Primary esophageal lymphoma in immunocompetent patients: Two case reports and literature review
Copyright©2010 Baishideng Publishing Group Co., Limited. All rights reserved.
Primary esophageal lymphoma in immunocompetent patients: Two case reports and literature review
Prasanna Ghimire, Guang-Yao Wu and Ling Zhu.
Prasanna Ghimire, Guang-Yao Wu, Ling Zhu, Department of Magnetic Resonance Imaging, Zhongnan Hospital, Wuhan University, Wuhan 430071, Hubei Province, China
Author contributions: Ghimire P served as the primary author, reviewed the literature and wrote the case report; Wu GY and Ling Z reviewed the manuscript.
Correspondence to: Guang-Yao Wu, MD, PhD, Department of Magnetic Resonance Imaging, Zhongnan Hospital, Wuhan University, 169 East Lake Road, Wuhan 430071, Hubei Province, China. wuguangy2002@yahoo.com.cn
Telephone: +86-27-67813187 Fax: +86-27-67813188
Received May 4, 2010; Revised May 27, 2010; Accepted June 4, 2010;
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Abstract
Primary lymphoma that involves the esophagus is very rare, with fewer than 30 cases reported in the English-language literature. Non-Hodgkin lymphoma accounts for most of the cases. Esophageal lymphomas have varied radiological appearances, which poses diagnostic difficulty. We report two cases of histopathologically confirmed primary diffuse large B-cell esophageal lymphoma and describe their radiological features, and briefly review the literature.
Keywords: Esophageal neoplasms, Non-Hodgkin lymphoma, Primary lymphoma, Esophagography, Computed tomography
Full article at http://www.wjgnet.com/1949-8470/full/v2/i8/334.htm
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BRANCHES OF ABDOMINAL AORTA
BRANCHES OF ABDOMINAL AORTA
|
Branch |
Vertebra | Type | Paired | A/P |
Description |
| inferior phrenic | T12 | Parietal | yes | P | originates just below the diaphragm, supplying it from below |
| celiac | T12 | Visceral | no | A |
|
| superior mesenteric | L1 | Visceral | no | A |
|
| middle suprarenal | L1 | Visceral | yes | P | to adrenal gland |
| renal | L1 | Visceral | yes | P | large artery, each arising from the side of the aorta; supplies corresponding kidney; arises in the transpyloric plane |
| gonadal | L2 | Visceral | yes | P | ovarian artery in females; testicular artery in males |
| lumbar | L1-L4 | Parietal | yes | P | four on each side that supply the abdominal wall and spinal cord |
| inferior mesenteric | L3 | Visceral | no | A |
|
| median sacral | L4 | Parietal | no | P | |
| common iliac | L4 | Terminal | yes | P |
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Source: wikipedia
RESPIRATORY PNEUMONICS
RESPIRATORY PNEUMONICS
Interstitial Lung Disease
- Sarcoid
- Histiocytosis X
- Idiopathic Pulmonary Fibrosis
- Tumor (Lymphangitic)
- Failure
- Asbestosis (and other dusts)
- Collagen Vascular Disease
- Environmental dusts (organic – farmer’s lung, inorganic – silica, coal)
- Drug
ABC’s of Trauma
The chest radiograph is an economical and sensitive screening examination for the major injuries in the patient who has sustained blunt chest trauma. Just as the physician uses the ABC’s to stabilize the critical ill patient (Airway, Breathing, Circulation), the radiologic ABC’s prompt the radiologist to consider all of the critical injuries that may be sustained with blunt trauma. THE most critical injury is considered first.
- Aortic Transection
- Bronchial fracture
- Cord injury (Thoracic spine)
- Diaphragmatic rupture
- Esophageal tear
- Flail chest
- Gas (subtle pneumothorax)
- Heart (Cardiac injury)
- Iatrogenic (Misplaced monitoring & support catheters)
- PEARL: Causes of Unilateral Lung Disease
- Pneumonia
- Edema
- Aspiration
- Radiation
- Lymphangtic Tumor
- FAT PAD: Cardiophrenic angle mass
- Fat
- Pericardial cyst
- Adenopathy/Aneurysm
- Diaphragmatic Hernia
- BIG HIPS: Honeycomb Lung
- Bleomycin
- Idiopathic
- Granulomas
- Histiocytosis X
- Interstitial pneumonia
- Pneumoconiosis
- Sarcoid
- Late Night Sex: Interstitial lung disease & Hyperinflation
- Lymphangiomyomatosis
- Neurofibromatosis
- Sarcoid
- Emphysema
- X, histiocytosis
- Balls: Nodules with Air Bronchograms
- BAC
- Amyloid
- Lymphoma
- Lipoid pneumonia
- Sarcoid
- Balls: Chronic Airspace Disease
- Bronchoalveolar carcinoma
- BOOP
- Aspiration
- Alveolar proteinosis
- Lipoid pneumonia
- Loeffler’s (chronic eosinophilic pneumonia)
- Lymphoma
- Pseudolymphoma
- Sarcoid (alveolar)
Set Carp: Apical Lung Disease
- Sarcoid
- EG, Eosinophilic pneumonia
- Tuberculosis
- Cystic Fibrosis
- Ankylosing spondylitis
- Radiation therapy
- PCP (cystic)
- Pneumoconiosis
Bad Rash: Basilar Lung Disease
- Bronchiectasis, BOOP
- Aspiration
- Drugs
- Rheumatoid
- Asbestosis
- Scleroderma
- Hamman-Rich
YES CT: Germ Cell Tumors
- Yolk Sac Tumors
- Embryonal cell carcinoma
- Seminoma
- Choriocarcinoma
- Teratoma
Systemic Pulmonary Artery Shunts
- Good Glenn ( SVC to RPA )
- Flow Fontan ( RA to RV )
- Really Rastelli ( RV to RPA )
- Would Waterston-Cooley ( RPA to AA )
- Be Blalock-Taussig ( RPA to subclavian )
- Perfect Potts ( LPA to DA )
Contrast Enhancing Mediastinal Mass
- Capt/Capt
- Castleman
- Aneurysm
- Paraganglioma
- Thryoid
- Carcinoid
- Aneurysm (so important needs to be mentioned twice)
- Parathyroid
- Tuberculosis
- O Captian! My Captian
- O Captain! my Captian! our fearful trip is done;
- The ship has weather’d every rack, the prize we sought is won;
- The port is near; the bells I hear; the people all exulting,
- While follow eyes the steady keel, the vessel grim and daring, Walt Whitman
Multiple thin-walled cavities
- Pitch
- Pneumatocele + bullae
- Infections (Tb, cocci)
- Tumors (Squamous cell)
- Cysts (bronchogenic, trauma)
- Hydrocarbon ingestion
Solitary Lung Mass
- CASH PLEASE (if you miss it!)
- Cancer
- Abscess
- Solitary met
- Hamartoma
- Psuedotumor
- Lymphoma
- Echinococcus
- Actinomycosis
- Sequestration
Calcifying Metastases
- BOTTOM
- Breast
- Osteogenic carcinoma
- Thyroid (papillary)
- Ovarian
- Mucinous adenocarcinoma
Multiple Pleural Masses
- MALLETS
- Mesothelioma
- Adenocarcinoma
- Lymphoma
- Leukemia
- Empyema
- Thymoma
- Splenosis
Cavity
- Cancer
- Autoimmune (Wegeners, RA)
- Vascular (septic emboli)
- Infectious (Tb, Abscess)
- Trauma
- Young (bronchogenic cyst, laryngotracheal papillomatosis)
PANCREATITIS: BALTHAZAR SEVERITY INDEX
Pancreatitis: BALTHAZAR SEVERITY INDEX
Balthazar severity index:
CT appearance:
Normal – 0 points
Large pancreas – 1 point
Pancreatic/ peripancreatic inflammation – 2
1 fluid collection – 3
> 2 fluid collection – 4
% necrosis:
0 – 0
<> 50% – 6
Score of 0 – no mortality, score 7 to 10 – 17% mortality
CT appearance:
Normal – 0 points
Large pancreas – 1 point
Pancreatic/ peripancreatic inflammation – 2
1 fluid collection – 3
> 2 fluid collection – 4
% necrosis:
0 – 0
<> 50% – 6
Score of 0 – no mortality, score 7 to 10 – 17% mortality
Prasun's Words 