EURORAD ESR

Case 9807

Persistent fever and lumbar pain

Author(s)
Lucas RN, Cordeiro AM, Marques A

CHLC, Hospital Santo António dos Capuchos,
Radiology;
Rua dos Cordoeiros a Pedrouços n.º87 2º B
1400-072 Lisboa, Portugal;
Email:ritalucas1@gmail.com
 
Patient
female, 70 year(s)
 
 
  • Figure 1
    Thrombus within the SMV extending to the VP
     

    Coronal reformation of contrast-enhanced CT through upper abdomen shows the low-attenuation thrombus within the lumen of the portal vein without complete occlusion of this vessel.

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

    The thrombus extends from the VMS.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    The thrombus extends from the VMS.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 2
    Thickening and densification of the vessel wall
     

    Portal venous–phase enhanced axial CT, shows the thrombus within the SMV with ring enhancement of the vessel wall (because of opacification of the vasa vasorum) and inflammation of the surrounding fat.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Coronal oblique reformatted contrast-enhanced CT image shows the thrombus with thickening and densification of the vessel wall.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 3
    Periappendiceal inflammation
     

    Contrast-enhanced axial CT shows thickened, inflamed, fluid-filled appendix. Periappendiceal inflammation includes periappendiceal fat stranding and ileocecal mild lymph node enlargement.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Coronal reformatted contrast-enhanced CT scan depicts fat stranding in the retrocecal area with thickening and enhancement of the appendiceal wall.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Coronal reformation of contrast-enhanced CT through upper abdomen shows the low-attenuation thrombus within the lumen of the portal vein without complete occlusion of this vessel.
 
The thrombus extends from the VMS.
 
The thrombus extends from the VMS.
 
Portal venous–phase enhanced axial CT, shows the thrombus within the SMV with ring enhancement of the vessel wall (because of opacification of the vasa vasorum) and inflammation of the surrounding fat.
 
Coronal oblique reformatted contrast-enhanced CT image shows the thrombus with thickening and densification of the vessel wall.
 
Contrast-enhanced axial CT shows thickened, inflamed, fluid-filled appendix. Periappendiceal inflammation includes periappendiceal fat stranding and ileocecal mild lymph node enlargement.
 
Coronal reformatted contrast-enhanced CT scan depicts fat stranding in the retrocecal area with thickening and enhancement of the appendiceal wall.
 
 
 
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