Pancreatic Abscess or Walled off Necrosis
History: 48 year old man with history of ERCP 3 weeks ago for gallstone pancreatitis presents with severe abdominal pain. This is was post endoscopic retrograde cholangiopancreatography pancreatitis. Note in the picture above, the patient has two calcified gallstones near the neck of the gallbladder. Recently it has been suggested that the terminology describing these cases […]
Vicarious Contrast Material Excretion
History: 50 year old male with severe chest pain has incidental finding on a CT of the thorax ordered for thoracic aortic dissection. Contrast material excretion by the gallbladder is called vicarious contrast material excretion (VCME). Vicarous contrast material excretion is technically defined as any excretion of contrast material in a way other than the normal […]
Esophageal Hiatal Hernia
History: 60 year old male with chest pain. Typical appearance of a large esophageal hiatal hernia containing stomach gas and liquid contents. There are two main types of esophageal hiatal hernias, sliding and paraesophageal.
Hydronephrosis
History: 48 year old female with chronic pelvic and flank pain and vaginal bleeding. This patient was found to have a large cervical mass (squamous cell carcinoma of the cervix) that was obstructing both kidneys. This is the appearance of chronic hydronephrosis, with cortical thinning.
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 […]
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.