Choristoma, also known as a hairy polyp, is a rare benign mass that commonly occurs in the nasopharynx and oropharynx in the head and neck region. It is usually diagnosed in children and has rarely been reported in adults. In this study, we describe a nasopharyngeal choristoma in an adult man. The mass was located at the lateral nasopharyngeal wall, and the patient expressed intermittent nasal stuffiness and ear fullness. The mass was successfully removed using an endoscopic approach. Since nasopharyngeal choristoma in adults is rare, it is important to distinguish it from other benign tumors located in the nasopharynx or nasal cavity. In this report, we describe the radiologic characteristics of nasopharyngeal choristoma and summarize the importance of differential diagnosis from other benign masses.
Ureteral pseudodiverticulosis is rarely reported in veterinary medicine. This case study aimed to describe the radiographic, ultrasonographic and computed tomographic findings for dogs with radiologically confirmed ureteral pseudodiverticulosis. Three dogs met the inclusion criteria. Radiographic findings included multiple small, round-shaped mineral opacities located around the periphery of the ureters (3/3), and multiple contrast medium-filled outpouchings that appeared and disappeared when the contrast medium washed in and out on intravenous excretory urography (2/3). The outpouchings were approximately 1 mm in diameter. In the ultrasonographic images, the mineral foci were located adjacent to the ureter, but not within the ureteral lumen (1/3). Contrast-enhanced CT findings were similar to those of excretory urography (2/3). Ureteral pseudodiverticulosis should be considered in the differential diagnosis for old-aged and small-breed dogs with radiopaque materials along the ureteral pathways; excretory urography or contrast-enhanced CT are recommended for a more definitive imaging diagnosis.
ABSTRACT:An 11-year-old, intact male Maltese dog presented with a history of vomiting and regurgitation. On plain radiographs, a caudodorsal thoracic mass was identified, and there were no radiographic signs frequently associated with an oesophageal mass. An oesophagram with fluoroscopy showed no classical signs of an oesophageal mass such as an irregular mucosal surface, a filling defect, or decreased ability of the lumen to pass contrast medium through the oesophageal lumen. A mass of pulmonary or mediastinal origin rather than of oesophageal origin was suggested. During the operation for mass removal, a gross connection between the suspected mass and the adventitia of the distal oesophagus was identified; thus, excision of the extraluminal mass was performed from the outer oesophageal wall. Histopathology confirmed the mass to be an oesophageal leiomyoma. This case highlights that the differentiation of an extraluminal oesophageal mass from other masses of mediastinal or lung origin can be challenging with radiographs and oesophagram alone. Even when the radiographic signs are not suggestive of an oesophageal mass, an extraluminal oesophageal mass should be considered.
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