Q-radiology

Today’s case 5 – Liver abscess percutaneous drainage case (Hepato-venous fistula)

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Liver abscess percutaneous drainage case (Hepato-venous fistula) A 40-year-old male undergoing cancer treatment for pancreatic cancer due to pancreas cancer presented to the emergency room after experiencing a fever for three consecutive days. A CT scan revealed the presence of abscess formation with a double target sign in segment 6 of the liver. The patient … Read more

Today’s case 3 – PICC (peripherally inserted central catheter)

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Difficult PICC case (central vein stenosis) It appears that the guidewire encountered difficulty during insertion, and upon fluoroscopy examination, it was observed to be bent in a U-shape. Consequently, a venography procedure was performed using a contrast agent, revealing a constriction in the Right innominate vein. As a result, the wire tip, which was initially … Read more

Today’s case 2 – Portal vein stent insertion for invaded main portal vein by pancreas head cancer

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Portal vein stent insertion for invaded main portal vein by pancreas head cancer The patient, who is currently undergoing palliative FOLFIRINOX chemotherapy for inoperable pancreatic cancer with liver metastasis and lymph node involvement, was admitted for elevated liver function tests (LFTs). A CT scan was performed, and upon review by the designated professor in the … Read more

Today’s case 1 – TACE (transarterial chemoembolization for hepatocellular carcinoma)

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TACE for HCC patient Today’s case -1– 69 year old patient with HCC, the patient have had RFA once and SABR to S8 marginal recurrence (‘21.9.23.- ‘21.10.5.). On follow up Liver CT, a nodular lesion is identifed which shows APHE and delayed washout. The patient refered to angio room for TACE I punctured the patient’s … Read more

Azygoesophageal branch of inferior phrenic artery (angiographic anatomy)

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Azygoesophageal branch of inferior phrenic artery Azygoesophageal branch of IPA runs along azygoesophageal recess and reaches posterior lung base making typical U shape. Azygoesophageal branch of IPA almost always has a systemic-to-pulmonary shunt and is shown at cone-beam CT in about one-half of patients This branch seems to suppply the pleura of the lung base … Read more

Percutaneous transhepatic biliary drainage (PTBD) for nondilated bile duct patient (patient without cholangitis): Nondilated bile duct PTBD

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PTBD is useful minimal invasive technique for bile drainage but when the patient’s bile duct is not dilated, the procedure gets really difficult Since nondilated bileduct is not well visualized on ultrasound, multiple puncture through the liver is needed than usual which makes the patient feel severe pain (even with enough local anesthesia) and makes … Read more

Takayasu arteritis radiology

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Takayasu arteritis Takayasu arteritis is a chronic vasculitis mainly involving the aorta and its main branches such as the brachiocephalic, carotid, subclavian, vertebral, and renal arteries, as well as the coronary and pulmonary arteries. It induces clinically varied ischaemic symptoms due to stenotic lesions or thrombus formation. More acute progression causes destruction of the media … Read more

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