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Sonography and CT of Vasculitis During Gemcitabine Therapy

Nadine Bendix, Bernhard Glodny, Maria Bernathova and Gerd Bodner

Department of Radiology, University Hospital of Innsbruck, Anichstrasse 35, Innsbruck 6020, Austria.



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  		Fig. 1A. —65-year-old woman with pancreatic carcinoma and painful swelling on left side of neck. Transverse sonogram shows circular thickening of left internal carotid wall (arrows). Lumen of artery is normal.

 


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  		Fig. 1B. —65-year-old woman with pancreatic carcinoma and painful swelling on left side of neck. Longitudinal sonogram shows fusiform swelling of arterial wall (arrows).

 


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  		Fig. 1C. —65-year-old woman with pancreatic carcinoma and painful swelling on left side of neck. MDCT scan before chemotherapy shows contrast-enhanced supraaortal vessels (arrows) with normal vessel wall caliber.

 


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  		Fig. 1D. —65-year-old woman with pancreatic carcinoma and painful swelling on left side of neck. MDCT during chemotherapy shows wall thickening in supraaortal vessels with increased contrast enhancement of vessel walls (arrows), suggesting vasculitis.

 


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  		Fig. 1E. —65-year-old woman with pancreatic carcinoma and painful swelling on left side of neck. MDCT after chemotherapy shows almost complete resolution of the arterial wall thickening (arrows).

 

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