EURORAD ESR

Case 13885

Biliary cystadenoma with bile duct communication demonstrated on contrast-enhanced hepatobiliary phase MRI sequence

Author(s)
José Pablo León1, Cristina La Parra1, Ulises Guajardo2

(1) Department of Radiology,
Hospital Universitario de La Ribera,
Alzira, Valencia, Spain.
(2) School of Medicine,
Universidad de los Andes,
Santiago, Chile.
 
Patient
female, 17 year(s)
 
 
  • Figure 1
    A: Abdominal ultrasound. B-C Axial and coronal CT venous phase.
     

    The images show a large and well-defined multiloculated cystic lesion in the IV-hepatic-segment with enhancing septations without any solid pole or calcifications in the wall. It also shows mild intrahepatic biliary...

     
    Area of Interest: Abdomen; Liver; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The images show a large and well-defined multiloculated cystic lesion in the IV-hepatic-segment with enhancing septations without any solid pole or calcifications in the wall. It also shows mild intrahepatic biliary...

     
    Area of Interest: Abdomen; Imaging Technique: CT; CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The images show a large and well-defined multiloculated cystic lesion in the IV-hepatic-segment with enhancing septations without any solid pole or calcifications in the wall. It also shows mild intrahepatic biliary...

     
    Area of Interest: Abdomen; Liver; Imaging Technique: CT; CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    MRI. A: T1WI B: T2WI C: Contrast-enhanced
     

    On image A the lesion is mildly hyperintense. Images B and C show a hepatic multiloculated cystic lesion with enhancing septations without any solid pole and a mild intrahepatic biliary ducts dilatation.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    On image A the lesion is mildly hyperintense. Images B and C show a hepatic multiloculated cystic lesion with enhancing septations without any solid pole and a mild intrahepatic biliary ducts dilatation.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    On image A the lesion is mildly hyperintense. Images B and C show a hepatic multiloculated cystic lesion with enhancing septations without any solid pole and a mild intrahepatic biliary ducts dilatation.

     
    Area of Interest: Abdomen; Liver; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    MRI. A - B: Contrast-enhanced hepatobiliary phase sequences C: Cholangiography-sequence
     

    On images A and B a contrast accumulation inside the lesion is detected, a finding that is consistent with communication to the biliary duct. The image C show a mild intrahepatic biliary ducts dilatation.

     
    Area of Interest: Abdomen; Liver; Imaging Technique: MR; MR-Functional imaging; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    On images A and B a contrast accumulation inside the lesion is detected, a finding that is consistent with communication to the biliary duct. The image C show a mild intrahepatic biliary ducts dilatation.

     
    Area of Interest: Abdomen; Liver; Imaging Technique: MR; MR-Functional imaging; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    On images A and B a contrast accumulation inside the lesion is detected, a finding that is consistent with communication to the biliary duct. The image C show a mild intrahepatic biliary ducts dilatation.

     
    Area of Interest: Abdomen; Liver; Imaging Technique: MR; MR-Functional imaging; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
The images show a large and well-defined multiloculated cystic lesion in the IV-hepatic-segment with enhancing septations without any solid pole or calcifications in the wall. It also shows mild intrahepatic biliary ducts dilatation.
 
The images show a large and well-defined multiloculated cystic lesion in the IV-hepatic-segment with enhancing septations without any solid pole or calcifications in the wall. It also shows mild intrahepatic biliary ducts dilatation.
 
The images show a large and well-defined multiloculated cystic lesion in the IV-hepatic-segment with enhancing septations without any solid pole or calcifications in the wall. It also shows mild intrahepatic biliary ducts dilatation.
 
On image A the lesion is mildly hyperintense. Images B and C show a hepatic multiloculated cystic lesion with enhancing septations without any solid pole and a mild intrahepatic biliary ducts dilatation.
 
On image A the lesion is mildly hyperintense. Images B and C show a hepatic multiloculated cystic lesion with enhancing septations without any solid pole and a mild intrahepatic biliary ducts dilatation.
 
On image A the lesion is mildly hyperintense. Images B and C show a hepatic multiloculated cystic lesion with enhancing septations without any solid pole and a mild intrahepatic biliary ducts dilatation.
 
On images A and B a contrast accumulation inside the lesion is detected, a finding that is consistent with communication to the biliary duct. The image C show a mild intrahepatic biliary ducts dilatation.
 
On images A and B a contrast accumulation inside the lesion is detected, a finding that is consistent with communication to the biliary duct. The image C show a mild intrahepatic biliary ducts dilatation.
 
On images A and B a contrast accumulation inside the lesion is detected, a finding that is consistent with communication to the biliary duct. The image C show a mild intrahepatic biliary ducts dilatation.
 
 
 
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