A 42 year-old man with gastric pain and has been managed iron deficiency anemia.
Ultrasound of abdomen detected a # 6x3x3.8 cm tumoral necrotic mass at lesser curvature of the stomach.
But GI endoscopy result was only gastritis.
MSCT performed and represented a # 3X5x6 cm gastric GIST.
Gastric endoscopy in the second exam concluded a submucosal tumor.
and anapath and immunohistostaining results were gastric GIST with high index of cellular division.
A 54 year-old diabetic woman with left lower quadrand pain for one year. About one week before entering Medic Center, she got fever, cold and shivering and LLQ pain more and increasing CRP.
Abdominal ultrasound detected one left pelvic #46x56x64mm septated mass beside the sigmoid colon cannot ruling out an ovarian tumor.
MSCT confirmed a pelvic abscess with a high density foreign body inside # 2 mm.
Endoscopic surgery revealed an abscess due to colonobladder fistula. Then an open surgery performed to remove the pelvic abscess which was from an inflammed diverticulum and penetrated the urinary bladder, and to create an artificial anus at the LLQ and cystostomy. The foreign body could not find out.
Post-op the patient was getting better but still in urinary infection.
A 47 year-old woman with lumbago for 7 months but without hematuria. She doubted that may due to practice belly twirling.
Ultrasound detected incidentally an upper pole renal cystic lesion # 13x23mm in B mode with aliasing sign on Doppler ultrasound. RI = 0.3-0.5 and V= 130-230 cm/sec. It maybe an intrarenal AVM.
MSCT confirmed an intrarenal AVM that created an intrarenal aneurysm and managed stenting successfully the AVM.
Doppler ultrasound could differentialize an intrarenal aneurysm from a renal cystic lesion while B mode ultrasound could not to do.
Case 1:
A 52 year-old woman with left breast tumor and bloody stool. Her past history noted an ovarian cancer for 3 years.
Ultrasound detected a pelvic mass and metastase liver nodes. Left breast noted 2 tumoral masses classified BI-RADS 5 with axillary lymph nodes.
In pelvis ultrasound revealed a left mass maybe a recurrent left ovarian tumor which metastasized her liver.
MSCT confirmed 18-35 mm left breast tumors and left pelvic tumor which invaded the sigmoid colon and metastase liver nodes.
Core biopsy of the left breast tumors was malignant phyllodes.
Left breast mastectomy was done and managed the recurrent left ovarian tumor with metastases in Cho ray hospital.
Post-op result of the left breast tumor was malignant phyllodes non invaded the skin and the nipple.
Case 2:
A 31 year-old woman PARA 1001 with left breast tumor growing bigger rapidly for one year after cessation of breastfeeding her 14 month child. Her history noted small left breast tumor since 2022.
Ultrasound detected a BI-RADS 4a multinodular breast tumor.
Mammography noted a left phyllodes in full of the left breast volume.
Core biopsy result was a benign fibroadenoma of the left breast.
A 31 year-old woman with the right breast appearing bigger fastly than the left one and covered by the red skin its upper part. The right breast felt hard and tumorless in touching.
Breast ultrasound with elastography detected some axillary lymph nodes and the breast tissue being distortion. That is belonged a breast cancer BI-RADS 5 classified. Maybe it is a breast infiltrated lymphoma or an inflammatory breast cancer.
Inflammatory breast cancer (IBC) is a rare entity among the breast cancer [1-5%]. The cancer cells may obstruct the lymphatic vessels then make the breast being swollen and covered by the red skin as an inflammation breast.
A 41 year-old woman misswallowed a fishbone for 5 days.
In Medic Center, MSCT and upper GI endoscopy detected a fishbone penetrating her esophagus which was going to the mediastinum and may enter the descending thoracic aorta.
A 67 year-old woman PARA 2002 with lower abdominal pain for 2 days and irritable bowel syndrome. She is diabetic, arterial hypertension and asthma. Her past history denied any pelvic tumor before 2021.
Ultrasound detected abdominal ascites, a liver small nodule and pelvic tumor which invaded the pelvic organes, maybe an ovarian cancer.
MRI confirmed the ovarian cancer metastasized to liver, pleural membranes, lymph noded, epiploon and peritoneum.
Blood tests data.
