Case of the Week From 6/30/24
History: Abdominal pain. Lymphoma.
What are the findings? Curvilinear FDG uptake within the wall of an abdominal aortic aneurysm.
What is the significance of the findings? Unstable wall of the aneurysm with possible active growth, inflammation, and risk for rupture.
What should you do next? Consider vascular surgical consult.
Case of the Week From 6/23/24
History: Calcifications.
How would you describe the calcifications on the original film? They appear amorphous but are indeterminate in this standard CC view.
In the second film, how would you describe the calcification? Tram track calcifications.
What is the difference, and why? The second film is a spot magnification view, which allows for better visualization of calcification.
What should you do next? No further workup is needed for vascular tram track calcifications.
1 week ago
today
Case of the Week From 6/16/24
History: Difficulty urinating.
Where is the calcification? Either at the perineal body or the base of the penile urethra adjacent to the corpus spongiosa
What is the differential? Chronic urethral stone or normal variant calcification of the perineal body. New/enlarging urethral stone is less likely because differences in slice thickness caused volume artifacts/relative decrease in size in previous studies.
What is the next step? The next step should proceed symptomatically. If symptoms suggest a possible urethral stone, consider retrograde urethroscopy. Otherwise, no intervention is needed.
today
2 years ago
Case of the Week From 6/9/24
History: Abdominal pain.
What are the findings? There are persistent, stable, complex cystic masses in the liver. Today’s study shows a new hyper-dense region in the cul-de-sac.
What is the differential? Cystic metastatic disease from etiology such as ovarian mucinous/cystic malignancy, mucinous colon cancer mets, or other cystic infectious inflammatory disease. New disease within the pelvis may be new hemorrhage or proteinaceous complex ascites.
How can you differentiate what the new pelvic finding is? Correlate with labs/hematocrit/WBC count.
2 months ago
Today
Case of the Week From 6/2/24
History: Abdominal pain.
What are the findings? Multiple bilateral renal masses with some macroscopic fat. Hydronephrosis of the right kidney with nephroureteral stent
What is the most likely systemic disease entity? Tuberous sclerosis. It is a disease associated with multiple angiomyolipomas.
Based on the current CT scans, what is the most likely complication from this disease entity? Renal mass/retroperitoneal bleed.
