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All radiation-oncology Cases

Choosing Wisely to reduce unnecessary tests and treatments

Routine prescription of antibiotics. Cancer screening in low-risk populations. These are some of the practices identified by Choosing Wisely, an ...


BCG for intravesical treatment of bladder cancer

This is BCG for intravesical treatment of bladder cancer. In the past we've used a closed system made by Merck ...


Embryonal rhabdomyosarcoma on MRI

4 Y/O Female with hx. of Embryonal Rhabdomyosarcoma. S/P End of Chemo and port removal. Sadly, there has been a ...


Pyelonephritis on kidney CT

Oblique coronal contrasted CT image of the kidneys in a teenager with flank pain & fever shows patchy foci of ...


Primary hyperparathyroidism and adenoma on CT

Three types of imaging used in preop localization of primary hyperparathyroidism (PHPT). 1) Adenoma in 4D computed tomography. 2) Ultrasound; ...


Pyogenic granuloma

Patient came in with a chief complaint of mass on 1st digit, right. HPI started 3 months prioir to admission ...


Meningioma and neurosurgery

39yoF with over 6 months history of progressive left leg weakness (lesion is on the right). Prompted to ER for ...


Enlarged right supraclavicular lymph node and chest x-ray

OK, this is going to be at least a three-part case; taking it step-wise, just like in real life. 75 ...


Large B-cell lymphoma on PET scans

PET and CT imaging are often used to ascertain changes in tumors. 1) PET scans of diffuse large B-cell lymphoma, ...


Indeterminate sclerotic lesion within left posterior iliac wing and smaller lesion on right 11th rib

HELP!!! 59 M went to PCP for abdominal pain and diarrhea. PCP sent for CT of abdomen and pelvis, which ...


Luminal A spindled areas and breast carcinoma

#Breast-cancer #Carcinoma not otherwise specified - spindled areas (genetic association?) 84 yo woman, previous thyroid papillary carcinoma and endometrial endometriod ...


Acute myelogenous leukemia with maturation

this is a case of a 17-year-old female presenting with fever, body malaise and a 1-year history of hematoma on ...


Wilms tumor and breast cancer risk due to radiotherapy on CT scan

1. CT scan (A) and radiographs w/ breast-tissue contours of a 5y/o female with Wilms tumor. Radiographs show whole-lung (B), ...


Asymmetric interstitial opacities on chest xray

60 yr old female with cough since 2 months.h/o loss of weight.


Complicated respiratory distress with asthma history

45 yr old female k/c/o asthma on steroids .not responding to nebulisation with ventol or steroids.


Pericardial effusion

case continued; initial bedside US confirmed suspicions of pericardial effusion. Pt remained Hemodynamically stable but still SOB at rest. STAT ...


Invasive ductal carcinoma on mammogram

A 27-year-old, African American female presented with a right breast mass, palpable for one year. Given the patient’s age, an ...


Bronchiolitis with left lobe abscess on chest Xray

Esophagostomy with reconstruction. Hx -> pt male, 28yo, at age of 10 a traumatic fall caused a punctured and large ...


Varicose vein

28 yr old male varicose ant. Left Leg since 1 year.other sites normal .right leg normal



45 yr old male h/o tobacco chewing.


Adjuvant therapy

70yof colon cancer fully excised 2 years ago. Then "just to make sure" she received radiation and chemotherapy. Developed atrophy ...


Histology of granulocytic sarcoma

This HIV positive 63 year old female patient had an enlarging left anterior chest wall mass which was subsequently biopsied. ...


Pituitary macroadenoma on MRI

macroadenoma of pituitary in 18 yo female syncopal episode.


Benign complex renal cyst

60 yo female presents with right flank pain.


Lung adenocarcinoma status post wedge resection

Lung #Adenocarcinoma status post wedge resection. Note the speckling of the adjacent parenchyma to the main well-demarcated mass. These areas ...


Rectal lesions discovered by sigmoidoscopy

26yof presented for EUS for local staging of rectal cancer.flexble sigmoidoscopy showed 2-3cm lesion in the rectum approx 8cm from ...


Lesion caused by myxedema

this pt presented with this. Your diagnosis is???


Bone scan with increased uptake at ilium and 11th rib

Update to Previous Case (Images added): Bone scan of 59 yo male patient showing areas of increased uptake at left ...


Ectopic lingual thyroid

20 YOF PMH of hypothyroidism now presents with a mass at the base of her tongue causing worsening dysphasia. Lateral ...


Nasopharyngeal carcinoma on PET scan

UPDATE - 75 yo woman with right supraclavicular lymph node and mediastinal lymphadenopathy (seen on CT). Here is her #Positron-emission-tomography-(PET) ...

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