Internal carotid artery anatomy - not always straightforward.

OBJECTIVES: To present a rare variant of internal carotid artery anatomy. METHODS: Case report presenting CT angiography finding of internal carotid anatomy variant. RESULTS: We present the case of an unusual origin of the occipital artery from cervical portion of the internal carotid artery as an incidental finding during CT angiography of the carotid arteries. In discussion, we discuss the possible embryological basis, incidence and prevalence of such finding and its possible clinical implications. CONCLUSION: One of the specific aspects of carotid arteries is their straightforward anatomy - the cervical portion of internal carotid artery, unlike the external carotid, does not give origin to any branches - this aspect is even used as a highlight for orientation, e.g. during ultrasound examination. However, although rare, variants exist, and sometimes can have clinical importance - in the endovascular access or surgical treatment.

Large Thoracic Lymphadenopathy and Pulmonary Nodules in Young Man.

CASE PRESENTATION: A 33-year-old man with obesity, systemic arterial hypertension, and psoriasis who had been treated previously with little success by a pulmonologist for chronic unproductive irritant cough came to the outpatient pulmonary department because of profuse cough and short syncope (probably cough-induced). Chest radiography revealed widened mediastinum with lobular, polycyclic contours that was suspected to be a large mediastinal lymphadenopathy or mediastinal mass.

Gastroenteropancreatic neuroendocrine neoplasm - a complex presentation in imaging methods.

Neuroendocrine neoplasms comprise an ever greater ratio of primary gastrointestinal tract tumors, thanks to the improving diagnostics. The clinical presentation can be quite diverse depending on the type of the tumor. Imaging methods - both the spectrum of radiological methods and methods of nuclear medicine - are an integral part of the diagnostics. This article presents a case report of a 65-year old female patient, whose routine abdominal US scan performed as part of a preventive check-up revealed a suspicious liver incidentaloma. The case report presents the image of the pathology in various imaging modalities, radiologic and molecular/hybrid methods used in the differential diagnostic process of the lesion, as well as findings in follow-up examinations after histological verification of the lesion and an outline of further approach and treatment.