EURORAD ESR

Case 2838

CT findings of malignant pulmonary metastasis in von Recklinghausen's disease

Author(s)
Trivelli I, Prof Caramella D, Prof Bartolozzi C
 
Patient
male, 62 year(s)
 
 
  • Published 28.12.2005
  • DOI 10.1594/EURORAD/CASE.2838
  • Section Chest Imaging
  • Case Type Clinical Cases
  • Difficulty Student
  • Views 1482
  • Language(s)
  • Figure 1
    Left axillar

    A CT image with contrast agent in the mediastinum window showing a relapse of the left axillary lesion and the lesions at the upper right costal pleura. These formations are believed to be quite isodense with respect...

     
     
     
  • Figure 2
    Right hilum

    A CT image with contrast agent in the lung window showing the lesion in the right pulmonary hilum (3.5 x 3.6 cm) that compresses the main right bronchus and the right pulmonary vein isodense with respect to the nearer...

     
    Area of Interest: unknown; Imaging Technique: right hilum;
     
     
  • Figure 3
    Posterior pleura

    A CT image with contrast agent in the lung window showing the lesion at the upper right costal pleura to be isodense with respect to the nearer soft tissues. Many big bubbles are believed to be present, especially to...

     
    Area of Interest: unknown; Imaging Technique: posterior pleura;
     
     
  • Figure 4
    Main fissure

    A CT image with contrast agent in the lung window showing the lesion at the upper right costal pleura involving the fissure.The pulmonary formation is seen to have the same density as that of the soft tissue. Tthe...

     
    Area of Interest: unknown; Imaging Technique: main fissure;
     
     
  • Figure 5
    Scapula

    A CT image with contrast agent in the mediastinum window showing the lesion in the posterior thoracic wall, under the scapula on the right. Another neurofibroma is seen in the left thoracic wall, a little ovoid...

     
    Area of Interest: unknown; Imaging Technique: scapula;
     
     
A CT image with contrast agent in the mediastinum window showing a relapse of the left axillary lesion and the lesions at the upper right costal pleura. These formations are believed to be quite isodense with respect to the nearer soft tissues but a weak light contrast enhancement can be recognised in their context. The axillary lesion is seen to be well delimitated but with no precise edge. Instead the costal lesions do not seem to be very well delimitated and they involve the costal structures.
 
A CT image with contrast agent in the lung window showing the lesion in the right pulmonary hilum (3.5 x 3.6 cm) that compresses the main right bronchus and the right pulmonary vein isodense with respect to the nearer soft tissues. The fibrosis of the right lung with atelectasia areas and ground glass areas with some bubbles can be observed. The fibrosis is seen to be less evident in the left lung but the bubbles and the ground glass aspects are believed to be present anyway.
 
A CT image with contrast agent in the lung window showing the lesion at the upper right costal pleura to be isodense with respect to the nearer soft tissues. Many big bubbles are believed to be present, especially to the right near the mediastinum and the costal pleura.
 
A CT image with contrast agent in the lung window showing the lesion at the upper right costal pleura involving the fissure.The pulmonary formation is seen to have the same density as that of the soft tissue. Tthe pulmonary fibrosis that destroys the normal interstitial ramifications is seen.
 
A CT image with contrast agent in the mediastinum window showing the lesion in the posterior thoracic wall, under the scapula on the right. Another neurofibroma is seen in the left thoracic wall, a little ovoid formation with precise edges. These formations are seen to have the same soft tissue density. In the right lung, atelectasia alterations with fibromatous components and several mediastinum linphonodes are seen.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version