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¹ All authors: Department of Radiology, Ohio State University Medical Center, 410 W. 10th Ave., S-211 Rhodes Hall, Columbus, OH 43210-1228.

Address correspondence to K. M. Vitellas.

Case 1

A 66-year-old woman with a medical history of breast carcinoma presented with a 5-day history of nausea, vomiting, and epigastric pain that worsened after eating.

View larger version (93K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1A. —66-year-old woman with medical history of breast carcinoma who presented with 5-day history of nausea, vomiting, and epigastric pain that worsened after eating. Right upper quadrant sonogram of liver.

View larger version (109K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1B. —66-year-old woman with medical history of breast carcinoma who presented with 5-day history of nausea, vomiting, and epigastric pain that worsened after eating. Enhanced CT scan of abdomen.

1. Malignant fibrous histiocytoma.
   
2. Metastatic disease.
   
3. Localized fibrous tumor of the liver.
   
4. Hemangioma.
   
5. Hepatocellular carcinoma.
   

Case 2

A 45-year-old woman presented with a 1-day history of left upper quadrant abdominal pain. Her medical history was significant for small-bowel resection of the jejunum with primary anastomosis for a perforated stromal gastrointestinal tumor and right adrenalectomy for leiomyosarcoma 5 years and 1 year before presentation, respectively. She had undergone radiation therapy and chemotherapy.

View larger version (115K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2A. —45-year-old woman who presented with 1-day history of left upper quadrant abdominal pain. Her medical history was significant for small-bowel resection of jejunum with primary anastomosis for perforated stromal gastrointestinal tumor and right adrenalectomy for leiomyosarcoma 5 years and 1 year before presentation, respectively. She had undergone radiation therapy and chemotherapy. Conventional radiograph of abdomen.

View larger version (106K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2B. —45-year-old woman who presented with 1-day history of left upper quadrant abdominal pain. Her medical history was significant for small-bowel resection of jejunum with primary anastomosis for perforated stromal gastrointestinal tumor and right adrenalectomy for leiomyosarcoma 5 years and 1 year before presentation, respectively. She had undergone radiation therapy and chemotherapy. CT scans of abdomen.

View larger version (105K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2C. —45-year-old woman who presented with 1-day history of left upper quadrant abdominal pain. Her medical history was significant for small-bowel resection of jejunum with primary anastomosis for perforated stromal gastrointestinal tumor and right adrenalectomy for leiomyosarcoma 5 years and 1 year before presentation, respectively. She had undergone radiation therapy and chemotherapy. CT scans of abdomen.

View larger version (104K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2D. —45-year-old woman who presented with 1-day history of left upper quadrant abdominal pain. Her medical history was significant for small-bowel resection of jejunum with primary anastomosis for perforated stromal gastrointestinal tumor and right adrenalectomy for leiomyosarcoma 5 years and 1 year before presentation, respectively. She had undergone radiation therapy and chemotherapy. CT scans of abdomen.

1. Small-bowel pneumatosis.
   
2. Abscess.
   
3. Small-bowel bezoar.
   
4. Small-bowel feces.
   

Case 3

A 42-year-old woman presented with right lower quadrant discomfort. Physical examination suggested uterine enlargement. Sonography revealed right lower quadrant mass. MR imaging was performed through the mid pelvis above the level of the uterus.

View larger version (128K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3A. —42-year-old woman who presented with right lower quadrant discomfort. Physical examination suggested uterine enlargement. Sonography (not shown) revealed right lower quadrant mass. MR imaging was performed through mid pelvis above level of uterus. Axial T1-weighted MR image.

View larger version (113K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3B. —42-year-old woman who presented with right lower quadrant discomfort. Physical examination suggested uterine enlargement. Sonography (not shown) revealed right lower quadrant mass. MR imaging was performed through mid pelvis above level of uterus. Axial T2-weighted MR image.

View larger version (110K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3C. —42-year-old woman who presented with right lower quadrant discomfort. Physical examination suggested uterine enlargement. Sonography (not shown) revealed right lower quadrant mass. MR imaging was performed through mid pelvis above level of uterus. Sagittal T2-weighted MR image.

1. Malignant degeneration of a uterine fibroid.
   
2. Appendicitis with a periappendiceal abscess.
   
3. Lymphoma involving the distal ileum.
   
4. Pelvic inflammatory disease.
   

This Article Figures Only Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Vitellas, K. M. Articles by Guttikonda, S. Search for Related Content PubMed PubMed Citation Articles by Vitellas, K. M. Articles by Guttikonda, S.