Shadesofmylife

  Patient presented with cough and breathlessness over few months,  Xray shows a relatively homogenous opacity in right middle lung zone with internal ? airdensity areas laterally abutting lateral chest wall. No pleural effusion/ mediastinal lesion.  Xray DD:  1. Pleural mass - ? Solitary fibrous tumor.  2. lung mass - ? hydatid cyst. CECT DD:   Heterogenous enhancing lesion with internal air foci and necrotic areas, pleural based, abutting and compressing adjacent lung parenchyma, no rib erosion, no mediastinal lesion.  Possible DD:   Solitary fibrous tumor.  Radiological review of pleural tumors Radiological review of pleural tumors

Today's interesting pt: Patient presented with abdominal swelling and hematuria,  USG showed a mass lesion in left iliac fossa and lumbar region, with left sided HUN CT Urography shows,  An irregular heterogenous enhancing mass with epicentre in rectovesical pouch region/ presacral region with infiltration of left VUJ , with upstream left HUN.  No calcifications within.  Prostate appears separate from the lesion.  Multiple pleural enhancing nodules with thickening and effusion noted in right hemithorax - metastatic lesions. No mediastinal/ retroperitoneal/ pelvic lymphadenopathy. No focal lesion in liver/ adrenal/ bones.  No obvious bowel origin, focal infiltration of sigmoid colon noted.  Arterial supply from IMA.  Closely abutting lower lumbar and upper sacral vertebrae. Distal ureteric infiltration and right pleural deposits.  Left CIA and EIA encasement by the lesion.  Inferiorly infiltrating bladder along distal ureter/ UVjunction....