MRI of the liver

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Author: Rodrigo Horstmann Castilhos [notes 1]

MRI of Caroli disease (d).jpg

Technique

Requires a phased array torso coil.

Basic screening

  • Morphology: verify size, borders and contours.
  • Liver parenchyma: Scan for steatosis, iron deposition
  • Focal lesions: Scan for nodules
  • Biliary ducts:
  • Hepatic veins
  • Portal vein

Search for extrahepatic findings

  • Lymph nodes in hepatic hilum.
  • Signs of portal hypertension: ascites, splenomegaly; portosystemic collateral vessels

Report

LI-RADS (Liver Imaging and Reporting Data System) system should be used only if patient has a high risk for hepatocellular carcinoma (cirrhosis, chronic hepatitis B or current/prior HCC).

Lesions and diseases

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References