Quiz
of The Week: (31 January, 2012) |
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ABDOMINAL IMAGING 113
RQJ 2012; 13 (29)
Dr. Nitin Ghonge
Diwan Chand Aggarwal Imaging Research Centre, New Delhi |
The
REF quiz is a weekly quiz put up on Tuesday morning. The quizzes cover all aspects
of radiology and are chosen for their uniqueness or teaching potential. A set
of quizzes forms a block for prizes. For more details see:
A 48-year-old woman presented to a gastroenterologist with loss of appetite of 6 months duration. On clinical examination, there was mild icterus. The laboratory investigations revealed: direct bilirubin - 2.5 mg/dl; alkaline Phosphatase - 220IU/L; serum amylase - 80 U/L.
USG of the abdomen revealed abnormal pancreatic echotexture and raised suspicion of malignancy.
Contrast-enhanced CT scan was performed.
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| Fig. 1: Axial contrast-enhanced CT scan (venous phase) of the upper abdomen |
Fig. 2: Axial contrast-enhanced CT scan (venous phase) of the upper abdomen. |
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Fig. 3: Axial contrast-enhanced CT scan (venous phase) of the upper abdomen. |
Fig. 4: Curved multiplanar CT scan along the pancreatic axis. |
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Fig. 5: Coronal contrast-enhanced CT scan (venous phase) of the upper abdomen. |
Fig. 6: High-resolution CT scans of the lungs. |
Question:
a. What is the most likely diagnosis?
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