Advertisements
//
you're reading...
MRI, Pediatrics

Metastatic Neuroblastoma

History: 6 year old male with abdominal pain

Axial LAVA-Flex MRI demonstrates a large mass  medial to the left kidney (white arrows) which displaces but does not invade the kidney. In the adjacent vertebral body there is a rim enhancing mass (red arrow) concerning for bone metastasis.

Axial LAVA-Flex MRI demonstrates a large mass medial to the left kidney (white arrows) which displaces but does not invade the kidney. In the adjacent vertebral body there is a rim enhancing mass (red arrow) concerning for bone metastasis.

Axial LAVA-Flex MRI at a level inferior to the first image in this post. At this level there is an additional rim enhancing lesion in the vertebral body (red arrow) concerning for additional bone metastasis.

Axial LAVA-Flex MRI at a level inferior to the first image in this post. At this level there is an additional rim enhancing lesion in the vertebral body (red arrow) concerning for additional bone metastasis.

The patient subsequently went on to bone scan with Tc99m-MDP. There are hot lesions throughout the spinal column (red arrow) and a hot mass within the left hemiabdomen (red arrow), correlating to the MRI findings.

The patient subsequently went on to bone scan with Tc99m-MDP. There are hot lesions throughout the spinal column (red arrow) and a hot mass within the left hemiabdomen (white arrow), correlating to the MRI findings.

Unfortunately, this is a case of metastatic neuroblastoma in a 6 year old male which was diagnosed initially on MRI. Neuroblastoma is the most common extracranial solid malignancy in children, and the third most common overall cancer in children. They most commonly arise from the adrenal medulla or retroperitoneum, and usually they present around 2 years old. The older age of presentation in this 6 year old boy unfortunately portends a worse prognosis.

Advertisements

About radiologypics

I am a radiology physician from California, USA.

Discussion

No comments yet.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Advertisements
%d bloggers like this: