EURORAD ESR

Case 15018

Cystic ganglioneuroblastoma – incidental finding in child

Author(s)
Juan Manuel Pazos Guarín

Doctor Peset Hospital; Avenida Gaspar Aguilar 90 46017 Valencia, Spain; Email:Pazos0414@hotmail.com
 
Patient
male, 9 year(s)
 
 
  • Figure 1
    Chest AP x-ray.

    A calcification of curvilinear morphology is observed in the left hypochondrium, which could correspond to a calcified mass.

     
    Area of Interest: Adrenals; Imaging Technique: Conventional radiography; Procedure: Education; Special Focus: Neoplasia;
     
     
  • Figure 2
    Ultrasound

    Abdominal left sagital plane. The presence of a mass in the left adrenal gland is confirmed. This mass is of mixed ecogenicity, of hypoecoic predominance and with ecogenic content.

     
    Area of Interest: Adrenals; Imaging Technique: Ultrasound; Procedure: Education; Special Focus: Neoplasia;
     
     
  • Figure 3
    Axial T1-weighted in-phase and out-of-phase MR image
     

    Axial T1-weighted in-phase. MR image shows left adrenal mass mostly cystic, with low-signal-intensity edge by calcification. Fluid-fluid level: an upper low-signal intensity liquid layer and a lower high-...

     
    Area of Interest: Adrenals; Imaging Technique: MR; Procedure: Education; Special Focus: Neoplasia;

    Axial T1-weighted out-of-phase MR image

     
    Area of Interest: Adrenals; Imaging Technique: MR; Procedure: Education; Special Focus: Neoplasia;
     
     
  • Figure 4
    Axial diffusion-weighted image

    Axial diffusion-weighted image (b=1000 sec/mm2). Arrows shows solid nodules with high signal intensity due to restricted diffusion with a low ADC value of 0.95 x 10-3 mm2/sec.

     
    Area of Interest: Adrenals; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Education; Special Focus: Neoplasia;
     
     
  • Figure 5
    Axial T1-weighted threedimensional contrast-enhanced MR image

    Axial T1-weighted threedimensional contrast-enhanced MR image shows left adrenal mass with solid nodules with high- signal- intensity after intravenous administration of contrast media.

     
    Area of Interest: Adrenals; Imaging Technique: MR; Procedure: Education; Special Focus: Neoplasia;
     
     
A calcification of curvilinear morphology is observed in the left hypochondrium, which could correspond to a calcified mass.
 
Abdominal left sagital plane. The presence of a mass in the left adrenal gland is confirmed. This mass is of mixed ecogenicity, of hypoecoic predominance and with ecogenic content.
 
Axial T1-weighted in-phase. MR image shows left adrenal mass mostly cystic, with low-signal-intensity edge by calcification. Fluid-fluid level: an upper low-signal intensity liquid layer and a lower high- signal-intensity layer due to haemorrhage.
 
Axial T1-weighted out-of-phase MR image
 
Axial diffusion-weighted image (b=1000 sec/mm2). Arrows shows solid nodules with high signal intensity due to restricted diffusion with a low ADC value of 0.95 x 10-3 mm2/sec.
 
Axial T1-weighted threedimensional contrast-enhanced MR image shows left adrenal mass with solid nodules with high- signal- intensity after intravenous administration of contrast media.
 
 
 
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