A 37 year-old with swelling of his left face.
Parotid gland on left side existed a cluster of lymph node-like, solid, echo poor, # 5-4-4mm in parotid gland and in subcutaneous layer.
MRI confirmed a Kikuchi - Fujimoto disease, necrotizing histiocytic lymphadenitis.
But biopsy result was a Schwannoma of the left facial nerve sheath.
A 14 year-old with a palpable cystic tumor in the right breast.
Two months later the cystic tumor rapidly grew up, may be a hemorrhagic cyst, but it was hardly differentizied from a phyllodes tumor.
Histopathological result was a phyllodes tumor, and chemohistoimmunologic staining result was a BI-RADS 4 B malignant phyllodes tumor in a young girl.
Ultrasound detected stenosis of the left renal artery over 70% and, on the right one 30%.
A 71 year-old woman with cardiovascular disorders: extrasystolic, ischemic heart, aortic valve regurgitation.
MSCT for 30% coronary branches obstruction but incidentally detected gastric sliding hernia through esophageal split of the diaphragm.
Endoscopy confirmed diaphragmatic sliding hernia of the stomach.
Normal Respiratory function.
Operation for gastric hernia was done and the woman remains well.
Barium esophageal films confirmed the gastric sliding hernia being solved post-op.
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Coronary symptoms may mimick gastric signs especially in women, and in this case, coronary MSCT could also detect a gastric sliding hernia beside the 30% stenosis of branches of coronary arteries.
Case 1: Jejunum GIST in a 69 year-old woman.
Case 2: Stomach GIST in a 83 year-old woman.
References:
A 58 year-old woman with a #53x35 mm mass at the base of the right lung was detected incidentally by ultrasound in annual check-up. The mass rubbed out the liver mirror artifact, and was proved a lung tumor in differentization from a consolidation lesion.
MSCT confirmed the right lung tumor.
Operation removed the right lung tumor.
Histopathological result was a pulmonary leiomyoma.
A 48 year-old man with RLQ pain for 3 years.
Ultrasound detected terminal ileum wall # 9 mm thickening and nephrocalcinosis due to gout.
Colonoscopy detected a diverticule of the cecum.
But MSCT represented an ileum tumor with left kidney stone.
Operation removed the terminal ileum and the right colon.
But the result of histopathology was an ileocecal tuberculosis.
