Case of the week 5.29.18
Publication Date: 2018-05-29
8 images
Quizz
- The intrabadominal mass:arises from the liver
No :(Arises from the spleen
No :(Has a classic appearance of a large pancreatic cyst
No :(Doesn't arise from any abdominal visceral organs
Yeah !!!
Findings
Opposite lateral and VD views are available for interpretation.
The serosal margin detail is normal. A large fat opaque mass is seen within the cranial ventral abdomen measuring 25.0 cm in diameter. The mass has a heterogenous appearance. This results in a marked mass effect displacing the liver cranially and the intestines, spleen and stomach caudally and dorsally.
An approximately 5.6 cm well defined ovoid shaped soft tissue opacity is superimposed with the aforementioned mass and ventral abdominal wall representing a cutaneous mass.
The remaining abdominal structures are within normal limits.
Moderate spondylosis deformans is seen along the thoracolumbar spine and at the lumbosacral junction. There is moderate periarticular osteophyte formation affecting the coxofemoral joints bilaterally, most significant at the right side. There is an incidental separate center of ossification of the os penis.
Diagnosis
Large intraabdominal fat mass is most consistent with a lipoma, infiltrative lipoma or liposarcoma.
Follow Up
The patient underwent surgical removal and is doing fine.
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