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| Search Results for => Pseudotumor <= Result Items 1 - 20 |
| Case ID: 14049 Sample Image  Click to View  |  ::  - TF Case ::  - Thumbnails ::  - Topic
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| Diagnosis | Orbital Pseudotumor | |
| History | 27 year old woman with 10 days of right orbital pain. Progressive proptosis and limitation of eye movement. | |
| Findings | • Mild proptosis • Diffuse enlargement of the right medial rectus muscle • The tendon of the muscle is also enlarged • No abscess noted | |
| Differential Dx | • Thyroid Ophthalmopathy (Graves disease) • Orbital abscess • Orbital Cellulitis • Pseudotumor, Tolosa-Hunt Syndrome • Lymphoma (usually painless) • Wegener's granulomatosis | |
| Discussion | ... (continues ...) | |
| User Group | n | |
| Contributor | Steven J Goldstein :: University of Kentucky -  | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 14041 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Sagittal Sinus Stenosis, Pseudotumor cerebri | |
| History | 17 year old girl presents with progressively worsening headache. PMH: she is s/p renal transplant | |
| Findings | • Dilated optic nerve sheaths • Posterior flattening of the optic globes • Empty Sella • Focal sites of narrowing Superior Sagittal Sinus | |
| Differential Dx | Pseudotumor due to Chronic Sagittal Sinus thrombosis vs stenosis | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Steven J Goldstein :: University of Kentucky - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 13516 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Pseudotumor cerebri (idiopathic intracranial hypertension) | |
| History | 50 year old woman with headaches and blurred vision for 1 month. | |
| Findings | • Empty Sella • Dilated optic nerve sheaths due to increase CSF volume • Bilateral transverse sinus stenoses on MRV | |
| Differential Dx | • Optic neuritis • Hydrocephalus • Intracranial hypertension • Sinus Thrombophlebitis | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Steven J Goldstein :: University of Kentucky - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 13292 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Pseudotumor cerebri, Bilateral Transverse Sinus Stenosis | |
| History | 16 year old girl with headaches. | |
| Findings | • Focal stenoses at junction of transverse sinuses and sigmoid sinuses on both MRV and CTA • Congested tentorial veins. • Otherwise normal MRI brain - no mass lesions (not shown here) | |
| Differential Dx | None | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Steven J Goldstein :: University of Kentucky - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 13276 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Inflammatory Pseudotumor, myofibroblastic tumor | |
| History | 58 yo Caucasian male with a 30+ pack-year history of smoking presented with 3 month history of headaches, night sweats, and intentional weight loss. The patient’s headaches were described as dull, but not debilitating and radiated from the posterior neck and radiated to the top of the head. The headaches were not relieved by over the counter medications, and did not interfere with sleep and were not associated with nausea and vomiting. Pt also denied any other neurological symptoms. The patient stated that he had night sweats that occurred every night that soaked his shirt. His weight loss was attributed to significant dietary changes and increase in exercise, with no exercise intolerance. The patient’s medical history was significant for multiple squamous cell carcinomas on the upper extremities and is followed regularly by dermatology. | |
| Findings | Radiograph: CXR images show evidence of abnormal opacification in the right upper lobe. There is evidence of volume loss with elevation of the right hilum. No pleural effusions are seen. CT: consolidation and nodules are noted in the anterior segment of the right upper lobe with a probable central superior right hilar obstructing lesions, which appears to partially invade the right mainstem bronchus. Also noted is a left adrenal nodule. | |
| Differential Dx | Pneumonia (infectious, inflammatory) Malignancy - bronchiogenic carcinoma - atypical carcinoid tumor - endobronchial metastatic disease (melanoma, colon cancer, HCC) - Lymphoma - Myofibroblastic tumor Pulmonary vasculitis with hematoma Aspirated foreign body with obstruction | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Richard S Chou :: No Academic Affiliation - | |
| Reviewer | Robert A Jesinger M.D. :: David Grant USAF Medical Center - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 13215 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Pseudotumor cerebri | |
| History | 39 y/o woman with worsening headaches and blurry vision x 6 weeks. | |
| Findings | • Increased fluid within the optic nerve sheaths • Partially empty sella • Slight flattening of the posterior aspect of the left globe at the optic nerve insertion | |
| Differential Dx | • Idiopathic intracranial hypertension • Obstructive hydrocephalus • Intracranial mass lesion | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Joseph Schmitz :: Naval Medical Center San Diego - | |
| Reviewer | Timothy J Biega :: Uniformed Services University - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 13189 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Pseudotumor Cerebri w/ right transverse sinus stenosis | |
| History | 26 y.o. obese woman with a Hx of persistent and disabling (8/10) global headache and a recent onset of blurred vision | |
| Findings | • MR Venogram (MRV) showing right transverse sinus stenosis, proximal to the sigmoid sinus and interntal jugular vein (IJV) junction. • Cerebral catheter arteriogram & venography demonstrate a high-grade right transverse-sigmoid sinus stenosis, distal to the vein of Labbe connection. The stenosis was estimated as at least 80% narrowing, to an approximate diameter of 1mm with a pressure gradient across the stenosis of 13 mmHg. • Neurointerventional radiology endovascular procedure was successful with a balloon angioplasty and stent placement across the stenosis in the right transverse sinus. | |
| Differential Dx | • Obstruction of venous outflow, eg, venous sinus stenosis/thrombosis, jugular vein compression • Pseudotumor Cerebri (idiopathic intracranial hypertension) • Decreased CSF absorption (i.e. arachnoid granulation) • Increased cerebrospinal fluid (CSF) production (i.e. choroid plexus papilloma) • Intracranial mass lesions (tumor, abscess) • Obstructive hydrocephalus | |
| Discussion | ... (continues ...) | |
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| Contributor | Brendon G Tillman :: Uniformed Services University - | |
| Reviewer | Peter D Snyder MD :: Naval Medical Center San Diego - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 10075 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Retroodontoid Pseudotumor | |
| History | 62 year old male who sustained a fall complaining of head and neck pain. | |
| Findings | The image findings with retroodontoid Pseudotumor vary based on the underlying disease process, but should all have common elements. Namely, this is an extradural lesion based around the atlantoaxial joint or its associated ligaments. Therefore, smooth mass effect typically extending posterior from the joint impressing upon the thecal sac and potentially the spine or brainstem is identified. More specific imaging features are related to the underlying pathologic process. | |
| Differential Dx | RA CPPD Gout Psoriasis Amyloid Septic arthritis PVNS DISH/degenerative changes Post traumatic changes | |
| Discussion | ... (continues ...) | |
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| Contributor | clark brixey :: National Capital Consortium - | |
| Reviewer | Steven J Goldstein :: University of Kentucky - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 8209 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Orbital Pseudotumor | |
| History | 30 yo woman with acute onset of eye pain and left eye swelling | |
| Findings | Amorphous soft tissue swelling in the periorbital soft tissues on the left, pronounced asymmetric swelling of the extraocular muscles (extending to the tendinous insertions) and inflammatory changes of the intraconal fat. | |
| Differential Dx | Thyroid eye disease Orbital myositis Sjogren's disease Orbital Pseudotumor Infections orbital cellulitis Lymphoma | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Aaron Cho :: Naval Medical Center Portsmouth - | |
| Reviewer | Stephanie A Bernard :: Penn State University - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 5706 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Inflammatory Pseudotumor, myofibroblastic tumor | |
| History | 33 year old asymptomatic male with abnormal chest film eight years ago. (part of Hx witheld) | |
| Findings | There is a well marginated mass in right lower lobe on P/A and Lateral chest radiographs. CT collage showes a homogeneous, nonenhancing mass that has sharp borders. | |
| Differential Dx | Malignant neoplasm, primary or metastatic Pseudotumor, effusion or inflammatory Hamartoma Granuloma, infectious or noninfectious AV fistula Mucoid impaction Pulmonary infarct | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Jeffrey D. Hirsch :: Walter Reed Army Medical Center - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 5576 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Adrenal Pseudotumor | |
| History | 61 y.o. man with prior history of resected lung carcinoma. | |
| Findings | Two separate examples of adrenal Pseudotumors, a gastric diverticulum and tail of the pancreas, are demonstrated. | |
| Differential Dx | ||
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Valentine W. Curran :: Naval Medical Center Portsmouth - | |
| Reviewer | Perry J. Pickhardt, M.D. :: National Capital Consortium - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 5104 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Fluid Pseudotumor (Interlobar effusion) | |
| History | 70 year old woman with complaint of increasing shortness of breath. | |
| Findings | Right thoracotomy tube. Opacity along the right hemidiaphragm, and within the right costophrenic angle, right oblique and horizontal fissures, consistent with large right pleural effusion with fluid in fissures. Elongated, calcified aorta. Dextroscoliosis. Old sternal fracture. Deformed right humeral head, sclerotic changes of the glenoid, and sclerotic changes of the right clavicle, likely secondary to known history of radiation treatment. Streaking densities within the right upper lobe consistent with fibrosis. Linear and band-like opacities withing the right lower lung consistent with plate-like atelectasis versus scar. Several small calcifications within the right lung consistent with old granulomatous disease. | |
| Differential Dx | Interlobar Effusion | |
| Discussion | ... (continues ...) | |
| User Group | n | |
| Contributor | James G. Smirniotopoulos, M.D. :: Uniformed Services University - | |
| Reviewer | David S. Feigin, M.D. :: Johns Hopkins Hospitals - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 4316 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Pseudotumor (fissural Pseudotumor) | |
| History | 77yo with PMH of HTN, DMII, HLP, MI (s/p 5v CABG), CVA, TIA, chronic atrial fibrillation, CHF (EF 20%). Recently underwent thoracotomy for MRSA + empyema with chest tube placement. Empyema was secondary to spontaneous hemothorax while INR 10 on coumadin therapy. | |
| Findings | -Median sternotomy wires. Three saphenous vein markers at aortic root. R PICC line tip at the intrapericardial SVC. Surgical skin staples over lower right chest wall. -Ectatic and calcified aorta. Slight heart enlargement. Pleural thickening vs fluid over the R lung convexity. Thickened R paratracheal stripe. Increased opacity at the lower hemithorax c/w pleural thickening, fluid or infiltrate. -Pseudotumor in the R major fissure. | |
| Differential Dx | ||
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | MS-4 USU Teaching File :: Uniformed Services University - | |
| Reviewer | :: - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| Case ID: 4202 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Pseudotumor of right minor fissure. | |
| History | 77 y/o man with chronic atrial fibrillation and a long history of warfarin therapy. Released from hospital one week prior to presentation after developing a right hemothorax secondary to being overly anti-coagulated | |
| Findings | The patient is s/p CABG with three saphenous graft rings present. There is a right chest tube and central venous catheter. The right CPA is blunted and an effusion tracks along the right lateral chest wall. A large oval opacity overlies the right minor fissure. This was noted on chest x-ray while hospitalized with hemothorax. It was not present on any study prior to developing the hemothorax. | |
| Differential Dx | See factoid. | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Kevin F. McCarthy :: Civilian Medical Center - | |
| Reviewer | :: - Case Accepted: 2011-12-26 06:36:55-05 :: Revised: 2011-12-25 13:05:51.683938-05 :: Submitted: 2011-12-25 13:05:51.683938-05 | |
| 14 Search Results for => Pseudotumor <= Result Items 1 - 20 |
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