Hung-Shang Tang

Esophageal tuberculosis with supraclavicular lymph node involvement demonstrated by Ga-67 imaging

A 28-year-old man with a 2-week history of chest discomfort on swallowing and a palpable right supraclavicular mass had a CT scan of the chest that demonstrated esophageal wall thickening in the subcarinal area. Ga-67 citrate imaging showed accumulation in the right supraclavicular region and middle third of the esophagus. Biopsy specimens from the esophagus and lymph nodes confirmed the diagnosis of esophageal tuberculosis with right supraclavicular lymph node involvement. Zlehl-Neelsen stains revealed the presence of acid-fast bacilli. The patient was treated with rifampin, isoniazid, and ethambutal with resolution of the symptoms of chest discomfort and dysphagia within 2 weeks.

Primary malignant lymphoma of the spine diagnosed by Tc-99m MDP and Ga-67 imaging

A patient with primary malignant lymphoma of the spine had both Tc-99m MDP bone imaging and a Ga-67 scan. The bone scan showed remarkable uptake corresponding to the tumor detected on CT and MRI. More avid uptake was noted on Ga-67 scintigraphy than on the bone scan. Ga-67 scintigraphy appears to be very useful in detecting the site and extent of primary lymphoma of the spine.

Choledocho-transverse colon fistula seen with hepatobiliary imaging.

The authors present a case in which a choledocho-transverse colon fistula was diagnosed by hepatobillary imaging.

Roentgenographic and Endoscopic Findings of Henoch-Schöenlein Purpura in Gastrointestinal Tract of Young Adults-Report of Three Cases

Henoch-schoenlein Purpura is defined as a typical skin rash accompanied by any two of three major manifestations of the disease, namely joint involvement, microscopic hematuria and/or proteinuria, and gastrointestinal involvement shown by abdominal pain and/or melena. We reported three patients with Henoch-Schoenlein Purpura. They developed gastrointestinal, skin and joint involvement. Roentgenographic and endoscopic findings of gastrointestinal tract were presented.