Radiology Guides Anatomy Physio & Path Medicine Physics Contact


1. Introduction

  • Look at the fat - the dirty fat! “Look for the fat bastard!” Identify the presence of pathology by looking for fat-stranding.
  • Look for individual pathology instead of just anatomy.

2. Pancreatitis

  • Look at the pancreatic substance for normal denisty and fat stranding around the pancreas.
  • Note the revised Atlanta classification of acute pancreatitis - differentiate between interstitial edematous pancreatitis (IEP) vs. necrotic pancreatitis (NP).

3. Cholecystitis

  • Sensitive signs of cholecystitis - Murphy’ positive + gallstones.
  • Other signs - gallbladder wall thickening, presence of sludge within the lumen, presence of fluid collection around the gallbladder.
  • Complications - gangrenous cholecystitis, may require CT-guided percutaneous drainage.


1. Goodman, L. and Felson, B. (2015). Felson's principles of chest roentgenology. 3rd ed. Philadelphia, PA: Elsevier, Saunders.
2. Dähnert W. Radiology Review Manual. LWW. (2011) ISBN:1609139437. Read it at Google Books - Find it at Amazon
3. Elizabeth Puddy, Catherine Hill; Interpretation of the chest radiograph, Continuing Education in Anaesthesia Critical Care & Pain, Volume 7, Issue 3, 1 June 2007, Pages 71–75, https://doi.org/10.1093/bjaceaccp/mkm014

Ⓒ A. Manickam 2018

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