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…

38 years old female with postpartal anuria

History 38 years old female with acute anuric renal failure 7 days after delivery complicated by postpartal hemorrhage. Imaging findings The arterial phase CT scan shows lack of cortical enhancement of both kidneys (image A). In the nephrographic phase there is enhancement of the renal medulla and the very outer part of the renal cortex…

30 years old male with hematologic malignancy

History 30 years old male during high-dose chemotherapy with cytarabine for hematologic malignancy. Imaging findings A PET-CT scan was performed for staging. Images A and C (minimum intensity projections in lung window) show diffuse intramural gas in the right hemicolon as well as gas in the pericolonic fat. Image B is a slabbed volume rendering…