A specific type of ductal carcinoma involving epidermal layer of nipple It accounts for 1 to 4% of all breast cancers. Characteristic larger cancer cell in epidermis of nipple Underlying mass or microcalcification can be present (DCIS or IDC ~95%) Early symptoms (Redness, Eczematous appearing changes of the nipple, Itching sense) ➛ Early diagnosis ➛ … Read more
Amount of fibroglandular tissue a) Almost entirely fat b) Scattered fibroglandular tissue c) Heterogeneous fibroglandular tissue d) Extreme fibroglandular tissue Background parenchymal enhancement Evaluate at 90sec to 3min after contrast injection / Elective MRI should be obtained luteal phase(2 weeks, 7-14days) Levels : (A) Minimal, (B) Mild, (C) Moderate, (D) Marked Symmetric or Asymmetric Focus … Read more
Homogenous background echotexture – fibroglandular Homogenous background echotexture – fat Heterogenous background echotexture Oval : mass that is elliptical and egg-shaped (may include 2 or 3 undulations, i.e., gently lobulated or macrolobulated) Round : spherical, ball-shaped, circular or globular (AP diameter equal to its transverse diameter/ must be circular in perpendicular projections) Irregular : neither … Read more
A 35 year-old male came to E.R due to melena lasting for 3 days Considering the imaging finding of circumferential wall thickening of gastric body with no sign of obstruction The first impression was gastric lymphoma But, If the lesion is lymphoma, the absence of lymphadenopathy is not common. Endoscopic biopsy was done, the pathologic … Read more
I will introduce 2 cases of anomalous origin of coronary artery from opposite or noncoronary sinus Case 1) Male, 62 years old presented with chest pain Case 2) Male, 59 years old follow up coronary CT angio after percutaneous coronary intervention Origin of the coronary artery or branch from opposite or noncoronary sinus and an … Read more
An 82 year-old male paitent present E.R due to fever lasting for 1 week Prostate abscess rare complication of prostatis due to good antibiotic response of prostatis, prostate abscess is relatively uncommon situation it is seen patient whom are immunosuppressed condition such as diabete mellitus
Female / 14, Abdominal pain with diarrhea (2DA) Differential diagnosis should include solid pseudopapillary tumor(SPT), pancreatoblastoma, islet cell tumor (insulinoma) Firstly, pancreatoblastoma is frequently occured in boys less than 10 year-old and insulinoma is usually found in head of pancreas and shows vivid enhancement than normal pancreas parenchyma solid pseudopapillary tumor is more likely occurs … Read more
Male / 65 , Chief complaint : bradykinesia, gait disturbance (onset : 10MA) Multiple system atrophy (MSA) Three clinical subtypes of MSA Most paitents expire in 10 years after diagnosis Reference) J Mov Disord. 2018 Sep; 11(3): 107–120. 2018 Aug 9. doi: 10.14802/jmd.18020 Ann Indian Acad Neurol. 2008 Oct-Dec; 11(4): 257–258. doi: 10.4103/0972-2327.44565
