EURORAD ESR

Case 8994

Atypical bronchial carcinoid

Author(s)
Bulleri A, Paolocchi A, Zangani M, Masullo MG, Perrone E, Turturici L, Castelluccio E, Caramella D, Bartolozzi C
 
Patient
female, 37 year(s)
 
 
  • Figure 1
    US
     

    Hepatic hypoechoic lesions. (© Department of Radiology, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Special Focus: Metastases;

    Hepatic hypoechoic lesions. (© Department of Radiology, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Special Focus: Metastases;

    Hepatic hypoechoic lesions. (© Department of Radiology, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Special Focus: Metastases;
     
     
  • Figure 2
    CT scan
     

    Precontrast phase: multiple hypodense hepatic lesions. (© Department of Radiology, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Special Focus: Metastases;

    Arterial phase: peripherally hyperdense hepatic lesions. (© Department of Radiology, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;

    Portal phase: the lesions get again hypodense. (© Department of Radiology, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;

    Right bronchus obstruction... (© Department of Radiology, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    ...with right upper lobe atelectasis. (© Department of Radiology, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Atelectasis;

    Lung windowing. (© Department of Radiology, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    This image shows a calcification inside the lesion. (© Department of Radiology, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 3
    OctreoScan
     

    A 6 hours delayed OctreoScan image demonstrates abnormal hepatic and pulmunary tracer accumulation. (© Department of Nuclear Medicine, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Abdomen; Thorax; Imaging Technique: Nuclear medicine conventional; Procedure: Diagnostic procedure; Special Focus: Metastases; Neoplasia;

    A 24 hours delayed OctreoScan image. (© Department of Nuclear Medicine, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Abdomen; Thorax; Imaging Technique: Nuclear medicine conventional; Procedure: Diagnostic procedure; Special Focus: Metastases; Neoplasia;

    A 6 hours delayed whole body OctreoScan image demonstrates abnormal hepatic and pulmonary tracer accumulation and the urinary excretion. (© Department of Nuclear Medicine, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Abdomen; Thorax; Imaging Technique: Nuclear medicine conventional; Procedure: Diagnostic procedure; Special Focus: Metastases; Neoplasia;
     
     
  • Figure 4
    Anatomopatological images of gross specimen
     

    Histological image shows uniform cells arranged in sheets and trabeculae... (© Department of Anotomopathology, Medical University of Pisa, Italy, 2010)

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

    ...the cells are polygonal with abundant eosinophilic granular cytoplasm. The nuclei are regular and rounded and contain a fine, stippled chromatin and small nucleoli. (© Department of Anotomopathology, Medical...

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

    Rich, fibrovascular stroma separates the cellular sheets or trabeculae. (© Department of Anotomopathology, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Lung; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    Post-surgical CT scan

    Post-surgical total body CT scan shows no loco-regional relapse. (© Department of Radiology, Medical University of Pisa, Italy, 2010)

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Contrast agent-intravenous;
     
     
Hepatic hypoechoic lesions. (© Department of Radiology, Medical University of Pisa, Italy, 2010)
 
Hepatic hypoechoic lesions. (© Department of Radiology, Medical University of Pisa, Italy, 2010)
 
Hepatic hypoechoic lesions. (© Department of Radiology, Medical University of Pisa, Italy, 2010)
 
Precontrast phase: multiple hypodense hepatic lesions. (© Department of Radiology, Medical University of Pisa, Italy, 2010)
 
Arterial phase: peripherally hyperdense hepatic lesions. (© Department of Radiology, Medical University of Pisa, Italy, 2010)
 
Portal phase: the lesions get again hypodense. (© Department of Radiology, Medical University of Pisa, Italy, 2010)
 
Right bronchus obstruction... (© Department of Radiology, Medical University of Pisa, Italy, 2010)
 
...with right upper lobe atelectasis. (© Department of Radiology, Medical University of Pisa, Italy, 2010)
 
Lung windowing. (© Department of Radiology, Medical University of Pisa, Italy, 2010)
 
This image shows a calcification inside the lesion. (© Department of Radiology, Medical University of Pisa, Italy, 2010)
 
A 6 hours delayed OctreoScan image demonstrates abnormal hepatic and pulmunary tracer accumulation. (© Department of Nuclear Medicine, Medical University of Pisa, Italy, 2010)
 
A 24 hours delayed OctreoScan image. (© Department of Nuclear Medicine, Medical University of Pisa, Italy, 2010)
 
A 6 hours delayed whole body OctreoScan image demonstrates abnormal hepatic and pulmonary tracer accumulation and the urinary excretion. (© Department of Nuclear Medicine, Medical University of Pisa, Italy, 2010)
 
Histological image shows uniform cells arranged in sheets and trabeculae... (© Department of Anotomopathology, Medical University of Pisa, Italy, 2010)
 
...the cells are polygonal with abundant eosinophilic granular cytoplasm. The nuclei are regular and rounded and contain a fine, stippled chromatin and small nucleoli. (© Department of Anotomopathology, Medical University of Pisa, Italy, 2010)
 
Rich, fibrovascular stroma separates the cellular sheets or trabeculae. (© Department of Anotomopathology, Medical University of Pisa, Italy, 2010)
 
Post-surgical total body CT scan shows no loco-regional relapse. (© Department of Radiology, Medical University of Pisa, Italy, 2010)
 
 
 
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