KINDERRADIOLOGIE ONLINE - view radiology images and radiology cases
Lesen Sie diese Seite auf Deutsch   Read this page in English
The Peer Reviewed Pediatric Radiology Platform on the Web
ISSN: 1942-955X :: Publisher: EduRad ::Editor-In-Chief: Roland Talanow, MD, PhD  
Browse Browse || Search Search || Online Book Systematically Online Book Systematically || Discussion Forum Discussion Forum || News News || Submit a Case Submit a Case || Rules Rules |
Most Interesting Cases Most Interesting Cases || "Most Diligent" Authors "Most Diligent" Authors || Case of the Day Case of the Day || Teaching files Teaching files || Links Links |
Newsletter Newsletter || Start Start || Survey Survey || Your Opinion Your Opinion || My Profile My Profile || CME-Credits CME-Credits |
    Pediatric Radiology News / Ads / Jobs Get the Pediatric Radiology News as RSS feed !
    Send us your news or ads for free
  • Evaluating skeletal dysplasias on prenatal ultrasound: an emphasis on predicting lethality.... (Pediatr Radiol)
  • Point-of-Care Ultrasound to Diagnose Infantile Parotid Hemangioma.... (Pediatr Emerg Care)
  • The value of the first trimester ultrasound in the era of cell free DNA screening.... (Prenat Diagn)
  • CME Kurs: Paediatric Body MRI

  • CME course: Paediatric Body MRI

  • Universitätsklinikum Jena sucht eine Ärztin/einen Arzt in Weiterbildung in Vollzeit

  • Kinderspital Zürich sucht Oberärztin / Oberarzt (100 %)

  • Kinderradiologische Oberärztin / Oberarzt gesucht

  • 2 Stellen in der Kinderradiologie - 1 Assistenzärztin/Assistenzarzt und 1 Oberärztin/Oberarzt in Voll- oder Teilzeit

  • Senior Paediatric Radiologist in Pediatric Radiology section needed

  • Facharzt als Oberärztin / Oberarzt in Sektion Kinderradiologie gesucht

  • Stellenangebot für Assistenzarzt (m/w) zur Facharztausbildung für RADIOLOGIE und/oder KINDERRADIOLOGIE

  • „Fellow“-Stelle zur Weiterbildung in Pädiatrischer Radiologie am Kinderspital Zürich

  • Fellow-Stelle Pädiatrische Neuroradiologie

  • FFF Kinderradiologie - Muskuloskelettale Radiologie im Kindesalter (Fit für den Facharzt)

  • Assistenzarzt für Kinderradiologe gesucht an Universitätsklinikum Schleswig-Holstein, Campus Kiel

  • Turnusarzt (m/w) in Ausbildung zum Facharzt (m/w) für Radiologie

  • Assistenzarzt (m/w) zur Weiterbildung im Schwerpunkt Kinderradiologie

  • Send us your news or ads for free

    Get the Pediatric Radiology News as RSS feed !


    Radiolopolis

    The dynamic Radiology community for education, research and practice


     

    Go to the top of the page   ID: 20031228224217 Original case in english  More links about this topic on Pubmed (PubMed Reader)
    Add this case to your RSS feeder: Subscribe to RSS feed Add to Yahoo Add to Google Add to AOL Add to Furl Subscribe to Feed Burner feed

    Bookmark and Share


    | The Authors | Discussion | Write a Comment to this Case |
    | Evaluate this Case | Recommend this Case to a Colleague | Survey Results |
    | Citation | Similar Cases | Similar Cases in the Internet | Images to this Case |
     
    Adrenal calcification after adrenal hemorrhage
    M Paetzel. Adrenal calcification after adrenal hemorrhage. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031228224217


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    M. Paetzel (Leipzig)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    7 Years  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Abdomen-Adrenals  

     
     Pediatric Radiology CasesMost likely etiology:

    circulatory  

     
     Pediatric Radiology CasesHistory:

    7 year-old, developmentally normal girl. In the course of a pulmonary infection, an x-ray was ordered to rule out a pneumonia. A pathologic finding in the lung was not seen on the x-ray, but as an incidental finding, there was a round, calcified structure in the right upper abdominal quadrant seen.

    The patient's history is unremarkable.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    The pathogenesis of such a dense round calcification is first and foremost due to a perinatally acquired adrenal hemorrhage with subsequent calcification in the area of the capsule.

    However, in the majority the post-hemorrhagic adrenal calcifications are rather irregularly shaped and not so homogenically dense seen on plain films as seen in this case.

    Calcifications in a neoplastic setting (neuroblastoma!) are also more diffuse and irregular shaped.  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-ray 1: round, ca 1,5 cm large, calcified opacity in the right paravertebral area at the level of the 12th thoracic vertebra.




    X-Ray 2 <- view X-Ray 2

    X-ray 2: round, ca 1,5 cm large, calcified opacity projecting over the intervertebral space between the 11th and 12th thoracic vertebral bodies.




    MRI 1 <- view MRI 1

    MRI 1: T1-FLASH 2D-Gradient echo sequence (dynamic series, before gadolinium administration): Signal free mass posterior to the inferior vena cava. The adrenal gland cannot be definitely separated.




    MRI 2 <- view MRI 2

    MRI 2: T1-FLASH 2D-Gradient echo sequence (dynamic series, arterial phase after gadolinium administration): Signal free mass posterior to the inferior vena cava.




    MRI 3 <- view MRI 3

    MRI 3: T1-FLASH 2D-Gradient echo sequence (dynamic series, venous phase after gadolinium administration): Signal free mass posterior to the inferior vena cava.




    MRI 4 <- view MRI 4

    MRI 4: T1-FLASH 2D-Gradient echo sequence out of phase: No signal change compared to in phase images.




    MRI 5 <- view MRI 5

    MRI 5: T2-TIRMm transversal: Within the low signal lesion there is an area of slightly increased signal intensity, consistent with central located fluid.




    MRI 6 <- view MRI 6

    MRI 6: T2-HASTE (breathhold) axial: Within the low signal lesion there is an area of slightly increased signal intensity, consistent with central located fluid.


     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Expert's opinion  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Neuroblastoma, calcified lymph node in tuberculosis  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Incidental finding, no hormonal deficits.  

     
     Pediatric Radiology CasesComments of the author about the case:

    The diagnosis was already made after the x-ray. The ultrasound image (not shown here) showed concordantly an acoustic shadow in the adrenal location superior to the kidney.

    Even though from a pediatric radiological standpoint there were no further examinations needed, the parents insisted on magnetic resonance imaging. In the rare case that such a lesion is worked up by MR imaging, it allows the knowledge that the center of the calcified adrenal hemorrhage still showed liquid components. In the gradient echo sequences however, the fluid components are not seen due to susceptibility artifacts.

    Even after a two-year clinical observation, there were no other causes seen for the suprarenal calcification (no tumorous growth).  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Paterson A.
    Adrenal pathology in childhood: a spectrum of disease.
    Eur Radiol. 2002 Oct;12(10):2491-508.  

     
     Pediatric Radiology CasesKeywords:

    Adrenal hemorrhage, Suprarenal hemorrhage, calcification, suprarenal gland, neuroblastoma, suprarenal calcification, adrenal calcification, adrenal gland, adrenals, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    M Paetzel. Adrenal calcification after adrenal hemorrhage. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031228224217  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Abdomen-Adrenals
    or in the region: Abdomen
    or in the tissue/organ: Adrenals
    or with the etiology: circulatory
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     
    Adrenal calcification after adrenal hemorrhage
    M Paetzel. Adrenal calcification after adrenal hemorrhage. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031228224217


     

    Search similar cases in:
    More links about this topic on Pubmed  More links about this topic on Yahoo  More links about this topic on Altavista  More links about this topic on MSN  More links about this topic on Google  More links about this topic on Fireball

    Peer-reviewed Radiology Search



    Adrenal calcification after adrenal hemorrhage
    Other cases by these authors:

    Search M. Paetzel in Medline M. Paetzel (10)   

    Adrenal calcification after adrenal hemorrhage  
     
    Adrenal calcification after adrenal hemorrhage
    M Paetzel. Adrenal calcification after adrenal hemorrhage. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031228224217


     

    Which diagnosis have other collegues guessed?


    • Neuroblastoma
      Votes: 3 (30 %)


    • Ganglioneuroma
      Votes: 1 (10 %)


    • Calcified lymph node after tuberculosis
      Votes: 0 (0 %)


    • Calcification after adrenal hemorrhage
      Votes: 6 (60 %)


    • Calcified aneurysm of the inferior vena cava
      Votes: 0 (0 %)



        Total answers: 10

     
    Adrenal calcification after adrenal hemorrhage
    M Paetzel. Adrenal calcification after adrenal hemorrhage. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031228224217


     

    Medical Dictionary
    Search in medical dictionary for
    Or type in a keyword
    ( Provided by The On-Line Medical Dictionary )




    How interesting was this case for you?
    (10 = most interesting || 1 = less interesting)
     
    Adrenal calcification after adrenal hemorrhage
    M Paetzel. Adrenal calcification after adrenal hemorrhage. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031228224217


     




    Discussion >> Write Comment <<



      There are no comments available regarding this case.





     Write a comment to this case (With * marked fields have to be filled)

    Type in this number: 8895

    Name: *

    E-Mail:

    Website:

    Subject: *

    Text: *




     
      Pediatric Radiology Discussion Get the Pediatric Radiology Discussion as RSS feed !
      To the discussion forum
      To the discussion forum

      Get the Pediatric Radiology Discussion as RSS feed !

      © 2001-2016   www.kinderradiologie-online.de
      In cooperation with © Radiolopolis - Radiology Search - Radiology Teacher - PubMed Reader - Annotate - Radiology Lectures & Tutorials - Radiology Boards Preparation - Pediatric Radiology Links - Pediatric Radiology Information - Emergency Radiology - Lung Cancers - USMLE Forums - Cancer Staging Information - Chest Radiology - Radiology Case Report Journal
      For suggestions and questions: information@kinderradiologie-online.de
      Add this site to your favorites (CTRL+D)