ABSTRACT
A 53-year-old woman complaining of left upper lateral quadrant pain was first referred for an abdominal ultrasound. The spleen was disfigured, the suprasplenic echogenic line of the hemidiaphragm was fragmented, and part of bowel was inserted into the thorax. A diaphragmatic hernia was suggested and was further confirmed in a posterolateral position.
Subject(s)
Hernia, Diaphragmatic/diagnostic imaging , Female , Hernia, Diaphragmatic/surgery , Humans , Middle Aged , Tomography, X-Ray Computed , UltrasonographyABSTRACT
A newborn girl with histologically confirmed epulis presented with a 2.6-cm mass protruding from her mouth. An ultrasound study performed in antenatal week 25 was unremarkable. Postnatal ultrasound showed a mass, hyperechoic centrally, hypoechoic peripherally, containing crowded branching vessels. MRI revealed a nonenhancing gingival mass exhibiting an isointense rim on T1-weighted imaging and a low-intensity rim on T2-weighted sequences. MRI better defined its gingival origin and lack of local extension. A gingival solid mass in a newborn with branching vessels and a peripheral rim on imaging may suggest congenital epulis.