ABSTRACT
We present a case of multifocal epithelioid hemangioendothelioma occurring in an adolescent boy who presented with massive hemoptysis and showed a pulmonary perihilar mass with multiple lesions in the liver and two lytic lesions in the ribs on imaging. The diagnosis was confirmed by lung and liver biopsy. He was treated with oral steroids.
Subject(s)
Biopsy , Bone Neoplasms/diagnosis , Bone Neoplasms/drug therapy , Child , Diagnosis, Differential , Glucocorticoids/administration & dosage , Glucocorticoids/therapeutic use , Hemangioendothelioma, Epithelioid/diagnosis , Hemangioendothelioma, Epithelioid/drug therapy , Hemoptysis/drug therapy , Hemoptysis/etiology , Humans , Liver Neoplasms/diagnosis , Liver Neoplasms/drug therapy , Lung Neoplasms/diagnosis , Lung Neoplasms/drug therapy , Male , Neoplasms, Multiple Primary/diagnosis , Neoplasms, Multiple Primary/drug therapy , Ribs/pathology , Treatment OutcomeABSTRACT
Over the last decade, liver imaging has experienced a revolution providing a bewildering array of options for detection and characterisation of liver lesions. Cross-sectional imaging modalities like computed tomography and magnetic resonance imaging have improved in speed and resolution, thereby facilitating multiphasic scanning of the liver. The advent of the use of contrast agents for ultrasonography and magnetic resonance imaging has further paved the way for definitive diagnosis in an attempt to obviate the need for invasive diagnosis. This article captures advances made in ultrasonography, computed tomography, magnetic resonance imaging and positron emission tomography and brings the specialist up to date with the latest in liver imaging.
Subject(s)
Contrast Media , Diagnostic Imaging , Humans , Liver Diseases/diagnosisABSTRACT
Hydatid disease is a parasitic infection that most commonly involves the liver. Imaging plays a vital role in the diagnosis of this disease. Rupture of the cyst can give rise to a wide spectrum of complications. We describe a case of hepatic hydatid cyst with rupture into the biliary tree, right pleural cavity and dissemination into the peritoneal cavity, with associated splenic hydatid cysts. MRI may be a useful non-invasive diagnostic tool in such disseminated cases to define the complete extent of the disease.