ABSTRACT
A 64-year-old man with lung cancer with a history of revascularization of the occluded right femoral artery underwent bone scintigraphy, which showed intense uptake in the distal side of the right leg. The additional SPECT/CT clarified that the uptake was predominantly increased in the epiphyses of the right ankle and foot with possible osteopenia. One month later, follow-up SPECT/CT showed the manifestation of periosteal resorption in the hypermetabolic sites with slight decrease in bone metabolism. Radiological correlation between bone metabolism and subsequent bone resorption in addition to clinical symptoms in this patient suggested the diagnosis of reflex sympathetic dystrophy.
Subject(s)
Bone Resorption/complications , Bone and Bones/diagnostic imaging , Bone and Bones/metabolism , Reflex Sympathetic Dystrophy/complications , Reflex Sympathetic Dystrophy/metabolism , Single Photon Emission Computed Tomography Computed Tomography , Ankle/diagnostic imaging , Foot/diagnostic imaging , Humans , Male , Middle Aged , Reflex Sympathetic Dystrophy/diagnostic imagingABSTRACT
Ductal adenocarcinoma of the prostate is a rare histologic variant of prostate cancer that often presents with normal prostate-specific antigen levels and is inherently aggressive enough to spread beyond the prostate gland. Here, we describe a case of prostatic ductal adenocarcinoma that formed a mass in the retrovesical space and presented with a high prostate-specific antigen level.
Subject(s)
Adenocarcinoma/pathology , Prostatic Neoplasms/pathology , Aged , Humans , MaleABSTRACT
This article describes the specific radiological findings of congenital lipoid adrenal hyperplasia (lipoid CAH) in a phenotypic female and karyotypic 46XY infant. Radiological examination showed enlarged bilateral adrenal glands with fatty accumulation and spared medulla. These findings are key to differentiating lipoid CAH from the diseases that cause adrenal insufficiency during early infancy, including other forms of congenital adrenal hyperplasia.