This Week’s Case of the Week from 1/27/19
History: Treatment for colon cancer.
What are the important findings in the neck? Initial asymmetric right vocal cord thickening. ? nerve injury. Interval development of calcification of the right vocal cord three weeks later.
What is the differential diagnosis? Interval changes related post-surgical procedure of the right vocal cord or less likely calcifying hematoma of the right vocal cord.
Three weeks ago
This Week’s Case of the Week from 1/20/19:
History: Fever of Unknown Origin.
What kind of scan is this? Gallium-SPECT
Where is the abnormality? Uterus- Enlarged uterus with multiple degenerating fibroids. Accompanying right of midline dominant fibroid with peripheral increased gallium uptake at the wall.
What is the differential diagnosis? Consider a degenerating necrotic fibroid uterus with increased peripheral uptake related to inflammatory changes from necrosis or secondarily infected uterus. Leiomyosarcoma can also be gallium avid (a zebra!)
What is the most likely diagnosis? Degenerating necrotic fibroid with peripheral gallium avid inflammation causing fever.
This Week’s Case of the week from 1/13/19
History: Shoulder pain.
Where is the abnormality? Sclerosis of the glenoid
What is the differential diagnosis? Metastasis or Paget’s disease
What further testing can be performed to make the diagnosis? Bone scan or CT scan
Final diagnosis: metastasis from prostate cancer
This Week’s Case of the week from 1/6/19
History: Positive B-HCG.
What is the diagnosis? Early embryonic demise
Which measurement confirms the diagnosis of these films? Crown-rump length of 7 mm with no fetal heart rate
What is the most accurate technique to confirm the diagnosis? M-mode ultrasound/real-time observation
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