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Cecal mass consistent with malignancy

Case Study
Philips CT Clinical Science Philips Healthcare • USA

Clinical history

This 82 year-old female came to Hennepin County Medical Center presenting with anemia and was referred for an abdomen scan. The technologist performed the scan on the IQon Spectral CT scanner.
Conventinal CT 40 keV monoE
Conventinal CT
40 keV monoE
Conventinal CT 40 keV monoE
Conventinal CT
40 keV monoE

Diagnosis

The images acquired on the IQon Spectral CT scanner showed a cecal mass consistent with malignancy. Cecal mass was confirmed on colonoscopy to be an invasive adenocarcinoma; patient underwent right hemicolectomy. The images also showed an incidental bladder mass and bilateral PE. The bladder mass (green circle) was found to be an invasive urothelial malignancy on cystoscopy.

Clinical significance

The multiple incidental findings were better visualized with low monoE spectral results. In particular, the cecal mass is more clearly seen on 40 keV reconstructions (red circle).

 

Results from case studies are not predictive of results in other cases. Results in other cases may vary.


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Dec 5, 2017

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Case Study
IntelliSpace Portal, IQon Spectral CT
abdomen, bladder, Body, mass, MonoE, Oncology, PE, spectral CT
 

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