SlideShare a Scribd company logo

IncidentalomaTalk

•Download as PPT, PDF•
•
Flavio Guzmán
Flavio Guzmán

http://www.rai-imaging.com/content/00/01/51/24/24/userimages/IncidentalomaTalk.ppt

Health & Medicine
1 of 57
Evaluation of Incidental Lesions Discovered at Imaging Radiology Associates of Indianapolis Richard L Scales MD
Indeterminate Lesions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Perspective on Incidentalomas ,[object Object],[object Object],[object Object],[object Object],[object Object]
Goals ,[object Object],[object Object],[object Object],[object Object]
Thyroid Incidentalomas ,[object Object],[object Object],[object Object],[object Object],[object Object]
US Features of Benign Thyroid Nodules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Copyright ©Radiological Society of North America, 2005 Frates, M. C. et al. Radiology 2005;237:794-800 Figure 1b. Punctate echogenicities in thyroid nodules
Malignant Thyroid Nodules ,[object Object],[object Object],[object Object],[object Object],[object Object]
Frequency of Occurrence of Thyroid Malignancies
US Features of Malignant Thyroid Nodules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Malignant Thyroid Nodule
Nodule Selection for FNA ,[object Object],[object Object],[object Object],[object Object]
Consensus Statement Society of Radiologists in Ultrasound RSNA 2005
Thyroid Nodule Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nondiagnostic FNA ,[object Object],[object Object],[object Object],[object Object]
 
Summary ,[object Object],[object Object],[object Object]
Indeterminate Adrenal Nodules “ Incidentalomas”
Incidentally Discovered Adrenal Lesions ,[object Object],[object Object],[object Object]
Adrenal Adenomas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging Features of Adrenal Adenomas ,[object Object],[object Object],[object Object],[object Object],[object Object]
Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Lipid-rich adenoma in 74-year-old woman
Adrenal Lesion Size Asymptomatic Adult without History of Malignancy ,[object Object],[object Object],[object Object]
Diagnosis of Adrenal “Incidentaloma” ,[object Object],[object Object],[object Object]
Song, et al. AJR2007;189:1119-1123 ,[object Object],[object Object],[object Object],[object Object]
Song, et al ,[object Object],[object Object],[object Object],[object Object]
ACR Imaging Recommendations ,[object Object],[object Object],[object Object],[object Object]
 
 
Adrenal Imaging: Physicochemical Basis Fat ,[object Object],[object Object],[object Object]
Adrenal Imaging: Physicochemical Basis Washout ,[object Object],[object Object],[object Object]
Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 15a. Indeterminate right adrenal mass found at CT in a 45-year-old woman with breast cancer
Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 15b. Indeterminate right adrenal mass found at CT in a 45-year-old woman with breast cancer
Positive Diagnosis of Benign Adrenal Nodule (Adenoma) ,[object Object],[object Object],[object Object],[object Object]
Hyperfunctioning Adrenal Adenomas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Benign Adrenal Lesions ,[object Object],[object Object],[object Object],[object Object]
Adrenal Pseudocyst ,[object Object],[object Object],[object Object],[object Object]
Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Adrenal pseudocyst in 35-year-old woman
Myelolipoma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 26. Bilateral myelolipomas in a 79-year-old man
Chronic Inflammatory Disease ,[object Object],[object Object],[object Object],[object Object],[object Object]
Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Histoplasmosis in 68-year-old man
Adrenal Hemorrhage ,[object Object],[object Object],[object Object]
Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Adrenal hematoma in 75-year-old woman
“ Incidentaloma” Workup ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Benign Adrenal Lesions ,[object Object],[object Object],[object Object]
Indeterminate Adrenal Lesions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Incidentaloma” Evaluation ,[object Object],[object Object],[object Object]
 
Advanced Adrenal Imaging ,[object Object],[object Object],[object Object]
Adrenal Metastases ,[object Object],[object Object],[object Object],[object Object]
Copyright © 2006 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Metastases from adenocarcinoma of lung in 34-year-old woman
Adrenal Carcinoma ,[object Object],[object Object],[object Object]
Imaging Features of Adrenal Carcinoma ,[object Object],[object Object],[object Object],[object Object]
Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 25. Adrenal carcinoma in a patient who presented with left flank pain
Summary Adrenal Incidentaloma ,[object Object],[object Object],[object Object],[object Object],[object Object]
www.rai-imaging.com ,[object Object],[object Object]

Recommended

Prostate Cancer Overview
Prostate Cancer OverviewProstate Cancer Overview
Prostate Cancer Overview
fondas vakalis
 
Prostate cancer
Prostate cancerProstate cancer
Prostate cancer
ministry of health
 
Overview and Pharmacotherapy of Prostate Cancer (based on NCCN 2012 guideline...
Overview and Pharmacotherapy of Prostate Cancer (based on NCCN 2012 guideline...Overview and Pharmacotherapy of Prostate Cancer (based on NCCN 2012 guideline...
Overview and Pharmacotherapy of Prostate Cancer (based on NCCN 2012 guideline...
hyunik116
 
Prostate Cancer (Urology)
Prostate Cancer (Urology)Prostate Cancer (Urology)
Prostate Cancer (Urology)
Nihal Yuzbasheva
 
Current Diagnosis And Management Of Prostate Cancer
Current Diagnosis And Management Of Prostate CancerCurrent Diagnosis And Management Of Prostate Cancer
Current Diagnosis And Management Of Prostate Cancer
fondas vakalis
 
CARCINOMA PROSTATE- Dr Manoj Kumar B, PGI
CARCINOMA PROSTATE- Dr Manoj Kumar B, PGICARCINOMA PROSTATE- Dr Manoj Kumar B, PGI
CARCINOMA PROSTATE- Dr Manoj Kumar B, PGI
PGIMER, AIIMS
 
Ca prostate presentation1
Ca prostate presentation1Ca prostate presentation1
Ca prostate presentation1
Praveen Ganji
 
Carcinoma of the prostate
Carcinoma of the prostateCarcinoma of the prostate
Carcinoma of the prostate
Osman Altohamy
 

Recommended

Prostate Cancer Overview
Prostate Cancer OverviewProstate Cancer Overview
Prostate Cancer Overview
fondas vakalis
 
Prostate cancer
Prostate cancerProstate cancer
Prostate cancer
ministry of health
 
Overview and Pharmacotherapy of Prostate Cancer (based on NCCN 2012 guideline...
Overview and Pharmacotherapy of Prostate Cancer (based on NCCN 2012 guideline...Overview and Pharmacotherapy of Prostate Cancer (based on NCCN 2012 guideline...
Overview and Pharmacotherapy of Prostate Cancer (based on NCCN 2012 guideline...
hyunik116
 
Prostate Cancer (Urology)
Prostate Cancer (Urology)Prostate Cancer (Urology)
Prostate Cancer (Urology)
Nihal Yuzbasheva
 
Current Diagnosis And Management Of Prostate Cancer
Current Diagnosis And Management Of Prostate CancerCurrent Diagnosis And Management Of Prostate Cancer
Current Diagnosis And Management Of Prostate Cancer
fondas vakalis
 
CARCINOMA PROSTATE- Dr Manoj Kumar B, PGI
CARCINOMA PROSTATE- Dr Manoj Kumar B, PGICARCINOMA PROSTATE- Dr Manoj Kumar B, PGI
CARCINOMA PROSTATE- Dr Manoj Kumar B, PGI
PGIMER, AIIMS
 
Ca prostate presentation1
Ca prostate presentation1Ca prostate presentation1
Ca prostate presentation1
Praveen Ganji
 
Carcinoma of the prostate
Carcinoma of the prostateCarcinoma of the prostate
Carcinoma of the prostate
Osman Altohamy
 
Stable prostate cancer 2015-12-01
Stable prostate cancer 2015-12-01Stable prostate cancer 2015-12-01
Stable prostate cancer 2015-12-01
Marc Laniado
 
Prostate cancer cause defined symptom risk factors
Prostate cancer cause defined symptom risk factorsProstate cancer cause defined symptom risk factors
Prostate cancer cause defined symptom risk factors
Robyn Mello
 
Prostate Cancer
Prostate CancerProstate Cancer
Prostate Cancer
Robert J Miller MD
 
Intern talk prostate and testis cancer 2015
Intern talk prostate and testis cancer 2015Intern talk prostate and testis cancer 2015
Intern talk prostate and testis cancer 2015
katejohnpunag
 
Prostate Cancer
Prostate CancerProstate Cancer
Prostate Cancer
saimedical
 
Prostate Cancer Testing & Surgical Options - By Peter J Gilling http://www.ur...
Prostate Cancer Testing & Surgical Options - By Peter J Gilling http://www.ur...Prostate Cancer Testing & Surgical Options - By Peter J Gilling http://www.ur...
Prostate Cancer Testing & Surgical Options - By Peter J Gilling http://www.ur...
nataliejleigh
 
Medco CE - Prostate Cancer
Medco CE - Prostate CancerMedco CE - Prostate Cancer
Medco CE - Prostate Cancer
Crea Healthcare Partnering, Inc.
 
Prostate Cancer
Prostate CancerProstate Cancer
Prostate Cancer
Azizi Ahmad
 
Prostatic carcinoma
Prostatic carcinoma Prostatic carcinoma
Prostatic carcinoma
Meena Reddy
 
Prostate carcinoma
Prostate carcinomaProstate carcinoma
Prostate carcinoma
suriyaprakash nagarajan
 
Testicular tumors treatment
Testicular tumors treatmentTesticular tumors treatment
Testicular tumors treatment
Praveen Ganji
 
Prostate Cancer Treatment Options
Prostate Cancer Treatment OptionsProstate Cancer Treatment Options
Prostate Cancer Treatment Options
Pratima Patil
 
An introduction to prostate cancer diagnosis
An introduction to prostate cancer diagnosisAn introduction to prostate cancer diagnosis
An introduction to prostate cancer diagnosis
Catherine Holborn
 
Prostate video 1
Prostate video 1Prostate video 1
Prostate video 1
Robert J Miller MD
 
Thyroid cancer by J. Shah
Thyroid cancer by J. ShahThyroid cancer by J. Shah
Thyroid cancer by J. Shah
Eurasian Federation of Oncology
 
Thyroid Disease
Thyroid DiseaseThyroid Disease
Thyroid Disease
Flavio Guzmán
 
Early detection of carcinoma prostate by Dr. U.K.Shrivastava (MS,FAIS,DHA), ...
Early detection of carcinoma prostate by Dr. U.K.Shrivastava (MS,FAIS,DHA), ...Early detection of carcinoma prostate by Dr. U.K.Shrivastava (MS,FAIS,DHA), ...
Early detection of carcinoma prostate by Dr. U.K.Shrivastava (MS,FAIS,DHA), ...
YeanWen Ooi
 
MANAGEMENT OF PROSTATE CA
MANAGEMENT OF PROSTATE CAMANAGEMENT OF PROSTATE CA
MANAGEMENT OF PROSTATE CA
radiation oncology
 
Prostate Cancer: Causes, Diagnosis, and Treatment Options Bruce B ... Prost...
Prostate Cancer: Causes, Diagnosis, and Treatment Options Bruce B ... Prost...Prostate Cancer: Causes, Diagnosis, and Treatment Options Bruce B ... Prost...
Prostate Cancer: Causes, Diagnosis, and Treatment Options Bruce B ... Prost...
MedicineAndHealthCancer
 
BPH, Prostate Cancer, Testicular Cancer
BPH, Prostate Cancer, Testicular CancerBPH, Prostate Cancer, Testicular Cancer
BPH, Prostate Cancer, Testicular Cancer
Patrick Carter
 
KSK STN.pptx
KSK STN.pptxKSK STN.pptx
KSK STN.pptx
senthilkumar637567
 
MRI and CT of ADRENAL GLAND
MRI and CT of ADRENAL GLANDMRI and CT of ADRENAL GLAND
MRI and CT of ADRENAL GLAND
DrBhishm Sevendra
 

More Related Content

What's hot

Prostate cancer cause defined symptom risk factors
Prostate cancer cause defined symptom risk factorsProstate cancer cause defined symptom risk factors
Prostate cancer cause defined symptom risk factors
Robyn Mello
 
Intern talk prostate and testis cancer 2015
Intern talk prostate and testis cancer 2015Intern talk prostate and testis cancer 2015
Intern talk prostate and testis cancer 2015
katejohnpunag
 
Prostate Cancer
Prostate CancerProstate Cancer
Prostate Cancer
saimedical
 
Prostate Cancer Testing & Surgical Options - By Peter J Gilling http://www.ur...
Prostate Cancer Testing & Surgical Options - By Peter J Gilling http://www.ur...Prostate Cancer Testing & Surgical Options - By Peter J Gilling http://www.ur...
Prostate Cancer Testing & Surgical Options - By Peter J Gilling http://www.ur...
nataliejleigh
 
Early detection of carcinoma prostate by Dr. U.K.Shrivastava (MS,FAIS,DHA), ...
Early detection of carcinoma prostate by Dr. U.K.Shrivastava (MS,FAIS,DHA), ...Early detection of carcinoma prostate by Dr. U.K.Shrivastava (MS,FAIS,DHA), ...
Early detection of carcinoma prostate by Dr. U.K.Shrivastava (MS,FAIS,DHA), ...
YeanWen Ooi
 
Prostate Cancer: Causes, Diagnosis, and Treatment Options Bruce B ... Prost...
Prostate Cancer: Causes, Diagnosis, and Treatment Options Bruce B ... Prost...Prostate Cancer: Causes, Diagnosis, and Treatment Options Bruce B ... Prost...
Prostate Cancer: Causes, Diagnosis, and Treatment Options Bruce B ... Prost...
MedicineAndHealthCancer
 
BPH, Prostate Cancer, Testicular Cancer
BPH, Prostate Cancer, Testicular CancerBPH, Prostate Cancer, Testicular Cancer
BPH, Prostate Cancer, Testicular Cancer
Patrick Carter
 

What's hot (20)

Stable prostate cancer 2015-12-01
Stable prostate cancer 2015-12-01Stable prostate cancer 2015-12-01
Stable prostate cancer 2015-12-01
 
Prostate cancer cause defined symptom risk factors
Prostate cancer cause defined symptom risk factorsProstate cancer cause defined symptom risk factors
Prostate cancer cause defined symptom risk factors
 
Prostate Cancer
Prostate CancerProstate Cancer
Prostate Cancer
 
Intern talk prostate and testis cancer 2015
Intern talk prostate and testis cancer 2015Intern talk prostate and testis cancer 2015
Intern talk prostate and testis cancer 2015
 
Prostate Cancer
Prostate CancerProstate Cancer
Prostate Cancer
 
Prostate Cancer Testing & Surgical Options - By Peter J Gilling http://www.ur...
Prostate Cancer Testing & Surgical Options - By Peter J Gilling http://www.ur...Prostate Cancer Testing & Surgical Options - By Peter J Gilling http://www.ur...
Prostate Cancer Testing & Surgical Options - By Peter J Gilling http://www.ur...
 
Medco CE - Prostate Cancer
Medco CE - Prostate CancerMedco CE - Prostate Cancer
Medco CE - Prostate Cancer
 
Prostate Cancer
Prostate CancerProstate Cancer
Prostate Cancer
 
Prostatic carcinoma
Prostatic carcinoma Prostatic carcinoma
Prostatic carcinoma
 
Prostate carcinoma
Prostate carcinomaProstate carcinoma
Prostate carcinoma
 
Testicular tumors treatment
Testicular tumors treatmentTesticular tumors treatment
Testicular tumors treatment
 
Prostate Cancer Treatment Options
Prostate Cancer Treatment OptionsProstate Cancer Treatment Options
Prostate Cancer Treatment Options
 
An introduction to prostate cancer diagnosis
An introduction to prostate cancer diagnosisAn introduction to prostate cancer diagnosis
An introduction to prostate cancer diagnosis
 
Prostate video 1
Prostate video 1Prostate video 1
Prostate video 1
 
Thyroid cancer by J. Shah
Thyroid cancer by J. ShahThyroid cancer by J. Shah
Thyroid cancer by J. Shah
 
Thyroid Disease
Thyroid DiseaseThyroid Disease
Thyroid Disease
 
Early detection of carcinoma prostate by Dr. U.K.Shrivastava (MS,FAIS,DHA), ...
Early detection of carcinoma prostate by Dr. U.K.Shrivastava (MS,FAIS,DHA), ...Early detection of carcinoma prostate by Dr. U.K.Shrivastava (MS,FAIS,DHA), ...
Early detection of carcinoma prostate by Dr. U.K.Shrivastava (MS,FAIS,DHA), ...
 
MANAGEMENT OF PROSTATE CA
MANAGEMENT OF PROSTATE CAMANAGEMENT OF PROSTATE CA
MANAGEMENT OF PROSTATE CA
 
Prostate Cancer: Causes, Diagnosis, and Treatment Options Bruce B ... Prost...
Prostate Cancer: Causes, Diagnosis, and Treatment Options Bruce B ... Prost...Prostate Cancer: Causes, Diagnosis, and Treatment Options Bruce B ... Prost...
Prostate Cancer: Causes, Diagnosis, and Treatment Options Bruce B ... Prost...
 
BPH, Prostate Cancer, Testicular Cancer
BPH, Prostate Cancer, Testicular CancerBPH, Prostate Cancer, Testicular Cancer
BPH, Prostate Cancer, Testicular Cancer
 

Similar to IncidentalomaTalk

Carcinoma Of Thyroid Gland
Carcinoma Of Thyroid GlandCarcinoma Of Thyroid Gland
Carcinoma Of Thyroid Gland
Saeed Al-Shomimi
 
Adrenal masses on FDG PET
Adrenal masses on FDG PETAdrenal masses on FDG PET
Adrenal masses on FDG PET
adamshu
 
Choroidal Melanoma
Choroidal MelanomaChoroidal Melanoma
Choroidal Melanoma
mtodman
 
Staging and investigation of ca kidney and bladder
Staging and investigation of ca kidney and bladderStaging and investigation of ca kidney and bladder
Staging and investigation of ca kidney and bladder
AtulGupta369
 

Similar to IncidentalomaTalk (20)

KSK STN.pptx
KSK STN.pptxKSK STN.pptx
KSK STN.pptx
 
MRI and CT of ADRENAL GLAND
MRI and CT of ADRENAL GLANDMRI and CT of ADRENAL GLAND
MRI and CT of ADRENAL GLAND
 
NB.pptx
NB.pptxNB.pptx
NB.pptx
 
solitary cold nodule of thyroid
solitary cold nodule of thyroidsolitary cold nodule of thyroid
solitary cold nodule of thyroid
 
Approach to adrenal incidentaloma
Approach to adrenal incidentalomaApproach to adrenal incidentaloma
Approach to adrenal incidentaloma
 
Carcinoma Of Thyroid Gland
Carcinoma Of Thyroid GlandCarcinoma Of Thyroid Gland
Carcinoma Of Thyroid Gland
 
incidentalomaadrenal-180415105515.pptx
incidentalomaadrenal-180415105515.pptxincidentalomaadrenal-180415105515.pptx
incidentalomaadrenal-180415105515.pptx
 
Incidentaloma adrenal
Incidentaloma adrenalIncidentaloma adrenal
Incidentaloma adrenal
 
Ocular Melanoma Basics
Ocular Melanoma BasicsOcular Melanoma Basics
Ocular Melanoma Basics
 
Overdiagnosis in cancer
Overdiagnosis in cancerOverdiagnosis in cancer
Overdiagnosis in cancer
 
Liver hemangioma
Liver hemangiomaLiver hemangioma
Liver hemangioma
 
APPROACH to THYROID NODULE.pptx
APPROACH to THYROID NODULE.pptxAPPROACH to THYROID NODULE.pptx
APPROACH to THYROID NODULE.pptx
 
Adrenal masses on FDG PET
Adrenal masses on FDG PETAdrenal masses on FDG PET
Adrenal masses on FDG PET
 
Approach to Thyroid Nodule.pptx
Approach to Thyroid Nodule.pptxApproach to Thyroid Nodule.pptx
Approach to Thyroid Nodule.pptx
 
Choroidal Melanoma
Choroidal MelanomaChoroidal Melanoma
Choroidal Melanoma
 
Staging and investigation of ca kidney and bladder
Staging and investigation of ca kidney and bladderStaging and investigation of ca kidney and bladder
Staging and investigation of ca kidney and bladder
 
Male cancers
Male cancersMale cancers
Male cancers
 
Male cancers
Male cancersMale cancers
Male cancers
 
Management of Non Muscle Invasive Bladder Cancer
Management of Non Muscle Invasive Bladder CancerManagement of Non Muscle Invasive Bladder Cancer
Management of Non Muscle Invasive Bladder Cancer
 
Prostate cancer (screening)
Prostate cancer (screening)Prostate cancer (screening)
Prostate cancer (screening)
 

More from Flavio Guzmán

Sjögren's_syndrome~_Role_for_Cevimeline
Sjögren's_syndrome~_Role_for_CevimelineSjögren's_syndrome~_Role_for_Cevimeline
Sjögren's_syndrome~_Role_for_Cevimeline
Flavio Guzmán
 
Neuropsychiatric_Systemic_Lupus_Erythematosus__NPSLE
Neuropsychiatric_Systemic_Lupus_Erythematosus__NPSLENeuropsychiatric_Systemic_Lupus_Erythematosus__NPSLE
Neuropsychiatric_Systemic_Lupus_Erythematosus__NPSLE
Flavio Guzmán
 

More from Flavio Guzmán (20)

Ops
OpsOps
Ops
 
Pk2
Pk2Pk2
Pk2
 
Pk2
Pk2Pk2
Pk2
 
Kinetika En 2002
Kinetika En 2002Kinetika En 2002
Kinetika En 2002
 
Pk1 Ppt
Pk1 PptPk1 Ppt
Pk1 Ppt
 
Kinetika En 2002
Kinetika En 2002Kinetika En 2002
Kinetika En 2002
 
Ceorins
CeorinsCeorins
Ceorins
 
AUPDATE
AUPDATEAUPDATE
AUPDATE
 
05052008OvarianTelehealth
05052008OvarianTelehealth05052008OvarianTelehealth
05052008OvarianTelehealth
 
mati
matimati
mati
 
DrTerespolsky
DrTerespolskyDrTerespolsky
DrTerespolsky
 
15
1515
15
 
gopalan031607
gopalan031607gopalan031607
gopalan031607
 
Nikiforov
NikiforovNikiforov
Nikiforov
 
Thpt
ThptThpt
Thpt
 
THYCER
THYCERTHYCER
THYCER
 
DrRobertFoxUtahSSF
DrRobertFoxUtahSSFDrRobertFoxUtahSSF
DrRobertFoxUtahSSF
 
Sjögren's_syndrome~_Role_for_Cevimeline
Sjögren's_syndrome~_Role_for_CevimelineSjögren's_syndrome~_Role_for_Cevimeline
Sjögren's_syndrome~_Role_for_Cevimeline
 
Sjogren-Parotitis
Sjogren-ParotitisSjogren-Parotitis
Sjogren-Parotitis
 
Neuropsychiatric_Systemic_Lupus_Erythematosus__NPSLE
Neuropsychiatric_Systemic_Lupus_Erythematosus__NPSLENeuropsychiatric_Systemic_Lupus_Erythematosus__NPSLE
Neuropsychiatric_Systemic_Lupus_Erythematosus__NPSLE
 

Recently uploaded

Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowChennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
tanudubay92
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Sheetaleventcompany
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Sheetaleventcompany
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Sheetaleventcompany
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
Sheetaleventcompany
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Sheetaleventcompany
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
rajnisinghkjn
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Oleg Kshivets
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Janvi Singh
 
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Sheetaleventcompany
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Sheetaleventcompany
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
Sheetaleventcompany
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
Sheetaleventcompany
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Sheetaleventcompany
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
call girls hydrabad
 
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Sheetaleventcompany
 

Recently uploaded (20)

Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowChennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
 
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
 

IncidentalomaTalk

  • 1. Evaluation of Incidental Lesions Discovered at Imaging Radiology Associates of Indianapolis Richard L Scales MD
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Copyright ©Radiological Society of North America, 2005 Frates, M. C. et al. Radiology 2005;237:794-800 Figure 1b. Punctate echogenicities in thyroid nodules
  • 8.
  • 9. Frequency of Occurrence of Thyroid Malignancies
  • 10.
  • 12.
  • 13. Consensus Statement Society of Radiologists in Ultrasound RSNA 2005
  • 14.
  • 15.
  • 16.  
  • 17.
  • 18. Indeterminate Adrenal Nodules “ Incidentalomas”
  • 19.
  • 20.
  • 21.
  • 22. Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Lipid-rich adenoma in 74-year-old woman
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.  
  • 29.  
  • 30.
  • 31.
  • 32. Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 15a. Indeterminate right adrenal mass found at CT in a 45-year-old woman with breast cancer
  • 33. Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 15b. Indeterminate right adrenal mass found at CT in a 45-year-old woman with breast cancer
  • 34.
  • 35.
  • 36.
  • 37.
  • 38. Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Adrenal pseudocyst in 35-year-old woman
  • 39.
  • 40. Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 26. Bilateral myelolipomas in a 79-year-old man
  • 41.
  • 42. Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Histoplasmosis in 68-year-old man
  • 43.
  • 44. Copyright © 2007 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Adrenal hematoma in 75-year-old woman
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.  
  • 50.
  • 51.
  • 52. Copyright © 2006 by the American Roentgen Ray Society Dunnick, N. R. et al. Am. J. Roentgenol. 2002;179:559-568 --Metastases from adenocarcinoma of lung in 34-year-old woman
  • 53.
  • 54.
  • 55. Copyright ©Radiological Society of North America, 2001 Mayo-Smith, W. W. et al. Radiographics 2001;21:995-1012 Figure 25. Adrenal carcinoma in a patient who presented with left flank pain
  • 56.
  • 57.