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Interpreting body MRI cases: classic findings in abdominal MRI

Leann Kania1, Flavius Guglielmo2, Donald Mitchell2

  • 1Radiology, Thomas Jefferson University Hospital, 132 South 10th Street, Suite 1087, Main Building, Philadelphia, PA, 19107, USA. leann.kania@jefferson.edu.

Abdominal Radiology (New York)
|March 30, 2018
PubMed

Insights

Radiologists can identify specific abdominal conditions using MRI scans. This review highlights classic MRI findings for the liver, spleen, biliary system, gallbladder, pancreas, and kidneys, aiding accurate diagnosis.

Area of Science:

  • Radiology
  • Medical Imaging
  • Gastroenterology

Background:

  • Few radiological findings are pathognomonic, making awareness of specific signs crucial for accurate interpretation.
  • Magnetic Resonance Imaging (MRI) offers superior contrast resolution through various pulse sequences, enhancing visualization of abdominal pathologies.
  • Recognizing classic imaging findings across different modalities is important, with MRI providing the most recognizable observations.

Purpose of the Study:

  • To present classically recognized abdominal findings identifiable via MRI.
  • To serve as a reference for interpreting common pathologies in abdominal organs.

Main Methods:

  • Review of classic abdominal imaging findings.
  • Focus on Magnetic Resonance Imaging (MRI) characteristics.
  • Categorization of findings by organ system: Liver, Spleen, Biliary system, Gallbladder, Pancreas, and Kidneys.

Main Results:

  • Detailed list of specific findings for each organ: Liver (cyst, hemangioma, FNH, adenoma, hemosiderosis, HCC).
  • Spleen (cyst, hemangioma, lymphangioma, hemosiderosis, Gandy-Gamna bodies).
  • Biliary system (stones, choledocholithiasis, pneumobilia, choledochal cyst).
  • Gallbladder (adenomyomatosis, sludge, surgical clips).
  • Pancreas (divisum, IPMN, pseudocyst, autoimmune pancreatitis, chronic pancreatitis, adenocarcinoma).
  • Kidneys (simple cyst, hemorrhagic cyst, renal sinus cyst, angiomyolipoma, solid mass).

Conclusions:

  • MRI is a powerful tool for identifying specific abdominal pathologies.
  • Familiarity with these classic findings improves diagnostic accuracy in abdominal radiology.
  • This review provides a comprehensive overview of key MRI-detectable abdominal conditions.
Keywords:
AbdomenDual echoGadoliniumMRISusceptibility

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