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IncidentalomaTalk

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Flavio Guzmán
Flavio Guzmán

http://www.rai-imaging.com/content/00/01/51/24/24/userimages/IncidentalomaTalk.ppt

Saúde e medicina
1 de 57
Evaluation of Incidental Lesions Discovered at Imaging Radiology Associates of Indianapolis Richard L Scales MD
Indeterminate Lesions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Perspective on Incidentalomas ,[object Object],[object Object],[object Object],[object Object],[object Object]
Goals ,[object Object],[object Object],[object Object],[object Object]
Thyroid Incidentalomas ,[object Object],[object Object],[object Object],[object Object],[object Object]
US Features of Benign Thyroid Nodules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Copyright ©Radiological Society of North America, 2005 Frates, M. C. et al. Radiology 2005;237:794-800 Figure 1b. Punctate echogenicities in thyroid nodules
Malignant Thyroid Nodules ,[object Object],[object Object],[object Object],[object Object],[object Object]
Frequency of Occurrence of Thyroid Malignancies
US Features of Malignant Thyroid Nodules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Malignant Thyroid Nodule
Nodule Selection for FNA ,[object Object],[object Object],[object Object],[object Object]
Consensus Statement Society of Radiologists in Ultrasound RSNA 2005
Thyroid Nodule Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nondiagnostic FNA ,[object Object],[object Object],[object Object],[object Object]
 
Summary ,[object Object],[object Object],[object Object]
Indeterminate Adrenal Nodules “ Incidentalomas”
Incidentally Discovered Adrenal Lesions ,[object Object],[object Object],[object Object]
Adrenal Adenomas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging Features of Adrenal Adenomas ,[object Object],[object Object],[object Object],[object Object],[object Object]
Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Lipid-rich adenoma in 74-year-old woman
Adrenal Lesion Size Asymptomatic Adult without History of Malignancy ,[object Object],[object Object],[object Object]
Diagnosis of Adrenal “Incidentaloma” ,[object Object],[object Object],[object Object]
Song, et al. AJR2007;189:1119-1123 ,[object Object],[object Object],[object Object],[object Object]
Song, et al ,[object Object],[object Object],[object Object],[object Object]
ACR Imaging Recommendations ,[object Object],[object Object],[object Object],[object Object]
 
 
Adrenal Imaging: Physicochemical Basis Fat ,[object Object],[object Object],[object Object]
Adrenal Imaging: Physicochemical Basis Washout ,[object Object],[object Object],[object Object]
Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 15a. Indeterminate right adrenal mass found at CT in a 45-year-old woman with breast cancer
Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 15b. Indeterminate right adrenal mass found at CT in a 45-year-old woman with breast cancer
Positive Diagnosis of Benign Adrenal Nodule (Adenoma) ,[object Object],[object Object],[object Object],[object Object]
Hyperfunctioning Adrenal Adenomas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Benign Adrenal Lesions ,[object Object],[object Object],[object Object],[object Object]
Adrenal Pseudocyst ,[object Object],[object Object],[object Object],[object Object]
Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Adrenal pseudocyst in 35-year-old woman
Myelolipoma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 26. Bilateral myelolipomas in a 79-year-old man
Chronic Inflammatory Disease ,[object Object],[object Object],[object Object],[object Object],[object Object]
Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Histoplasmosis in 68-year-old man
Adrenal Hemorrhage ,[object Object],[object Object],[object Object]
Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Adrenal hematoma in 75-year-old woman
“ Incidentaloma” Workup ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Benign Adrenal Lesions ,[object Object],[object Object],[object Object]
Indeterminate Adrenal Lesions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Incidentaloma” Evaluation ,[object Object],[object Object],[object Object]
 
Advanced Adrenal Imaging ,[object Object],[object Object],[object Object]
Adrenal Metastases ,[object Object],[object Object],[object Object],[object Object]
Copyright © 2006 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Metastases from adenocarcinoma of lung in 34-year-old woman
Adrenal Carcinoma ,[object Object],[object Object],[object Object]
Imaging Features of Adrenal Carcinoma ,[object Object],[object Object],[object Object],[object Object]
Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 25. Adrenal carcinoma in a patient who presented with left flank pain
Summary Adrenal Incidentaloma ,[object Object],[object Object],[object Object],[object Object],[object Object]
www.rai-imaging.com ,[object Object],[object Object]

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IncidentalomaTalk

  • 1. Evaluation of Incidental Lesions Discovered at Imaging Radiology Associates of Indianapolis Richard L Scales MD
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  • 7. Copyright ©Radiological Society of North America, 2005 Frates, M. C. et al. Radiology 2005;237:794-800 Figure 1b. Punctate echogenicities in thyroid nodules
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  • 9. Frequency of Occurrence of Thyroid Malignancies
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  • 13. Consensus Statement Society of Radiologists in Ultrasound RSNA 2005
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  • 18. Indeterminate Adrenal Nodules “ Incidentalomas”
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  • 22. Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Lipid-rich adenoma in 74-year-old woman
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  • 32. Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 15a. Indeterminate right adrenal mass found at CT in a 45-year-old woman with breast cancer
  • 33. Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 15b. Indeterminate right adrenal mass found at CT in a 45-year-old woman with breast cancer
  • 34.
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  • 38. Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Adrenal pseudocyst in 35-year-old woman
  • 39.
  • 40. Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 26. Bilateral myelolipomas in a 79-year-old man
  • 41.
  • 42. Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Histoplasmosis in 68-year-old man
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  • 44. Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Adrenal hematoma in 75-year-old woman
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  • 52. Copyright © 2006 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Metastases from adenocarcinoma of lung in 34-year-old woman
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  • 55. Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 25. Adrenal carcinoma in a patient who presented with left flank pain
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