59 years old male with acute liver failure

Case provided by Rhea History A 59 years old male presented with signs of acute liver failure with highly increased aminotransferase levels and unclear perianal bleedings. Since 2008 the patient had a known history of alpha (1)-antitrypsin deficiency (a(1)-ATD) type PIZZ. In the forefront of acute liver failure the patient had an episode of right-sided…

39 years old female with exocrine pancreatic insufficiency

Case provided by Simone History 39 years old female with recurrent diarrhea and decreased levels of pancreatic amylase and lipase indicating exocrine pancreatic insufficiency. At ultrasound, cystic pancreatic lesions were detected. Imaging findings MRI of the abdomen shows a polycystic pancreas without detectable pancreatic parenchyma or pancreatic duct (A and B, T2wi). No evidence of…

49 years old male with hypoxemia

Case provided by Simone History 49 years old male with stress dyspnea and known liver cirrhosis. Blood gas analysis: pO2 62 mmHg.  Imaging findings Abdominal computed tomography shows evidence of liver cirrhosis with status post transjugular intrahepatic stent shunt (A). The chest scans shows dilated pulmonary vessels abnormally extending to the subpleural space and being accentuated…

35 years old male with diarrhea and weight loss

History 35 years old male with recurrent episodes of diarrhea for 1 year. Presentation with Quick value <10%, iron deficiency anemia, and vitamine B12 deficiency. Imaging findings At MRI enterography there is segmental ileal wall thickening with evidence of fat tissue within the thickened bowel loop (A, T2-weighting). The contrast-enhanced scan in coronal orientation shows…

35 years old female with peranal bleeding

History A 35 years old female with known type 1 neurofibromatosis presented with lower gastrointestinal bleeding. At upper and lower endoscopy the source of the bleeding could not be identified. Imaging findings Unenhanced (A), arterial phase (B), and portal venous phase (C) CT scans show a well-defined mass with heterogenous enhancement at the outer aspect…