Presentation
Leg weakness.
Patient Data
Age: 8 years
Gender: Female
From the case:
Neuroblastoma
{"study":{"id":7488,"case_slug":"neuroblastoma-1","modality":"X-ray","series":[{"id":23874,"content_type":"image/jpeg","frames":[{"id":23874,"width":1280,"height":1280,"current":true,"featured_at":"2011-10-08T22:12:00.000Z"}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"80c13add0b7407689040ddd2b89bb0_tiny.jpeg","jumbo":"80c13add0b7407689040ddd2b89bb0_jumbo.jpeg","small":"80c13add0b7407689040ddd2b89bb0_small.jpeg","thumb":"80c13add0b7407689040ddd2b89bb0_thumb.jpeg","medium":"80c13add0b7407689040ddd2b89bb0_medium.jpeg","gallery":"80c13add0b7407689040ddd2b89bb0_gallery.jpeg","big_gallery":"80c13add0b7407689040ddd2b89bb0_big_gallery.jpeg","original":"80c13add0b7407689040ddd2b89bb0.jpg"}]},"perspective":"Lateral","specifics":null},{"id":23873,"content_type":"image/jpeg","frames":[{"id":23873,"width":1280,"height":1280,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"9b528dc4fce75dc389ddfca923de2e_tiny.jpeg","jumbo":"9b528dc4fce75dc389ddfca923de2e_jumbo.jpeg","small":"9b528dc4fce75dc389ddfca923de2e_small.jpeg","thumb":"9b528dc4fce75dc389ddfca923de2e_thumb.jpeg","medium":"9b528dc4fce75dc389ddfca923de2e_medium.jpeg","gallery":"9b528dc4fce75dc389ddfca923de2e_gallery.jpeg","big_gallery":"9b528dc4fce75dc389ddfca923de2e_big_gallery.jpeg","original":"9b528dc4fce75dc389ddfca923de2e.jpg"}]},"perspective":"Frontal","specifics":null}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"frank","case_id":5960,"case_key_image_id":23874,"case_featured_at":"08 Oct 2011"},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Lumbar spine films demonstrate sclerotic metastases T10, T11, L2, L4 and L5. A large left upper quadrant mass with calcification is also present.
From the case:
Neuroblastoma
{"study":{"id":7489,"case_slug":"neuroblastoma-1","modality":"MRI","series":[{"id":23875,"content_type":"image/jpeg","frames":[{"id":23875,"width":800,"height":800,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"6edadaf89bea0f6e20f6c562324015_tiny.jpeg","jumbo":"6edadaf89bea0f6e20f6c562324015_jumbo.jpeg","small":"6edadaf89bea0f6e20f6c562324015_small.jpeg","thumb":"6edadaf89bea0f6e20f6c562324015_thumb.jpeg","medium":"6edadaf89bea0f6e20f6c562324015_medium.jpeg","gallery":"6edadaf89bea0f6e20f6c562324015_gallery.jpeg","big_gallery":"6edadaf89bea0f6e20f6c562324015_big_gallery.jpeg","original":"6edadaf89bea0f6e20f6c562324015.jpg"}]},"perspective":"Coronal","specifics":"T2"},{"id":23876,"content_type":"image/jpeg","frames":[{"id":23876,"width":800,"height":800,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"67bbd2d810807b2488a2f8edc9ffa4_tiny.jpeg","jumbo":"67bbd2d810807b2488a2f8edc9ffa4_jumbo.jpeg","small":"67bbd2d810807b2488a2f8edc9ffa4_small.jpeg","thumb":"67bbd2d810807b2488a2f8edc9ffa4_thumb.jpeg","medium":"67bbd2d810807b2488a2f8edc9ffa4_medium.jpeg","gallery":"67bbd2d810807b2488a2f8edc9ffa4_gallery.jpeg","big_gallery":"67bbd2d810807b2488a2f8edc9ffa4_big_gallery.jpeg","original":"67bbd2d810807b2488a2f8edc9ffa4.jpg"}]},"perspective":"Sagittal","specifics":"T1"},{"id":23877,"content_type":"image/jpeg","frames":[{"id":23877,"width":800,"height":800,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"0559cfe538063fffe5afc653b61e68_tiny.jpeg","jumbo":"0559cfe538063fffe5afc653b61e68_jumbo.jpeg","small":"0559cfe538063fffe5afc653b61e68_small.jpeg","thumb":"0559cfe538063fffe5afc653b61e68_thumb.jpeg","medium":"0559cfe538063fffe5afc653b61e68_medium.jpeg","gallery":"0559cfe538063fffe5afc653b61e68_gallery.jpeg","big_gallery":"0559cfe538063fffe5afc653b61e68_big_gallery.jpeg","original":"0559cfe538063fffe5afc653b61e68.jpg"}]},"perspective":"Sagittal","specifics":"T2"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"frank","case_id":5960,"case_key_image_id":23874,"case_featured_at":"08 Oct 2011"},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
In addition to the vertebral metastases seen on plain film, intraspinal extension with cord compression and edema are visible. A very large suprarenal mass with necrosis is also present.
From the case:
Neuroblastoma
{"study":{"id":7490,"case_slug":"neuroblastoma-1","modality":"CT","series":[{"id":23880,"content_type":"image/jpeg","frames":[{"id":23878,"width":800,"height":800},{"id":23879},{"id":23880,"current":true},{"id":23881}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"10147a64c44b2d979fd9ebf3407872_tiny.jpeg","jumbo":"10147a64c44b2d979fd9ebf3407872_jumbo.jpeg","small":"10147a64c44b2d979fd9ebf3407872_small.jpeg","thumb":"10147a64c44b2d979fd9ebf3407872_thumb.jpeg","medium":"10147a64c44b2d979fd9ebf3407872_medium.jpeg","gallery":"10147a64c44b2d979fd9ebf3407872_gallery.jpeg","big_gallery":"10147a64c44b2d979fd9ebf3407872_big_gallery.jpeg","original":"10147a64c44b2d979fd9ebf3407872.jpg"},{"tiny":"dfbda0b1eee8a9f50714be637811a3_tiny.jpeg","jumbo":"dfbda0b1eee8a9f50714be637811a3_jumbo.jpeg","small":"dfbda0b1eee8a9f50714be637811a3_small.jpeg","thumb":"dfbda0b1eee8a9f50714be637811a3_thumb.jpeg","medium":"dfbda0b1eee8a9f50714be637811a3_medium.jpeg","gallery":"dfbda0b1eee8a9f50714be637811a3_gallery.jpeg","big_gallery":"dfbda0b1eee8a9f50714be637811a3_big_gallery.jpeg","original":"dfbda0b1eee8a9f50714be637811a3.jpg"},{"tiny":"146b6f573a8cbcb95e1fc5ed5ec62f_tiny.jpeg","jumbo":"146b6f573a8cbcb95e1fc5ed5ec62f_jumbo.jpeg","small":"146b6f573a8cbcb95e1fc5ed5ec62f_small.jpeg","thumb":"146b6f573a8cbcb95e1fc5ed5ec62f_thumb.jpeg","medium":"146b6f573a8cbcb95e1fc5ed5ec62f_medium.jpeg","gallery":"146b6f573a8cbcb95e1fc5ed5ec62f_gallery.jpeg","big_gallery":"146b6f573a8cbcb95e1fc5ed5ec62f_big_gallery.jpeg","original":"146b6f573a8cbcb95e1fc5ed5ec62f.jpg"},{"tiny":"3def105d3c8946ec0e39866540ba8f_tiny.jpeg","jumbo":"3def105d3c8946ec0e39866540ba8f_jumbo.jpeg","small":"3def105d3c8946ec0e39866540ba8f_small.jpeg","thumb":"3def105d3c8946ec0e39866540ba8f_thumb.jpeg","medium":"3def105d3c8946ec0e39866540ba8f_medium.jpeg","gallery":"3def105d3c8946ec0e39866540ba8f_gallery.jpeg","big_gallery":"3def105d3c8946ec0e39866540ba8f_big_gallery.jpeg","original":"3def105d3c8946ec0e39866540ba8f.jpg"}]},"perspective":"Axial","specifics":"C+ portal venous phase"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"frank","case_id":5960,"case_key_image_id":23874,"case_featured_at":"08 Oct 2011"},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
CT confirms these findings, additionally demonstrating large secondary masses encasing the renal vessels on the left and surrounding the aorta. The largest mass, located above the kidney demonstrates calcification.
Case Discussion
This case demonstrates extensive neuroblastoma metastases.
Unable to process the form. Check for errors and try again.