Caceres’ Corner Case 192 (Update: Solution!)

Dear Friends,

Today I am presenting a case lent to me by my good friend Dr. José Luis López Moreno. The images are preoperative radiographs of a 61-year-old woman with a pelvic mass. What do you see?

Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.

Click here for the answer






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29
Oct 2018
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DISCUSSION 22 Comments

22 Responses to : Caceres’ Corner Case 192 (Update: Solution!)

  1. Priti says:

    Pleural based opacities in the right lower lung zone. ? Metastasis from pelvic mass.

  2. Fingers crossed says:

    Did some research, so, if unusaul, we can exclude pulmonary or pleural mets. Avm doesn’t have any specific correlation with pelvic mass. Endometriosis maybe? Found on radiopaedia if there is lung involment it is almost always on the right side.

    • Jose Caceres says:

      You did your research. But remember that to ask the correct question you have to know half of the answer

  3. Idris gaid says:

    Malignant Secondaries

  4. Hammadi says:

    Hi,
    I’ll check tuberculosis first ( obvius i’m from Algeria)
    Then CA 125

  5. Max says:

    Round opacities could be benign tumor originating from the diaphragm,
    pulmonary cysts or hamartomas.
    Also cardio-thoracic ratio > 0,5.

  6. tr says:

    greetings,
    several large round opacities in the right lower lobe, and probable one in the right hilum, the opacities seem to be pulmonary rather than pleural-based.

    mail DDX: metastatic disease, hydatid cysts,..

  7. Lula says:

    Right lower lung masses metastasis

  8. Gaborini says:

    Depending on what the pelvic mass is, and previous films, benign metastatizing leiomyoma might be a viable option.

  9. mo. says:

    I see multiple opacities- nodules in LRL- some metastasis? And large right hilus?

  10. suresh says:

    Sarcodoises

  11. Jose Caceres says:

    You are all doing well, but so far the right answer has not been mentioned. Go back to the basics

  12. Vicky M. says:

    well shaped, high density in the bases and around the hilum. An obese patient.
    probably pleural lipoma?

  13. mo says:

    some nodules in soft tisue in right?

  14. Mauro says:

    I think they silhouette the diaphragm. Could they all be just unusually looking humps? Or maybe something else arising from the diaphragm?

  15. Maria says:

    There are several opacities on top of the right diaphragm, with the diagnosis of pelvic mass I’d suggest Mets. Also augmentation of descending aortha caliber, aneurysm.

  16. Narendrakumar says:

    Intravenous spread of uterine leiomyomatosis to lung

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