EURORAD ESR

Case 12654

Metastatic prostate cancer in a 45-year-old patient: a surprising case

Author(s)
Giovanni Benedetto, Salvador Ferrandis Borras

Hospital Universitario de La Ribera;
Carretera Corbera Km1
46600 Alzira;
Email:gbenedetto@hospital-ribera.com
 
Patient
male, 45 year(s)
 
 
  • Figure 1
    Grey-scale and colour Doppler US of the right groin
     

    Convex probe axial examination just below the inguinal ligament depicts enlarged, round lymph nodes with loss of the normal fatty hilum.

     
    Area of Interest: Genital / Reproductive system male; Lymph nodes; Urinary Tract / Bladder; Imaging Technique: Ultrasound; Procedure: Computer Applications-General; Special Focus: Metastases;

    Enlarged paraortocaval lymph nodes.

     
    Area of Interest: Genital / Reproductive system male; Lymph nodes; Imaging Technique: Ultrasound; Procedure: Computer Applications-General; Special Focus: Metastases;

    Doppler colour US shows relationship among the enlarged lymph nodes, inferior vena cava and aorta.

     
    Area of Interest: Genital / Reproductive system male; Lymph nodes; Veins / Vena cava; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Computer Applications-General; Special Focus: Metastases;
     
     
  • Figure 2
    Contrast-enhanced CT of the neck, thorax and abdomen
     

    Enlarged left supraclavicular lymph nodes.

     
    Area of Interest: Head and neck; Lymph nodes; Imaging Technique: CT; Procedure: Computer Applications-General; Special Focus: Metastases;

    Mediastinal lymphadenopathy surrounding the origin of the left subclavian and vertebral arteries.

     
    Area of Interest: Lymph nodes; Thorax; Imaging Technique: CT; Procedure: Computer Applications-General; Special Focus: Metastases;

    Grade 3 bilateral ureteral-hydronephrosis and retroperitoneal lymphadenopathy.

     
    Area of Interest: Abdomen; Kidney; Imaging Technique: CT; Procedure: Computer Applications-General; Contrast agent-intravenous; Special Focus: Metastases;

    Enlarged lymph nodes in the right common and external iliac chain.

     
    Area of Interest: Lymph nodes; Pelvis; Imaging Technique: CT; Procedure: Computer Applications-General; Contrast agent-intravenous; Special Focus: Metastases;
     
     
  • Figure 3
    Contrast-enhanced abdominal CT: coronal reconstruction
     

    Widespread retroperitoneal and right iliac lymphadenopathy.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Computer Applications-General; Special Focus: Metastases;

    Bone window: diffuse bone infiltration from osteoblastic metastases.

     
    Area of Interest: Abdomen; Bones; Imaging Technique: CT; Procedure: Computer Applications-General; Special Focus: Metastases;
     
     
  • Figure 4
    Bone scintigraphy

    "Superscan" pattern

     
    Area of Interest: Bones; Imaging Technique: Absorptiometry / Bone densiometry; Procedure: Computer Applications-General; Special Focus: Metastases;
     
     
Convex probe axial examination just below the inguinal ligament depicts enlarged, round lymph nodes with loss of the normal fatty hilum.
 
Enlarged paraortocaval lymph nodes.
 
Doppler colour US shows relationship among the enlarged lymph nodes, inferior vena cava and aorta.
 
Enlarged left supraclavicular lymph nodes.
 
Mediastinal lymphadenopathy surrounding the origin of the left subclavian and vertebral arteries.
 
Grade 3 bilateral ureteral-hydronephrosis and retroperitoneal lymphadenopathy.
 
Enlarged lymph nodes in the right common and external iliac chain.
 
Widespread retroperitoneal and right iliac lymphadenopathy.
 
Bone window: diffuse bone infiltration from osteoblastic metastases.
 
"Superscan" pattern
 
 
 
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