Monday, December 12, 2005
Cool CT Stuff....
50-ish male with diagnosis of colon cancer about 2 years ago. He declined treatment at that time so he could "go off and drink". He returns now with severe anemia with a hemoglobin of 4.5. He is now amenable to surgery. A CT was obtained to evaluate his liver:
Chock-full o'mets, as expected. But an interesting finding more superiorly:
Contrast fills the right heart (blue) but does not fill the left side (yellow). Whatever is wrong? Could it be a mistimed contrast injection? Not according to the radiologist. An asymptomatic PE, it appears, is what we have:
Clot marked in yellow.
Pretty cool, huh? |
50-ish male with diagnosis of colon cancer about 2 years ago. He declined treatment at that time so he could "go off and drink". He returns now with severe anemia with a hemoglobin of 4.5. He is now amenable to surgery. A CT was obtained to evaluate his liver:
Chock-full o'mets, as expected. But an interesting finding more superiorly:
Contrast fills the right heart (blue) but does not fill the left side (yellow). Whatever is wrong? Could it be a mistimed contrast injection? Not according to the radiologist. An asymptomatic PE, it appears, is what we have:
Clot marked in yellow.
Pretty cool, huh? |
