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DOI: 10.1148/radiol.2442040714
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(Radiology 2007;244:608-609.)
© RSNA, 2007

Diagnosis Please

Case 1261

Yahya M. Berkmen, MD{dagger} and Benjamin A. Zalta, MD

1 From the Department of Radiology, Columbia University Medical Center, 177 Fort Washington Ave, Milstein Hospital Bldg, MC 3, New York, NY 10032. Received April 22, 2004; revision requested June 29; revision received July 9; final version accepted July 28. Address correspondence to B.A.Z. (e-mail: baz2101{at}columbia.edu).


   HISTORY
TOP
 HISTORY
 
A 63-year-old man was admitted with a history of gradually increasing abdominal pain of 3 days duration. At admission, the pain was mostly localized to the right upper quadrant. The patient had a slightly elevated white blood cell count (10 x 109/L). The clinical impression of acute cholecystitis was confirmed with ultrasonography and computed tomography (CT). Several gallstones were also depicted, and cholecystectomy was performed. Chest CT studies were obtained postoperatively to evaluate an abnormality seen on the admission chest radiograph (Figs 1, 2).


Figure 1
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  		Figure 1: Posteroanterior chest radiograph obtained at admission.

 

Figure 2A
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  		Figure 2a: Transverse contrast material–enhanced CT images of the chest obtained through (a) the dome of the right hemidiaphragm and (b) the midportion of the liver.

 

Figure 2B
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  		Figure 2b: Transverse contrast material–enhanced CT images of the chest obtained through (a) the dome of the right hemidiaphragm and (b) the midportion of the liver.

 


   FOOTNOTES
 
{dagger} Deceased. Back

Authors stated no financial relationship to disclose.


Submit the most likely diagnosis to http://rsna.org/dxplease (use only for submission of diagnosis). Select the case from the Active Case List for which you are submitting a diagnosis. Only one case, one name, and one diagnosis per submission. Multiple diagnoses and multiple submissions will not be considered. Deadline: Midnight U.S. Central Time, October 15, 2007. Answer will appear in the December issue. Authors wishing to submit cases for Diagnosis Please should first write to the Editor to obtain approval for the case and further information.

 





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