File:Colon cancer (Radiopaedia 85663-101443 E 9).jpg

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Colon_cancer_(Radiopaedia_85663-101443_E_9).jpg(512 × 512 pixels, file size: 29 KB, MIME type: image/jpeg)

Summary:

Description
  • Radiopaedia case ID: 85663
  • Image ID: 54170582
  • Image stack position: 9/119
  • Plane projection: Axial
  • Aux modality: C+ delayed
  • Modality: CT
  • System: Oncology
  • Findings: Emphysematous changes and multiple thin-walled air-filled cysts, less than 45mm are seen at both lungs more prominent at bases. In addition, a few patchy ill-defined mostly subpleural ground glass opacities are present at both lungs could be suggestive for early stage COVID19 pneumonia. The hepatic attenuation value is less than of the spleen, suggesting fatty liver.A peripheral, dense, spotty enhancing mass, approximately 25mm in diameter, is seen in hepatic segment VII (Couinaud`s nomenclature), on the early post contrast phase. In the equilibrium phase the attenuated areas spread through the mass and filling in. The density of enhancing components is almost the same as that of the aorta in all phases of the CT scan. Additionally, a few thin-walled non-enhanced cysts are present in the liver, less than 33mm.A 28mm simple cortical cyst is noted in the left kidney. There is also a 40mm para-pelvic cyst in the right kidney. Circumferential increased wall thickness due to tumoral infiltration is present in the distal descending and proximal of sigmoid colon measuring 7cm in length. Mild surrounding fat stranding and a few small regional lymph nodesobserved. Small lymphadenopathy with SAD of 10mm is also present at para-aortic region. A 20mm polypoid mass is noted in the right posterolateral aspect of urinary bladder, which shows focal marginal calcifications. Additionally, a 3mm vesical stone is seen. The prostate gland is enlarged. Degenerative changes as osteophytosis are seen in the lumbar spine.
Date Published: 5th Jan 2021
Source https://radiopaedia.org/cases/colon-cancer-4
Author Mohammad Taghi Niknejad
Permission
(Permission-reusing-text)
http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current04:16, 1 September 2021Thumbnail for version as of 04:16, 1 September 2021512 × 512 (29 KB) (talk | contribs)Radiopaedia project rID:85663 (batch #8696-339 E9)

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