A 61 year-old man with epigastric pain last month.
Ultrasound detected accidentally a # 26 mm fishbone which perforated his stomach. On transverse section the fishbone looked like a gastric ulcer. Lab data were in normal values.
MSCT confirmed a fishbone perforating the stomach with the free end into the abdominal cavity.
Endoscopic surgery removed the fishbone from the pyloric wall of the stomach to the peritoneum.
A 43 year-old female nurse with her right knee pain and slight swelling during 3 months. Her 20 year old history noted she got TB cervical lymph nodes.
Ultrasound detected a #36x35mm mass of the right lateral femoral muscle [biceps femorii] at the 1/3 lower thigh. The muscular mass has unclear border, mixed echogenic and hypovascular. Maybe it was a tuberculous myositis ?
There was edema of the synovial membrane into the knee joint # 46x48 mm.
No fluid collection nor bone destruction existed of the right knee joint.
MRI confirmed the right knee mass which was between the femoral biceps and popliteal muscle but could not differentiate hemangioma, tenosynovial giant cell tumor, soft tissue sarcoma...from each others.
CASE 1 :
A 40 year-old woman with fatigue, dysphagia and rapidly growing goiter but non weight last month. She got goiter during 10 years.
Ultrasound detected a # 90mm hypoechoic nodule at the isthmus of the thyroid and some cervical lymph nodes.
Biopsy results were a chronic thyroiditis and inflammed lymph nodes.
But the specimen of thyroid post-op was a round cell lymphoma.
CASE 2:
A 44 year-old woman with #5-26mm multinodular goiter with ultrasound exams from 2020 to 2024. But during 5 years, the vascularized left nodule was grown up rapidly to 37 mm. TSH was still in normal value.
But core biopsy result was suspected a thyroid lymphoma.
Immunohistochemistry result was lymphoma.
DISCUSSION:
Lab data nothing abnormal detected.
EKG sinus arrhythmia bradycardia.
CT coronary stenosis 40-30%.
Lung POCUS : Left pleural effusion and thickening left pleura zone L5 with seven B-lines: interstitial pneumonia.
Chest MSCT later confirmed thickening of posterior basal of left lung.
Lung POCUS helps differentiaziting, in a left chest pain , a pneumonia from an angina pectoris.
A 28 year-old woman with fever and pain her left breast for one week.
Ultrasound detected a #12x6.6 mm well-border mass at 3h o'clock with mixed echo, hypovascular and no fistula nor skin red.
FNAC result was chronic inflammed mass maybe a TB mastitis.
Microscopic specimen was a tuberculous mastitis with Langhan cells.
TB 6- month regimen had been done and TB breast mass became a #9x7 mm inflammed breast mass.
A 15 year-old asthenic thin boy with crisii of nausea and colicky pain during ( 3 ? ) years. Failed in management of gastritis HP infected.
Ultrasound detected a malrotated mass with mesenteric vessels inside going to the clockwise.
Beside there was a hyperechoic mass in the pelvis with vessels in the mass.
MSCT confirmed the bowel malrotation and a lipoma in the pelvis.
Surgery was done to remove the #12,5x11mm pelvic mass which was a microcystic lymphatic malformation of the mesentery. It adhered the bowel and caused the bowel volvulus.
The boy gained 10 kilogram and had no pain nor nausea post-op.
But ultrasound and MRI detected only calcification of prostate.
The patient belongs the high risk group of prostate cancer in our report in 2011 although the normal results of diagnostic imaging.
