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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
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Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
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Unlock access to our full Course Library and all self-paced Fellowships.
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Get access to free live lectures, every week, from top radiologists.
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Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
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Practice Cases
Worklist 1
21 topics, 34 min.
Introduction to ED Practice Cases
2 m.Wk 1, Case 1 - Practice
Wk 1, Case 1 - Review
2 m.Wk 1, Case 2 - Practice
Wk 1, Case 2 - Review
3 m.Wk 1, Case 3 - Practice
Wk 1, Case 3 - Review
11 m.Wk 1, Case 4 - Practice
Wk 1, Case 4 - Review
6 m.Wk 1, Case 5 - Practice
Wk 1, Case 5 - Review
2 m.Wk 1, Case 6 - Practice
Wk 1, Case 6 - Review
4 m.Wk 1, Case 7 - Practice
Wk 1, Case 7 - Review
2 m.Wk 1, Case 8 - Practice
Wk 1, Case 8 - Review
3 m.Wk 1, Case 9 - Practice
Wk 1, Case 9 - Review
4 m.Wk 1, Case 10 - Practice
Wk 1, Case 10 - Review
2 m.Practice Cases
Worklist 2
20 topics, 35 min.
Wk 2, Case 11 - Practice
Wk 2, Case 11 - Review
10 m.Wk 2, Case 12 - Practice
Wk 2, Case 12 - Review
3 m.Wk 2, Case 13 - Practice
Wk 2, Case 13 - Review
3 m.Wk 2, Case 14 - Practice
Wk 2, Case 14 - Review
2 m.Wk 2, Case 15 - Practice
Wk 2, Case 15 - Review
10 m.Wk 2, Case 16 - Practice
Wk 2, Case 16 - Review
2 m.Wk 2, Case 17 - Practice
Wk 2, Case 17 - Review
1 m.Wk 2, Case 18 - Practice
Wk 2, Case 18 - Review
2 m.Wk 2, Case 19 - Practice
Wk 2, Case 19 - Review
3 m.Wk 2, Case 20 - Practice
Wk 2, Case 20 - Review
4 m.Practice Cases
Worklist 3
20 topics, 40 min.
Wk 3, Case 21 - Practice
Wk 3, Case 21 - Review
8 m.Wk 3, Case 22 - Practice
Wk 3, Case 22 - Review
4 m.Wk 3, Case 23 - Practice
Wk 3, Case 23 - Review
9 m.Wk 3, Case 24 - Practice
Wk 3, Case 24 - Review
2 m.Wk 3, Case 25 - Practice
Wk 3, Case 25 - Review
6 m.Wk 3, Case 26 - Practice
Wk 3, Case 26 - Review
2 m.Wk 3, Case 27 - Practice
Wk 3, Case 27 - Review
3 m.Wk 3, Case 28 - Practice
Wk 3, Case 28 - Review
4 m.Wk 3, Case 29 - Practice
Wk 3, Case 29 - Review
3 m.Wk 3, Case 30 - Practice
Wk 3, Case 30 - Review
5 m.Practice Cases
Worklist 4
20 topics, 39 min.
Wk 4, Case 31 - Practice
Wk 4, Case 31- Review
2 m.Wk 4, Case 32 - Practice
Wk 4, Case 32 - Review
7 m.Wk 4, Case 33 - Practice
Wk 4, Case 33 - Review
3 m.Wk 4, Case 34 - Practice
Wk 4, Case 34 - Review
5 m.Wk 4, Case 35 - Practice
Wk 4, Case 35 - Review
5 m.Wk 4, Case 36 - Practice
Wk 4, Case 36 - Review
5 m.Wk 4, Case 37 - Practice
Wk 4, Case 37 - Review
3 m.Wk 4, Case 38 - Practice
Wk 4, Case 38 - Review
6 m.Wk 4, Case 39 - Practice
Wk 4, Case 39 - Review
3 m.Wk 4, Case 40 - Practice
Wk 4, Case 40 - Review
5 m.Practice Cases
Worklist 5
20 topics, 41 min.
Wk 5, Case 41 - Practice
Wk 5, Case 41 - Review
6 m.Wk 5, Case 42 - Practice
Wk 5, Case 42 - Review
8 m.Wk 5, Case 43 - Practice
Wk 5, Case 43 - Review
2 m.Wk 5, Case 44 - Practice
Wk 5, Case 44 - Review
3 m.Wk 5, Case 45 - Practice
Wk 5, Case 45 - Review
7 m.Wk 5, Case 46 - Practice
Wk 5, Case 46 - Review
3 m.Wk 5, Case 47 - Practice
Wk 5, Case 47 - Review
2 m.Wk 5, Case 48 - Practice
Wk 5, Case 48 - Review
6 m.Wk 5, Case 49 - Practice
Wk 5, Case 49 - Review
4 m.Wk 5, Case 50 - Practice
Wk 5, Case 50 - Review
6 m.Wk 2, Case 13 - Review
HIDEInteractive Transcript
Report
Report
TECHNIQUE:
CT of the abdomen and pelvis with intravenous contrast.
COMPARISON: None.
FINDINGS:
LOWER THORAX: Small bilateral pleural effusions. There is subsegmental atelectasis of the dependent segments of the bilateral lower lobes.
HEPATOBILIARY: There is diffuse hepatic steatosis.
There is a hepatic attenuation difference between the right and left lobe of the liver, with the right lobe showing greater enhancement. This is likely due to the thrombosis of the right portal vein as described below.
Focal area of hyperenhancement adjacent to the falciform ligament, likely due to alternate vascular drainage through the vein of Sappey.
SPLEEN: No splenomegaly.
PANCREAS: The pancreas is enlarged with peripancreatic inflammatory changes and free fluid tracking down into the pelvis. There are ill defined areas of hypoenhancement in the body, tail and head of the pancreas, involving >30% of the pancreatic parenchyma, which are consistent with areas of necrosis.
ADRENALS: No adrenal nodules.
KIDNEYS/URETERS: Multiple subcentimeter renal cortical cysts. Few non obstructing renal calculi.
PELVIC ORGANS/BLADDER: Unremarkable.
PERITONEUM / RETROPERITONEUM: No free air. There is a small volume of free fluid in the pelvis.
LYMPH NODES: No lymphadenopathy.
VESSELS: There is non opacification of the right portal vein and the splenic vein, consistent with thrombosis. There is also partial thrombosis at the cranial end of the superior mesenteric vein.
GI TRACT: No distention or wall thickening.
BONES AND SOFT TISSUES: No suspicious lytic or blastic lesions are visualized.
IMPRESSION:
1. Acute necrotizing pancreatitis. Small volume ascites. No drainable fluid collections.
2. Thrombosis of the right portal vein, the splenic vein and the cranial part of the superior mesenteric vein.
Faculty
Laura L Avery, MD
Assistant Professor of Emergency Radiology Harvard Medical School
Massachusetts General Hosptial
Tags
Vascular Imaging
Vascular
Pancreas
Gastrointestinal (GI)
CT
Body
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