Pancreatic metastases - likely from renal cell carcinoma
Diagnosis certain
Updates to Case Attributes
Title
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Pancreatic metastases: - likely from renal cell carcinoma
Presentation
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Body
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These pancreatic metastases are only been shownseen in the arterial phase. A single phase protocol would have missed these lesions.
-<p>These pancreatic metastases are only been shown in the arterial phase. A single phase protocol would have missed these lesions.</p>- +<p>These pancreatic metastases are only seen in the arterial phase. A single phase protocol would have missed these lesions.</p>
Updates to Study Attributes
Findings
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Hyperdense pancreatic metastases only evident in the arterial phase.
Images Changes:
Image CT (C+ arterial phase) ( update )
Description
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1. At least five different pancreatic lesions with contrast affinity in the arterial phase in the head, corpus and cauda. The biggest is located in the pancreatic head next to the common hepatic duct.
2. A stent is applied into the CHD and a small air bubble ishas collected within the gall bladder.
3. The right kidney is missing.
Multiple renal zystscysts of the left kidney, Bosniak I.
Image CT (C+ portal venous phase) ( update )
Description
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The pancreatic metastases are isodensisodense to the normal pancreatic parenchyma.
Image CT (C+ portal venous phase) ( update )
Description
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The pancreatic metastases are isodensisodense to the normal pancreatic parenchyma.
Updates to Quizquestion Attributes
Question
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What are the most likely metastases ofto the pancreas?
Answer
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Metastases in the pancreas are not very likelycommon. In most of the cases they come from melanoma (most of the times hyperdenshyperdense in all phases), lung-, mammabreast, ovarial-carcinomaovary and of causethe kidney and adrenal glands.
Updates to Quizquestion Attributes
Question
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What is the differential diagnosediagnosis of aan enhanced lesion in a nativnative scan?
Answer
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A hemorrhagic metastasis or more likely a melanoma metastasis could show a hypertenuationbe of hyperattenuation in a nativnative scan. Therefore only the arterial phase could give you not enough information to differentiate the lesions.