Dr ayesha lec

Patient Profile

Clinical Diagnosis

Imaging Findings(USG, CT scan)

Endoscopic Ultrasound Findings

Histopathology Report

Nazish30 y/F

Pancreatitis Pancreas with swollen more at head of pancreas.no discrete mass seen.FNAC done.no pancreatic lymphadenopathy.

Chronic pancreatitis

Saeed.ur.rehman22y/M

Suspected tuberculosis

Para-aortic lynph nodes with low echogenecity

Tuberculous granuloma

Abdul-razzaq45y/M

Metastatic liver disease

There is a suspicion of a mass near pancreatic tail as well as peripancreatic area which appears to 3x2 cm.biopsy taken

Talib46y/M

Gohar begum55y/F

A mass surrounding tail of pancreas 5x5cm.multiple biopsies taken.

Ambreen30y/F

Tuberculousis Mediastinal lymphadenopathy

5x5cm paraaortic lymph nodes.multiple biopsies taken

Ghulam jilani63y/M

5x5cm left adrenal mass &hepatic SOL

Metastatis in adrenal gland

Shabbir25y/M

Mediastinal cancer

Multiple small pancreatic &deep par-aortic lymph nodes.small mediastinal lymph nodes in aortopulmonary area.

Patient Profile

Clinical Diagnosis




Wali mohammad60y/M

Gastric outlet

obstructionNo mediastinal lymph nodes seen.gall bladder is distended.left kidney appears to be hydronephroticwith cystic changes.pancreas normal.no aortic lymph nodes seen.

Kamran jan60y/M

Suspected GI malignancy

Manzoor64y/M

Suspected CA pancreas

Pancreatic lymph nodes enlarged.suspected pancreatic mass

Metastatic CA.

Mohammad ehsan55y/M

Ghulam jilani63y/M

Metastatic CA Subcarinal lymph nodes 1.16x1 cm.another lymph node in aortic area 2.4x3 cm

Zarat abbasi63y/M

Disseminated TB

Suspected paraaortic lymph node 1.5x1.5 cmno pancreatic mass.mediastinal lymph nodes with biopsies taken.

Noor mohammad60y/M

SOL in liver Multiple lymph nodes in para-aortic region.pancreas normal

Azra53y/F

Sakina begum

Lymph node 1.3x5.1seen in para-tracheal region.

Patient Profile

Clinical Diagnosis




Mohammad ayub65y/M

Pancreatic body swollen with heterogenous hypodense areas but no definite mass or cyst seen.GB couldnot be visualized.no par-aortic or hilar lymph nodes seen.

Amjad36y/M

No mediastinal lymphadenopathy.no para-aortic or peripancreatic lymph nodes.intraheapatic ducts & CBD dilated.no other mass visualized.

AttA MOHAMMAD55Y/M

Tuberculous pericarditis

Lymph nodes at aortopulmonary window.1x1 cm in defined margins.

Surriya23y/F

Mediastinal & abdominal lymph nodes enlarged.

Para.aortic lymph node 7x8 cm.subcarinal lymph nodes.hypoechoic discrete perigastric lymph nodrs.

Zarat abbasi56y/M

Celiac ganglion nerve block via absolute alcohol.

Khaista rehman43y/M

Chronic pancreatitis.suspected mass lesion in head of pancreas.

Pancreas is shrunken.it shows hyperechoic strands.dilated pancreatic duct measuring 4.5 cm.irregular with beading.no mass lesion in head body & tail of pancreas.duodenum dilated.chronic non calcified pancreatitis.

Patient Profile

Clinical Diagnosis




Patient Profile

Clinical Diagnosis




Farzana26y/F

Pulmonary tuberculosis

Multiple celiac & para aortic lymph nodes with

suspicion of caseation.

Hakeem15y/M

Subcarinal lymph nodes 1.5x1.5 cm.single portal lymh node.

Histopathology consistent with

non-hodgkin lymphoma

anaplastic large cell type.

Sobia18y/F

tuberculosis Mediastinal lymph node 2.5x2.5 cm.subcarinal lymph nodes & paragastric lymoh nodes 1cm.

Adeel16y/M

Subcarinal lymph nodes 1.5x1.5 cm para-aortic & portahepatic lymph nodes enlarged.

Mohammad siraj80y/M

CA at head of pancreas

Suspicion of subcentmetric subcarinal lymph nodes.pancreas swollen with hypoechoic areas in body of pancreas measuring 13.7x 6.7 cm.

Salma bibi45y/F

Multiple SOL in liver

Multiple matted lymph nodes are seen in para-aortic region

Histopathology material

scnty.non-diagnostic.FNAC consistent with scanty benign

lymphoid aspirate.

Bushra21y/F

Tuberculous lymphadenopathy

Multiple matted lymph nodes in arto-pulmonary window & subcarinal space.size vary from 3x3 & 5x3 cm.suspicion of portohepatic lymph nodes enlargement.

Shafqat31y/M

Tuberculous lymphoma

Subcarinal pulmoaortic,paratracheal lymph nodes of various sizes seen.

Patient Profile

Clinical Diagnosis




Mohammad younis50/M

Suspected pancreatic CA

Pancreatic mass.

Onab bibi50y/F

Matted mass lymph node in porta hepatis & celiac area 5x4 cm.few lymph nodes along proximal aorta.2x1 cm aortopulmonary lymph nodes in aorto-pulmonary area.

Mohammad irshad60y/M

Intrahepatic biliary channels markedly dilated.gall bladder markedly dilated.no other mass appreciated.

Riffat30y/F

Mild swelling of pancreatic duct.no definite mass or lymph node.

Tasawwar40y/M

CA stomach Pyloric obstruction.thickened gastric folds.thickening of gastric walls.

Hameeda bibi80y/F

CA gall bladder

Mass in lumen of gall bladder attaching to its wall 4x2 cm.a mass possibly lymph node is seen at the level of paratrachealregion at aortopulmonary window.

Nasir khan Chronic active hepatitis C

2 small portahepatis lymph nodes measuring 1.7x0.7 cm & 1x 1.5 cm respectively.

Patient Profile

Clinical Diagnosis




Patient Profile

Clinical Diagnosis




Ramzan55y/M

Pulmonary tuberculosis

Aortopulmonary lymph nodes 2.5x1 cm.subcarinal lymph nodes 1x1 cm.

Nor.ul.haq65y/M

CA colon No specific abdominal lymph nodes found.

Sharif40/M

APD 1x1.5 cm dilated lymph nodes in porta heaptis.

Ghulam hussain75y/M

CA stomach Narrow pyloric antrum 1.5x16 cm.

Feroza begum60y/F

Growth surrounding 2nd & 3rd part of duodenum.

Gall bladder markedly dilated.another mass 4x4 cm with cystic centre below the mediastinal vessels.a lymph node 1x1cm in same area.multiple FNAC biopsies taken.

FNAC shows benign lymphoid aspirate.histopat

hology slides material

scanty.non-diagnostic.

Nasreen bibi30y/F

Mass in head of pancreas

Pancreatic mass 47x56mm mainly homogenous compressing surrounding structures eith hypoechoic areas & liquefaction.no intralesional vessels seen.portal vein seems to be infiltrared.multiple FNAC biopsies taken

FNAC consistent with benign

epithelial neoplasm.histop

athology slide shows

inflammatory debris.

ABDUL MOHAMMAD70Y/M

Dilated CBD eith few stones.intrahepatic cholestasis & dilatation of CB.

Pancreatic head body & tail normal.CBD dilated with mild intrahepatic dilatation.gall bladder markedly dilated.

Patient Profile

Clinical Diagnosis




Rabiya shoukat60y/F

CA at head of pancreas

Subcarinal lymph nodes 1.4x1.4cm.paraaortic lymph node 16x14 mm.another mass 5x3 cm in pancreatic body.multiple biopsies taken.

FNAC consistent with another FNAC shows

reactive hyperplasia

lymph nodehistopathology consistent

with adenocarcinoma

7 reactive hyperplasia.

Maryam53y/F

Abdominal tuberculosis

Small aortopulmonary & subcarinal lymph nodes 0.8x8cm with non specific margins.no para-aortic or peripancreatic lymph nodes .left lobe of liver congested & showing dilatation of hepatic vein.

FNAC shows scanty lymphoid

aspirate.in histopathology slides no tissue

found in container.

Shakeela35y/F

Acute pancreatitis

pseudocyst No mediastinal lymphadenopathy.cyst mass 8.25x9 cm in tail of pancreas.body & head of pancreas appear hypoechoic.no para aortic or pancreatic lymph nodes.

Malignant cells.

Abdul majid51y/M

Cervical lymphadenopathy

Para-tracheal lymph nodes normal.aortopulmonary & subcarinal area enlarged 1.5x1 cm & 2x1.5 cm.hepatogastric lymph nodes0.5x0.5 cm while rest are normal.

Consistent with metastatic adenocarcinoma in FNAC.in histopathology slides material scanty.non-diagnostic.

Najina45y/F

lymphoma Enlargedaortopulmonary lymph nodes 1.4x1.6 cm.multiple lymph nodes enlargedbehind aortic arch 2x2.6 cm.FNAC biopsies taken.

Shakeela35y/F

Pseudocyst pancreas

Pancreatic cyst was identifiedwith needle knife,stomach wall is

pierced & guidewire was passed.distal plastic stent was placed.

Patient Profile

Clinical Diagnosis




Abdul-wali48y/M

hemangioma A non specific area of porta hepatis.

Hemorrhagic aspirate in

FNAC.no tissue found in

histopathology slides.

Khadim63y/M

Mass in head of pancreas

Diffuse indistinct enlargement of head of pancreas 4.2x3.5 cm.gall bladder enlarged.no lymph node involvement.

Noor begum65y/F

Mass in left lobe of liver

A cystic solid mass in left lobe of liver 4x4 cm.FNAC done.a small lymph node 0.5x0.5 cm near porta hepatis in gastrohepatic ligament.pancreas & gall bladder normal

Atypical cells suspicion of malignancy.

Mrs murtaza baig75y/F

Pancreatic mass 66.6mmx50mm.subcentrimetric aortopulmonary lymph nodes.2 pancreatic cystic areas.one near head6.6x5 cm.other near body 5x4 cm.rest pancreatic tissue heterogenous.

In FNAC benign ductal epithelial tissue.cytology consistent with

benign cystic lesion.

Khadim63y/M

CA head of pancreas

4x5cm heterogenous large mass at head of pancreas,irregular interface with portal vein eithout invasion of its wall causing CBD obstruction.gall bladder & CBD grossly dilated with out metastasis.multiple FNAC biopsies takenTANNENBAUM multiflange stent inserted wiyhout fluoroscope.bile drainage established.

Adenocarcinoma…pancreatic

mass

Patient Profile

Clinical Diagnosis




Najma45y/F

LYMPHOMA Heterogenous mass encircling arch of aorta extending from subclavian vessels upto carina involving SVC.Interface between artery,mass preserved.inaccessible for biopsy

Murtaza baig46y/F

Pancreatic cyst Pseudopancreatic cyst was noted 10x7 cm.purulent material was drained after passing stent.pus collected & sent for gram staining.

Hameeda bibi80y/F

Mass in gall bladder

Small aortopulmonary lymph node 0.5x0.7 cm.FNAC taken.pancreas normal.gall bladder normal.a small mass adherent to posterior wall of gall bladder.biopsy not possible.

Reactive hyperplasia in

FNAC.no tissue in histopathology

slides.

Mohammad ashraf68y/M

Right hilar mass A mass at subcarinal area extending to aortopulmonary window.mass is homogenous with small air spaces.scope cannot be passed beyond 35 cm because of narrow esophagus.

In histopathology slides material

scanty.non-diagnostic in

FNAC dysplastic squamous

epithelial cells suggestive of

squamous cell carcinoma.

Mohammad saleem50y/M

SCOPE ADVANCED UPTO ESOPHAGUS WHERE ULCERATION WIYH STRICTURE SEEN.NO OBVIOUS mediastinal lymph nodes seensevere esophagitis with ulceration & candidiasis involving distal 2nd & 3rd part of esophagus.

Patient Profile

Clinical Diagnosis




Said akber75y/M

Mass in epigastrium & left hypochondrium

a big mass of about 5x7 cm heterogenous & cystic,appears to be continued with gastric wall.multiple FNAC biopsies taken.aortopulmonary & subcarinal lymph nodes1.5x 7 cmcystic in nature.biopsies taken.

Abdul rehman60y/M

Obstructive juandice

Heterogenous solid cystic mass in head of pancreas.2.5x2.5 cm.CBD dilated 1.7 cmceliac & peripancreatic lymph nodes present.

Aziz ur rehman65y/M

CA esophagus Scope couldn’t be passed beyond 35 cmbecause of malignant stricturetumour appears to be extended outside the wall of esophagus.small multiple lymph nodes in subcarinal area.FNAC taken.

In FNAC Dysplastic squames

consistent with squamous cell

carcinoma.

Tasleem49y/F

Hilar & mediastinal lymphadenopathy

2 small paratracheal lymph nodes 1x1 cm.FNAC taken.about 1.5x1 mass likely lymph node in celiac region.gall bladder dilated with impression of small stones.

Reactive hyperplasia

Sardar ali45y/M

Pancreas normal.no mediastinal lymph nodes.porta heptis normal.gall bladder not visualized.

Patient Profile

Clinical Diagnosis




Abdul rehman60y/M

OBSTRUCTIVE JUANDICE

Small subcarinal lymph nodes seen.1.5x1.3 cm celiac lymph node.gall bladder distended.head of pancreas not seen.

FNAC consistent with non-hodgkin lymphoma-large

cell type.

Rustam ali85y/F

Aortopulmonary lymph nodes enlarged & peripancreatic lymph node.FNAC taken.

FNAC suggestive of

lymphoproliferative disorder

suggestive of lymphoma.histop

athology slidesreveal neutrophils

only.no lymph nodes.

Abdul ghani

Mediastinal mas at aortopulmonary window.bronchogenic CA.

Ghulam rabbani

GA junction was tight & infiltrated.stomach layers were effaced by heterogenous infiltration involving all layers and sparing mucosa & submucosa at other places.antrum & body were involved.stomach was shortened.small lymph nodes seen

Fatima begum75y/F

NO MEDIASTINAL LYMPH NODES,PANCREAS IS NORMAL.no celiac & mediastinal lymph nodes,small hypoechoic area in pancreatic region.FNAC taken.gall bladder appears distended.head of pancreas normal.

FNAC Suggestive of

lymphoproliferative disorder

Mohammad hussain75y/M

Military tuberculosis

lymphoma Multiple paratracheal & subcarinal lymph nodes.multiple lymph nodes in aortopulmonary region & para aortic,celiac

Histopathology consistent with

non-hodgkin lymphoma-large cell type.FNAC

& peripancreatic region.biopsies taken.

suggestive of non-hodgkin lymphoma.

Moznabia bibi60y/F

Obstructive juandice

A mass possibly lymph node near the porta hepatis.no mediastinal lymphadenopathy.FNAC taken.marked dilatation of intrahepatic ducts.

FNAC consistent with

adenosquamous carcinoma.no

tissue in histopathology

slides.

Education

Dr ayesha lec