FINAL DIAGNOSE CASE-27

Radiology case -27 FB and INSTA post Analysis

FINAL DIAGNOSE - Pelvic Neoplastic, serious cystadenoma Lesion with Ascites

Patient: 65-year-old female
Clinical Presentation: Lower abdominal pain with progressive swelling..

CT Findings (CECT Abdomen & Pelvis):

🔹 Ascites:

  • Moderate free fluid is seen throughout the peritoneal cavity, particularly accumulating in the pelvic region.
  • Suggestive of malignant or inflammatory etiology.

🔹 Pelvic Mass:

  • A large, heterogeneously multiple ring  enhancing pelvic mass lesion seen most possibility -? Neoplasm, serous cystadenoma  
  • The lesion is lobulated, shows areas of necrosis, and is causing displacement of bowel loops.
  • No clear fat plane with adjacent organs, raising suspicion of local invasion.
  • Surrounding fat stranding noted.

🔹 Upper Abdomen:

  • Liver is normal in size with no focal lesion.
  • Gallbladder, pancreas, spleen, and kidneys appear unremarkable.
  • No biliary dilatation or hepatosplenomegaly.

🔹 Lymph Nodes & Metastasis:

  • No significant lymphadenopathy.
  • No obvious evidence of hepatic or osseous metastasis in visualized sections.

🧠 Radiological Impression:

✅ Moderate Ascites
✅ Large pelvic neoplastic lesion.

💡 Teaching Points for Radiology Learners:

🔸 Always evaluate the origin of pelvic masses — uterine vs ovarian — look for the "claw sign" or uterus displacement.
🔸 Presence of ascites in postmenopausal women with pelvic mass should raise concern for malignancy.
🔸 CT is excellent for assessing tumor spread, while MRI is better for origin clarification in female pelvis.
🔸 Correlate with tumor markers: CA-125 (ovarian), CEA (GI), CA 19-9 (pancreatic/GI).

📌 Next Step:

🔬 Recommend MRI pelvis and tumor markers for further characterization.
🤝 Referral to gynecologic oncology for biopsy and treatment planning.

                                     *********


Comments

Post a Comment

Popular posts from this blog

Final Diagnosis -Insta and FB post

Image
                      Final Diagnosis : Achalasia with Megaesophagus (Advanced Stage). 🔍 Radiologic Evidence: 🩻 Chest X-ray (Image 3) : Shows a widened mediastinum with a long, tubular opacity . Evidence of air-fluid level and mottled density , suggestive of retained food/debris in a dilated esophagus. Esophagus appears greatly dilated , deviating slightly to the left — classic for chronic achalasia . 📸 CT Scan (Images 1 & 2 – Coronal and Sagittal) : Demonstrates a massively dilated esophagus filled with fluid, food debris, and gas . No discrete mass or stricture is visible, helping rule out malignancy (pseudoachalasia) . The esophagus extends well below the carina, almost to the gastroesophageal junction, with a characteristic tapered narrowing at the LES ("bird beak" sign may be inferred on barium). 🧠 Clinical Correlation: 10-year history of progressive dysphagia to both solids and liquids. Worsen...
Read more

FINAL DIAGNOSE CASE -.....

Image
  FINAL DIAGNOSE- CASE NO. (FB AND INSTA )                          (Myelitis Ossificans ) This lateral elbow X-ray shows a well-defined, rounded, calcified mass in the soft tissue anterior to the distal humerus and not attached to the bone. The characteristic zonal pattern of ossification —with a more radiolucent center and denser peripheral ossification—supports the diagnosis of:    Myositis Ossificans ✅ Key Radiological Features: Location : Soft tissue ( commonly post-traumatic ), not arising from bone. Zonal ossification : Peripheral mature bone with central lucency. Well-circumscribed lesion . No cortical destruction or periosteal reaction , helping to differentiate it from aggressive neoplasms like osteosarcoma. 🧠 Important Differentials: Osteosarcoma : Irregular margins, bone destruction, and central ossification (opposite of MO). Soft tissue sarcoma with calcification : Less organized...
Read more

FINAL DIAGNOSE CASE-8

Image
   FINAL DIAGNOSE CASE NO - 8 (FB and Insta )         Re port Format (Radiology case - 8) Patient Information Age/Sex : 50-year-old female Clinical History : Chronic chest pain, cough, and shortness of breath and mild fever..       HRCT Chest Report Summary Findings : Image -1  Left upper lobe shows evidence of fibrotic changes with architectural distortion and traction bronchiectasis. Image -2  Multiple air-filled cystic lesions suggestive of post-infectious cystic bronchiectasis .     Image -3 Subpleural thickening is noted in the posterior segments, especially on the left side. No evidence of active cavitary lesion or pleural effusion. Mild volume loss seen with mediastinal shift towords right side. Impression : Imaging features are consistent with post-tuberculous sequelae ( fibrosis, bronchiectasis, and cyst formation ). No evidence of active pulmonary tuberculosis at present. Recommend corre...
Read more