63 years old female with loss of motivation and appetite

Case provided by Tanja History A 63 years old woman suffers from lack of motivation and appetite. Imaging findings Abdominal computed tomography shows an intrahepatic mass in the left lobe. The lesion has an irregular margin with capsular retraction. After contrast material administration there is hyperenhancement of the periphery in the arterial phase and gradually…

53 years old male with progressive pulmonary thromboembolism despite anticoagulant therapy

Case provided by Vincent History A 53 years old melanoma patient was initially diagnosed with an incidental pulmonary thromboembolism. Despite therapeutic anticoagulation, pulmonary thromboembolism was progressive three months later. Image findings The initial CT scan performed for melanoma staging incidentally shows a central pulmonary thromboembolism pronounced on the right side in a staging CT scan…

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…

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…

25 years old female with chronic right upper quadrant abdominal pain

History 25 years old female with chronic right upper quadrant abdominal pain. Imaging findings Portal venous phase contrast-enhanced MRI shows multiple liver lesions compatible with metastases (A). In MRCP, cystic dilatations of extrahepatic bile ducts including common hepatic duct and common hepatocholedochal duct (B, arrows) are visible. Coronary T2-weighted imaging (C) and coronal portal venous…

51 years old male with progressive dyspnea

History 51 years old male with progressive dyspnea during treatment for Hodgkin’s lymphoma. Imaging findings Image A shows a CT scan 3 months after beginning of anti-cancer therapy. There are subtle curvilinear opacities in the subpleural lung periphery on the left side. Images B, C, and D show a CT scan 6 months after beginning…