Podcast
Questions and Answers
Which imaging finding is LEAST likely to suggest underlying pancreatic cancer?
Which imaging finding is LEAST likely to suggest underlying pancreatic cancer?
- Alterations in pancreatic morphology with abnormal CT attenuation values
- Pancreatic ductal dilatation
- Obliteration of peripancreatic fat
- Preservation of sharp margins with surrounding structures (correct)
A patient's imaging reveals pancreatic atrophy. While this can be associated with several conditions, which other finding would most strongly suggest the atrophy is due to underlying pancreatic cancer rather than another cause?
A patient's imaging reveals pancreatic atrophy. While this can be associated with several conditions, which other finding would most strongly suggest the atrophy is due to underlying pancreatic cancer rather than another cause?
- Homogeneous enhancement of the pancreatic parenchyma
- Normal peripancreatic fat planes
- The presence of a smooth, tapering narrowing of the main pancreatic duct
- Obstruction of the common bile duct (correct)
What imaging feature is most indicative of advanced pancreatic cancer with local invasion?
What imaging feature is most indicative of advanced pancreatic cancer with local invasion?
- Obliteration of peripancreatic fat (correct)
- Mild dilatation of the pancreatic duct
- Slight enlargement of the pancreas
- Homogeneous contrast enhancement of the pancreas
Which of the following findings on a CT scan would be LEAST indicative of pancreatic cancer?
Which of the following findings on a CT scan would be LEAST indicative of pancreatic cancer?
A patient presents with jaundice, and imaging reveals obstruction of the common bile duct. Which additional pancreatic finding would most strongly suggest that pancreatic cancer is the cause of the obstruction?
A patient presents with jaundice, and imaging reveals obstruction of the common bile duct. Which additional pancreatic finding would most strongly suggest that pancreatic cancer is the cause of the obstruction?
What does 'alterations in morphology of the gland with abnormalities of CT attenuation values' refer to regarding pancreatic cancer?
What does 'alterations in morphology of the gland with abnormalities of CT attenuation values' refer to regarding pancreatic cancer?
Why is the 'obliteration of peripancreatic fat' a significant indicator of pancreatic cancer?
Why is the 'obliteration of peripancreatic fat' a significant indicator of pancreatic cancer?
What is the significance of 'loss of sharp margins with surrounding structures' in the context of pancreatic cancer?
What is the significance of 'loss of sharp margins with surrounding structures' in the context of pancreatic cancer?
How does 'pancreatic ductal dilatation' suggest the presence of pancreatic cancer?
How does 'pancreatic ductal dilatation' suggest the presence of pancreatic cancer?
If imaging reveals enlargement of regional lymph nodes near the pancreas, what does this suggest?
If imaging reveals enlargement of regional lymph nodes near the pancreas, what does this suggest?
Flashcards
Pancreatic Morphology Alterations
Pancreatic Morphology Alterations
Changes in the pancreas's shape or density on imaging scans.
Obliteration of Peripancreatic Fat
Obliteration of Peripancreatic Fat
Disappearance of fat around the pancreas on imaging.
Loss of Sharp Margins
Loss of Sharp Margins
The pancreas loses its well-defined edges on imaging.
Pancreatic Ductal Dilatation
Pancreatic Ductal Dilatation
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Pancreatic Atrophy
Pancreatic Atrophy
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Obstruction of the Common Bile Duct (CBD)
Obstruction of the Common Bile Duct (CBD)
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Study Notes
- Features suggesting pancreatic cancer include alterations in gland morphology and abnormal CT attenuation values.
- Other indicators are obliteration of peripancreatic fat and loss of sharp margins with surrounding structures.
- Involvement of adjacent vessels and regional lymph nodes may suggest pancreatic cancer.
- Pancreatic ductal dilation, pancreatic atrophy, and obstruction of the common bile duct (CBD) can be signs of pancreatic cancer.
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