P H O T O Q U I Z ( S E E P A G E 1 6 4 )
P re p a re d b y
Ali Türk / Erkin Anbal / Canan Erzen
M D., D e p a rtm e n t o f R a d io lo g y, S c h o o l o f M e d ic in e , M a rm a ra U n iv e rs ity , Is ta n b u l, Turkey.
A 5 2 -y e a r-o ld w o m a n w a s a d m itte d to th e ho sp ita l w ith m o d e ra te a b d o m in a l d is c o m fo r t, o c c a s io n a l p e lv ia b d o m in a l p a in a n d e a rly satiety. In her p h ysica l e x a m in a tio n th e re w a s no re m a rk a b le sign o th e r th a n h e r m a rk e d o b e s ity . H e r la b o ra to ry fin d in g s w ere n o rm a l e x c e p t m o d e ra te d e c re a s e in h e r red b lo o d cell c o u n t w ith a m e a n c o rp u s c u la r h e m o g lo b in c o n c e n tr a tio n , in c re a s e d e ry th ro c y te iro n b in d in g
c a p a c ity an d e ry th ro c y te s e d im e n ta tio n rate. H er a b d o m in a l U S e x a m in a tio n w a s su b o p tim a l du e to her m arke d o b e s ity and in te s tin a l g a s su p e rim p o s itio n s . T h e re w e re a s c ite s , th e re fo re , an a b d o m in a l CT e xa m in a tio n w a s p e rfo rm e d to e v a lu a te th e patient. B elow , th e re a re tw o C T s e c tio n s of th e a b o ve patient. W h a t is y o u r d ia g n o s is ?
