What are the imaging characteristics of chronic pancreatitis
Beaded duct appearance and ectatic side branches
Dilated duct
Calcifications
Gland atrophy
Criteria for liver transplant referral
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,
Imaging characteristics of HCC
Ct- hyperarterialisation in early arterial phase and washout during portal phase is most reliable finding
Imaging scoring for pancreatits
Balthazar score
mild -enlargement of panc or surrounding inflammatory changes
mod - peripancreatic collections
severe - pancreatic necrosis
What are 3 key criteria in determining resectability of hepatic CRC mets
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