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Incidental PE

Incidental PE

 

Body CT

 

Incidental PE

Incidental PE

 

Incidental PE

Incidental PE

 

“ This study shows that missed PE can occur on abdominal CT. It is recommended that interpretation include a careful search of the lower pulmonary arterial vasculature on contrast-enhanced abdominal CT scans.”
Missed Pulmonary Embolism on Abdominal CT
Lim KY, Kligerman SJ, Lin CT, White CS
AJR 2014; 202:738-743

 

“ The challenge in identifying PE is clearly greater on abdominal CT than on chest CT. In addition to the multiple pitfalls described already, the lungs are typically not a primary target of abdominal CT interpretation, and only a limited part of the pulmonary anatomy is included.”
Missed Pulmonary Embolism on Abdominal CT
Lim KY, Kligerman SJ, Lin CT, White CS
AJR 2014; 202:738-743

 

Gastric Tumor Detection

  • Overcall of tumor is common in fundus and antrum especially if the stomach is not well distended
  • Detection is optimized by data review in MPR or 3D display

 

Gastric Polyp

Gastric Polyp

 

Gastric Adenocarcinoma

Gastric Adenocarcinoma

 

Stomach Not Distended vs Gastric Malignancy?

Stomach Not Distended vs Gastric Malignancy?

 

Body CT

 

Gastric Polyps (benign)

Gastric Polyps (benign)

 

Body CT

 

Dx: Suspected Pancreatic Mass

Dx: Suspected Pancreatic Mass

 

Body CT

 

Body CT

 

Body CT

 

Pitfalls in Renal Imaging

  • Phase of data acquisition
  • Image display format
  • Rendering technique used for display

 

Phase of Acquisition: Non-Contrast CT

  • Ideal for detection of renal calculi
  • Ideal for defining CT attenuation of a suspected renal lesion pre-contrast to help determine whether a lesion is a high density renal cyst
  • Can specifically allow diagnosis of high density renal cyst

 

Body CT

 

Body CT

 

High Density Renal Cyst

High Density Renal Cyst

 

There is no one perfect phase for imaging all renal masses
• arterial phase
• venous phase
• excretory phase

 

Stone Protocol Studies

  • Remember why we do stone protocol studies
  • Remember what stone studies can say and what they can not say

 

Phase of Acquisition: Non-Contrast CT

But non-contrast CT will miss
  • Small renal tumors especially when not changing renal contour
  • Acute pyelonephritis
  • Vascular pathology including AVM

 

Body CT

 

Body CT

 

There is no one perfect phase for imaging all renal masses
• arterial phase
• venous phase
• excretory phase

 

Dilemma: The Small Incidental Renal Lesion

Dilemma: The Small Incidental Renal Lesion

 

Body CT

 

Body CT

 

Pitfalls in Renal Imaging

  • Phase of data acquisition
  • Image display format
  • Rendering technique use for display

 

Body CT

 

Body CT

 

Body CT

 

Body CT

 

Infiltrative Mimics of Malignancy

  • Acute Bacterial Pyelonephritis
  • Xanthogranulomatous Pyelonephritis
  • Renal Infarct
  • IgG4–related Kidney Disease

 

Do you see the lesion?

Do you see the lesion?

 

Body CT

 

Body CT

 

Body CT

 

Body CT

 

 
 

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