SciELO - Scientific Electronic Library Online

 
vol.32 issue3Precision Imaging for Quantitative Analysis of Lung Neoplasms: State-of-the-ArtCaso Clínico ARP Nº20: Charcot Neuroarthropathy of upper Limb author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Acta Radiológica Portuguesa

Print version ISSN 2183-1351

Acta Radiol Port vol.32 no.3 Lisboa Dec. 2020  Epub July 12, 2021

https://doi.org/10.25748/arp.21894 

Casos ARP

ARP Case Report nº 21: What is your diagnosis?

Caso Clínico ARP nº 21: Qual o seu diagnóstico?

Inês Conde Vasco1 
http://orcid.org/0000-0001-7418-551X

Tiago Bilhim2 

1Serviço de Radiologia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal

2Unidade de Radiologia de Intervenção, Hospital Curry Cabral, Centro Hospitalar Universitário de Lisboa Central, Lisboa Portugal


Case Presentation

A 49-year-old woman with history of bicytopenia (anemia and leukopenia) and monoclonal gammopathy (IgG

lambda) not fully clarified presents with portal hypertension and splenomegaly of unclear cause. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) were performed for further investigation.(Fig. 1)

Figures 1: Axial non-enhanced CT; 2. Axial contrast-enhanced CT (hepatic arterial phase); 3. Axial contrast-enhanced CT (portal-venous phase); 4. Axial contrast-enhanced CT (delayed phase); 5. Coronal T2-weighted MRI; 6. Axial T1-weighted gradient echo in-phase (a) and out-of-phase (b) MRI; 7. (a) Axial unenhanced T1-weighted MRI; (b) Axial T1-weighted fat-saturated MRI after enhancement with gadoxetic acid (hepatic arterial phase); 8. (a) Axial T1-weighted fat-saturated MRI after enhancement with gadoxetic acid (portal-venous phase); (b) Axial T1-weighted fat-saturated MRI after enhancement with gadoxetic acid (hepatobiliary phase). 

Creative Commons License This is an open-access article distributed under the terms of the Creative Commons Attribution License