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Liver metastases, from bronchogenic carcinoma

Bryant LRB - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Liver metastases, from bronchogenic carcinoma

History: 69yo M presented to the emergency department with a 4 month history of dull right upper quadrant abdominal pain. He has had a 15 lb weight loss over the last year and admits to a 70 pack year smoking history. The chest CT demonstrated a 1.9 cm speculated mass in the right lower lobe that was the primary tumor.

Findings: Multiple target appearing masses that have a hyperechoic center with a hypoechoic rim in the left and right lobes of the liver The ultrasound was followed by a CT that demonstrated multiple low density solid hepatic masses.

Ddx: Regenerative nodules in cirrhosis, microabcesses, multiple bacterial abscesses, Histoplasmosis, lymphoma, Kaposi sarcoma, multnodular hepatocellular carcinoma, sarcoidosis

Dxhow: Ultrasound and CT, patient declined biopsy

Exam: No abdominal tenderness or jaundice. AST = 102, ALT= 116, ALP= 460, nl bilirubin and INR

No MeSH data available.


Ultrasound- R lobe liver->multiple target appearing masses that have a hyperechoic center with a hypoechoic rim
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MPX1325_synpic22298: Ultrasound- R lobe liver->multiple target appearing masses that have a hyperechoic center with a hypoechoic rim


Liver metastases, from bronchogenic carcinoma

Bryant LRB - MedPix

Ultrasound- R lobe liver->multiple target appearing masses that have a hyperechoic center with a hypoechoic rim
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1325&req=5

MPX1325_synpic22298: Ultrasound- R lobe liver->multiple target appearing masses that have a hyperechoic center with a hypoechoic rim

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Liver metastases, from bronchogenic carcinoma

History: 69yo M presented to the emergency department with a 4 month history of dull right upper quadrant abdominal pain. He has had a 15 lb weight loss over the last year and admits to a 70 pack year smoking history. The chest CT demonstrated a 1.9 cm speculated mass in the right lower lobe that was the primary tumor.

Findings: Multiple target appearing masses that have a hyperechoic center with a hypoechoic rim in the left and right lobes of the liver The ultrasound was followed by a CT that demonstrated multiple low density solid hepatic masses.

Ddx: Regenerative nodules in cirrhosis, microabcesses, multiple bacterial abscesses, Histoplasmosis, lymphoma, Kaposi sarcoma, multnodular hepatocellular carcinoma, sarcoidosis

Dxhow: Ultrasound and CT, patient declined biopsy

Exam: No abdominal tenderness or jaundice. AST = 102, ALT= 116, ALP= 460, nl bilirubin and INR

No MeSH data available.