EURORAD ESR

Case 3348

Lymphomas of the skeletal muscle associated with long-term methotrexate therapy

Author(s)
Chandramohan M, Gopal K, Cooper RG, Hutchinson CE
 
Patient
male, 71 year(s)
 
 
  • Figure 1
    A coronal STIR MR image of the right shoulder

    An oblique coronal STIR image of the right shoulder illustrating a diffusely swollen supraspinatus muscle with a high signal intensity.

     
    Area of Interest: unknown; Imaging Technique: Coronal STIR MR of rt shoulder;
     
     
  • Figure 2
    An oblique coronal T1 MR image of the right shoulder using a contrast material

    An oblique coronal T1-weighted MR image obtained using intravenous gadolinium. A peripheral enhancement with a non-enhancing centre consistent with necrosis is seen.

     
    Area of Interest: unknown; Imaging Technique: Oblique coronal T1 MR rt shoulder with contrast;
     
     
  • Figure 3
    A CXR image

    A chest radiograph (postero-anterior view) demonstrating a soft tissue swelling in the right supraclavicular region with resorption of the lateral end of the right clavicle.

     
    Area of Interest: unknown; Imaging Technique: CXR;
     
     
  • Figure 4
    Axial computed tomography scan of the chest
     

    Axial computed tomography scan of the chest: enlarged right pectoralis major [anteriorly] and left levator scapulae [posteriorly] consistent with a skeletal muscle lymphoma.

     
    Area of Interest: unknown; Imaging Technique: Axial computed tomography scan of the chest;

    Axial computed tomography scan of the chest: enlarged right serratus anterior muscle consistent with a skeletal muscle lymphoma.

     
    Area of Interest: unknown; Imaging Technique: Axial computed tomography scan of the chest;
     
     
An oblique coronal STIR image of the right shoulder illustrating a diffusely swollen supraspinatus muscle with a high signal intensity.
 
An oblique coronal T1-weighted MR image obtained using intravenous gadolinium. A peripheral enhancement with a non-enhancing centre consistent with necrosis is seen.
 
A chest radiograph (postero-anterior view) demonstrating a soft tissue swelling in the right supraclavicular region with resorption of the lateral end of the right clavicle.
 
Axial computed tomography scan of the chest: enlarged right pectoralis major [anteriorly] and left levator scapulae [posteriorly] consistent with a skeletal muscle lymphoma.
 
Axial computed tomography scan of the chest: enlarged right serratus anterior muscle consistent with a skeletal muscle lymphoma.
 
 
 
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