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ct scan of the neck, chest, abdomen and pelvis was performed with iv contrast.
تم إجراء الأشعة المقطعية للرقبة والصدر والبطن والحوض مع حقن التباين الوريدي.
* ct abdomen with contrast is advised to rule out possibility of metastasis.
* ينصح ct بإجراء التصوير المقطعي للبطن مع حقن صبغة لاستبعاد احتمال انتقالات ورمية خبيثة.
staging was done by ct scan of the chest, abdomen and pelvis there was no evidence of metastasis however, there were some perigastric lymph nodes seen on ct scan endoscopy was done.
تم تحديد مرحلة الورم بواسطة الفحص الطبقي المحوري للصدر والبطن والحوض، لم يكن هناك دليل على وجود ورم نقيلي. ومع ذلك، شوهدت بعض الغدد الليمفاوية المحيطة بالمعدة بواسطة التصوير المقطعي، أجري الفحص بالمنظار الباطني
ct scan of the head, neck, chest, abdomen and pelvis on 26 september 2019 showed extreme dissecting subcutaneous and intramuscular emphysema noted all over the chest wall, both scapula, both visualized arms, head and neck spaces.
أظهر التصوير المقطعي للرأس والرقبة والصدر والبطن والحوض في 26 سبتمبر 2019 انتفاخ الرئة المسلِّخ الشديد تحت الجلد وداخل العضلات الذي لوحظ في جميع أنحاء جدار الصدر، وكلا لوحي الكتفين، وكلا الذراعين، وفراغات الرأس والرقبة.
suspicion for leptomeningeal involvement. we do not routinely obtain fluorodeoxyglucose positron emission tomography (fdg pet) of the brain in patients with pcnsl. body imaging – pet/ct scans of the chest, abdomen, and pelvis are recommended. testicular ultrasound should be performed in older males and if testicular examination is abnormal
based on retrospective studies, approximately 2.5 to 8 percent of patients with newly diagnosed cns lymphoma are found to have concurrent systemic disease on extent of disease evaluation [52-54]. pet/ct is more sensitive that contrast-enhanced ct in detecting extracranial lymphoma. when systemic disease is present, it usually involves other extranodal sites, including the testis, which are known to be higher risk for cns involvement. secondary malignancies involving the prostate, skin, or gastrointestinal tract are occasionally identified. bone marrow biopsy – a bone marrow biopsy and aspirate can be considered to exclude occult systemic disease, although some experts do not stage the bone marrow in patients with pcnsl unless there is clinical or radiographic suspicion of involvement. approximately 6 percent of patients with presumed pcnsl will have an abnormal bone marrow result at the time of staging, which is almost always discordant with brain pathology (eg, a low-grade lymphoma) and of uncertain clinical significance [55].
report pre- and postcontrast-enhanced scan of the abdomen and pelvis (adrenal washout protocol). comparison was made with the previous ct examination dated 18.07.2022. * left sided, well defined adrenal lesion measuring 3.3 x 3.1 x 2.7 cm. no significant size change compared to the previous examination. * the lesion shows density -5 hounsfield units in keeping with lipid-rich adrenal adenoma. the absolute washout is 66.6% and the relative washout is 74.4% in keeping with adrenal adenoma. * no calcification seen within the left adrenal lesion. * no focal liver lesion. * no intra- or extrahepatic biliary dilatation. * thin-walled gallbladder without radiopaque stones. * spleen, pancreas, right adrenal gland, kidneys(simple cortical cyst in the right kidney) and urinary bladder appear unremarkable. * normal diameter of the abdominal aorta. * main abdominal aortic branches appear unremarkable. * no para-aortic or pelvic lymphadenopathy. * unremarkable appearances of the unprepared bowel (with significantly reduces sensitivity). * mild diverticular changes seen within the sigmoid colon without evidence of acute diverticulitis. * small umbilical hernia containing omental fat seen. * no aggressive bony lesions seen. * unremarkable appearances of the visualized parts of the lungs. conclusion: * left sided, well defined adrenal lesion measuring 3.3 x 3.1 x 2.7 cm. no significant interval change compared to the previous examination. * the lesion shows density -5 hounsfield units on pre-contrast images, the absolute gallbladder
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