Diagnostic Ultrasound - Abdomen and Pelvis
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Diagnostic Ultrasound - Abdomen and Pelvis

powerstage
09.07.2019 Views

Adrenal Carcinoma (Left) Transverse transabdominal color Doppler ultrasound shows a large, heterogeneous adrenal mass with minimal peripheral flow, central hypoechoic areas of necrosis ſt, and scattered calcification st. (Right) Longitudinal decubitus transabdominal ultrasound demonstrates a large nonspecific hypoechoic adrenal mass . The upper pole of the right kidney is shown ſt. Diagnoses: Adrenal Gland (Left) Transverse transabdominal ultrasound shows a well-circumscribed, solid isoechoic to liver adrenal mass , which was proven to be AC. The IVC st appeared spared at this level. (Right) Corresponding axial CECT shows a large, hypodense right adrenal mass with infiltration of the surrounding fat. Tumor extension into the IVC is difficult to see on the CT. The upper pole of the right kidney is shown . (Left) Corresponding axial T2 FS MR better demonstrates T2-hyperintense tumor thrombus in an accessory hepatic vein extending to the IVC st. The mass shows homogeneous T2 bright signal as well. Surgery confirmed invasion of segment VI of the liver with tumor thrombus reaching the IVC. (Right) Postoperative, follow-up axial PET/CT performed 5 months later shows a new metabolically active mass in the surgical bed compatible with recurrent disease. Note the surgical clips st. 605

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