EURORAD ESR

Case 15367

Lymphomatoid Granulomatosis

Author(s)
Itziar Aza Martínez, Juan José Gómez Muga, María Isusi Fontán, María Aída Sánchez Salmón, Iratxe Fernández Tercero

Hospital Universitario Bilbao, Osakidetza; Avenida de Montevideo 18 48013 Bilbao, Spain; Email:itziar.azamartinez@osakidetza.eus
 
Patient
male, 71 year(s)
 
 
  • Figure 1
    Thoracoabdominal CT
     

    Bilateral heterogeneous adrenal masses, suspicious of malignancy.

     
    Area of Interest: Adrenals; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    MIP reconstruction of the lung showing pulmonary nodules.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    MIP reconstruction of the lung showing pulmonary nodules.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Pulmonary nodules.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Pulmonary nodules.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Soft-tissue lesion next to 10º dorsal vertebrae.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    PET-CT
     

    Increased uptake of FDF in both adrenal masses.

     
    Area of Interest: Adrenals; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Focal increased uptake in right renal cortex.

     
    Area of Interest: Kidney; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Increased uptake of FDF in thoracic soft-tissue lesion.

     
    Area of Interest: Thoracic wall; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Diffusely increased uptake of FDF in pulmonary fields.

     
    Area of Interest: Thorax; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Comparative PET-CT
     

    Right renal cortex lesion.

     
    Area of Interest: Kidney; Imaging Technique: PET-CT; Procedure: Comparative studies; Special Focus: Neoplasia;

    Right adrenal mass.

     
    Area of Interest: Adrenals; Imaging Technique: PET-CT; Procedure: Comparative studies; Special Focus: Neoplasia;

    Soft-tissue lesion.

     
    Area of Interest: Thoracic wall; Imaging Technique: PET-CT; Procedure: Comparative studies; Special Focus: Neoplasia;

    Cerebral foci of FDG increased uptake.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: PET-CT; Procedure: Comparative studies; Special Focus: Neoplasia;

    Pulmonary nodules.

     
    Area of Interest: Lung; Imaging Technique: PET-CT; Procedure: Comparative studies; Special Focus: Neoplasia;

    Pulmonary nodules.

     
    Area of Interest: Lung; Imaging Technique: PET-CT; Procedure: Comparative studies; Special Focus: Neoplasia;

    Pulmonary nodules.

     
    Area of Interest: Lung; Imaging Technique: PET-CT; Procedure: Comparative studies; Special Focus: Neoplasia;
     
     
  • Figure 4
    MRI
     

    T1.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    T1 gadolinium.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    T1 coronal.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    T1 gadolinium coronal.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    FLAIR.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    FLAIR coronal.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Perfusion.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    SWI.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    SWI.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    b 1300.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    b 1300.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    ADC.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    ADC.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    PET-CT and RM VIBE gadolinium comparative.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Comparative studies; Special Focus: Neoplasia;
     
     
Bilateral heterogeneous adrenal masses, suspicious of malignancy.
 
MIP reconstruction of the lung showing pulmonary nodules.
 
MIP reconstruction of the lung showing pulmonary nodules.
 
Pulmonary nodules.
 
Pulmonary nodules.
 
Soft-tissue lesion next to 10º dorsal vertebrae.
 
Increased uptake of FDF in both adrenal masses.
 
Focal increased uptake in right renal cortex.
 
Increased uptake of FDF in thoracic soft-tissue lesion.
 
Diffusely increased uptake of FDF in pulmonary fields.
 
Right renal cortex lesion.
 
Right adrenal mass.
 
Soft-tissue lesion.
 
Cerebral foci of FDG increased uptake.
 
Pulmonary nodules.
 
Pulmonary nodules.
 
Pulmonary nodules.
 
T1.
 
T1 gadolinium.
 
T1 coronal.
 
T1 gadolinium coronal.
 
FLAIR.
 
FLAIR coronal.
 
Perfusion.
 
SWI.
 
SWI.
 
b 1300.
 
b 1300.
 
ADC.
 
ADC.
 
PET-CT and RM VIBE gadolinium comparative.
 
 
 
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