Who links to me? X-ray Rocks: Big Blob

Monday, September 15, 2008

Big Blob

The big white blob, in these CT images, is not supposed to be there.

This 36y/o patient went to the ER twice, complaining of headaches and dizziness. The Dr. told him it was just a migraine, because he was under a lot of stress. He gave the pt. a prescription for some pain meds. Finally, the pt. made a third ER visit, because his wife woke up in the middle of the night and the pt. was screaming and convulsing on the bedroom floor. The ER Dr. (finally) ordered a CT.

An acute hemorrhage with coarse calcification, suggesting an underlying neoplasm. In other words, blood and cancer.
There is also an 11mm midline shift from left to right.
He was transferred out and had surgery to remove the blood and as much of the cancer as they could get to. He is now taking radiation and chemotherapy, but he has lost the use of his left arm and leg.

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