Caceres’ Corner: Case No.10 (Update: Solution)

Dear friends,

The Muppet is getting bored with me and has decided to invite a new player every month. Our first guest is José Vilar, a good friend and excellent teacher who has chosen the following case:

“41 year old male with thalassemia minor who had a CT as a routine follow-up after an episode of pulmonary embolism three months previously.”

Diagnosis:

1. Pleural plaques
2. Fibrous mesothelioma
3. Scarring post-infarction
4. None of the above

41 year old male, PA chest

41 year old male, PA chest

41 year old male, axial CT

41 year old male, axial CT

41 year old male, enhanced coronal CT

41 year old male, enhanced coronal CT

Click here for the answer to case #10

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    Jan 2012
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    DISCUSSION 29 Comments

    29 Responses to : Caceres’ Corner: Case No.10 (Update: Solution)

    1. Albert says:

      Esplenosis is my first diagnosis.

    2. Albert says:

      Splenosis.

    3. vinay says:

      pleural plaques

    4. amutha says:

      thoracic splenosis or hamptons’s hump

    5. dr jaklen says:

      hampton’s hump

    6. dr jaklen says:

      resolving infarction(hampton’s hump)

    7. Vilma says:

      mmm… i think none of the above 🙂

    8. abdallah says:

      non of the above
      splenosis

    9. nyan says:

      non of the above

    10. nyan says:

      none of the above

    11. aca says:

      splenosis before i read the other comments 🙂

    12. Dr Anna Barbara Dienes says:

      hampton’s hump

    13. Albert says:

      A later phase would allow us analise its enhancement pattern and compare it with the splenic tissue. An infarction would not enhance.

    14. GyCozza says:

      rounded atelectasis after polmonary infarction

    15. Anna says:

      Mr. Muppet I give up. As usually I vote for four. It is not SFTP neither pleural plaques. It could be post infarction scarring but it would be too obvious (as far as we know Mr. Muppet. New Year’s greetings.

    16. aca says:

      where is gastric fornix air bublle?
      dif.dg.meta deposits,or extramedullary hematopoesis maybe

    17. Susan says:

      first of all – excuse my very bad english.
      I miss the splen – and think, patient underwent a splenectomia because of hid thalassemia. Perhaps he had a lesion of diaphragma intraoparativ with persistent hernia; I’d like to see more coronar reconstructions …

    18. Lola la Piconera says:

      My answer is 4.
      As far as I know Dr Vilar is a “right” radiologist.
      Why we don´t have lateral view?
      Must I think Dr Vilar is going to the left side?

    19. Me too for thoracic splenosis

    20. Marius says:

      I vote 4. It seems there is also a nodule projecting in the right apical zone and maybe another peripheral in left subclavicular area. Extramedullary hematopoiesis or Hampton hump would have been the dx in the clinical setting, but mets are too.

    21. dr_hany says:

      3. Scarring post-infarction

    22. jaqueline says:

      None of the above. Mr. Muppet my diagnosis is extramedullary hematopoiesis. The patient seems to have a splenectomy in the coronal view.

    23. Satin says:

      Resolving infarct

    24. Jose Caceres says:

      I think the invited guest has been very successful. Muppet is jealous!
      Answer will be posted shortly

    25. Imran Jindani says:

      D : None of the above !

    26. the dark side of radiology says:

      Muppet: I’m your father…

      Splenosis, obviously……….

      It can’t be anything else…..

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