Sharad B. Gadgil ¹, Shopnil Prasla ², Sumit Baviskar ³, Parag Garse ²

Affiliations
1 Associate Professor, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik − 422003, Maharashtra, IN
2 P.G. Resident, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College and Hospital, Adgaon, Nashik − 422003, Maharashtra, IN
3 Assistant Professor, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik − 422207, Maharashtra, IN

Abstract

Introduction: Focal Hepatic Lesions (FHL) has been a common reason for consultation faced by medical consultants. With the widespread use of imaging studies led to an increase in detection of incidental focal liver lesions. It is important to consider both malignant liver lesions as well as benign solid and cystic liver lesions such as hemangioma, focal nodular hyperplasia, hepatocellular adenoma, and hepatic cysts, in the differential diagnosis. Objectives: Our aim was to study the computerized tomographic finding in the various focal hepatic lesions and also to study the various enhancement pattern of the focal hepatic lesion. Materials and Methods: CT scan study of abdomen and pelvis was done on 100 patients from August 2015 to December 2017 over a period of the 2 years. Patients, irrespective of age and sex referred to radiology department of our institute on IPD or OPD basis were included in the study. All patients will be subjected to computerized tomography of the abdomen with CT (Siemens Somatom Emotion 6) machine and Somatom Essenza. Results: Total 100 patients were studied for various focal hepatic lesions out of which 64(64%) were male patients and 36(36%) were female patients. The most common affected age group encountered in our study was 51-60 years. Various focal hepatic lesions were reported in which 64(64%) patient had malignant nature of lesion with most common pathology detected was hepatic metastasis seen in 37(37%) patient. On other hand benign lesion were evident in the 36(36%) patient with hemangioma as most common pathology in this category. Conclusion: Multi-detector Computed Tomography (MDCT) with a correlation of triple phase study is an excellent tool for diagnosis of the focal liver lesion by learning the degree and pattern of enhancement in all three phase thus helping in better characterization of the lesion. MDCT allows the reconstruction and reformation of images supported in detecting multiple lesions and early diagnosis of a focal lesion in the presence diffuse liver condition.

Keywords

Benign, Computerized Tomography, Hepatic, Lesion, Malignant, Tumour.

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Parag Garse ¹, Abhay Kakade ², Sumit Bavisar ³, Mahesh Yadav ⁴, Sujay Saxena ⁴

Affiliations
1 Former PG Resident, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik-422003, Maharashtra, IN
2 Associate Professor, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
3 Assistant Professor, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
4 Former PG Resident, Department of Radiodiagnosis, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN

Abstract

Introduction: Magnetic Resonance Cholangiopancreatography (MRCP) is a non-invasive and important imaging modality useful for study of pancreas and biliary system using advanced rapid imaging and invention of new sequences for pancreatic and biliary ductal system. Aims and Objectives: To study role of Magnetic Resonance Cholangiopancreatography (MRCP) finding in various pancreatico-biliary pathologies. Results: Total 60 cases were studied with various pancreatico-biliary conditions. Variety of study showed that 37(62%) out of 60 cases were encountered with biliary pathologies followed by pancreatic lesion in 17(29%) cases and pancreatic-biliary lesions were present in 6 (9%) cases. Among the lesions, most common cases were of obstructive etiology in 24(40%) followed by inflammatory condition in 21(36%), congenital lesions in 7(11%), neoplastic lesions seen in 6(10%) and strictures in the 2 (3%) cases. Conclusion: According to our study, MRCP is an advanced and noninvasive diagnostic imaging of choice for the pancreatico-biliary lesions.

Keywords

Choledocholithiasis, Magnetic Resonance Cholangiopancreatography (MRCP), Pancreatitis

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