Print Email
 

Clinical Images

Lighting Up

Cyriac Abby Philips, MD

December 15, 2016

A 66-year-old man complaining of progressive dysphagia to solids over the past 6 months was referred to our outpatient department for evaluation of multiple space-occupying lesions in his liver. His dysphagia was associated with a significant unintentional weight loss of 15 kg over the past 3 months as well as a 2-week history of recurrent episodes of foul-smelling regurgitation. He denied any fevers, drenching night sweats, or bone pains. He had chewed tobacco for 25 years, but otherwise, his past medical and social history were non-contributory. Whole body positron emission tomography scan (PET-CT, GE ® Discovery STE-BGO Crystal, 18F-Fluro-deoxy-glucose (FDG) revealed a long segment of FDG-avid, lobulated mural thickening involving the distal thoracic esophagus (figure 1A), the gastro-esophageal junction, gastric cardia, fundus, and the lesser curvature of the gastric body, as well as regions of FDG uptake in both hepatic lobes (figure 1B). A final diagnosis of metastatic esophageal carcinoma was made. The PET-CT also revealed another interesting finding (figure 1C). 

 

Lighting Up_Philip.jpg




 

Submit content to JGIM

JGIM encourages submission of articles aimed at improving patient care, education, and research in primary care and general internal medicine in all settings. Submissions must be original and not currently under consideration for publication in another peer- reviewed medium (paper or electronic).

Learn How to Submit Here

 

FEATURED ARTICLE

 

Darlyn Victor, MD, Paul Moots, MD and Jacqueline Fischer, MD

October 13, 2016

A 39-year-old African-A....

Read Article
 

Most Viewed Articles

73 Views

The Role of Community-Based Participatory Research to Inform Local Health Policy: A Case Study.

O’Brien, Matthew J.; Whitaker, Robert C.

Read Article| Download PDF
25 Views

The Role of Community-Based Participatory Research to Inform Local Health Policy: A Case Study.

O’Brien, Matthew J.; Whitaker, Robert C.

Read Article| Download PDF
31 Views

The Role of Community-Based Participatory Research to Inform Local Health Policy: A Case Study.

O’Brien, Matthew J.; Whitaker, Robert C.

Read Article| Download PDF

Most Recent Web Only Content

January

17

On the Penetrating Capacity of Ultrasound

Sarah Bugg

Read Article

December

20

Painful Eruption in a Mountain Biker

Jasna Ikanovic, MD and Animita Saha, MD

Read Article

November

19

Adverse Events In US Hospitals:1 in 3 Admissions Has At Least One Adverse Event

SGIM Evidence-Based Medicine Task Force

Read Article

August

25

Diagnostic Schema

Denise M. Connor, Rabih Geha, Mark Henderson, Jeff Kohlwes

Read Article