Case Presentation

Case Presentation

CASE PRESENTATION DR ASHOK SHARMA-JRIII GUIDE PROF. DR ANJALI W.

DEPARTMENT OF RADIODIAGNOSIS BJMC, PUNE A TWO YEAR OLD CHILD CAME TO SASSOON HOSPITAL

WITH SWELLING IN RIGHT HYPOCHONDRIAC AND CENTRAL ABDOMEN REGION SINCE 5 MONTH. PRESENTES WITH SWELLING IN BILATERAL LOWER LIMB.

NO HISTORY OF FEVER NO HISTORY OF HEMATURIA USG THESE WAS LARGE MASS IN THE SUPRARENAL REGION ON

RIGHT SIDE WHICH IS INVOLVING THE UPPER POLE OF THE KIDNEY AND SUPERIORLY IT IS INVOLVING THE INFERIOR SURFACE OF LIVER, IT IS CROSSING THE MIDLINE. THERE IS ENLARGED LYMPHNODAL MIDLINE MASS IN THE PRE/PARAAORTIC AND ALONG BILATERAL ILIAC

VESSELS. CT EXAMINATION REVEALS

ARTERIAL PHASE IMAGES SHOWS- PORTAL PHASE

VENOUS PHASE DELAYED PHASE-

SUMMERY THERE IS LARGE ILLDFIEND HETEROGENOUSLY ENHANCING SOFT TISSUE DENSITY MASS LESION IN THE RETROPERITONEUM IN THE RIGHT SUPRARENAL AREA WITH NECROSIS AND FOCI OF CALCIFICATION AND RIGHT ADRENAL IS NOT SEPERATELY VISUALISED AND IS DISPLACING

THE RIGHT KIDENY INFERIORLY. The mass IS SEEN CROSSING THE MIDLINE AND CAUSING DISPLACEMENT AND ENCASEMENT OF VESSELS. THERE IS MUTLILOBULATED MIDLINE MASS IN THE RETROPERITONEUM INVOLVING THE PRE/PARAAORTIC AND AORTOCAVAL REGION AND

ALONG THE BILATERAL ILIAC VESSELS. LARGE WELLDEFINED PELVIC MASS ON LEFT SIDE. BASED ON THESE FINDINGS MY D/D ARENEUROBLASTOMA

WILMS TUMOR LYMPHOMA Neuroblastoma

Calcification are very common It encases vascular structures without invasion More common in <2 years of age poorly marginated

Chest, bone, orbital and extradural extension is common. elevates the aorta and retroperitoneal structures away from the vertebral column

Cross the midline. Wilms tumour calcification are not common

displaces adjacent structures without involvement well circumscribed claw sign with the kidney peak age is 3-4 years.

extension into IVC/renal vein Multiple retrocrural, mesenteric and retroperitoneal lymphadenopathy surround but do not occlude the mesenteric

vessels and displace bowel loops but do not occlude them. Hepatosplenomegaly. Confluent lymphadenopathy on both sides of the mesenteric vessels gives rise to an appearance described as the sandwich sign

THANK THANK YOU YOU

Recently Viewed Presentations

  • Chapter 10: Challenging Liberalism

    Chapter 10: Challenging Liberalism

    Aboriginal collective rights were specifically included in Section 35 of the Constitution Act (Right of the Aboriginal Peoples of Canada) and in Section 25 of the Constitution Act within the Canadian Charter of Rights and Freedom. chapter 10 notes
  • The Impending Death of Cancer: A Herculean Task

    The Impending Death of Cancer: A Herculean Task

    The Impending Death of Cancer:A Herculean TaskEmerging Therapies 2016. Ruemu E. Birhiray, MD. CEO, Indy Hematology Education, Inc. Partner, Hematology Oncology of Indiana, PC
  • Title

    Title

    Source: Silverpop 2015 email marketing metrics benchmark study ... Engage and onboard your new members right away with…. A welcome kit/brochure, letter, email and or phone call.
  • www.papacambridge.com PAST AICE EXAMS

    www.papacambridge.com PAST AICE EXAMS

    www.papacambridge.com PAST AICE EXAMS. June 2015. In many Asian societies, there has been an increase in female headed households.This is due to a variety of reasons including widowhood, migration, marital instability and women choosing to have children outside of marriage.
  • &quot;The Dephi Report&quot; Report - Central Washington University

    "The Dephi Report" Report - Central Washington University

    Teaching thinking is central to the idea of a liberal education Philosopher John Dewey was one of the first educators to stress the centrality of reflective thinking Reflective thinking, critical thinking, higher-order thinking - no consensus definition until the Delphi...
  • CLOSE READING - Rosedale Curriculum

    CLOSE READING - Rosedale Curriculum

    Close Reading and Common Core. The K-12 standards define what students should understand and be able to do by the end of each grade. They correspond to the College and Career Readiness (CCR) anchor standards by number.
  • Recherche d&#x27;ondes gravitationnelles avec VIRGO: contribution ...

    Recherche d'ondes gravitationnelles avec VIRGO: contribution ...

    GWA net: Contents GWA net: Tools Reports and Financing Mid Term Review Budget Last year activities GWA net: Plans Agenda today (am) Agenda today (pm) ILIAS: Integrated Large Infrastructure in Astroparticle Science Fields: GW detection, Dark matter, Double beta decay,...
  • Wednesday, November 30 Analysis of Variance Wednesday, November

    Wednesday, November 30 Analysis of Variance Wednesday, November

    TOTAL VARIATION Variation within groups (error) Variation between groups Variation from Factor 1 Variation from Factor 2 Variation from Factor 1 x 2 interaction Partitioning variation in a 2x2 factorial design. 1.A Compute SST B. Compute SSB C. Subtract SSB...