CT Scan of the Liver and Biliary Tree

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Questions and Answers

Which of the following is NOT an indication for computed tomography of the liver and biliary tree?

  • Routine check-up (correct)
  • Abnormal liver-function tests
  • Suspected portal hypertension
  • Hepatomegaly

What is one of the primary contraindications for performing a computed tomography scan of the liver?

  • Elevated liver enzymes
  • Unknown liver function
  • Allergy to iodinated contrast agents (correct)
  • Severe obesity

Which indication suggests the need for a CT scan specifically to characterize a liver lesion?

  • Characterization of liver lesion (correct)
  • Hepatomegaly
  • Staging known malignancy
  • Assessment of the hepatic artery

Which condition would most likely prompt a doctor to order a CT scan of the liver due to suspected issues related to blood flow?

<p>Suspicion of portal hypertension (A)</p> Signup and view all the answers

Which of the following is an indication for follow-up scans after a surgical intervention on the liver?

<p>Follow-up after surgical resection or liver transplant (B)</p> Signup and view all the answers

Flashcards

Liver CT Indications

Reasons for performing a CT scan of the liver and biliary tree.

Suspected liver lesion

A possible abnormality or tumor in the liver.

Staging malignancy

Determining the extent of a known cancer.

Abnormal LFTs

Unusually high or low liver function test results.

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Right upper quadrant pain

Pain in the upper right area of the abdomen.

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Hepatomegaly

Enlarged liver.

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Portal HTN

High blood pressure in the portal vein.

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Liver lesion characterization

Determining the nature of a liver abnormality.

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Pyrexia of unknown origin (PUO)

Fever with no identifiable cause.

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Needle biopsy guidance

Using CT to help guide a biopsy needle.

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Portal/hepatic vessels evaluation

Assessing the portal vein, hepatic artery, and hepatic veins.

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Surgical shunts/TIPS follow-up

Monitoring patients with surgical shunts or TIPS procedures.

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CT Liver Contraindications

Medical reasons why a CT scan of the liver is not advisable.

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Pregnancy

A woman expecting a baby

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Iodinated contrast allergy

An allergic reaction to the contrast dye used in CT scans.

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Study Notes

Indications for Computed Tomography (CT) of the Liver and Biliary Tree

  • Suspected focal or diffuse liver abnormalities
  • Staging of known primary or secondary liver cancers
  • Abnormal liver function tests
  • Right upper quadrant pain or a mass
  • Enlarged liver (hepatomegaly)
  • Possible portal hypertension
  • Identifying the nature of a liver lesion
  • Fever with an unknown cause (pyrexia of unknown origin)
  • Guiding needle placement for biopsies
  • Evaluating the portal vein, hepatic artery, or hepatic veins
  • Assessing patients with surgical shunts or transjugular intrahepatic portosystemic shunts (TIPS)
  • Monitoring after liver surgery or transplant

Contraindications for CT of the Liver and Biliary Tree

  • Pregnancy
  • Allergy to iodine-based contrast agents

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