This radiology case conference document discusses multiple cases involving abdominal calcifications: - Case 1 involves gallstones, gall bladder and renal calculi, and a diagnosis of chronic calcific pancreatitis. - Case 2 shows seminal vesicle/vas deferens calcification in a patient undergoing pre-transplant evaluation who had failed bilateral renal transplants. - Other cases discussed include prostatic calcification, left adrenal calcification from old trauma, and fecoliths before and after treatment.

1. RADIOLOGY CASE
CONFERENCE
SEPTEMBER 6, 2017.
DR. JAYANTH H. KESHAVAMURTHY. M.D.

2. THEME : ABDOMINAL CALCIFICATIONS

6. MULTIPLE GALL STONES

10. GB AND RIGHT RENAL CALCULI.

12. DIAGNOSIS

13. CHRONIC CALCIFIC PANCREATITIS

18. HTTPS://RADIOPAEDIA.ORG/CASES/GALLBLADDER-
MILK-OF-CALCIUM

21. GALL BLADDER WALL CALCIFICATION AND
CHOLANGIOCARCINOMA

23. WHAT DISEASE? WHICH IS ABNORMAL ORGAN?

24. SICKLE CELL DISEASE AND SPLEEN CALCIFIED
FROM AUTO SPLENECTOMY

28. HYPERDENSE SPLEEN- THOROTRAST?

29. Thorotrast is a radioactive radiographic contrast
agent containing thorium dioxide first produced in
Germany in 1928 and was in use until the 1950s. It
was used primarily for cerebral angiography, and 90%
of the estimated 50,000-100,000 patients who
received it were studied for this purpose.

32. • Large rim calcified cyst in the spleen, likely
benign. This could be secondary to previous
trauma.

34. CT SCOUT RADIOGRAPHS

36. CYSTIC RENAL DISEASE
LUPUS
CALCIFIED SPLENIC GRANULOMAS

40. • Other than granuloma think of other causes for
liver and spleen calcifications.
• Evaluate chart for any treated lymphoma as in this
case here.

44. • Multiple pelvic phleboliths.
• Small well-defined round osseous lesions in the left
side of the abdomen, adjacent to midline represent
calcified lymph node in the para-aortic and left
common iliac groups, also visualized on the
corresponding CT.

52. HTTPS://3S.ACR.ORG/CIP/PAGES/CASEVIEW?CASEID=
7UNM+HKBKSA%3D&PREVIEW=TRUE

57. PRE TRANSPLANT
EVALUATION

59. VAS DEFERENS CALCIFICATION

61. CASE 2

63. • Failed kidney transplant
• Seminal vesicle / vas deferens calcification

65. PRE TRANSPLANT
EVALUATION

66. FAILED BILATERAL RENAL TRANSPLANTS

68. CALCIFICATION
WHERE?

70. PROSTATIC CALCIFICATION

72. SPOT 3 ORGANS
WITH
CALCIFICATIONS

75. Gall stone
Calcific pancreatiits
Penile calcification

78. ?

80. LEFT ADRENAL CALCIFICATION LIKELY FROM OLD TRAUMA

83. FECOLITH BEFORE AND AFTER TREATMENT

86. PRE RENAL TRANSPLANT EVALUATION.
WHAT ARE THE

91. Active extravasation from the
left gastric artery which was
successfully treated with coil
embolization.

95. RIGHT RENAL ARTERY ANEURYSM

99. RUPTURED MYCOTIC ANEURYSM FROM BRUCELLOSIS

105. Bladder exstrophy or ectopia vesicae is characterized by deficient lower anterior abdominal wall
along with anterior walls of urinary bladder. The severity of these defects is widely variable. There
may be rudimentary posterior wall of urinary bladder.
The estimated incidence of bladder exstrophy is 1:10,000-50,000 live births. There is a recognized
male predilection with a male to female ratio of 3:1 . Most cases are sporadic.
Associated bony findings include widely separated pubic bones with absent symphysis pubis
leading to characteristic " waddling gait". This appearance on AP plain radiograph of the pelvis has
been likened to a manta ray swimming towards you (manta ray sign).

106. Bladder exstrophy is caused by a developmental defect of the cloacal membrane.
Associated defects in males include cryptorchidism, inguinal hernia and epispadia.
Associated defects in females include vaginal duplication and clitoral cleft. This is associated
prenatally with elevated maternal alpha feto protein levels.
Common complications include urinary incontinence, infertility, urinary infections and
increased risk of bladder malignancy in the extruded bladder. Treatment is with surgical
intervention (primary closure/excision with urinary diversion) and prognosis is generally
good.

115. SEVERELY DILATED URINARY BLADDER WITH
DIVERTICULAE AND CALCULI