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hypodense cerebellar tuberculoma on CT scan masquerading low grade glioma

Asian Pacific Journal of Tropical Medicine 2009年第1期2卷 78-79页

作者： Amit Agrawal Arvind Bhake Department of Surgery Datta Meghe Institute of Medical SciencesSawangi(Meghe)Wardha-442004MaharashtraIndia Department of Pathology Datta Meghe Institute of Medical SciencesSawangi(Meghe)Wardha-442004MaharashtraIndia

We report a case of hypodense cerebellar tuberculoma in a 26 year old postpartum lady who presented with one episode of generalized tonic-clonic seizures and discuss the histopathology findings where on CT scan the lesion was suspected as low grade *** was started on isoniazid,rifampicin,pyrazinamide,ethambutol and *** is asymptomatic and had no neurological deficits at follow up.

关键词： Tuberculoma Low grade glioma hypodense Pregnancy Cerebellum Seizures

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Xanthogranulomatous cholecystitis: What every radiologist should know

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World Journal of Radiology 2016年第2期8卷 183-191页

作者： Vaibhav P Singh S Rajesh Chhagan Bihari Saloni N Desai Sudheer S Pargewar Ankur Arora Division of Diagnostic and Interven- tional Radiology Department of Radiology Institute of Liver and Biliary Sciences Department of Pathology Institute of Liver and Biliary Sciences

Xanthogranulomatous cholecystitis(XGC) is an uncommon variant of chronic cholecystitis characterized by xanthogranulomatous inflammation of the gallbladder. Intramural accumulation of lipid-laden macrophages and acute and chronic inflammatory cells is the hallmark of the disease. The xanthogranulomatous inflammation of the gallbladder can be very severe and can spill over to the neighbouring structures like liver, bowel and stomach resulting in dense adhesions, perforation, abscess formation, fistulous communication with adjacent bowel. Striking gallbladder wall thickening and dense local adhesions can be easily mistaken for carcinoma of the gallbladder, both intraoperatively as well as on preoperative imaging. Besides, cases of concomitant gallbladder carcinoma complicating XGC have also been reported in literature. So, we have done a review of the imaging features of XGC in order to better understand the entity as well as to increase the diagnostic yield of the disease summarizing the characteristic imaging findings and associations of XGC. Among other findings, presence of intramural hypodense nodules is considered diagnostic of this entity. However, in some cases, an imaging diagnosis of XGC is virtually impossible. Fine needle aspiration cytology might be handy in such patients. A preoperative counselling should include possibility of differential diagnosis of gallbladder cancer in not so characteristic cases.

关键词： hypodense nodules Carcinoma gallbladder Xanthogranulomatous Cholecystitis Adenomyomatosis

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