EURORAD ESR

Case 11683

Primary biliary lymphoma

Author(s)
Pugh L, Twemlow M

North Tyneside General Hospital,
Northumbria Healthcare
Email:pughliam@gmail.com
 
Patient
male, 82 year(s)
 
 
  • Figure 1
    MRCP Findings
     

    2D FIESTA (fast imaging employing steady state acquisition) MRCP showing intrahepatic biliary duct dilatation, increased soft tissue in mid-CBD with stricture and distal CBD calculi (arrow).

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: MR; Procedure: Cholangiography; Special Focus: Lymphoma;

    Heavily T2 weighted Thick-slab MIP (maximum intensity projection) sequence using ASSET (Array Spatial Sensitivity Encoding Technique) MCRP showing dilated intrahepatic biliary radicals, CBD stricture and CBD calculi...

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: MR; Procedure: Cholangiography; Special Focus: Lymphoma;
     
     
  • Figure 2
    CT findings
     

    CT showing circumferential wall thickening in proximal CBD.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Lymphoma;

    CT showing circumferential wall thickening in mid-distal CBD.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Lymphoma;
     
     
  • Figure 3
    PET Findings

    PET CT showing hypermetabolic common bile duct and ampulla. No distant disease.

     
    Area of Interest: Abdomen; Imaging Technique: PET-CT; Procedure: Staging; Special Focus: Lymphoma;
     
     
2D FIESTA (fast imaging employing steady state acquisition) MRCP showing intrahepatic biliary duct dilatation, increased soft tissue in mid-CBD with stricture and distal CBD calculi (arrow).
 
Heavily T2 weighted Thick-slab MIP (maximum intensity projection) sequence using ASSET (Array Spatial Sensitivity Encoding Technique) MCRP showing dilated intrahepatic biliary radicals, CBD stricture and CBD calculi (arrow).
 
CT showing circumferential wall thickening in proximal CBD.
 
CT showing circumferential wall thickening in mid-distal CBD.
 
PET CT showing hypermetabolic common bile duct and ampulla. No distant disease.
 
 
 
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