Parathyroid Adenoma
History: 50 year old female with a hot nodule on a prior Tc-99m Sestamibi scan and hypercalcemia. Given the history of hypercalcemia and hot nodule on the prior Tc-99m Sestamibi scan, this is compatible with a parathyroid adenoma, which was confirmed at surgery. Hyperparathyroidism was the etiology of the patient’s hypercalcemia.
Parathyroid Adenoma
History: 50 year old female with a history of hypercalcemia. The patient went on to receive a CT scan of the neck with contrast which revealed an enhancing nodule posterior to the inferior right thyroid lobe, which was excised and confirmed on pathology to be a parathyroid adenoma. Hyperparathyroidism was the etiology of the patient’s […]
Meningioma
History: 60 year old female presents with headache. The diagnosis in this case was meningioma, which is the most common extra-axial mass in the adult. Classically they are seen in elderly females, as in this case.
Small Bowel Obstruction
History: 48 year old man presents with diffuse abdominal pain, nausea and vomiting. This patient was found to have a distal small bowel obstruction secondary to an incarcerated right femoral hernia.
Femoral Hernia
History: 48 year old male presents with abdominal pain, nausea and vomiting and a new right groin mass. This patient was also found to have a small bowel obstruction secondary to the right femoral hernia.
Multilocular Cystic Nephroma
History: 60 year old male lost to follow up now returns five years later for reevaluation of a known right renal mass. This mass is classified as a Bosniak 3 lesion given the enhancing internal septations and enhancing capsule; therefore, it is required to be surgically removed for definitive differentiation between malignancy and multilocular cystic […]
Left Middle Cerebral Artery Stroke
History: 65 year old male presents with sudden onset right hemiparesis and slurred speech. This patient was found to have near complete left internal carotid artery occlusion on a subsequent CT-angiogram of the head and neck. This is a middle cerebral artery stroke.
Gallstone Pancreatitis
History: 56 year old man with new onset 12 hour history of abdominal pain, nausea and vomiting. This patient went on to endoscopic retrograde cholangiopancreatography (ERCP) and was found to have a large obstructing gallstone in the distal common bile duct. Sphincterotomy was performed, which is a common method of treatment for gallstone pancreatitis and […]
Renal Cell Carcinoma
History: 50 year old male with new onset left flank pain and hematuria. No prior past medical history. This patient went on to have a radical left nephrectomy and the tumor pathology was clear cell renal cell carcinoma (RCC), the most common type of RCC.
Glaucoma Drainage Device
History: Incidental note of a metallic device on a patient receiving a head CT for headache.