This Week’s Case of the Week From 6/30/19:
History: History of lymphoma.
What are the main findings and most likely diagnosis? Retroperitoneal enhancing soft tissue nonhypermetabolic nodule superior to the left renal vein. Consider most likely low-grade lymphoma. High-grade lymphoma is usually FDG avid.
How would you manage this case? Report results to an oncologist for a possible change in management.
This Week’s Case of the Week From 6/23/19:
History: No history provided
What are the main findings and diagnosis? Abdominal aortoiliac stent graft with type III endoleak within the aortic aneurysmal sac. Mildly aneurysmal bilateral iliac arteries, gallstones, probable liver cyst
How would you manage this case? Call the vascular surgeon directly
This Week’s Case of the Week From 6/16/19:
What are the main findings? Left renal subcapsular and retroperitoneal hemorrhage/Page kidney with delayed cortical uptake, portal venous thrombosis, pancreatic tail hypodense mass, Left sided pleural effusion with adjacent pulmonary parenchyma disease
What is the differential diagnosis for the findings? 1. Pancreatic cancer-causing portal venous thrombosis and subsequent subcapsular hemorrhage, 2. Spontaneous portal venous thrombosis with Page kidney and incidental pancreatic lesion, 3. occult spontaneous bleeding angiomyolipoma with incidental portal venous thrombosis related to dehydration.
This Week’s Case of the Week From 6/9/19:
History: Postpartum since 2 months ago. Currently breastfeeding
Based on the findings, what is the most likely diagnosis? Inspissated secretions from milk production/Galactocele
How would you manage this case? Short term clinical follow-up.
This Week’s Case of the Week From 6/2/19:
History: None provided
Based on the findings, what are the most likely diagnoses? Left-sided post-nephrectomy changes with residual cysts near the site of surgery. Consider most likely lymphangiomas/seromas. Exophytic pancreatic cysts are less likely.
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