant.  The presence of IPMN is not itself a contraindication for liver transplantation, … Continue reading

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Radiology: Hepatic artery stenosis

The hepatic artery, a branch of the celiac axis that leaves the abdominal aorta, is one of several important anastamoses that are part of liver transplantation.  The hepatic artery supplies blood to the biliary tree.  Thrombosis in the immediate post-transplant setting … Continue reading

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Radiology: Right sided colitis

Liver transplant recipients are, like anybody, susceptable to colitis. In the CT scan above, notice the thickened colonic walls (aarows) involving the right and transverse colon.  CMV colitis should be in your differential diagnosis, particularly if the patient is early … Continue reading

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Radiology: Polycystic liver

The polycystic liver can be as dramatic in person as it is on film.  While most cases are subtle, with multiple, small lobular lesions, some (as in the case shown here) have near obliteration of viable hepatic parenchyma.  Whatever is left, … Continue reading

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Radiology: Portal vein thrombosis

    Portal vein thrombosis is common in the cirrhotic population, though not a medical emergency.  You can let the sun set on one while contemplating the risks and benefits of anticoagulation.  It can cause pain, or worsening of ascites … Continue reading

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