EURORAD ESR

Case 10297

Madelung disease

Author(s)
Luis Gijón de la Santa, José Antonio Pérez Retortillo, Francisco Javier Arroyo Pérez

Hospital de Guadalajara (España)
C/Fernandez de los Ríos 69 2ºD 28015 Madrid
Spain
Email:luigigijon@gmail.com
 
Patient
male, 66 year(s)
 
 
  • Figure 1
    AP chest X-ray

    AP chest X-ray shows an increase of soft tissues involving the cervical and upper regions of the trunk (green arrows).

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    Localiser

    CT: Lateral localiser radiograph shows an increase of soft tissues in the back region of the neck (green arrow).

     
    Area of Interest: Head and neck; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 3
    CT
     

    CT shows fatty accumulation involving the shoulder areas (green arrow).

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    CT shows non-encapsulated fatty accumulations involving the cervical spaces (green arrows).

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    CT shows non-encapsulated fatty accumulations involving the cervical spaces and the malar regions (green arrows).

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    CT shows non-encapsulated fatty accumulations involving the cervical spaces and the malar regions (green arrows).

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 4
    3D CT reconstruction
     

    3D CT reconstruction shows the presence of fatty accumulations involving the head and neck areas.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    3D CT reconstruction shows the presence of fatty accumulations involving the head and neck areas.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    3D CT reconstruction shows the presence of fatty accumulations involving the head and neck areas.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 5
    MRI

    Sagittal T1-weighted image reveals an increase of fatty tissues in the back region of the neck

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 6
    MRI
     

    Coronal T1 (A) and T2 (B) weighted images shows fatty accumulations involving the cervical spaces.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Coronal T1 (A) shows fatty accumulations involving the cervical spaces. Coronal T1 fat sat (B) shows a homogeneous saturation of the fatty tissues.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
AP chest X-ray shows an increase of soft tissues involving the cervical and upper regions of the trunk (green arrows).
 
CT: Lateral localiser radiograph shows an increase of soft tissues in the back region of the neck (green arrow).
 
CT shows fatty accumulation involving the shoulder areas (green arrow).
 
CT shows non-encapsulated fatty accumulations involving the cervical spaces (green arrows).
 
CT shows non-encapsulated fatty accumulations involving the cervical spaces and the malar regions (green arrows).
 
CT shows non-encapsulated fatty accumulations involving the cervical spaces and the malar regions (green arrows).
 
3D CT reconstruction shows the presence of fatty accumulations involving the head and neck areas.
 
3D CT reconstruction shows the presence of fatty accumulations involving the head and neck areas.
 
3D CT reconstruction shows the presence of fatty accumulations involving the head and neck areas.
 
Sagittal T1-weighted image reveals an increase of fatty tissues in the back region of the neck
 
Coronal T1 (A) and T2 (B) weighted images shows fatty accumulations involving the cervical spaces.
 
Coronal T1 (A) shows fatty accumulations involving the cervical spaces. Coronal T1 fat sat (B) shows a homogeneous saturation of the fatty tissues.
 
 
 
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