Two cases of pararthyroid tumor were spontanously detected by ultrasound with renal stones, bone mineral density [BMD] measurement for osteoporosis and the neck tumor.
Case 767: A 58 year-old woman with renal stones on abdominal ultrasound who went through neck ultrasound, BMD measurement and parathyroid hormone (PTH) lab data.
Her PTH was coming back post-op.
Case 768: Female patient 57 year-old with neck tumor.
References:
A 60 year-old woman with a cystic renal tumor on the left side which was detected by ultrasound.
MSCT confirmed the left renal tumor at the lower pole of the left kidney.
An ultrasound-guided renal biopsy was conducted at Medic Center.
Result of renal biopsy was a renal clear cell carcinoma. And a surgery for the left renal tumor was done one week later the diagnostic was made.
The risk of seeding of tumor cell in renal biopsy is very rare before removing the renal tumor by surgery.
A male patient with his right flank pain for 3 days.
Abdominal ultrasound detected a # 12mm fluid-filled appendix with thin wall that was not enough to diagnosing an acute appendicitis.
Lab data with hs CRP =56.91 represented an infectious syndrome of the abdomen.
To confirm the source of abdominal infection and ruling out an inflamed appendix, an abdomen MSCT was done.
MSCT detected a #14 mm fishbone in an abscess at the left flank which was wall-off by the mesentery.
Surgery removed the abscess with fishbone succcessfuly which adhesived critically the transverse colon but no clue of coming from the bowel or colon.
MSCT is more sensitive in case of foreign body with high density like fishbone in the abdomen.
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.
