A 84 year-old woman with diarrhea and tormina (colicky pain).
Ultrasound noted only gallblader stone anf fatty liver.
Gastroscopy in second time detected the foreign body in the gastric wall maybe fishbone.
Endoscopic surgery and open surgery removed the fishbone from the stomach.
Intramuscular fishbone is rarely entity that ultrasound and endoscopy could not detect.
Two cases of young girl with left leg edema were detected thrombosis of the left iliac vein.
CASE 1: A 28 year-old woman with left leg edema for 1 week. D-Dimer: 4,830 ng/mL
CASE 2: A 22 year-old girl with left leg edema for 3 weeks, D-Dimer: 3,840ng/mL.
REFERENCES:
From Radiopeadia
May-Thurner syndrome refers to a chronic compression of the left common iliac vein (CIV) against the lumbar vertebrae by the overlying right common iliac artery (CIA), with or without deep venous thrombosis 2.
Although both left and right CIVs lie deep to the right common iliac artery, the left CIV has a more transverse course and is predisposed to compression whereas the right CIV ascends more vertically and is therefore not similarly predisposed.
Two cases of thyroid nodules with microcalcifications were diagnosed PTC. But thyroid parenchyma with microcalcifications is not ruled out thyroid carcinoma.
CASE 1: A 30 year-old pregnant woman with malinant cervical lymph nodes.
CASE 2: A 23 year-old girl with neck pain for 3 days.
Thyroid nodule with mivrocalcifications with metastase lymph nodes.
REFERENCES:
A 44 year-old hypertensive man with flushing, sudation while passe out water for 2 months. HTA : 177/109mmHg, P: 72p per min.
Ultrasound detected a hypoechoic mass which pushed in the bladder from behind may be a fibroma or a lymph node. The patient denied to manage his status.
One year later the patient came back with another chief complaint. Ultrasound noted the 32×18mm mass nearby his bladdermaybe a pheochromocytoma.
MSCT confirmed the pheochromocytoma close by the bladder.
Surgery removed the mass with a part of the bladder. Histology of the specimen proved a paraganglioma.
The patient remains well post-op.
A 42 year-old woman with epigastric pain and left flank tumor which was suspected as a # 100x182mm tumor at the pancreatic tail.
But MSCT noted the # 110x117mm tumor was in the mesenterium near the left flank which suspected a mesenteric tumor or a paraganglioma.
Lab data was not interested.
Surgery removed the tumor and the specimen was diagnosed as a paraganglioma tumor which needs to perform a immunohistochemistry [IHC] staining for a final diagnosis.
An old man suffers from gout for a long time with his tophus [stone] lump on the right hand but now that makes pain and he could not move the second finger. EULAR Gout Score # 15 (>8.0).
X-ray and MRI show the erosions of the metacarpal and proxical phalanx bones of the second finger close the tophus lump.
A 57 year-old woman with bloting for 2 months and uterine fibroma which was known about 6 years. She got also hyperthyroidism but no clue of tuberculosis.
Ultrasound detected a #104x72mm uterine tumor, some #19×13 and 16x12mm necrotic inguinal lymph nodes and malignant ascites.
Lab data:
DISCUSSION:
Sarcoma of uterus always gets big size rapidly, solitary, its great dimension > 8 cm, cystic necrosis.
