Case of the Week Collection

This week's case is an enhanced CT of the abdomen and pelvis performed in the ER on a 63 year old female with abdominal pain and history of melanoma. The interpreting radiologist noted findings of diverticulitis and metastatic melanoma in the impression.
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This week's case is an enhanced CT of the chest in a 71 year old male who had a left upper lobe lung cancer after resection and radiation therapy. The interpreting radiologist concluded that the study showed stable changes in the left upper lobe and no findings of metastatic disease.
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This week's case is an enhanced CT of the chest in a 67 year old male who underwent imaging at an outside facility for adenocarcinoma of unknown primary identified in the abdomen. This exam was submitted for reinterpretation. The outside impression was "No evidence of metastatic disease".
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This week's case is an enhanced CT of the abdomen and pelvis in a 26 year old female presenting to the ER with abdominal pain and bloating. There is no relevant prior imaging.
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This week's case is an enhanced CT of the abdomen and pelvis in a 55 year old man with renal cell carcinoma status post left nephrectomy 6 months ago. He did not have metastatic disease on preoperative imaging.
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This week's case is an enhanced CT of the abdomen and pelvis in a 49 year old man with cirrhosis, history of prior bowel obstruction, and abdominal pain. The study was interpreted as "small bowel obstruction" by an abdominal-trained radiologist.
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This week's case is an enhanced CT of the abdomen and pelvis in a 52 year old man with right lower quadrant pain.

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This week's case is a non-contrast CT of the abdomen and pelvis in a 69 year old man with abdominal pain. He had a recent renal transplant in the left lower quadrant related to chronic renal disease and could not receive intravenous contrast.

This week's case is a non-contrast CT of the head in an 81 year old female with left-sided weakness and slurred speech.
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This week's case is a routine enhanced CT exam in a 60 year old female performed to evaluate back pain with an incidentally detected liver lesion. No known cancer or liver disease.

This week's case is a biphasic CT abdomen exam in a 54 year old man to evaluate for metastatic disease 1 year after left nephrectomy for renal cell carcinoma. He does not have a history of metastases.