Snoopy Wentink

 

PATIENT: snoopy wentink

 

HISTORY: previously diagnosed with peripheally invasive left adrenal mass 1.2cm diameter via PAV into CVC

 

Abdominal U/S

 

 

SUMMARY:

 

There is considerable progression of disease here.  The adrenal mass is larger in size being 1.4cm and the vascular invasion is much more extensive with a 3cm length of CVC now affected, and distortion /  widening of CVC. Additionally there is a mass lesion in the trigone of the urinary bladder which is likely to reflect TCC and catheter aspiration or surgical biopsy of this would be required for definitive diagnosis.

LIVER: Normal

BILIARY TRACT: Normal

SPLEEN: Normal

LEFT KIDNEY: Normal

RIGHT KIDNEY: Normal

LEFT ADRENAL: Abnormal: 1.4cm diameter, prominent and hypoechoic with internal hyperchoic speckling.  Invasion via the phrenoicoabdominal vein which is dilated and solid / hypoechoic into cVC which is distended cranially with solid hypoechoic contents causing defect on colour doppler evaluation. 

RIGHT ADRENAL: 8mm diameter, hypoechoic / prominent

URINARY BLADDER: Abnormal: solid hyperechoic irregularly marginated lesion 0.5 x 0.9cm diameter in trigone region with internal hyperechoic speckling and extending into proximal urethra

ILIOSACRAL LYMPH NODES: Normal

VISCERAL LYMPH NODES: Normal

STOMACH: Normal

SMALL INTESTINES: Normal

LARGE INTESTINES: Normal

PANCREAS: Normal

GENITAL TRACT: Not applicable

Echocardiography

 

Not Applicable.

U/S Guided Samples: Results

 

Not Applicable.

ECG
Not Applicable.

Endoscopy
Not Applicable.

Other

Not Applicable

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