Pramod Gupta

Presacral extramedullary hematopoiesis: report of a case and review of the literature.

Extramedullary hematopoiesis is manifested by several clinical hematological disorders. Its localization to presacral space as mass is extremely rare. We report one such case in a patient with hereditary spherocytosis. In the appropriate clinical setting when the imaging appearances are typical, biopsy may not be necessary for diagnosis.

Aortic and Vertebral Penetration by a G2 Inferior Vena Cava Filter: Report of a Case

Various long-term complications have been reported with inferior vena cava filters. In this report, the authors describe unusual complications associated with a G2 filter in a patient with aortic lumen and vertebral body penetration.

Extramedullary plasmacytoma of the pancreas and jejunum.

Plasmacytomas occurring in the gastrointestinal tract are extremely rare. We report one such case of pancreatic and jejunal plasmacytoma in a single patient with known multiple myeloma with emphasis on computed tomographic (CT) findings.

Thoracolithiasis: a case report

We present a rare case of incidentally found mobile thoracolithiasis in a 76-year-old cirrhotic patient on serial computed tomography scans performed before and after transarterial chemoembolization for hepatocellular carcinoma. Mobility and calcification are the important clue to diagnosing this benign condition and avoiding unnecessary surgery.

Littoral Cell Angioma of Spleen: An Uncommon Presentation of a Rare Neoplasm

Littoral cell angioma (LCA) is a rare primary splenic tumor that is difficult to differentiate preoperatively from other benign and malignant splenic lesions. Most of the cases present as multiple nodules in the spleen. We report a case of large solitary LCA of the spleen, an uncommon presentation. LCA should be considered in the differential diagnosis of multiple and solitary splenic lesions.

Fibroadenoma in male breast: case report and literature review.

We report a rare case of mammary fibroadenoma in a 75 year old male patient with emphasis on imaging findings and review of the previously reported cases.

LEARNING FROM IMAGES Perinephric Lymphoma

Renal imaging plays a valuable role in determining the etiology of renal failure due to intrinsic or extrinsic obstruction of the urinary tract. We report an interesting finding encountered on routine renal imaging in an asymptomatic elderly man who presented with renal failure of unknown etiology. Routine renal ultrasound imaging revealed a large mass around the kidney, which on magnetic resonance imaging of the abdomen was characterized as a retroperitoneal mass that was soft and pliable that surrounded but did not compress or obstruct the retroperitoneal vessels (Fig. 1). However, it caused partial

LEARNING FROM IMAGES

Tumor infiltration, renal cell carcinoma, renal vein, inferior vena cava. 61-year-old male patient presented with chief complaints of recurrent right renal colic and hematuria. A ‘stone protocol’ non contrast CT scan of the abdomen and pelvis was performed, which revealed hyperdense blood in the pelvicalyceal system (Fig.

LEARNING FROM IMAGES: Renal Volume in Polycystic Kidney Disease

Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary renal cystic disease. Majority of families with ADPKD have an abnormality on chromosome 16 (PKD1 locus) resulting in end stage renal disease at a mean age of 54.3 years. The diagnosis and management of ADPKD relies primarily on imaging studies. Renal ultrasonography is commonly utilized to screen family members for ADPKD [1]. The ultrasonographic criteria for the diagnosis of ADPKD for at risk individuals are age dependent. Individuals aged 40 -59 years with two cysts in each kidney on ultrasonography is associated with a sensitivity and specificity of 90 and 100% respectively. CT scan (Fig. 1) imaging is more sensitive than ultrasonography and can identify cysts with a diameter of 23mm.