Date of hepatic or liver imaging test
Item
1. Date of hepatic or liver imaging test
date
Item
2. What method was used for this imaging test?
text
Code List
2. What method was used for this imaging test?
CL Item
Ultrasound - transabdominal (1)
CL Item
Ultrasound - endoscopic (2)
CL Item
Magnetic Resonance Imaging (MRI) (3)
CL Item
Computerised Tomography (CT) (4)
CL Item
Endoscopic Retrograde Cholangiopancreatography (ERCP) (5)
CL Item
Positron Emission Tomography (PET) (6)
CL Item
Positron Emission Tomography/Computerised Tomography (PET/CT) (7)
other method used for imaging test
Item
Other, specify:
text
Item
3. Are images technically adequate?
text
Code List
3. Are images technically adequate?
CL Item
Readable, but not optimal (2)
images technically adequate other
Item
Other, specify:
text
Item
4. Indicate the liver size
text
Code List
4. Indicate the liver size
CL Item
Hypertrophy (or enlarged) (A2)
CL Item
Atrophy (or smaller than normal) (A3)
CL Item
Segmental hypertrophy (A4)
other liver size
Item
Other, specify:
text
Item
5. Indicate the liver texture
text
Code List
5. Indicate the liver texture
CL Item
Heterogenous (B2)
CL Item
Suggestive of fibrosis (B3)
CL Item
Nodular or suggestive of cirrhosis (B4)
other liver texture
Item
Other, specify:
text
Item
6. Grade the diffuse and/or geographic fatty infiltrate of the liver
text
Code List
6. Grade the diffuse and/or geographic fatty infiltrate of the liver
CL Item
Not applicable - no fatty infiltration (C1)
CL Item
Mild (<=25%) (C2)
CL Item
Moderate (>25% to <75%) (C3)
CL Item
Severe (>=75%) (C4)
other grade of diffuse and/or geographic fatty infiltrate of the liver
Item
Other, specify
text
Item
7. Ascites present
text
Code List
7. Ascites present
CL Item
None present (D1)
CL Item
Yes - small amount (D2)
CL Item
Yes - moderate or severe amount (D3)
ascites present other amount
Item
Other, specify:
text
Item
8. Are Focal Hepatic Lesions characterisable?
text
Code List
8. Are Focal Hepatic Lesions characterisable?
CL Item
Not applicable - no hepatic lesions (E0)
CL Item
Check all that apply (E)
Solid Focal Hepatic Lesions
Item
[E1] Solid
boolean
Cystic Focal Hepatic Lesions
Item
[E2] Cystic
boolean
Hemangioma Focal Hepatic Lesions
Item
[E3] Hemangioma
boolean
Focal Nodular Hyperplasia
Item
[E4] Focal Nodular Hyperplasia
boolean
Other Focal Hepatic Lesions
Item
[E99] Other
boolean
Other Focal Hepatic Lesions specification
Item
Other, specify:
text
Item
9. Gallstones or gallbladder lesions?
text
Code List
9. Gallstones or gallbladder lesions?
CL Item
Check all that apply (F)
Gallstones
Item
[F1] Gallstones
boolean
Gallbladder polyps
Item
[F2] Gallbladder polyp(s)
boolean
Sludge
Item
[F3] Sludge
boolean
Gallbladder wall thickening/oedema
Item
[F4] Gallbladder wall thickening/oedema
boolean
Gallbladder wall gas
Item
[F5] Gallbladder wall gas
boolean
Cholecystitis
Item
[F6] Cholecystitis
boolean
Gallbladder wall calcification
Item
[F7] Gallbladder wall calcification
boolean
Gallbladder mass
Item
[F8] Gallbladder mass
boolean
Other gallbladder lesions
Item
[F99] Other
boolean
Other gallbladder lesions specification
Item
Other, specify
text
Item
10. Biliary ductal lesions?
text
Code List
10. Biliary ductal lesions?
CL Item
Check all that apply (G)
Intrahepatic ductal dilation
Item
[G1] Intrahepatic ductal dilation (focal involving the right hepatic lobe)
boolean
Intrahepatic ductal dilation
Item
[G2] Intrahepatic ductal dilation (focal involving the left hepatic lobe)
boolean
Extrahepatic ductal dilation
Item
[G4] Extrahepatic ductal dilation
boolean
Diffuse ductal dilation
Item
[G5] Diffuse ductal dilation (involving both intrahepatic and extrahepatic ducts)
boolean
Acute Cholangitis
Item
[G6] Acute Cholangitis
boolean
Primary sclerosing cholangitis
Item
[G7] Primary sclerosing cholangitis
boolean
Choledocholithiasis
Item
[G8] Choledocholithiasis (gallstone in duct)
boolean
Ductal filling defect other than gallstone
Item
[G9] Ductal filling defect(s), other than gallstone
boolean
Ductal wall thickening or oedema
Item
[G10] Ductal wall thickening or oedema
boolean
Choledochal cyst
Item
[G11] Choledochal cyst
boolean
Ductal mass
Item
[G12] Ductal mass
boolean
Extrinsic mass compressing bile duct
Item
[G13] Extrinsic mass compressing bile duct(s)
boolean
Other Biliary ductal lesions
Item
[G99] Other
boolean
Other Biliary ductal lesions specification
Item
Other, specify:
text
Item
11. Portal/Hepatic vein abnormalities?
text
Code List
11. Portal/Hepatic vein abnormalities?
CL Item
Check all that apply (H)
Portal vein enlargement
Item
[H1] Portal vein enlargement
boolean
Hepatic vein enlargement
Item
[H2] Hepatic vein enlargement
boolean
Nonocclusive portal vein thrombosis
Item
[H3] Nonocclusive portal vein thrombosis
boolean
Occlusive portal vein thrombosis - bland
Item
[H4] Occlusive portal vein thrombosis - bland
boolean
Hepatic vein thrombosis - bland
Item
[H5] Hepatic vein thrombosis - bland
boolean
Occlusive portal vein thrombosis - malignant
Item
[H6] Occlusive portal vein thrombosis - malignant
boolean
Hepatic vein thrombosis - malignant
Item
[H7] Hepatic vein thrombosis - malignant
text
Involvement of the main portal vein
Item
[H8] Involvement of the main portal vein
boolean
Involvement of the right portal vein
Item
[H9] Involvement of the right portal vein
boolean
Involvement of the left portal vein
Item
[H10] Involvement of the left portal vein
boolean
Budd-Chiari syndrome
Item
[H11] Budd-Chiari syndrome
boolean
Other Portal/Hepatic vein abnormalities
Item
[H99] Other
boolean
Other Portal/Hepatic vein abnormalities specification
Item
Other, specify:
text