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General Case of the Day

Deepak Takhtani, MD1, Samy F. Saleeb, MD1 and Steven K. Teplick, MD1

1 Department of Radiology, University of South Alabama College of Medicine, 2451 Fillingim St, Mobile, AL 36617.



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  		Figure 1. Figures 1,2. (1) US image of the right lumbar region demonstrates a large, lobulated mass with mixed echogenicity (m) as well as ascites. (2) US image of the scrotum shows two nodules (n) attached to the scrotal wall, along with a small hydrocele. e = epididymis, t = right testis.

 


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  		Figure 2. Figures 1,2. (1) US image of the right lumbar region demonstrates a large, lobulated mass with mixed echogenicity (m) as well as ascites. (2) US image of the scrotum shows two nodules (n) attached to the scrotal wall, along with a small hydrocele. e = epididymis, t = right testis.

 


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  		Figure 3. Figures 3, 4. (3) CT scan of the abdomen demonstrates a large omental mass (m) and ascites. (4) CT scan of the pelvis show a mass (m) in the rectovesical space compressing the rectum posteriorly (arrowhead).

 


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  		Figure 4. Figures 3, 4. (3) CT scan of the abdomen demonstrates a large omental mass (m) and ascites. (4) CT scan of the pelvis show a mass (m) in the rectovesical space compressing the rectum posteriorly (arrowhead).

 


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  		Figure 5.  Low-power photomicrograph (original magnification, x10; hematoxylin-eosin stain) demonstrates desmoplastic stroma separating multiple nests of undifferentiated small, monotonous tumor cells.

 




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