Posts Categorized: Abdomen

Can you make the five major observations in this anemia case?

This 13-year-old presents with hemolytic anemia. Look at the first three images. Images 1 and 2 are coronal T2-weighted images, while image 3 is a coronal 3D volumetric image from magnetic resonance cholangiopancreatography (MRCP). See how many observations you can make. There are five major ones. Also, think about what a plausible cause might be… Read more »

How to solve this complicated case of a woman with abdominal pain and rising Cr?

This 84-year-old woman reports for a CT scan after experiencing right lower quadrant pain. She has a history of a right kidney stone. Can you piece together the somewhat-complex chain of events that has led to her problems? Hint: You might want to start somewhere other than the kidney and look for something that might… Read more »

What is causing this infant’s liver lesion?

This infant presents with a vascular liver lesion and has black/tarry stools and anemia. The following findings were noted on a recent prior ultrasound: Intrahepatic vascular shunt with predominant feeding from the main hepatic artery. Bidirectional flow in the right portal vein supports arterioportal malformation. Arterialized flow within the hepatic veins noted, sequela of venous… Read more »

This patient has a condition with Rokitansky in its name, but which one?

Does this 59-year-old liver patient have Mayer-Rokitansky-Kuster-Hauser syndrome or Rokitansky-Aschoff sinuses? Will the real Rokitansky please stand up? What are the differences between the two conditions, and which one is affecting this patient? Mayer-Rokitansky-Kuster-Hauster syndrome (MRKHS) is a rare disorder that affects women where there is underdevelopment of the uterus and vagina with normal ovarian… Read more »

Can you make the diagnosis for this 65-year-old jaundice patient?

This patient is a 65-year-old with jaundice. You are initially shown one axial T2 spin-echo image (fig. 1, with fig. 1A provided for closer look at findings) with two green arrows pointing to what sign? To what sign is its single purple arrow pointing? Then you are shown an MR cholangiopancreatography (MRCP, w/ yellow arrow,… Read more »