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Case 38¹

¹ From the Departments of Radiology (A.S.F., M.A.T.) and Internal Medicine, Division of Gastroenterology (A.J.S.), Medical College of Virginia of Virginia Commonwealth University, 401 N 12th St, PO Box 980615, Richmond, VA 23298-0615. Received April 18, 2000; revision requested June 9; revision received June 16; accepted June 28. Address correspondence to A.S.F. (e-mail: asfulche@hsc.vcu.edu).

Index terms: Diagnosis Please

	HISTORY

TOP HISTORY

 
A 12-year-old girl presented with a temperature of 105°F (40.6°C) and intermittent abdominal pain of 2 days’ duration. Laboratory analysis showed an elevated level of serum alkaline phosphatase. Radiologic evaluation included abdominal computed tomography (CT).

View larger version (124K): [in this window] [in a new window] [Download PPT slide]   Figure 1a. (a, b) Consecutive transverse contrast material-enhanced CT images of the liver. (c) Transverse contrast-enhanced CT image of the kidneys.

View larger version (128K): [in this window] [in a new window] [Download PPT slide]   Figure 1b. (a, b) Consecutive transverse contrast material-enhanced CT images of the liver. (c) Transverse contrast-enhanced CT image of the kidneys.

View larger version (122K): [in this window] [in a new window] [Download PPT slide]   Figure 1c. (a, b) Consecutive transverse contrast material-enhanced CT images of the liver. (c) Transverse contrast-enhanced CT image of the kidneys.

View larger version (102K): [in this window] [in a new window] [Download PPT slide]   Figure 2a. Magnified anteroposterior conventional radiographs of the right and left kidneys obtained without abdominal compression 20 minutes after contrast-enhanced CT.

View larger version (104K): [in this window] [in a new window] [Download PPT slide]   Figure 2b. Magnified anteroposterior conventional radiographs of the right and left kidneys obtained without abdominal compression 20 minutes after contrast-enhanced CT.

	ACKNOWLEDGMENTS

 
The authors express their appreciation to Stephanie E. Spottswood, MD, for contributing the images in Figure 2.

	FOOTNOTES

 
E-mail the most likely diagnosis to dxplease@rsna.org (use only for submission of diagnosis). Include case number, your name (as you would want it to appear in the journal), address, phone and fax numbers. Only one case, one name, and one diagnosis per e-mail submission. Multiple diagnoses, multiple submissions, submissions without a case number will not be considered. Deadline: July 15, 2001. Answer will appear in the September issue. Authors wishing to submit cases for Diagnosis Please should first write to the Editor to obtain approval for the case and further information.

This Article Figures Only Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Fulcher, A. S. Articles by Sanyal, A. J. Search for Related Content PubMed Articles by Fulcher, A. S. Articles by Sanyal, A. J.