EURORAD ESR

Case 13692

Desmoplastic round cell tumour of pleura with liver and spine metastases: Uncommon pathology with grave prognosis

Author(s)
Dr. Somit Mittal, Dr Amber Obaid

Jawaharlal Nehru Medical College,
Amu, Aligarh Muslim University;
Civil Lines 202001
Aligarh, India;
Email:somit999@gmail.com
 
Patient
female, 20 year(s)
 
 
  • Figure 1
    Topographic image of thorax

    Topographic image of the patient shows opacification of LT hemithorax with evidence of mediastinal shift towards RT side. Part of the lung spared appeared radiolucent on LT side. RT lung appeared clear.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Computer Applications-General; Special Focus: Dysplasias;
     
     
  • Figure 2
    Axial NCCT scan of thorax at mediastinal window

    Axial plain (A) and contrast (B) scan shows heterogeneously enhancing nodular thickening encasing the LT hemithorax forming the rind with shifting of mediastinum towards RT side. Mediastinal fat invasion was noted....

     
    Area of Interest: Bones; Imaging Technique: CT-High Resolution; Procedure: Imaging sequences; Special Focus: Metastases;
     
     
  • Figure 3
    Axial CECT thorax

    Axial contrast images at subcarinal (A) and supradiaphragmatic level (B) show heterogeneously enhancing nodular thickening with involvement of mediastinal vascular and diaphragmatic pleura involvement.

     
    Area of Interest: Thorax; Imaging Technique: CT-High Resolution; Procedure: Surgery; Special Focus: Pathology;
     
     
  • Figure 4
    Axial CECT upper abdomen

    Axial contrast images of upper abdomen (A, B) show multiple liver metastases, hepatomegaly with mild peri-splenic collection. Great vessels appear spared.

     
    Area of Interest: Abdomen; Imaging Technique: CT-High Resolution; Procedure: Biopsy; Special Focus: Acute;
     
     
  • Figure 5
    Coronal reformation bone window

    Coronal reformation demonstrates multiple hypodense lesions in the lower thoracic spine (metastasis) with heterogeneously enhancing nodular thickening on LT side causing collapse of underlying lung parenchyma.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: CT; Procedure: Radiation therapy / Oncology; Special Focus: Metastases;
     
     
Topographic image of the patient shows opacification of LT hemithorax with evidence of mediastinal shift towards RT side. Part of the lung spared appeared radiolucent on LT side. RT lung appeared clear.
 
Axial plain (A) and contrast (B) scan shows heterogeneously enhancing nodular thickening encasing the LT hemithorax forming the rind with shifting of mediastinum towards RT side. Mediastinal fat invasion was noted. Visualized ribs appear normal.
 
Axial contrast images at subcarinal (A) and supradiaphragmatic level (B) show heterogeneously enhancing nodular thickening with involvement of mediastinal vascular and diaphragmatic pleura involvement.
 
Axial contrast images of upper abdomen (A, B) show multiple liver metastases, hepatomegaly with mild peri-splenic collection. Great vessels appear spared.
 
Coronal reformation demonstrates multiple hypodense lesions in the lower thoracic spine (metastasis) with heterogeneously enhancing nodular thickening on LT side causing collapse of underlying lung parenchyma.
 
 
 
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