Case of the Week From 7/21/24
History: Loss of vision.
What are the findings? A linear minimally calcified structure at the posterior lateral right globe extending anteriorly.
What is the differential? Retinal or choroidal detachment.
Are there treatments, and if so, what are they? Yes. Reattachment of the retina with intraocular gas, laser, cryotherapy, or surgery. Medication or surgery are treatments for choroid displacement to correct the problem.
Case of the Week From 7/14/24
History: Neck pain. History of breast cancer.
What are the findings? Calcified mass in the spinal canal with positive FDG uptake.
What is the differential? Meningioma, calcified metastasis, tumoral calcinosis, hemangioma, and rarely calcified schwannomas (this one was a schwannoma!)
Are schwannomas FDG avid? Usually.
Case of the Week From 7/7/24
History: Fevers.
What are the findings? Focal decreased uptake at the right upper pole on parenchymal phase with mild decreased overall uptake at the right kidney with good clearance. Heterenogenous hypoenhancing right kidney on CT scan with more focality at the upper pole.
What is the significance of the findings? In the setting of fever, pyelonephritis should be considered. Focal scarring along with pyelonephritis is within the differential on the renal scan. CT scan confirms diagnosis of pyelonephritis.
What should you do next? Correlate with urinalysis and urine cultures.
