PMC4865271_01
Patient 1:CECT in axial plane reveals a minimally enhancing soft tissue mass that partially replaced the gall bladder fossa (black arrow).
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The patient underwent CT of the abdomen for staging of CaGB (Figure 1) since he could not afford a PET-CT.
Patient 1: Axial non-contrast CT abdomen shows multiple hepatic metastases (white arrows). The red arrow points towards the skeletal metastasis to right pedicle, adjoining transverse process and posterior part of the body (soft tissue window - A; bone window - B).
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Additionally, there was destruction of the pedicle of the eleventh dorsal vertebra on the right side (Figure 2A, 2B).
Patient 2: (A) Contrast enhanced axial CT shows a mass replacing gall bladder fossa (black arrow). There is dilation of intrahepatic biliary radicles. (B) Post contrast CT at the level sacrum demonstrates destruction of sacrum with adjacent enhancing soft tissue mass.
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Imaging showed a mildly enhancing mass at gall bladder fossa with dilated intrahepatic biliary radicles (Figure 3A). Also, there was destruction of sacral vertebra with adjacent soft tissue (Figure 3B) which turned out to be metastatic adenocarcinoma.