case 2 question
DESCRIPTION
case 2 for the 1st sci mtg of the ctmrisp on june 27 monday 6pm uppghTRANSCRIPT
![Page 1: Case 2 question](https://reader033.vdocument.in/reader033/viewer/2022052903/557aae09d8b42a70408b4cb2/html5/thumbnails/1.jpg)
Case 2
![Page 2: Case 2 question](https://reader033.vdocument.in/reader033/viewer/2022052903/557aae09d8b42a70408b4cb2/html5/thumbnails/2.jpg)
• A 23-year-old abaca farmer from Albay Bicol presented to a primary care facility with fever and acute abdominal pain radiating to the right groin.
![Page 3: Case 2 question](https://reader033.vdocument.in/reader033/viewer/2022052903/557aae09d8b42a70408b4cb2/html5/thumbnails/3.jpg)
• Bilateral inguinal adenopathy was found, and a whole-body CT scan was done
• He had no scrotal abnormalities. His symptoms improved on empiric antibiotic therapy, and fine-needle aspiration of an enlarged right inguinal lymph node was performed.
• He was then referred to our institution.
![Page 4: Case 2 question](https://reader033.vdocument.in/reader033/viewer/2022052903/557aae09d8b42a70408b4cb2/html5/thumbnails/4.jpg)
• Enhanced CT scans of the chest, abdomen, and pelvis were obtained at our institution.
![Page 5: Case 2 question](https://reader033.vdocument.in/reader033/viewer/2022052903/557aae09d8b42a70408b4cb2/html5/thumbnails/5.jpg)
• A,B Enhanced Contrast CT can of the chest
![Page 6: Case 2 question](https://reader033.vdocument.in/reader033/viewer/2022052903/557aae09d8b42a70408b4cb2/html5/thumbnails/6.jpg)
• MRI• Single-shot fast spin-
echo images (TR/TE, 12,630/99).
• E and F, Coronal (E) and rotated oblique coronal (F) single-shot fast spin-echo images (11,430/98)
![Page 7: Case 2 question](https://reader033.vdocument.in/reader033/viewer/2022052903/557aae09d8b42a70408b4cb2/html5/thumbnails/7.jpg)
• Enhanced CT Scan• G and H, Enhanced CT
scans of abdomen (G) and pelvis (H)
• Central attenuation value of this diffusely distributed material ranged from 8 to 27 H in retroperitoneum and from 22 to 30 H along common iliac and external iliac vessels.
![Page 8: Case 2 question](https://reader033.vdocument.in/reader033/viewer/2022052903/557aae09d8b42a70408b4cb2/html5/thumbnails/8.jpg)
• MRI• I and J, Single-shot
fast spin-echo images (12,500/99)
![Page 9: Case 2 question](https://reader033.vdocument.in/reader033/viewer/2022052903/557aae09d8b42a70408b4cb2/html5/thumbnails/9.jpg)
• MRI• K, Single-shot fast
spin-echo image (12,500/99)
![Page 10: Case 2 question](https://reader033.vdocument.in/reader033/viewer/2022052903/557aae09d8b42a70408b4cb2/html5/thumbnails/10.jpg)
• Differential diagnosis?
• Diagnosis?
• Discussion