Parto Teb Azma

Patient ID: 89033663

History (HX):
Left renal-colic, hematuria

Findings:
1- Left sided mild hydroureteronephrosis due to distal third ureter stone clearly on axial and reconstructed coronal CT KUB images
2- High dense foci within left renal cortex suggestive of nephrocalcinosisDiagnose (DX):
Left ureter stone, left cortical nephrocalcinosis

Discussion:
A CT KUB is done to evaluate the kidneys, ureters and bladder. Although this type of CT scan can be use to evaluate such things as kidney cysts in the abdomen or tumors in the pelvis, the primary reason is to determine if the patient has kidney stones. Since kidney stones can be very painful the CT KUB can help determine the size and location of these stones and help with the treatment. There is no preparation for a CT KUB and the exam takes only a few minutes to complete (It is unlikely a stone of any size would be missed with ours scans)

Patient ID:        89026219 female 34yr

History (HX):
Pregnant woman in third trimester with progressive right hip pain

Findings:
Diffuse bone marrow edema at right femoral head, neck and distal intertrochantric region with partial sparing of the greater trochanter

Patient ID: 89033147

History (HX):
Left sided palpable mass

Findings:
Large cystic mass in left posterior triangle and lateral to carotid sheath.
Rim and internal septation enhancement

Diagnose (DX):
Second branchial cleft cyst

Discussion:
The second branchial cleft accounts for 95% of branchial anomalies frequently , second branchial cleft cysts are identified along  the anterior border of the upper third of the Sternoclenoidomastoid muscle and adjacent to the muscle . However, these cysts may present any where along the course of a second brachial fistula, which proceeds from the skin of the lateral neck, between the internal and external carotid arteries, and into the palatine tonsil. Therefore, a second branchial cleft cyst is part of the differential diagnosis of a parapharyngeal mass.

Patient ID:        89011633  Male  37yr

History (HX):
Low back pain and paraparesis

Findings:
Well-defined intradural mass with solid and cystic components at L2-L3 level and enhancement of solid component on post-Gd images.

Patient ID:        89034425  Male  19yr

History (HX):
Pain for 10 months

Findings:
An area of cortical hyperostosis and sclerosis at lateral aspect of right femoral shaft surrounding a small nidus high signal on fluid sensitive sequences with a thin hypointense rim

Patient ID:        89035761  Male  48yr

History (HX):
History of laparascopic cholecystectomy Abdominal pain

Findings:
Mid to moderate dilatation of the intra and extrahepatic bile ducts with multiple small signal void foci throughout the course of CBD

Patient ID: 89033271

History (HX):
Known case of ovarian cancer

Findings:
Multiple liver masses, peritoneal masses, lymphadenopathies, thick ascites

Diagnose (DX):
Liver metastasis, peritoneal seeding and omental cake

Discussion:

Nearly all malignant ovarian tumors have combined solid and cystic components.histologically,85-90% are epithelial tumors and include serous, mucinous,endometroid , and clear cell adenocarcinomas.the remaining are malignant germ cell tumors (dysgerminoma, teratoma), sex cord stromal tumors (granulose cell tumor) , and sarcomas.a subset of borderline malignant tumors have a more favorable prognosis.metastatic spread occurs early as peritoneal implants,hematogenously via the ovarian vein to the liver, and lymphogenously to the pelvic and para-aortic lymph nods.

Patient ID:        89031865  Male 39yr

History (HX):
Acute new onset headache and IVH on brain CT scan

Findings:
Small AVM at bifurcation of the left ICA and adjacent to M1 segment of left MCA with feeding arteries arising from left MCA and also left ACADiagnostic (DX):
Arteriovenous malformation (AVM), IVH and SAH

Patient ID:        89034257  Male  37yr

History (HX):
Headache, vertigo and blurred vision

Findings:
Inflammatory sinus disease in frontal, ethmoid and maxillary sinuses with mucosal thickening and retained secretion and right antrocoanal polyp extending from maxillary antrum through widened secondary ostium into nasal cavity above inferior turbinateDiagnostic (DX):
Antrocoanal polyp in right maxillary sinus and inflammatory sinus disease in maxillary, ethmoid and frontal sinuses.

History (HX):
Seizure

Findings:
Extensive bilateral subependymal heterotopic Gray Matter  nodules lining the lateral wall of both lateral ventricles with thin sharp strand of Gray Matter connecting the subependymal rests  to the cortex on the left side.