{"id":6863,"date":"2023-07-11T05:47:55","date_gmt":"2023-07-11T05:47:55","guid":{"rendered":"https:\/\/www.kauveryhospital.com\/ima-journal\/?p=6863"},"modified":"2025-04-09T11:31:21","modified_gmt":"2025-04-09T11:31:21","slug":"quiz-of-the-month-july-2023","status":"publish","type":"post","link":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-july-2023\/quiz-of-the-month-july-2023\/","title":{"rendered":"Quiz of the Month july 2023"},"content":{"rendered":"<p class=\"caps\">[vc_row][vc_column][vc_column_text]There is a well-defined heterodense lesion of size 9.5 x 11.8 cms seen in the left suprarenal location with loss of fat planes with the upper pole of the left kidney and pushing the stomach and tail of pancreas anteriorly. Left adrenal is not visualized separately.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-6864 size-full\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-1.jpg\" alt=\"\" width=\"518\" height=\"407\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-1.jpg 518w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-1-300x236.jpg 300w\" sizes=\"auto, (max-width: 518px) 100vw, 518px\" \/><\/p>\n<p>Few sub-centimetric hilar and para-aortic nodes\u00a0noted on the left largest measuring 6 mm in short axis diameter.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6865 alignnone\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-2-300x247.jpg\" alt=\"\" width=\"300\" height=\"247\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-2-300x247.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-2.jpg 468w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>There is a well-defined heterogenously enhancing lesion with internal cystic areas\/necrosis measuring\u00a0 9.5 x 11.8 cms seen in the left suprarenal location with loss of fat planes with the upper pole of the left kidney and pushing the stomach and tail of pancreas anteriorly.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6866 alignnone\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-3-300x247.jpg\" alt=\"\" width=\"300\" height=\"247\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-3-300x247.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-3.jpg 546w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>The lesion is supplied predominantly from left suprerenal artery.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6867 alignnone\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-4-300x253.jpg\" alt=\"\" width=\"300\" height=\"253\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-4-300x253.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-4.jpg 507w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>The left renal vein is displaced infero-medially.\u00a0 The lesion partially encases the left renal artery.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-6868 size-full\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-6.jpg\" alt=\"\" width=\"255\" height=\"243\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-6869\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-5.jpg\" alt=\"\" width=\"226\" height=\"243\" \/><\/p>\n<p>A heterogeneous mass is seen that is of high signal on T2 sequences. Areas of hemorrhage may result in a variable signal intensity dependent on the age of the haemorrhage.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-6870 \" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-7.jpg\" alt=\"\" width=\"525\" height=\"432\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-7.jpg 605w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-7-300x247.jpg 300w\" sizes=\"auto, (max-width: 525px) 100vw, 525px\" \/><\/p>\n<p>Left mild pleural effusion with subsegmental round\u00a0atelectasis of the left lower lobe.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-6871 size-full\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-8.jpg\" alt=\"\" width=\"531\" height=\"410\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-8.jpg 531w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/07\/Untitled-8-300x232.jpg 300w\" sizes=\"auto, (max-width: 531px) 100vw, 531px\" \/><\/p>\n<hr \/>\n<h2><strong style=\"color: #97246a;\">Answer:<\/strong> <strong>A Case of left Adrenal Mass with Lung Metastasis<\/strong><\/h2>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text]There is a well-defined heterodense lesion of size 9.5 x 11.8 cms seen in the left suprarenal location with loss of fat planes with the upper pole of the left<\/p>\n","protected":false},"author":2,"featured_media":6642,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[55],"tags":[],"class_list":["post-6863","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ima-journal-july-2023"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Quiz of the Month july 2023<\/title>\n<meta name=\"description\" content=\"There is a well-defined heterodense lesion of size 9.5 x 11.8 cms seen in the left suprarenal location with loss of fat planes with the upper pole of the left kidney and pushing the stomach and tail of pancreas anteriorly.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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