Cirrosis
-
Upload
ivan-mitosis -
Category
Documents
-
view
454 -
download
0
Transcript of Cirrosis
![Page 1: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/1.jpg)
Cirrosis Hepática
Imagenología
Roberto Muñoz H.
Dr. Raúl Medina M.
![Page 2: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/2.jpg)
![Page 3: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/3.jpg)
Hígado Normal
![Page 4: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/4.jpg)
![Page 5: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/5.jpg)
TAC
• evaluar alteraciones difusas hepáticas.
• infiltración de grasa
• acumulación de hierro
• calcificación sutil
• hemorragia.
• la administración IV: caracterización de lesiones focales
![Page 6: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/6.jpg)
Radiografía Simple
• calcificación hepática
• hepatomegalia.
• Ascitis.
![Page 7: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/7.jpg)
![Page 8: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/8.jpg)
Ultrasonografía
• no es invasiva,
• Barata
• rápida
• fácilmente accesible
• imagen armónica, Doppler de potencia, y la introducción
de contraste específico del hígado.
• 3-5 MHz
![Page 9: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/9.jpg)
![Page 10: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/10.jpg)
![Page 11: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/11.jpg)
![Page 12: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/12.jpg)
RMN
• No Invasivo
• Características Especificas del tejido
• Estructuras Vasculares
• Múltiples secuencias
![Page 13: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/13.jpg)
![Page 14: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/14.jpg)
CIRROSIS
![Page 15: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/15.jpg)
![Page 16: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/16.jpg)
![Page 17: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/17.jpg)
![Page 18: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/18.jpg)
![Page 19: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/19.jpg)
Cirrosis
• El hallazgo más frecuente en la cirrosis
avanzada es:
atrofia de los segmentos posteriores (VI,
VII) del lóbulo derecho.
La hipertrofia de la caudado (I) y de los
segmentos laterales del lóbulo izquierdo
(II, III)
![Page 20: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/20.jpg)
![Page 21: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/21.jpg)
![Page 22: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/22.jpg)
![Page 23: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/23.jpg)
![Page 24: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/24.jpg)
![Page 25: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/25.jpg)
LHD
![Page 26: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/26.jpg)
![Page 27: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/27.jpg)
![Page 28: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/28.jpg)
LHD
![Page 29: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/29.jpg)
RMN
![Page 30: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/30.jpg)
RMN
![Page 31: Cirrosis](https://reader033.fdocument.pub/reader033/viewer/2022060123/5597b2931a28abbb2b8b4769/html5/thumbnails/31.jpg)
“Cuando creíamos que
teníamos todas las
respuestas, de
pronto, cambiaron
todas las preguntas.”