EURORAD ESR

Case 10644

Widespread mediastinal - retroperitoneal tumour

Author(s)
Cekaj E, Gjini V

Regional Hospital of Durres,
ALBANIA
 
Patient
female, 55 year(s)
 
 
  • Figure 1
    Axial CT view without CM
     

    Note solid posterior mediastinal mass and the free pleural fluid.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Note retroperitoneal solid mass.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Note mass calcification on the right with net-like appearance.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The mass and its calcification surrounds the left kidney.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Axial CT views with CM
     

    Posterior mediastinal spread of the mass surrounding thoracic descending aorta.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Note inferior vena cava infiltration.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The mass had not significant enhancement by contrast media.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Note respectively the mass HU values before and after contrast media injection. There were no significant changes in HU values even in late phase.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Coronal and sagittal views
     

    Note widespread thoracic - abdominal mass in coronal aspect and calcification of subcutaneus nodus in left flank.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Posterior mediastinal to retroperitoneal spread of the mass in sagittal view without CM.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Note the left flank subcutaneus nodus with the same imaging characteristics like the primary mass.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Note infiltration of inferior vena cava and surrounding abdominal aorta and left kidney.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    3D and MIP views
     

    Right renal artery stenosis in its middle portion.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    3D recontruction in arterial phase. Note the right renal artery stenosis.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The same with 4b in MIP.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Right renal artery involvement by retroperitonel mass and its net like calcification in 3D and multiplanar views.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    MIP multiplanar view of right kidney and its pyelocalyceal system. Note right renal hydronephrosis caused by the mass involvement of the proximal right ureter.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    3D aspect of the same finding as 4e. On the left, note the 3D recontruction of the subcutaneus left flank nodus as well.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Note solid posterior mediastinal mass and the free pleural fluid.
 
Note retroperitoneal solid mass.
 
Note mass calcification on the right with net-like appearance.
 
The mass and its calcification surrounds the left kidney.
 
Posterior mediastinal spread of the mass surrounding thoracic descending aorta.
 
Note inferior vena cava infiltration.
 
The mass had not significant enhancement by contrast media.
 
Note respectively the mass HU values before and after contrast media injection. There were no significant changes in HU values even in late phase.
 
Note widespread thoracic - abdominal mass in coronal aspect and calcification of subcutaneus nodus in left flank.
 
Posterior mediastinal to retroperitoneal spread of the mass in sagittal view without CM.
 
Note the left flank subcutaneus nodus with the same imaging characteristics like the primary mass.
 
Note infiltration of inferior vena cava and surrounding abdominal aorta and left kidney.
 
Right renal artery stenosis in its middle portion.
 
3D recontruction in arterial phase. Note the right renal artery stenosis.
 
The same with 4b in MIP.
 
Right renal artery involvement by retroperitonel mass and its net like calcification in 3D and multiplanar views.
 
MIP multiplanar view of right kidney and its pyelocalyceal system. Note right renal hydronephrosis caused by the mass involvement of the proximal right ureter.
 
3D aspect of the same finding as 4e. On the left, note the 3D recontruction of the subcutaneus left flank nodus as well.
 
 
 
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