{"id":8509,"date":"2025-03-31T16:00:39","date_gmt":"2025-03-31T14:00:39","guid":{"rendered":"https:\/\/www.agoravet.fr\/case-review-bilio-pancreatic-mri\/"},"modified":"2025-07-17T10:13:13","modified_gmt":"2025-07-17T08:13:13","slug":"case-review-bilio-pancreatic-mri","status":"publish","type":"post","link":"https:\/\/www.agoravet.fr\/en\/case-review-bilio-pancreatic-mri\/","title":{"rendered":"Case review: Bilio-pancreatic MRI"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.agoravet.fr\/wp-content\/uploads\/2025\/03\/photos-agoravet-11-1024x683.jpg\" alt=\"\" class=\"wp-image-4296\" srcset=\"https:\/\/www.agoravet.fr\/wp-content\/uploads\/2025\/03\/photos-agoravet-11-1024x683.jpg 1024w, https:\/\/www.agoravet.fr\/wp-content\/uploads\/2025\/03\/photos-agoravet-11-300x200.jpg 300w, https:\/\/www.agoravet.fr\/wp-content\/uploads\/2025\/03\/photos-agoravet-11-768x512.jpg 768w, https:\/\/www.agoravet.fr\/wp-content\/uploads\/2025\/03\/photos-agoravet-11-1536x1024.jpg 1536w, https:\/\/www.agoravet.fr\/wp-content\/uploads\/2025\/03\/photos-agoravet-11-2048x1366.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Veterinary MRI AgoraVet Strasbourg<\/figcaption><\/figure>\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong><u>Anamnesis:<\/u><\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Chronic recurrent pancreatitis.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong><u>MRI sequences :<\/u><\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>The study consists of several series of MRCP-weighted 3D lava images of the abdomen before and after contrast injection (arterial, portal and venous phase), as well as T2 Fat-Sat weighted images in transverse and dorsal sections. The liver is slightly enlarged, with rounded contours. The parenchyma is homogeneous. No biliary tract lesions were identified. The study included several series of MRCP-weighted 3D lava images of the abdomen before and after contrast injection (arterial, portal and venous phases), as well as T2 Fat-Sat-weighted images in transverse and dorsal sections. The liver is slightly enlarged, with rounded contours. The parenchyma is homogeneous. No biliary tract lesions were identified.       <\/td><\/tr><\/tbody><\/table><\/figure>\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><img decoding=\"async\" width=\"224\" src=\"blob:https:\/\/www.agoravet.fr\/e5d0ffb7-81d3-433f-930e-00f266ba9f93\"\/>  The gallbladder is correctly distended. Very small subtraction images are identified in the downstream part of the gallbladder. Hypointense material on T2 Fat-Sat weighting is identified in the downstream part, while the rest of the gallbladder is filled by hyperintense material (<strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#cf2e2e\" class=\"has-inline-color\">arrows<\/mark><\/strong>).  <\/td><\/tr><\/tbody><\/table><\/figure>\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>The pancreatic parenchyma is homogeneous on all sections. There are no visible parenchymal lesions or abnormal dilatation of the pancreatic duct (<strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#9b51e0\" class=\"has-inline-color\">arrows<\/mark><\/strong>).   <img decoding=\"async\" width=\"220\" src=\"blob:https:\/\/www.agoravet.fr\/cfdda276-4afe-4a18-9a80-b9bdd7e3e7e2\"\/><\/td><\/tr><\/tbody><\/table><\/figure>\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>In the spleen, several nodular lesions measuring up to 12 mm in width are observed, particularly in the head, body and tail of the spleen. These lesions are heterogeneous in T2 Fat-Sat weighting, with a hypointense, irregular center, particularly for the lesion located in the head (<strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#f75454\" class=\"has-inline-color\">arrows<\/mark><\/strong>). <\/td><\/tr><\/tbody><\/table><\/figure>\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><img decoding=\"async\" width=\"198\" src=\"blob:https:\/\/www.agoravet.fr\/fd8742b4-3fc4-4311-a082-31351ce91a27\"\/> <img decoding=\"async\" width=\"319\" src=\"blob:https:\/\/www.agoravet.fr\/cfa43e04-ee9a-44dd-bfd6-a49271d00c9d\"\/><\/td><\/tr><\/tbody><\/table><\/figure>\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><img decoding=\"async\" width=\"197\" src=\"blob:https:\/\/www.agoravet.fr\/da5b13b9-737d-43bb-8613-bbb526e4e40d\"\/>Multiple small round hyperintense T2 Fat-Sat-weighted lesions are identified within the cortex of both kidneys, measuring approximately 3 to 4 mm in diameter. The contour of both kidneys is irregular (<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-custom-vert-fonc-color\">arrows<\/mark><\/strong>). <\/td><\/tr><\/tbody><\/table><\/figure>\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-d0b3c9c8 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong><u>Conclusion<\/u><\/strong><strong> : <\/strong> <\/td><\/tr><\/tbody><\/table><\/figure>\n<\/div>\n<\/div>\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Partly sloping biliary sludge and suspicion of small non-obstructive stones).  <br\/><br\/>No significant pancreatic lesion identified on abdominal magnetic resonance imaging.  <br\/><br\/>  Non-specific splenic masses: hyperplastic processes?  <br\/><br\/>Extramedullary hematopoiesis? Incipient tumor lesion?  .  <br\/><br\/>Signs of chronic kidney disease with cortical cysts.  <br\/><br\/>The use of MRI for digestive examinations is a novelty, complementing CT scans and providing additional information on the nature of the lesions observed.<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"Anamnesis: Chronic recurrent pancreatitis. MRI sequences : The study consists of several series of MRCP-weighted 3D lava images of the [&hellip;]","protected":false},"author":38,"featured_media":6059,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","inline_featured_image":false,"footnotes":""},"categories":[86,87],"tags":[],"class_list":["post-8509","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-imaging","category-veterinary-news"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.agoravet.fr\/en\/wp-json\/wp\/v2\/posts\/8509","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.agoravet.fr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.agoravet.fr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.agoravet.fr\/en\/wp-json\/wp\/v2\/users\/38"}],"replies":[{"embeddable":true,"href":"https:\/\/www.agoravet.fr\/en\/wp-json\/wp\/v2\/comments?post=8509"}],"version-history":[{"count":1,"href":"https:\/\/www.agoravet.fr\/en\/wp-json\/wp\/v2\/posts\/8509\/revisions"}],"predecessor-version":[{"id":8512,"href":"https:\/\/www.agoravet.fr\/en\/wp-json\/wp\/v2\/posts\/8509\/revisions\/8512"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.agoravet.fr\/en\/wp-json\/wp\/v2\/media\/6059"}],"wp:attachment":[{"href":"https:\/\/www.agoravet.fr\/en\/wp-json\/wp\/v2\/media?parent=8509"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.agoravet.fr\/en\/wp-json\/wp\/v2\/categories?post=8509"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.agoravet.fr\/en\/wp-json\/wp\/v2\/tags?post=8509"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}