PMC4407935_01
Chest x-ray showing nodular opacities in both lung fields
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F0001
Scan showed bilateral nodular lesions in keeping with pulmonary metastatic disease. (Figure 1, Figure 2). Spinal X Ray and CT scan showed lumbar 1 (L1) osteolytic vertebra body lesions with left pedicle destruction and L4 osteopenia without anterior wedging, kyphosis or destruction of the adjacent intervertebral disk spaces (Figure 3, Figure 4).
Chest CT Scan of showing lung masses (blue arrows) and multiple nodules consistent with metastatic lung disease from Hepatocellcarcinoma
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F0002
Scan showed bilateral nodular lesions in keeping with pulmonary metastatic disease. (Figure 1, Figure 2). Spinal X Ray and CT scan showed lumbar 1 (L1) osteolytic vertebra body lesions with left pedicle destruction and L4 osteopenia without anterior wedging, kyphosis or destruction of the adjacent intervertebral disk spaces (Figure 3, Figure 4).
Thoracic spine x-ray showing Osteolytic Left L1 lesion with missing pedicle (blue arrow)
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F0003
Scan showed bilateral nodular lesions in keeping with pulmonary metastatic disease. (Figure 1, Figure 2). Spinal X Ray and CT scan showed lumbar 1 (L1) osteolytic vertebra body lesions with left pedicle destruction and L4 osteopenia without anterior wedging, kyphosis or destruction of the adjacent intervertebral disk spaces (Figure 3, Figure 4).
CT scan showing L1 osteolytic vertebra body lesions (black arrow) with a soft tissue swelling and L4 osteopenia sparing intervertebral disk spaces
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F0004
Scan showed bilateral nodular lesions in keeping with pulmonary metastatic disease. (Figure 1, Figure 2). Spinal X Ray and CT scan showed lumbar 1 (L1) osteolytic vertebra body lesions with left pedicle destruction and L4 osteopenia without anterior wedging, kyphosis or destruction of the adjacent intervertebral disk spaces (Figure 3, Figure 4).
Histological illustration of an AFP positively stained bone mass
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F0005
Computed tomography guided biopsy and histology of the paravertebral mass showed features consistent with a metastatic hepatocellular carcinoma and the abnormal cells were positive to immunostains for Hep par 1 (Figure 5, Figure 6).
H&E Bone mass
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F0006
Computed tomography guided biopsy and histology of the paravertebral mass showed features consistent with a metastatic hepatocellular carcinoma and the abnormal cells were positive to immunostains for Hep par 1 (Figure 5, Figure 6).