ABSTRACT
The authors report the case of a 26-year-old woman with hepatomegaly, who had recurrent and progressive nausea and abdominal pain. Computed tomography and magnetic resonance imaging demonstrated fatty replacement of the entire pancreas resulting from cystic fibrosis. The pulmonary disease was totally asymptomatic. Fatty replacement of the pancreas is the most frequent pattern in older patients with cystic fibrosis. This pattern correlates with pancreatic exocrine dysfunction.
Subject(s)
Cystic Fibrosis/diagnosis , Lipomatosis/diagnosis , Magnetic Resonance Imaging , Pancreas/pathology , Tomography, X-Ray Computed , Adipose Tissue/pathology , Adult , Diagnosis, Differential , Fatty Liver/diagnosis , Female , Humans , Liver/pathology , Lung/pathologyABSTRACT
Although central nervous system involvement in disseminated aspergillosis is known to occur in immunocompromised patients, particularly after bone marrow transplantation, localized involvement of the spinal cord is exceedingly rare. In this report we present and illustrate detailed imaging findings of central nervous system invasion by Aspergillus fumigatus in a 30-year-old woman, with emphasis on the spinal cord involvement.
Subject(s)
Aspergillus fumigatus/isolation & purification , Cerebral Infarction/diagnosis , Neuroaspergillosis/diagnosis , Spinal Cord Diseases/diagnosis , Adult , Bone Marrow Transplantation , Cerebral Cortex/pathology , Cerebral Infarction/microbiology , Fatal Outcome , Female , Humans , Leukemia, Myeloid/complications , Neuroaspergillosis/etiology , Spinal Cord/pathology , Spinal Cord Diseases/microbiologySubject(s)
Leukemia, Myeloid/diagnostic imaging , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , RadiographyABSTRACT
Primary malignant melanoma of the esophagus is a rare but aggressive tumor that accounts for less than 0.1-0.2% of all esophageal malignancies. The aim of this study was to report a case of primary malignant melanoma of the esophagus in a 72-year-old woman. The diagnosis was histologically proven, but the patient died despite extensive surgical resection.
Subject(s)
Esophageal Neoplasms/diagnosis , Melanoma/diagnosis , Aged , Esophageal Neoplasms/surgery , Female , Humans , Melanoma/surgeryABSTRACT
AIM: The aim of this study was to evaluate the ability of MRI to detect recurrent differentiated thyroid carcinomas developed in the neck or the upper mediastinum. RESULTS: MRI was performed in 25 patients, and was compared in 5 cases with surgery. In 20 cases it was compared with I-131 scintigraphy (100 mCi in 14 cases and 5 mCi in 6 cases). The sensibility, specificity and overall accuracy of MRI was respectively: 100%, 66.6%, 82.6%. COMMENTARY: MRI is a good technique to detect recurrent thyroid carcinomas. It is specially interesting to investigate patients with a biological suspicion of recurrence and a negative scintigraphy. Mediastinal localisations that cannot be detected by US can be detected by MRI.
