✅ Caroli Disease 🧠 congenital disorder characterized by segmental saccular dilatation of the intrahepatic bile ducts 🩻 MRI: Multiple bilobar cysts communicating with bile ducts + central enhancing dots > portal radicles “central dot sign” #MedTwitter #Radiology #RadRes

#CaseOfTheDay 🩻 📍 MRI abdomen of a patient with recurrent cholangitis and RUQ pain Describe the imaging findings and drop your diagnosis below! 👇 #LiverImaging #Radiology #MedEd #RadRes #medtwitter

✅ Answer: Hepatic Candidiasis 🧠 Classic “wheel-within-wheel” appearance in immunocompromised patients US: fibrotic rim, hyperechoic inflammatory ring, hyopechoic necrotic core CT: Rim-enhancing lesions with central non-enhancing necrosis #Radiology #MedEd #RadRes #MedTwitter

#CaseOfTheDay 🦠 📍 44F with breast cancer on chemotherapy. Multiple hepatic lesions seen on US and CT. Describe the imaging findings and drop your diagnosis below! 👇 Also, can you name the classic pattern seen here 👀 #LiverImaging #Radiology #MedEd #RadRes #medtwitter

✅ Answer: Hepatic Pseudomonas Abscess 🧠 Thin, wispy septa, minimal surrounding edema, and a multiloculated “honeycomb” imaging pattern aligns with Pseudomonas infection, confirmed with culture learn more https://t.co/svs1qaqG2n #Radiology #MRI #InfectionImaging #MedEd #RadRes

#CaseOfTheDay 🦠 📍 61M with fever & RUQ pain, describe the image findings and drop you diagnoses below! Bonus points if you know the causing organism .. #LiverImaging #Radiology #InfectionImaging #MRI #CT #MedEd #RadRes

#CaseOfTheDay 🩻 Inflammatory Hepatocellular Adenoma MRI: T2 hyperintense lesion w/ a peripheral incomplete rim “atoll sign”. Arterial enhancement persisting on PV/delayed phases 💡 Teaching Point: “atoll sign” is suggestive of I-HCA, differentiate it from HCC/FNH #MedTwitter

❓Struggling with post-locoregional therapy imaging? 🧠 Our expert authors break down liver imaging after TACE, RFA & Y-90 with case-based pearls + key pitfalls every radiologist should know 💡 Enroll at https://t.co/svs1qaq8cP #Radiology #irad #radres #MedTwitter #MedEd

#TipOfTheDay 🩻 📌Contrast-Enhanced Ultrasound improves specificity in differentiating vascular thrombosis vs slow flow 🔹Here, Doppler US → no detectable flow but CEUS shows microbubbles within the portal vein confirming slow flow, not thrombus #MedTwitter #MedEd #radiology

#CaseOfTheDay 📌 Mucinous liver mets 💡 Teaching Point: Mucinous mets can resemble cysts on CT (A); MRI is key to reveal their solid nature and internal enhancement on PVP (confirms non-cystic nature) (B,C) ➡️ learn more at https://t.co/svs1qaq8cP #MedTwitter #MedX #Radiology

#CaseOfTheDay 📌Adrenal pheochromocytoma mimicking a hepatic mass 💡Large adrenal masses can simulate liver lesions 🧠look for suprarenal fossa mass extending into the hepatic dome, with the adrenal not visualized separately “phantom organ sign” #MedX #medtwitter #radres

#CaseOfTheDay 🩻 IVC leiomyosarcoma CT PVP findings: ➡️ Heterogeneously enhancing mass centered on retrohepatic IVC (A, B) ➡️ IVC not clearly separable, PV displaced anteriorly ➡️ Polypoid intraluminal tumor extending into supra- & infrahepatic IVC (Coronal) #RadRes #MedTwitter

Don't miss out on our powerhouse lineup of renowned professors & our Editor-in-Chief @ElsayesKhaled in 12 comprehensive lectures tackling the pitfalls & misinterpretations in imaging of cirrhosis 🩻✨ Enroll at https://t.co/svs1qaqG2n #MedTwitter #radiology #radres #MedEd

📌Hemangioma mimicking malignancy 63M with renal & prostate cancer, presenting w/ suspicious liver lesion on CT CEUS: peripheral nodular enhancement with progressive centripetal fill-in, complete on late phase without washout, diagnostic of hemangioma #MedTwitter #caseoftheday

📖 We’re excited to introduce our expert authors for chapter 17: Pitfalls & Misinterpretations in Imaging of Cirrhosis ✨ This chapter highlights key challenges & common misreads in cirrhosis imaging—helping you avoid diagnostic traps. #Radiology #RadRes #MedEd #MedTwitter

#CaseOfTheDay 🩻 📌 Fibrolamellar Carcinoma – rare HCC variant, often in young adults w/o cirrhosis. ➡️ Pre-contrast: Large mass w/ central calcification that shows arterial phase heterogeneous hyperenhancement ➡️ Delayed phase central scar enhancement (D) #MedTwitter #RadRes

Congratulations @ElsayesKhaled 🎉 on being invited to the International Liver Imaging course in Istanbul 🇹🇷!!

#CaseOfTheDay 🩻 📌 Post liver transplant portal vein thrombosis 💡 Teaching point ➡️ PVT is a major vascular complication post-transplant 👉 Early detection is critical for graft survival. 🩻 Absent Doppler flow on US + filling defect on CT/MRI ± occlusion #MedTwitter #radres

✅ Pyogenic Liver Abscess 🩻 MRI findings: 🔹 Multiloculated lesion (heterogeneous T2 signal + perilesional edema) 🔹Diffusion restriction 💡Can mimic necrotic tumors or cystic mets. Diffusion restriction and “clustered collections” are strong clues for infection #MedEd #RadRes

#CaseChallenge 🩻 ❓What is the most likely diagnosis? A) Hemorrhagic cyst B) Pyogenic liver abscess C) Cystic metastasis D) Hydatid cyst 💭 Comment your answer and explain the image findings ⬇️ 📚 learn more at https://t.co/svs1qaq8cP #Radiology #MedEd #RadRes