EURORAD ESR

Case 14708

Choroidal melanoma

Author(s)
Donato, Angel MD. Huapaya, Janice MD. Figueroa, Ramon E. MD. FACR

Augusta University
1120 15th street
Augusta, GA 30912
USA
Email:donatoangel@yahoo.com
 
Patient
male, 50 year(s)
 
 
  • Figure 1
    CT head
     

    Emergency room head CT without contrast reported a left temporal quadrant subretinal haemorrhage with intact left globe scleral margins. Intracranial compartment was normal.

     
    Area of Interest: Eyes; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Emergency room head CT without contrast reported a left temporal quadrant subretinal haemorrhage with intact left globe scleral margins. Intracranial compartment was normal.

     
    Area of Interest: Eyes; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Emergency room head CT without contrast reported a left temporal quadrant subretinal haemorrhage with intact left globe scleral margins. Intracranial compartment was normal.

     
    Area of Interest: Eyes; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 2
    Orbit MRI
     

    There is a left globe superior nasal quadrant choroid layer T1 hyperintense lesion on axial T1 images without contrast.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Lesion shows further T1 hyperintensity from gadolinium enhancement on post contrast T1 axial images.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 3
    Orbit MRI
     

    Coronal T1 image prior to contrast shows hyperintense behavior of the left globe superior nasal quadrant choroid layer lesion.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Coronal T2 fat saturated image shows the lesion with hypointense behavior.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Gadolinium enhanced coronal T1 image with fat saturation shows homogeneous lesion enhancement.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 4
    Orbit PET/CT
     

    PET CT obtained for disease spread assessment shows the left globe subtle anatomic lesion with no hypermetabolic behavior. No systemic disease was detected.

     
    Area of Interest: Eyes; Imaging Technique: PET-CT; Procedure: Education; Special Focus: Pathology;

    PET CT obtained for disease spread assessment shows the left globe subtle anatomic lesion with no hypermetabolic behavior. No systemic disease was detected.

     
    Area of Interest: Eyes; Imaging Technique: PET-CT; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 5
    Ocular Globe/Uvea MRI

    Pertinent globe anatomy of the uveal tract: iris (blue arrows), ciliary body (red arrows) and choroid layer (orange arrows).

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;
     
     
Emergency room head CT without contrast reported a left temporal quadrant subretinal haemorrhage with intact left globe scleral margins. Intracranial compartment was normal.
 
Emergency room head CT without contrast reported a left temporal quadrant subretinal haemorrhage with intact left globe scleral margins. Intracranial compartment was normal.
 
Emergency room head CT without contrast reported a left temporal quadrant subretinal haemorrhage with intact left globe scleral margins. Intracranial compartment was normal.
 
There is a left globe superior nasal quadrant choroid layer T1 hyperintense lesion on axial T1 images without contrast.
 
Lesion shows further T1 hyperintensity from gadolinium enhancement on post contrast T1 axial images.
 
Coronal T1 image prior to contrast shows hyperintense behavior of the left globe superior nasal quadrant choroid layer lesion.
 
Coronal T2 fat saturated image shows the lesion with hypointense behavior.
 
Gadolinium enhanced coronal T1 image with fat saturation shows homogeneous lesion enhancement.
 
PET CT obtained for disease spread assessment shows the left globe subtle anatomic lesion with no hypermetabolic behavior. No systemic disease was detected.
 
PET CT obtained for disease spread assessment shows the left globe subtle anatomic lesion with no hypermetabolic behavior. No systemic disease was detected.
 
Pertinent globe anatomy of the uveal tract: iris (blue arrows), ciliary body (red arrows) and choroid layer (orange arrows).
 
 
 
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