Pancreas WB images

Question 1

the aorta and IVC are the posterior landmarks of the pancreas

Answer 1

sagittal plane of the pancreas

Question 2

the portal venous system is the posterior border of the pancreas

Answer 2

Question 3

to which vascular structure are the arrows pointing in this image?

Answer 3

SMV is seen along the posterior border of the neck of the pancreas

Question 4

identify if the image is transvere or longitudinal and what the arrows are pointing to

Answer 4

sagittal

arrows= IVC

Question 5

identify the anatomic structure that the arrows are pointing to in this image

Answer 5

the splenic artery, rises from the celiac axis and is seen as the posterior border of the neck of the pancreas

Question 6

what is the arrow pointing to?

Answer 6

Hepatic Artery

the common bile duct is between the calipers

this is the mickey mouse sign (porta hepatis)

Question 7

what is the arrow head pointing to?

Answer 7

pancreatic duct

Question 8

a 45 year old male presents w/ midepigastric pain, elevated amylase and lipase levels and tenderness. ID the sonographic finidings

Answer 8

sonographic findings consist of an enlarged, edematous pancreas consistant with pancreatits

Question 9

a patient w/ known acute pancreatitis presents w/ continued pain. describe the sonographic findings

Answer 9

sonographic findings consist of pancreatitis w/ a pancreatic pseudocyst

Question 10

a 56 year old male w/ a 1 week history of jaundice and pain has reported a 3 month history of N&V, weight loss & diarrhea. given this info. what are the sonographic findings?

Answer 10

sonographic findings consist of adenocarcinoma of the pancreas w/ a dilated pancreatic duct