RESUMEN

Chordoma is a rare tumor, often occurring in the cervical spine and sacrococcygeal spine with a lytic appearance, but rarely in the thoracolumbar spine. Chordomas can occasionally be sclerotic and are included in the differential diagnosis for an ivory vertebra. We present a case of a sclerotic chordoma in an upper lumbar vertebral body with corresponding multimodality imaging. This case demonstrates that chordoma should be a concern for an older adult with a sclerotic vertebral lesion, particularly if it is a solitary lesion. Knowledge of the variable location and appearance of chordomas is critical so it is not mistaken for a metastasis.

RESUMEN

Adrenal hemangiomas are exceedingly rare benign tumors. Hemangiomas are commonly found in the skin and liver. When they arise in the adrenal gland, they are typically found incidentally on imaging, large size at presentation and are usually surgically resected in view of their large size and heterogeneous imaging appearance. We present a 66-year-old female who presented with right abdominal pain and weight loss and was found to have a large adrenal hematoma arising from a hemangioma.

Asunto(s)

Neoplasias de las Glándulas Suprarrenales , Hemangioma , Neoplasias de las Glándulas Suprarrenales/complicaciones , Neoplasias de las Glándulas Suprarrenales/diagnóstico por imagen , Neoplasias de las Glándulas Suprarrenales/cirugía , Glándulas Suprarrenales/diagnóstico por imagen , Glándulas Suprarrenales/patología , Anciano , Diagnóstico por Imagen , Femenino , Hemangioma/complicaciones , Hemangioma/diagnóstico por imagen , Hemangioma/patología , Hematoma/diagnóstico por imagen , Humanos

RESUMEN

Sweet syndrome is an uncommon inflammatory skin condition. Here we present a case of Sweet syndrome in a young woman with rare extracutaneous manifestations, including bone and splenic fluid collections, with marked improvement following treatment with systemic corticosteroids. The patient was subsequently diagnosed with Crohn's disease which can be seen in the setting of Sweet syndrome. Sterile abscesses should be considered in patients with a clinical diagnosis of Sweet syndrome and focal symptomatology.