EURORAD ESR

Case 9364

Malignant degeneration of choledocal cyst

Author(s)
Alfonso S, Lozano GA, Gutiérrez M, Hernández D, and Pérez C
Radiology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

Hospital de la Santa Creu i Sant Pau
 
Patient
female, 40 year(s)
 
 
  • Figure 1
    Contrast enhanced CT

    Cystic lesion in the porta hepatis with solid nodules in the inner wall; nodules show a significant enhancement after iv contrast administration.

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Contrast agent-intravenous;
     
     
  • Figure 2
    Contrast enhanced CT

    Cystic hepatic lesion. A moderate intrahepatic biliary dilation and a normal extrahepatic choledocus are also demonstrated.

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Contrast agent-intravenous;
     
     
  • Figure 3
    Contrast enhanced CT

    Cystic hepatic lesion with solid nodules visible in the inner wall; nodules show a significant enhancement after iv contrast administration.

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Contrast agent-intravenous;
     
     
  • Figure 4
    Axial T2-weighted SPAIR MR

    Polylobulated intrahepatic cystic mass containing multiple solid mural nodules. Slight compression of the biliary tree causes a moderate intrahepatic ductal dilation.

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Imaging Technique: MR; Procedure: Imaging sequences;
     
     
  • Figure 5
    Axial gadolinium T1-weighted MR

    Polylobulated intrahepatic cystic mass containing multiple solid mural nodules, that enhances after iv contrast administration.

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Imaging sequences;
     
     
  • Figure 6
    Coronal T2-weighted MR A and B

    A: Polylobulated intrahepatic cystic mass with a slight compression of the biliary tree causing a moderate intrahepatic ductal dilation. B: Normal distal extrahepatic bile duct and bilio-pancreatic junction (red arrow).

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Imaging Technique: MR; Procedure: Imaging sequences;
     
     
  • Figure 7
    3D MR colangiograpahy

    Intrahepatic cystic mass. Moderate intrahepatic bile duct dilation is associated. Extrahepatic bile duct is not dilated. Bilio-pancreatic junction was demonstrated normal (red arrow).

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Imaging Technique: MR; Procedure: Cholangiography;
     
     
Cystic lesion in the porta hepatis with solid nodules in the inner wall; nodules show a significant enhancement after iv contrast administration.
 
Cystic hepatic lesion. A moderate intrahepatic biliary dilation and a normal extrahepatic choledocus are also demonstrated.
 
Cystic hepatic lesion with solid nodules visible in the inner wall; nodules show a significant enhancement after iv contrast administration.
 
Polylobulated intrahepatic cystic mass containing multiple solid mural nodules. Slight compression of the biliary tree causes a moderate intrahepatic ductal dilation.
 
Polylobulated intrahepatic cystic mass containing multiple solid mural nodules, that enhances after iv contrast administration.
 
A: Polylobulated intrahepatic cystic mass with a slight compression of the biliary tree causing a moderate intrahepatic ductal dilation. B: Normal distal extrahepatic bile duct and bilio-pancreatic junction (red arrow).
 
Intrahepatic cystic mass. Moderate intrahepatic bile duct dilation is associated. Extrahepatic bile duct is not dilated. Bilio-pancreatic junction was demonstrated normal (red arrow).
 
 
 
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