EURORAD ESR

Case 13880

Primary leiomyosarcoma of inferior vena cava

Author(s)
Subbarao Chandana

Leighton Hospital,
Mid Cheshire Hospitals NHS foundation Trust;
Middlewich Road
CW1 4QJ Crewe;
Email:subbarao_cv@yahoo.co.uk
 
Patient
female, 58 year(s)
 
 
  • Figure 1
    VR image of abdominal wall

    Dilated, tortuous subcutaneous veins coursing across the abdominal wall from right inguinal region to the chest.

     
    Area of Interest: Abdominal wall; Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Ultrasound: Sagittal image of IVC through liver

    Lobulated mass within the suprarenal and intrahepatic segments of IVC, distending the vein. The mass stops short of the hepatic veins.

     
    Area of Interest: Abdomen; Veins / Vena cava; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Ultrasound: Axial image at level of right kidney

    Hypoechoeic mass seen medial to right renal hilum involving renal vein and IVC.

     
    Area of Interest: Abdomen; Veins / Vena cava; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    CT - Axial image in arterial phase

    Hypervascular mass anterior and to the right of abdominal aorta. The lesion is inseparable from the IVC. Note the dilated subcutaneous veins in anterior abdominal wall.

     
    Area of Interest: Abdomen; Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    CT - Axial image in venous phase

    Heterogeneously enhancing retroperitoneal mass which is in the location of IVC. Note the dilated collateral veins posterior to liver.

     
    Area of Interest: Abdomen; Vascular; Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 6
    CT - coronal reconstructions in venous phase

    Large lobulated heterogeneously enhancing mass involving lower and mid segments of IVC extending into right renal vein. The mass stops short of the hepatic veins. Thrombus is also seen in distal IVC.

     
    Area of Interest: Abdomen; Vascular; Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 7
    CT - Sagittal reconstruction in venous phase through IVC

    Lobulated, enhancing mass in the IVC with extraluminal component anteriorly. A bland thrombus is also seen in distal IVC.

     
    Area of Interest: Abdomen; Vascular; Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Dilated, tortuous subcutaneous veins coursing across the abdominal wall from right inguinal region to the chest.
 
Lobulated mass within the suprarenal and intrahepatic segments of IVC, distending the vein. The mass stops short of the hepatic veins.
 
Hypoechoeic mass seen medial to right renal hilum involving renal vein and IVC.
 
Hypervascular mass anterior and to the right of abdominal aorta. The lesion is inseparable from the IVC. Note the dilated subcutaneous veins in anterior abdominal wall.
 
Heterogeneously enhancing retroperitoneal mass which is in the location of IVC. Note the dilated collateral veins posterior to liver.
 
Large lobulated heterogeneously enhancing mass involving lower and mid segments of IVC extending into right renal vein. The mass stops short of the hepatic veins. Thrombus is also seen in distal IVC.
 
Lobulated, enhancing mass in the IVC with extraluminal component anteriorly. A bland thrombus is also seen in distal IVC.
 
 
 
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