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MDCT in the Staging of Gallbladder Carcinoma

Naveen Kalra1, Sudha Suri1, Rajesh Gupta2, S. K. Natarajan2, Niranjan Khandelwal1, J. D. Wig2 and Kusum Joshi3

1 Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, PGIMER, Sector 12, Chandigarh, India 160012.
2 Department of General Surgery, Postgraduate Institute of Medical Education and Research, PGIMER, Chandigarh, India 160012.
3 Department of Histopathology, Postgraduate Institute of Medical Education and Research, PGIMER, Chandigarh, India 160012.


Figure 1
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  		Fig. 1A —75-year-old man with gallbladder carcinoma infiltrating the right hepatic artery. Axial contrast-enhanced CT scan in hepatic artery phase shows that right hepatic artery is attenuated and irregular in outline (arrow) with presence of mass on both sides of vessel (arrowheads).

 

Figure 2
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  		Fig. 1B —75-year-old man with gallbladder carcinoma infiltrating the right hepatic artery. Axial volume-rendered image at same level shows irregular right hepatic artery (long arrow) infiltrated by mass (short arrows).

 

Figure 3
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  		Fig. 2 —35-year-old woman with gallbladder carcinoma staged as unresectable on CT and found to be resectable on surgery. Axial contrast-enhanced CT scan obtained after giving water as oral contrast shows that planes between gallbladder carcinoma (asterisk) and duodenum are lost (arrow), suggestive of infiltration.

 

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