CT and angiographic correlates: surgical image of renal mass lesions

Twenty-three consecutive patients with surgically proved renal mass lesions were examined preoperatively by means of computerized tomography (CT) and renal angiography. Histopathology of the 23 renal masses included the following: hypernephroma (17), transitional cell carcinoma (3), oncocytoma (2), benign cyst (1). Computed tomography was correct in the preoperative diagnosis of 21 of 23 masses (91 per cent); angiographic diagnosis was correct in 18 of 23 consecutive masses (78 per cent). Correlation of the findings on CT and angiography resulted in correct diagnosis in 22 of the 23 lesions (96 per cent). Independently, CT and angiography each contribute essential information for diagnosis and preoperative planning. CT discloses anatomic detail, tissue consistency, organ system relationships, and relatively precise estimates of tumor bulk. Angiography remains a necessary complement providing a surgical image of tumor vascularity and vessel origins.

Hydrops of the gallbladder in a child: diagnosis by ultrasonography

Hydrops of the gallbladder is a rare cause of right upper quadrant mass in children. A case of acute hydrops of the gallbladder in a 5-year-old child is reported. A specific and accurate diagnosis can be made preoperatively only by sonography. Characteristic sonographic findings are described.

Angiographic manifestations of renal hamartoma

Two types of renal hamartoma (angiomyolipoma) are presented with emphasis on angiographic findings. Careful analysis of the angiograms can suggest a specific diagnosis. Two important considerations other than angiographic findings are (1) multiplicity of tumors in patients with tuberous sclerosis, and (2) a solitary mass in 40-60-year-old women.

The lateral view in selective renal angiography

Use of the lateral view in selective renal angiography is helpful in differentiating cysts from tumors. The position of the cyst is better defined, facilitating aspiration if necessary, while in malignant masses this technique gives a better idea of the dimensions and vascularity of the tumor. Three illustrative cases are presented.

Mediastinal lipomatosis in simple obesity

A case of superior mediastinal widening due to unusual amounts of fat accumulations is reported in a patient with simple obesity, not associated with iatrogenic or primary Cushing's syndrome. The radiographic features included a smooth bilateral widening of the superior mediastinum, relative lucency, no definable mass in the lateral view, and no pressure effects on the trachea. Such mediastinal lipomatosis is a benign condition and may be related to general obesity. although rare, it should be considered in the differential diagnosis of mediastinal masses, particularly in obese individuals.