A lady with anaemia
Anaemia is a condition where the amount of red blood cells in the body is low. Red blood cells contain haemoglobin, a red pigment which gives blood its colour. The job of haemoglobin is to carry oxygen around the body. When red blood cells and therefore haemoglobin are low the blood fails to supply the body’s tissues with sufficient amounts of oxygen. As your lungs and heart will then have to work harder to get oxygen into the blood, symptoms of anaemia, such as difficulty in breathing will begin to develop.
So how does anaemia develop:
* Heavy periods.
* Diet low in iron.
* Internal bleeding, for example if you have an ulcer or a tumour.
* Diet low in vitamin B12 or folic acid.
* Blood diseases such as leukaemia.
This is a 72 year old lady who presented with anaemia. Her CT scan is as below.
Care to guess the diagnosis??
January 21st, 2007 at 4:02 pm
Hepatocellular carcinoma by any chance? Those spots in the liver look suspicious.
January 21st, 2007 at 8:43 pm
there looks like somethign within the stomach itself, almost looking peduncualted.
the lesions on the liver are multifocal, so i’m thinking it’s not a primary Ca, but rather, metastasis.
Vagus’ diagnosis: gastric adenocarcinoma with bilateral liver metastasis.
Can’t tell with the small size, but is that a left adrenal incidentaloma?
January 23rd, 2007 at 3:48 am
I agree with vagus… ca stomach with liver mets.
and vagus, once a endocrine man.. always an endocrine man… where got adrenal mass?? Hehe.
January 23rd, 2007 at 4:46 am
heh bernard. at least i didn’t say i saw a pituitary adenoma in that abd CT.
but take a look…. last C image, right underneath that arrow… that L adrenal looks generous in size. but perhaps it’s not the adrenal. can’t tell without scrolling thru the image before and after.
January 23rd, 2007 at 6:31 pm
I shall let the discussion go on for another one or two more days before revealing the answer.
January 24th, 2007 at 3:58 pm
Ok ! Ok!
Vagus gets the Grand Prize.
The answer: Stomach Cancer with spread to the liver. However, both the adrenals appear bulky and in this I showed the left.
January 25th, 2007 at 2:21 am
what’s the grand prize, mr george?
do i get a tummy tuck for free?
January 25th, 2007 at 3:43 pm
sure but will you be here in Malaysia for a week.
January 25th, 2007 at 4:00 pm
sure. april 2007, coming back. heh, gonna trim some fat off my tummy
January 26th, 2007 at 5:57 pm
hookay! I already book a date for you!
February 14th, 2007 at 12:49 pm
ca stomach with secondries in liver
February 14th, 2007 at 7:04 pm
Thanks for visiting mukul. yes correct. Come more often