Agilus Diagnostics Cases

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A 67 year old female known diabetic patient presented with weight loss, leg swelling with cellulitis, fever and inguinal lymphadenopathy.

PET scan : FDG avid enlarged lymph nodes noted in bilateral inguinal region (right more than left).

Largest right inguinal lymph node measures 3.6 x 1.9 cms with SUV max of 3.1; likely infectious.

Left inguinal lymph nodes show low-grade FDG uptake; largest measure 2.4 x 1.1 cm.

Non FDG avid subcentimetric bilateral external iliac and para-aortic lymph nodes seen.

No evidence of metabolically active disease elsewhere in the body. 

Right inguinal lymph node excision biopsy performed.  

- One digitalized image shared and 10 unstained sections have been provided.

- Case to be discussed by Hinduja Hospital / Lilavati Hospital/ Nanavati Hospital

26 year female present with abdominal pain, post prandial vomiting and weight loss.

CT abdomen revealed a circumferential, irregular contrast enhancing nodular wall thickening in the mid-ileum with multiple necrotic enlarged mesentric lymph nodes and underwent a radical segmental small bowel resection for the same.

Grossly an exophytic mass measuring 6.0 x 5.0 x 4.5 cms was seen in the ileum.  

- One digitalized image shared and 10 unstained sections have been provided.

- Case to be discussed by  TNMC (Nair Hospital) / Rajeev Gandhi Medical College.

A 72 year old female presented with a left sided nasal mass since 3 months.

CT PNS : Soft tissue mass causing near complete obstruction and extending to involve anterior ethmoidal and frontal sinuses. Erosion of inferior and middle turbinate noted.  

- One digitalized image shared and 10 unstained sections have been provided.

- Case to be discussed by Bombay Hospital / Jaslok Hospital / H. N. Reliance Hospital 

34 year male has a 1 cm slightly painful swelling on dorsum of tongue since 9 months.

- One digitalized image shared and 10 unstained sections have been provided.

- Case to be discussed by Breach Candy Hospital / Metropolis / The Head & Neck Cancer Institute of India (HNCII)/ Saifee Hospital.

65 year old male, came with repeated episodes of jaundice, fever and right upper quadrant abdominal pain. A repeat EUS on post-stent placement show occluded stent and thickening of periampullary region of pancreatic variety. Biopsy was done.

- One digitalized image shared and 7 unstained sections have been provided.

- Case to be discussed by GMC & Sir J.J. Hospital / Terna Medical College.