HX:A 56 year old woman , known case of ovarian cancer.
Findings: Soft tissue masses along omentum.
Diagnosis : peritoneal carcinomatosis( omental cake )
Diagnosis: Peritoneal seeding is the most common pathway
for the spread of ovarian cancer.
Because 90% of ovarian cancers are surface epithelial
carcinomas , that tumor cells are able to slough off the
ovary and the peritoneal circulation , thereby seeding
multiple sites.
HX:A 32 year old woman , long period of belly abdominal
pain .
Findings: Thick- wall bowel loops , interlope fluid .
abscess formation in left side of pelvis .
Diagnosis: Chron’s disease in rectosigmoid, involvement of
both fallopian tube, rectovesical fistula.
Discussion: Chron’s disease is a lifelong inflammatory bowel disease that usually is found in illeocecal
region. But it can develop anywhere in the digestive tract from the mouth to the anus. (Above case had rectosigmaid colon and adjacent anatomy involvement with normal illeocecal region on barium study).
HX:41 year old man- chemical exposure- dry cough- dypnea.
Findings: Mosaic pattern with exaggeration on expiration.
Diagnosis: Obliterative bronchiolitis related to chemical
War injury.
Discussion:OB is a disorder caused by partial or complete
obstruction of bronchi and bronchioles by fibrous tissue
following an insult to the lower respiratory tract.
In pediatric population OB is frequently preceded by respiratory infections caused
by adenovirus, influenza or measles, wheras in adults
mycoplasma, collagen vascular disease, inhaled toxin (like
this patient), drug therapy or idiopathic are included.
HX:A 25 year old woman , painless lump in right lower
abdominal wall .
Findings: Moderate size soft tissue tumor in right transverse / oblique abdominal wall muscles.
Diagnosis : Neurofibroma.
DX: Abdominal wall neurofibroma most common
presenting as inguinal hernia.
melanoma.
Findings: Numerous metastatic lymph nodes in left
paraaortic area and left side of pelvis along with left
femoral vein thrombosis resulting in lower extremity edema.
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