March 2019 Cases Of The Week

This Week’s Case of the Week From 3/31/19

History: Status post renal transplant
What are the most likely diagnoses? ATN/renal tubular dysfunction/delayed leak/urinoma
What should you do next? Confirm with anatomic imaging as seen on CT scan below.

First 20 minutes

One hour later
24 hours later
This Week’s Case of the Week From 3/24/19
History: Knee pain.
What is the most likely diagnosis? Prepatellar bursitis
How should it be treated? Mostly noninvasively with rest and NSAIDS. If refractory, can be drained and treated with corticosteroids. If infected can treat with antibioticsThis Week’s Case of the Week From 3/17/19:History: History of rectal cancer.
What is the radiopharmaceutical? F-18-FDG
What are the findings? Focal uptake at the rectum. Uptake at the uterine cavity.
What are the most likely diagnoses? Residual localized rectal cancer. Normal variant premenopausal uterine endometrial uptake.

This Week’s Case of the Week from 3/10/19:

History: Elbow pain. Status post fall
What is the most likely diagnosis? A normal variant notch of the proximal radius metaphysis- See Keats!!!
What would be your recommendation? No further workup
This Week’s Case of the Week from 3/3/19:
History: Staging
What kind of study is this? FDG PET-CT (Head and Neck)
What are the most important findings? Hypermetabolic hyperdense right base of tongue mass crossing midline. Accompanying hypermetabolic right level II cervical adenopathy and right supraclavicular adenopathy
What is the most likely diagnosis? primary tongue cancer, likely squamous cell carcinoma
What would be the stage of the disease based on this test? Stage IVa