Pulmonary alveolar microlithiasis (PAM) is a rare chronic disease with paucity of symptoms in contrast to the imaging findings. We present a case of a 24-year-old Malay man having an incidental abnormal pre-employment chest radiograph of dense micronodular opacities giving the classical "sandstorm" appearance. High-resolution computed tomography of the lungs showed microcalcifications with subpleural cystic changes. Open lung biopsy showed calcospherites within the alveolar spaces. The radiological and histopathological findings were characteristic of PAM.
Radiofrequency ablation (RFA) of a hepatic tumour is an established treatment option with an acceptable complication rate. Formation of a pseudoaneurysm after RFA of liver metastasis is an uncommon complication. We report the case of a 69-year-old female patient developing a hepatic pseudoaneurysm after RFA of liver metastasis. On a follow-up CT scan 6 weeks later, there was spontaneous resolution of the pseudoaneurysm. Hepatic pseudoaneurysms are usually treated owing to the risk of rupture. Invasive procedures or conservative management of an asymptomatic hepatic pseudoaneurysm is still the subject of debate. The spontaneous resolution of a hepatic pseudoaneurysm in our patient suggests that an asymptomatic pseudoaneurysm maybe observed for resolution instead of being treated at presentation.
Introduction: Persistent left superior vena cava is a rare anatomic anomaly, found only about 0.3-0.5% of the general population. On top of that, about 12% of patient has associated congenital cardiac anomaly. Typically, this anomaly is found as an incidental finding as patient is generally asymptomatic. However, it is important to recognize such anomaly in order to avoid complication during placement of central venous catheter. Case report: We herein report a case of an incidental finding of persistent left sided superior vena cava (SVC) upon insertion of peripherally inserted central catheter (PICC). Initial difficulty and perplexity during insertion of PICC with the tip of catheter keep pointing towards the left side of the heart leads us to proceed with central venogram that confirmed such anomaly.
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