Gastrointestinal stromal tumor (GIST)
Diagnosis almost certain
Updates to Study Attributes
Findings
was added:
- There is a large, heterogenously enhancing soft tissue lesion, arising from the distal stomach (antral) /proximal doudenum and extending anteriorly, with central low attenuation in keeping with necrosis. The lesion is extering mass effect on the adjacent ascending and transverse colon and hepatic flexure as well as the gall bladder.
- Few small retroperitoneal promineent lymph nodes seen, but no obvious lymph node enlargement in the mesentry. No pelvic or inguinal lymphadenomapthy.
- The stomach is no distended and the oral contrast appears to be well passed through the small bowel, reaching large intestine.
- Bilateral, variable sized renal cysts are seen.
- No convincing peritoneal/omental deposits seen, no ascites.
- insidental note of the left sided IVC, which ends at the left renal vein and crosses the aorta anteriorly to join the pre-hepatic IVC.
- Portal, splenic and SMV are patent.
- Liver, spleen, adrenals, and pancreas are unremarkable.
Interpretation: Based on the imaging features, a large gastrointestinal stromal tumour is high on the differential list. Gastric lymphoma thought less likely given the lack of associated lymph node enlargement. Incidental note of left sided IVC is made.
Images Changes:
Image CT (C+ portal venous phase) ( update )
Perspective
was set to
Axial.
Stack
was set to
.
Single Or Stack Root
was set to
.
Image CT (C+ portal venous phase) ( update )
Perspective
was set to
Coronal.
Stack
was set to
.
Single Or Stack Root
was set to
.
Image CT (C+ portal venous phase) ( update )
Stack
was set to
.
Single Or Stack Root
was set to
.
Image CT (C+ portal venous phase) ( update )
Stack
was set to
.
Single Or Stack Root
was set to
.
Updates to Case Attributes
Body
was changed:
GIST, pathPath proven case of GIST.
-<p>GIST, path proven.</p>- +<p>Path proven case of GIST.</p>
Diagnostic Certainty
was set to
.
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