By Jovitas Skucas
Complex Imaging of the stomach is beneficial to the training radiologist, and the extra senior radiology resident and fellow, who's trying to find a historical past reference resource whilst discussing a steered imaging process with the referring health professional. The e-book comprises huge lists, tables, line drawings and illustrations - ultrasonography, computed tomography, magnetic resonance photographs, scintigraphy. It bridges the interface among the referring clinician and radiologist whilst confronted with a sufferer suspected of getting a fancy or more odd belly situation.
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Additional resources for Advanced Imaging of the Abdomen
A number of dysmotility ﬁndings are speciﬁc for a particular disorder but some cannot be pigeonholed into a speciﬁc category; these are often given such terms as nonspeciﬁc esophageal motility disorder or lower esophageal sphincter 37 ESOPHAGUS dysfunction. In many of these patients a barium tablet is trapped in the proximal or midesophagus and in some is associated with symptoms. Autonomic nerve function tests, which assess parasympathetic vagal nerve function, show that patients with a bolus-speciﬁc dysmotility disorder have vagal nerve dysfunction (95).
28. A,B: Two patients with primary esophageal malignant melanoma. Both tumors have an intraluminal polypoid appearance. Linear ulcers or ﬁssures are evident in one (B). None resulted in lumen obstruction. C: Oral contrast-enhanced CT reveals an intraluminal tumor (arrow). Contrast surrounds this primary esophageal malignant melanoma. (From Gollub MJ, Prowda JC. Primary melanoma of the esophagus: radiologic and clinical ﬁndings in six patients. ) Metastases or Direct Invasion The esophagus is involved either by direct invasion from adjacent structures or metastases.
Endoscopic US is an option for early detection of locally recurrent cancer. A study of patients followed by endosonography found that two thirds of patients were still asymptomatic when US detected recurrence (83). Metastases from an esophageal adenocarcinoma mimicked myositis ossiﬁcans (84). Lymphoma A primary esophageal lymphoma is rare. Most involvement is secondary, often due to direct spread from mediastinal lymph nodes or stomach. Lymphomas range from polypoid to diffusely inﬁltrating (Fig.
Advanced Imaging of the Abdomen by Jovitas Skucas