Pancreatic imaging : a pattern-based approach to radiologic diagnosis with pathologic correlation

Description

This comprehensive teaching atlas covers virtually all pancreatic anatomy (including variants) and diseases in a pattern-based radiologic approach. Cases are presented as “unknowns”, allowing the reader to analyze the findings and learn key points. Each teaching case includes a brief clinical history, images, a description of imaging findings, differential diagnoses, final diagnosis with images of gross pathology, and a discussion of key teaching points. The presented images have been acquired with the full range of relevant modalities, including state of the art technologies such as multidetector row dual-phase CT, 3D reformatting, and multiple MRI sequences. The book will help radiologists, radiology residents and fellows to sharpen their diagnostic skills by looking at a vast array of pathology from a major tertiary hospital (Johns Hopkins) and will also assist in preparation for radiology board examinations. Front Matter ....Pages i-xv Front Matter ....Pages 1-1 Case 1: Pancreatic Adenocarcinoma with Upstream Textural Changes (Stephanie Coquia)....Pages 3-6 Case 2: Pancreatic Adenocarcinoma with Superimposed Acute Pancreatitis (Stephanie Coquia)....Pages 7-10 Case 3: Pancreatic Adenocarcinoma, Unresectable (Stephanie Coquia)....Pages 11-13 Case 4: Pancreatic Adenocarcinoma, Borderline Resectable (Stephanie Coquia)....Pages 15-17 Case 5: Pancreatic Adenocarcinoma, Recurrence (Stephanie Coquia)....Pages 19-21 Case 6: Pancreatic Adenocarcinoma, Adenosquamous Variant (Stephanie Coquia)....Pages 23-25 Case 7: Acinar Cell Carcinoma (Katherine M. Troy, Karen S. Lee)....Pages 27-30 Case 8: Solid-Pseudopapillary Neoplasm (Katherine M. Troy, Karen S. Lee)....Pages 31-34 Case 9: Lymphoma (Katherine M. Troy, Karen S. Lee)....Pages 35-38 Case 10: Plasma Cell Neoplasm (Katherine M. Troy, Karen S. Lee)....Pages 39-41 Case 11: Schwannoma (Katherine M. Troy, Karen S. Lee)....Pages 43-45 Case 12: Lipoma (Katherine M. Troy, Karen S. Lee)....Pages 47-50 Case 13: Dedifferentiated Liposarcoma (Katherine M. Troy, Karen S. Lee)....Pages 51-54 Case 14: Melanoma Metastatic to the Pancreas (Katherine M. Troy, Karen S. Lee)....Pages 55-58 Case 15: Pancreatoblastoma (Javad Azadi, Atif Zaheer)....Pages 59-61 Front Matter ....Pages 63-63 Case 16: Acute Necrotizing Pancreatitis (Stephen I. Johnson)....Pages 65-67 Case 17: Sequelae of Necrotizing Pancreatitis (Stephen I. Johnson)....Pages 69-71 Case 18: Pancreatic Adenocarcinoma (Stephen I. Johnson)....Pages 73-75 Case 19: Breast Cancer Metastatic to the Pancreas (Javad Azadi, Atif Zaheer)....Pages 77-79 Case 20: Focal Fatty Infiltration (Stephen I. Johnson)....Pages 81-83 Case 21: Fatty Infiltration in Cystic Fibrosis (Stephen I. Johnson)....Pages 85-88 Case 22: Focal Radiation Atrophy (Stephen I. Johnson)....Pages 89-91 Case 23: Short Pancreas (Stephen I. Johnson)....Pages 93-95 Case 24: Serotonin-Producing Neuroendocrine Tumor (Stephen I. Johnson)....Pages 97-99 Case 25: Autoimmune Pancreatitis (Stephen I. Johnson)....Pages 101-105 Case 26: Focal Autoimmune Pancreatitis (Katherine S. Troy, Karen S. Lee)....Pages 107-111 Case 27: Autoimmune Pancreatitis Response to Therapy (Stephen I. Johnson)....Pages 113-115 Case 28: Focal Chronic Pancreatitis (Katherine S. Troy, Karen S. Lee)....Pages 117-120 Case 29: Hemochromatosis (Sajal Pokharel)....Pages 121-123 Front Matter ....Pages 125-125 Case 30: Serous Cystadenoma with Upstream Pancreatic Duct Dilatation (Christopher Fung)....Pages 127-130 Case 31: Small Serous Cystadenoma (Christopher Fung)....Pages 131-133 Case 32: Oligocystic Serous Cystadenoma (Christopher Fung)....Pages 135-137 Case 33: Mucinous Cystic Neoplasm with Low-Grade Dysplasia (Christopher Fung)....Pages 139-141 Case 34: Mucinous Cystic Neoplasm with Intermediate-Grade Dysplasia (Christopher Fung)....Pages 143-145 Case 35: Mucinous Cystic Neoplasm with High-Grade Dysplasia and Invasive Cancer (Christopher Fung)....Pages 147-149 Case 36: Mucinous Cystic Neoplasm, Cyst within a Cyst Appearance (Christopher Fung)....Pages 151-154 Case 37: Mucinous Cystic Neoplasm with Mural Nodule (Christopher Fung)....Pages 155-157 Case 38: Mucinous Cystic Neoplasm in Pancreatic Head (Christopher Fung)....Pages 159-162 Case 39: Intraductal Papillary Mucinous Neoplasm: Mixed-Type with Low-Grade Dysplasia (Christopher Fung)....Pages 163-165 Case 40: Multiple Intraductal Papillary Mucinous Neoplasms (Christopher Fung)....Pages 167-169 Case 41: Intraductal Papillary Mucinous Neoplasm versus Pseudocyst (Christopher Fung)....Pages 171-174 Case 42: Segmental Intraductal Papillary Mucinous Neoplasm (Christopher Fung)....Pages 175-177 Case 43: Pancreatic Ductal Adenocarcinoma Arising After Intraductal Papillary Mucinous Neoplasm Resection (Christopher Fung)....Pages 179-181 Case 44: Main Duct Intraductal Oncocytic Papillary Neoplasm (Christopher Fung)....Pages 183-185 Case 45: Solid-Pseudopapillary Neoplasm (Satomi Kawamoto)....Pages 187-191 Case 46: Two Solid-Pseudopapillary Neoplasms (Satomi Kawamoto)....Pages 193-196 Case 47: Small Lipoma Mimicking an IPMN (Atif Zaheer)....Pages 197-201 Case 48: Lymphoepithelial Cyst (Satomi Kawamoto)....Pages 203-207 Case 49: Foregut Malformation Cyst (Satomi Kawamoto)....Pages 209-213 Case 50: Pancreatic Cyst in Von Hippel-Lindau Syndrome (Satomi Kawamoto)....Pages 215-218 Case 51: Cystic Schwannoma (Sumera Ali, Atif Zaheer)....Pages 219-221 Case 52: Groove Pancreatitis (Sumera Ali, Atif Zaheer)....Pages 223-225 Case 53: Walled-Off Pancreatic Necrosis Mimicking a Mass Lesion (Atif Zaheer)....Pages 227-229 Case 54: Walled-Off Pancreatic Necrosis (Sumera Ali, Atif Zaheer)....Pages 231-234 Case 55: Chronic Pseudocysts (Sumera Ali, Atif Zaheer)....Pages 235-238 Case 56: Duodenal Diverticulum Mimicking a Pancreatic Cyst (Sumera Ali, Atif Zaheer)....Pages 239-241 Case 57: Cystic Neuroendocrine Tumor (Sumera Ali, Atif Zaheer)....Pages 243-248 Case 58: Undifferentiated Carcinoma with Osteoclast-Like Giant Cells (Stephanie Coquia)....Pages 249-251 Case 59: Acinar Cell Cystadenoma (Sumera Ali, Atif Zaheer)....Pages 253-256 Front Matter ....Pages 257-257 Case 60: Neuroendocrine Tumor (Javad Azadi, Atif Zaheer)....Pages 259-262 Case 61: Renal Cell Carcinoma Metastatic to the Pancreas (Javad Azadi, Atif Zaheer)....Pages 263-265 Case 62: Castleman Disease (Katherine M. Troy, Karen S. Lee)....Pages 267-270 Case 63: Gastroduodenal Artery Pseudoaneurysm Mimicking a Mass (Javad Azadi, Atif Zaheer)....Pages 271-273 Case 64: Hypervascular Serous Cystadenoma (Javad Azadi, Atif Zaheer)....Pages 275-277 Case 65: Heterotopic Spleen (Javad Azadi, Atif Zaheer)....Pages 279-282 Case 66: Pseudomass of the Pancreas Associated with Bowel Malrotation (Javad Azadi, Atif Zaheer)....Pages 283-285 Case 67: Annular Pancreas (Javad Azadi, Atif Zaheer)....Pages 287-289 Case 68: Bifid Pancreatic Tail (Javad Azadi, Atif Zaheer)....Pages 291-293 Case 69: Heterotopic Pancreas (William Laxton)....Pages 295-298 Case 70: Pancreatic Arteriovenous Malformation (William Laxton)....Pages 299-301 Case 71: Pancreatic Hamartoma (William Laxton)....Pages 303-305 Case 72: Pancreatic Ductal Adenocarcinoma with Medullary Features (William Laxton)....Pages 307-309 Case 73: Pancreatic Epithelioid Angiosarcoma (Christopher Fung)....Pages 311-313 Case 74: VIPoma (Christopher Fung)....Pages 315-318 Case 75: Gastrinoma (Christopher Fung)....Pages 319-323 Case 76: Somatostatinoma (Christopher Fung)....Pages 325-327 Case 77: Glucagonoma (Christopher Fung)....Pages 329-331 Front Matter ....Pages 333-333 Case 78: Chronic Pancreatitis (J. Paul Nielsen, Sajal Pokharel)....Pages 335-337 Case 79: Chronic Pancreatitis in Cystic Fibrosis (J. Paul Nielsen, Sajal Pokharel)....Pages 339-341 Case 80: Chronic Pancreatitis and Pancreatic Ductal Adenocarcinoma (J. Paul Nielsen, Sajal Pokharel)....Pages 343-347 Case 81: Neuroendocrine Tumor (James Horton, Sajal Pokharel)....Pages 349-352 Case 82: Undifferentiated Sarcomatoid Carcinoma (James Horton, Sajal Pokharel)....Pages 353-355 Case 83: Calcified Metastasis from Undifferentiated Pleomorphic Sarcoma (James Horton, Sajal Pokharel)....Pages 357-359 Case 84: Serous Cystadenoma with Central Calcifications (Christopher Fung)....Pages 361-363 Case 85: Mucinous Cystic Neoplasm with Capsular Calcifications (Christopher Fung)....Pages 365-367 Case 86: Solid-Pseudopapillary Neoplasm (Sumera Ali, Atif Zaheer)....Pages 369-371 Case 87: Intraductal Papillary Mucinous Neoplasm with Associated Colloid Cancer (Christopher Fung)....Pages 373-375 Front Matter ....Pages 377-377 Case 88: Mixed-Type Intraductal Papillary Mucinous Neoplasm (Satomi Kawamoto)....Pages 379-383 Case 89: Intraductal Tubulopapillary Neoplasm (Satomi Kawamoto)....Pages 385-389 Case 90: Double Pancreatic Duct MRI Artifact (Steven P. Rowe)....Pages 391-393 Case 91: Chronic Pancreatitis Ductal Changes (Steven P. Rowe)....Pages 395-397 Case 92: Chronic Pancreatitis, Intraductal Calculus (Steven P. Rowe)....Pages 399-401 Case 93: Chronic Pancreatitis, Ductal Stricture (Steven P. Rowe)....Pages 403-405 Case 94: Abnormal Acinarization of the Pancreas in Response to Secretin (Steven P. Rowe)....Pages 407-409 Case 95: Postoperative Changes from the Frey Procedure for Chronic Pancreatitis (Steven P. Rowe)....Pages 411-413 Case 96: Absent Duct in Autoimmune Pancreatitis (Satomi Kawamoto)....Pages 415-418 Front Matter ....Pages 419-419 Case 97: Long Common Channel (Kristin K. Porter)....Pages 421-424 Case 98: Pancreas Divisum with Santorinicele (Kristin K. Porter)....Pages 425-428 Case 99: Ansa Pancreatica (Kristin K. Porter)....Pages 429-432 Case 100: Pancreatic Ductal Disruption (Kristin K. Porter)....Pages 433-435 Case 101: Anastomotic Stricture Post Pancreaticoduodenectomy (Kristin K. Porter)....Pages 437-440 Back Matter ....Pages 441-449