HPB

Question 1

What are the imaging characteristics of chronic pancreatitis

Answer 1

Beaded duct appearance and ectatic side branches
Dilated duct
Calcifications
Gland atrophy

Question 2

Criteria for liver transplant referral

Answer 2

Chronic liver failure (MELD>14)
And 2 of
Encephalopathy
complications (varices, ascites, solenomegaly)
Intractable pruritis
Impaired synthetic function - alb, clotting
Impaired QoL severe

exceptions -HCC, metabolic liver disease,

Question 3

Imaging characteristics of HCC

Answer 3

Ct- hyperarterialisation in early arterial phase and washout during portal phase is most reliable finding

Question 4

Imaging scoring for pancreatits

Answer 4

Balthazar score
mild -enlargement of panc or surrounding inflammatory changes
mod - peripancreatic collections
severe - pancreatic necrosis

Question 5

What are 3 key criteria in determining resectability of hepatic CRC mets

Answer 5

1) >20% FLR for chemo naive, >30% for post chemo
2) Preservation of 2 confluent segments
3) Vascular inflow and outflow + biliary drainage is preserved