ECR 2015 Quiz Case #1 (competition closed)

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This is your chance to win free registration for ECR 2015, Europe’s biggest and best imaging meeting. Simply leave your answer to the question below, as a comment on this post, before November 24 (note: comments are now closed). All correct answers will be entered into a draw and a winner will be selected by the editor of ESR News. The winner will be contacted by email by December 1. Please note that the competition is open to ESR members only.

14-11

Question: what is the most likely diagnosis?

A. Mesenteric desmoid tumour
B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

Click here to reveal the answer

Congratulations to the winner of this month’s competition, Dr. András Székely, who recieves free registration for ECR 2015!

Thank you to all participants and well done to those who got the correct answer. Your next chance to win free registration for ECR 2015 will appear in the December issue of ESR News.

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    DISCUSSION 183 Comments
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    183 Responses to : ECR 2015 Quiz Case #1 (competition closed)

    1. gus says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    2. LL says:

      The answer is more likely B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    3. Natalia Ananyeva says:

      B

    4. DR. ANAND BHERWANI says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    5. Amin Abolhasani Foroughi says:

      A. Mesenteric desmoid tumour

    6. AlexTheRam says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    7. Carla Gonzalez says:

      B

    8. Andrea says:

      The most likely diagnosis is:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    9. Aiste says:

      B – mesenteric lymph node metastase of small bowel NET (carcinoid)

    10. D.Wollschläger says:

      I’ll go for B

    11. Mohammed Noeman says:

      The correct answer is (B) Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    12. girard says:

      Answer A

    13. C says:

      The correct answer is B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    14. Anushri Parakh says:

      Option B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    15. George K. says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    16. saugata sen says:

      answer is B.

    17. Diana Manolescu says:

      The answer is more likely B: the carcinoid tumor of the mesenter

    18. Antonio Talegón Meléndez says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    19. Dr ahmed doma says:

      B

    20. Arsany Hakim says:

      B

    21. DESPINA KRIKETOY says:

      The correct answer is (B)

    22. Ghazaleh Amjad says:

      The correct answer is A,mesantric desmoid tumor.

    23. Hannes Nagel says:

      B

    24. Mohamed Lameir Hussin says:

      B

    25. ALL says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    26. HL says:

      The answer is B: Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    27. Martijn F. Boomsma says:

      The correct answer is (B) Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    28. Miguel Schuller Arteaga says:

      The correct answer would be:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    29. Maxime Gaffez says:

      Correct answer : B

    30. Arturas says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    31. Lazguet says:

      The correct answer is B

    32. Garmer, Marietta says:

      “b”

    33. SS says:

      my reply is

      A

    34. Egorova Elena says:

      CT image conforms to a mesenteric desmoid tumour. Due to the absence of enlarged lymphatic nodes, peritoneal reaction and ascites.

    35. GV says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    36. Vefa says:

      Answer is B

    37. Peter Blair says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid

    38. Najada Dervishi says:

      The answer is A: mesenteric desmoid tumour

    39. Mytsyk Yulian says:

      I suppose that the correct answer is B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    40. PY says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    41. Tije says:

      B. Mesenteric carcinoid tumour with swami plastic reaction.

    42. Gaha Mehdi says:

      The correct answer is :
      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    43. spirit says:

      The correct answer is (B), Mesenteric lymph node metastase of a small bowel NET (carcinoid).

    44. Enrique Flores Ríos says:

      A. Mesenteric desmoid tumor. Non-enhancing mesenteric soft-tissue mass with strands of fibrosis radiating into the mesenteric fat. No calcifiations are visible. So, I think the most likely diagnosis is A.

    45. Marta says:

      Spoke wheel pattern! B should be correct …

    46. Amaya says:

      The correct answer is “b”.
      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    47. María M. says:

      I think that (B) is the correct answer

    48. Dominik Swieton says:

      In my opinin B is correct

    49. Besima Hadzihasanovic says:

      Typical carcinoid presenting as a large mesenteric mass with desmoplastic reaction and retraction of adjacent small bowel loops with wall thickening.

      Correct answer is

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    50. gaofengguo says:

      B Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    51. Prachi Kala says:

      correct answer is A

    52. Naganathan Mani says:

      B. Mesenteric lymph node metastases from small bowel (NET)carcinoid.

    53. BARGAVEE VENKAT says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    54. Dr Rajan Chaudhuri says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    55. Muzaffar says:

      The answer is more likely (B). Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    56. wh ma says:

      The answer is B

    57. Subhashree says:

      Answer is B.mesenteric lymph node metastasis with small bowel NET carcinoid

    58. Dr. Elham Elgabaly says:

      desmoid is completely different, so likely this is mesenetric lymph node metastasis.

    59. Gokcan Okur says:

      The correct answer is (B) Mesenteric lymph node metastasis of NET

    60. Marian says:

      I’ll go with A 🙂 (Gardner’s syndrome?)

    61. H Sahin says:

      B is correct

    62. Trübner Magdalene says:

      B is more likely

    63. Amaya says:

      The answer is b.
      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    64. Anas says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    65. Nikolay says:

      Most probably B; with “rosette” lymphatic ducts stranding.

    66. Trude Sildnes says:

      I think B is the correct answer

    67. Niels J. Bartholdy says:

      Aswer B

    68. Victor Pospelov says:

      I think B is the correct

    69. Elena V. says:

      Answer A

    70. Sirpa Savilahti says:

      answer B

    71. Brijesh K Soni says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    72. Vikas Yadav says:

      Correct answer is B. Mesenteric lymph node metastases of a small bowel NET (carcinoid)

    73. Liang Zhu says:

      B-carcinoid causing desmoid reaction on adjacent mesentery.

    74. Kalin Tzonev says:

      (B) Mesenteric lymph node metastase of a small bowel NET. The tumor (carcinoid)is seen really close behind.

    75. Eva Narvestad says:

      Answer B. Desmoplastic reaction surrounding a soft tissue tumour/lymph node carcinoid metastase in the mesentery.

    76. Remco de Cuijper says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    77. ZsU says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    78. Amr A Gamal Helmy says:

      Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    79. Matteo Bonatti says:

      The correct answer is B. Indeed, nodal metastases of carcinoid tumors tipically show such an abundant desmoplastic reaction, whereas desmoid tumors tipically show sharp margins and no desmoplastic reaction.

    80. Yeliz Pekcevik says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    81. Filipe Veloso Gomes says:

      Most probably B – Mesenteric lymph node metastase of a small bowel NET

    82. Patricio Paredes says:

      B, carcinoid

    83. DANIEL LEITE says:

      Mesenteric lymph node metastase of a small bowel NET

    84. Anita says:

      I prefer to A. Mesenteric desmoid tumor.
      Non-enhancing mesenteric soft-tissue mass , no enlarged lymphatic nodes and ascites.

    85. Miodrag Lalosevic says:

      A

    86. subhendu parida says:

      Answer B

    87. Chang Sew Kee says:

      My answer is B.

    88. Lilla says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    89. B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    90. Calin POP says:

      B Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    91. Anna Torramilans says:

      Answer B

    92. Vesna Savija Djordjevic says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    93. zakirov rustem says:

      Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    94. Sahil Gupta says:

      B

    95. Ahmed Kamalaldin says:

      B

    96. panagiota galani says:

      A. Mesenteric desmoid tumour

    97. Mercedes says:

      B. Mesentheric lymph node metastase of a small bowel carcinoid

    98. shahjehan alam says:

      B is correct answer.

    99. shahjehan alam says:

      b is correct

    100. Domenico Tortora says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    101. Mazin Alshihab says:

      B

    102. Assem says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    103. Johan Henriksson says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    104. Tania says:

      The correct answer is A.

    105. FOUCHER says:

      Answer B

    106. Carlos Pastor Sanchez says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    107. Claudia84 says:

      Answer is B i think, mesenteric root lump

    108. EvgenyK says:

      A. That is)

    109. Reem says:

      B.Mesenteric desmoid tumour

    110. Rajesh Seth says:

      Answer is B.Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    111. Guillermo Hernández says:

      B

    112. Anil Prahladan says:

      Answer is more likely A

    113. Irina says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    114. The correct answer is B, metastasis from small bowel NET

    115. Vesna Sarajlic says:

      The answer is B

    116. A. Heinle says:

      B. Mesenteric lymph node metastasis of a small bowel tumor.

    117. Mohammed Atea Ahmed says:

      correct answer is
      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    118. Svitlana Fedkiv says:

      В. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    119. Tomasz Matys says:

      В. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    120. Mirjana JS says:

      A

    121. Elisa says:

      The answer is B.

    122. Susanne Heil says:

      B Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    123. Laura Diaz Mallo says:

      A-Mesenteric desmoid tumour

    124. Ahmed ElSharkawy says:

      B Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    125. Alaa Khalil says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    126. TAG says:

      B. Mesenteric lymph node metastasis of small bowel NET (carcinoid).

    127. Maria Sidiropoulou says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    128. DR / ELSAYED KOTB says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    129. Takis Limiatis says:

      Desmoplastic reaction and retraction of adjacent small bowel loops with wall thickening and strands of fibrosis radiating into the mesenteric fat. Eventually can cause small bowel ischemia
      Carcinoid B

    130. Alessandro says:

      B. Mesenteric lymph node metastase of a small bowel NET

    131. Katerina says:

      In my opinion the correct diagnosis is B.

    132. Fabien ho says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    133. Marta P Rubiralta says:

      B. Desmoplastic reaction and retraction of a small bowel NET (carcinoid)

    134. Elena I. says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    135. Rowena Hammond Castro says:

      Looks like Mesenteric lymph node metastase of a small bowel NET. Option B.

    136. Yahya shawar says:

      Answer is A

    137. Yahya shawar says:

      Answer is A
      The appearance is suggestive of lymphangiatic type of spread

    138. András Székely MD says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    139. edin avdagic says:

      Answer is B

    140. Bettina Gramer says:

      It´ss answer B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    141. Lukas Hrzan says:

      Answer B.

    142. Marta Paraira says:

      B is the correct answer

    143. Ahmed elsharkawy says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    144. Mihai says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    145. Maja Jedrzejewska says:

      B.Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    146. Anthi Pinna says:

      B. There is mural thickening of the affected bowel,as well as a mass-like extension into the adjacent mesentery and soft-tissue spiculation and retractionof the mesentery.

    147. Zehra says:

      I would say B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    148. Pietro Bemi says:

      B. Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    149. Hugo Correia says:

      Option B) Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    150. Ankur Arora says:

      Mesenteric lymph node metastase of a small bowel NET (carcinoid)

    151. rasa says:

      I would go with B!