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UNIVERSIDADE ESTADUAL DE

LONDRINA

CENTRO DE CIÊNCIAS DA SAÚDE

Tomografia para o
Urologista
Antonio Fernandes Neto
ANATOMICAL FEATURES:
1. Right lobe of liver 23. Body of pancreas
2. Aorta 24. Splenic vein
3. Right ventricle of heart 25. Gallbladder
4. Left ventricle of heart 26. Antrum of stomach
5. Inferior vena cava (IVC) 27. 1st part of duodenum
6. Esophagus 28. Superior mesenteric artery (SMA)
7. Azygous vein 29. Right kidney
8. Hemiazygous vein 30. Left kidney
9. Left lobe of liver 31. Head of pancreas
10. Fundus of stomach 32. 2nd part of duodenum
11. Spleen 33. Left renal vein
12. Right crus of diaphragm 34. Right renal artery
13. Left crus of diapgragm 35. Right renal vein
14. Left portal vein 36. Superior mesenteric vein (SMV)
15. Body of stomach 37. Hepatic flexure of colon
16. Right portal vein 38. 3rd part of duodenum
17. Right adrenal gland 39. Jejunum
18. Celiac artery (trunk) 40. Transverse colon
19. Splenic artery 41. Inferior mesenteric artery (IMA)
20. Hepatic artery 42. Right common iliac artery
21. Main portal vein 43. Left common iliac artery
22. Left adrenal gland
ANATOMICAL FEATURES:
1. Right ventricle
2. Left ventricle
3. Aorta
4. Liver
5. Left hepatic vein
6. Middle hepatic vein
7. Right hepatic vein
8. Inferior vena cava
9. Stomach
10. Spleen
11. Right crus of diaphragm
12. Left crus of diaphragm
13. Celiac axis
14. Tail of pancreas
15. Splenic artery
16. Portal vein
17. Body of pancreas
18. Right kidney
19. Left kidney
20. Head of pancreas
21. Jejunum
22. Gallbladder
23. Umbilicus
C/T Scan Abdomen, Level of Liver and Gallbladder
C/T Scan Abdomen, Level of Liver and Spleen
C/T scan of abdomen, level of pancreas:
C/T scan of abdomen, level of kidneys:
C/T scan of kidneys and related structures
C/T scan of abdomen :
1-Liver.
2-Abdominal Aorta.
3-Stomach.
4-Spleen.
5-Azygos vein.
1-Right crus of the diaphragm
2-Left crus of the diaphragm
3-Hemiazygos vein
4-Erector spinae muscle
5-Rectus abdominis muscle
6-Linea alba
1-Right kidney.
2-Left Kidney.
3-Spinal canal.
4-Gall bladder.
5-Jejunum.
6-Inferior vena cava.
7-Hepatic flexure.
8-Descending colon
Correlação
Correlação
Correlação
Correlação
Correlação
Abdomen & Pelvis (T11,12) Liver
Fígado Baço

Estômago Aorta
Abdomen & Pelvis (T11,12) Liver
Veia cava inferior Crura do diafragma
Abdomen & Pelvis - approx. L2,3 level

Estômago Colon
Duodeno
transverso

Fígado Vesícula biliar Cabeça do pâncreas


Abdomen & Pelvis - approx. L2,3 level

Cauda do pâncreas Rim direito Músculo psoas

Aorta
Veia cava Artéria mesentérica
superior
Abdomen & Pelvis - approx. L3,4 level

Fígado
Duodeno
Colon ascendente

Colon
Músculo psoas Reto abdominal
descendente
Abdomen & Pelvis - approx. L5 level

Colon ascendente Colon descendente Ureter direito e


esquerdo

Crista Ilíaca Glúteo Máximo Psoas


Abdomen & Pelvis - approx. L5 level

Músculo ilíaco

Artéria ilíaca comum

Veia ilíaca comum


Abdomen & Pelvis - Female Pelvis 1

Ílium Sacro Útero

Bexiga
Reto Músculo ílio
psoas
Abdomen & Pelvis - Female Pelvis 1

Músculo reto Músculo glúteo


abdominal menor

Músculo glúteo
maior
Abdomen & Pelvis - Female Pelvis 1

Tuberosidade Sínfise púbica


Isquiática Vagina

Uretra Reto Músculo glúteo


máximo
Abdomen & Pelvis - Male Pelvis 1

Hip joint Bexiga


Vesícula seminal

Reto Obturador interno


Glúteo máximo
Abdomen & Pelvis - Male Pelvis 1

Tuberosidade isquiática Próstata

Reto Obturador interno Elevador do anús


Supra renal direita e esquerda Tb da adrenal com
calcificação
An abdominal CT scan showing
an enlarged adrenal gland
71-year-old man with primary hyperaldosteronism due to bilateral adrenal
hyperplasia. Unenhanced CT image shows markedly enlarged adrenal limbs
bilaterally (arrows).
Primary hyperaldosteronism due to left aldosterone-producing adenoma.
Nodular bilateral adrenal hyperplasia that was incorrectly diagnosed as aldosterone-producing
adenoma by radiologist. Enhanced CT image obtained more caudally shows measurably
hyperplastic limbs (arrows) bilaterally with mean limb width of 5.2 mm. Right medial limb width is
4.7 mm; right lateral limb width, 5.1 mm; left medial limb width, 6.1 mm; and left lateral limb
width, 5.2 mm.
This scan shows a left adrenal gland (yellow) lying on top
of the left kidney (red) and behind the pancreas (green).
The spleen is outlined in blue.
Axial CT urography image showing a filling defect in the right
renal pelvis consistent with a large urothelial tumor
The CT scan of the pelvis showed a thrombosis
inferior vena cava up to the renal veins.
Tumor de Fígado
Tumor renal
A renal tumor is present in the kidney (arrow).
A CT scan of the middle abdomen showing metastasis
(cancer that has spread) in the left kidney in
a patient with carcinoma of the lung. Note the large dark
circular tumor in the kidney on the right side of the picture.
Angiomiolipola direito de 7 mm

Angiomiolipola bilateral Angiomiolipola direito


Abscesso renal

Figure 1. Noncontrast CT scan at the level


of the kidneys shows heterogeneous density
of the right kidney
Abscesso renal
Figure 2. Postcontrast CT scans at the levels of
the kidneys. The upper picture shows multiple
small abscesses (a) in the right kidney, thickening
of the Gerota's fascia (red arrow), pus in the right
perirenal space (blue arrows), and a pararenal
abscess (Ab). The lower picture shows multiple
small abscesses in the lower pole of the right
kidney (RK), and an abscess in the right psoas
muscle (Ps).
Abscesso subfrênico
Rim em ferradura
Nefroma cistico

Tumor renal
Estenose da JUP
Multilple cysts in left and right kidney. Axial CT image of the liver and
kidneys shows
a benign (non-cancerous)
cyst in the right kidney

Doença renal policística


Hidronefrose bilateral
Hidronefrose direita

Hipoplasia renal
Abscesso subfrenico e clipe cirúrgico

Cálculo renal
Pielonefrite enfisematosa Pielonefrite crônica
mais hematoma a esquerda

Pielonefrite xantogranulomatosa
Psoas and pararenal space hematoma

Contrast-enhanced CT image shows a round


hypodense mass involving left
posterior pararenal space.
Note anterolateral displacement of the left kidney

1 cm more caudal CT image: some areas


of the mass have relatively high
attenuation values, indicating acute hemorrhage

A more caudal CT image demonstrates


enlargement of the mass
Trauma renal direito
Hemangioma renal

Renal hemangioma in a 31-years-old man.


A. Enhanced CT scan shows a non-enhancing mass with lobulated margin in the lower pole
of the left kidney. Unenhanced CT scan shows a high-attenuated mass suggesting
hemorrhage (not shown).
Trombose da artéria renal direita - Rim não contrasta
Traumatismo renal
Traumatismo renal
Traumatismo renal

Contrast enhanced computed tomography


of the abdomen
demonstrates a moderate-sized left
subcapsular hematoma which compresses
the renal parenchyma
The left nephrogram is slightly
diminished and there is no excretion of
contrast by the left kidney.
Traumatismo renal

A wedge-shaped low density laceration


is seen]in the anterior midpole of the
left kidney

There is mild infiltration of the left


perinephric fat (arrows),but no large perinephric
hematomais seen.
CT scan of the kidneys with intravenous
contrast showing
a solid mass in the right kidney and a mass
anteromedial to the left kidney where
one would expect the left adrenal.
C/T scan of male pelvis
C/T scan of a female pelvis:
Axial image from "stone protocol" CT showing left ureteral stone.
PARA OS
25. Iliopsoas muscle PRÓXIMOS
ANATOMICAL FEATURES:
1. Umbilicus 26. Piriformis muscle SLIDES
2. Rectus abdominis muscle 27. Bladder
3. External oblique muscle 28. External iliac artery
4. Internal oblique muscle 29. External iliac vein
5. Transversus abdominis muscle 30. Sartorius muscle
6. Inferior vena cava 31. Tensor fasciae latae muscle
7. Aorta
32. Femoral head
8. Right kidney
9. Left kidney 33. Seminal vesicles
10. Psoas major muscle 34. Pubis
11. Quadratus lumborum muscle 35. Ischium
12. Erector spinae muscle 36. Rectum
13. Right common iliac artery 37. Obturator internus muscle
14. Left common iliac artery 38. Rectus femoris muscle
15. Right common iliac vein
39. Femoral artery
16. Left common iliac vein
17. Inferior epigastric vessels 40. Femoral vein
18. Iliac crest 41. Prostate
19. Iliacus muscle 42. Spermatic cord
20. Gluteus medius muscle 43. Corpora cavernosa of penis
21. Sacroiliac joint 44. Epididymis
22. Ala of sacrum 45. Anal sphincter muscles
23. Gluteus minimus muscle
46. Testes
24. Gluteus maximus muscle
47. Bulb of penis
48. Crus of penis and ischiocavernosus muscle
ANATOMICAL FEATURES:
1. Ascending colon
2. Right kidney
3. Right ureter
4. Left ureter
5. Left kidney
6. Descending colon
7. Inferior vena cava
8. Aorta
9. Jejunum
10. Right common iliac artery
11. Left common iliac artery
12. Right common iliac vein
13. Left common iliac vein
14. Ileum
15. Cecum
16. Appendix
17. Sigmoid colon
18. Bladder
19. Right ureterovesical junction (UVJ)
20. Left ureterovesical junction (UVJ)
21. Seminal vesicles
22. Rectum
23. Penis
24. Prostate
ANATOMICAL FEATURES:
1. Descending colon
2. Ascending colon
3. Right kidney
4. Left kidney
5. Inferior vena cava (IVC)
6. Aorta
7. Psoas major muscle
8. Right common iliac artery
9. Left common iliac artery
10. Right common iliac vein
11. Left common iliac vein
12. Right ovary
13. Sigmoid colon
14. Uterus
15. Left ovary
16. Rectouterine pouch (cul-de-sac of douglas)
17. Rectum
18. Urinary bladder
19. Cervix
20. Vagina
21. Levator ani
22. Symphysis pubis
23. Urethra
24. Ischiorectal fossa
ANATOMICAL FEATURES:
1. Rectus abdominis muscle
2. Sigmoid colon
3. Right ovary
4. Left ovary
5. Uterus
6. Round ligament of uterus
7. Rectum
8. Cervix
9. Rectouterine pouch (pouch of douglas)
10. Urinary bladder
11. Vesicouterine pouch
12. Vagina
13. Fat in ischioanal fossa (ishiorectal fossa)
14. Urethra
15. Anal canal

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