S. Morcos, Henrik Thomsen's Urogenital Imaging: A Problem-Oriented Approach PDF

By S. Morcos, Henrik Thomsen

ISBN-10: 0470510897

ISBN-13: 9780470510896

  • Organised based on offering symptoms, with dialogue of applicable investigations
  • Outlines strengths and weaknesses of other imaging modalities and discusses applicable selection of strategy in each one example
  • Reviews differential diagnoses and corroborative assessments

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Example text

The parietal peritoneum (blue line) separates the peritoneal cavity from the retroperitoneum. The anterior renal fascia of Gerota (yellow line) separates the perirenal space from the anterior retroperitoneum. The posterior renal fascia separates the perirenal space from the posterior retroperitoneum. The retroperitoneum is bounded anteriorly by the parietal peritoneum and posteriorly by the transversalis fascia. It extends from the diaphragm down to the level of the pelvic fossa. These spaces are separated but they are opened inferiorly at the level of the pelvis where the retroperitoneum space communicates with the extraperitoneal space of the pelvis, and the two compartments become continuous.

This originates from the blood vessels, vas deferens or embryonal remnants. Usually it shows a rapid growth and necrotic or cystic central degeneration is observed. Contrast medium reveals a moderate enhancement mainly at the periphery with internal septa. • Benign teratoma. A specific diagnosis can be made in 70–90% of cases because of typical CT or MR aspects owing to the contemporaneous presence of fat tissue, bone, teeth and fluid. Malignant components can not be ruled out with certainty on the basis of imaging.

Unenhanced CT shows bilateral adrenal masses (arrows) with high attenuation. Metastases (Fig. 15) • Common primary tumors include the lung, breast, GI tract and pancreas. • Can be of varying size. • Attenuation higher than 10 HU on unenhanced CT, as they do not typically contain intracellular lipid. 15 Adrenal metastases. Contrast-enhanced CT shows diffuse hepatic and bilateral adrenal metastases (arrows) in patient with advanced melanoma. 16 Adrenal metastasis. Fused PET/CT scan shows marked tracer uptake in a small left adrenal mass (arrow).

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Urogenital Imaging: A Problem-Oriented Approach by S. Morcos, Henrik Thomsen


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