A previously healthy 6-year-old female child presented with a progressive swelling in the left shoulder region that had been gradually increasing in size over the past two months. Initially, the swelling was painless but had recently become tender to touch. There was no history of trauma or injury to the shoulder, and the patient did not report fever, weight loss, night sweats, or other systemic symptoms. On local examination, a visible swelling was noted over the left should

A 51-year-old female presented with rectal bleeding and weight loss for 4 months. On Digital Rectal Examination (DRE) the ulcerated inferior edge of the disease is felt at the approximately 5-6 cm from anal verge, anal canal is spared. Colonoscopy revealed a 4 cm fungating, ulcerated mass in the middle &  low rectum, which was diagnosed as moderately differentiated adenocarcinoma. Staging workup classified the tumor as cT2N1M0. CT of the chest and abdomen showed no evidence o

A 49-year-old male with no known comorbidities presented to the emergency room with two episodes of nasal bleeding over the past two months. He reported gradual deterioration of vision in his right eye over the last week, accompanied by progressively worsening pain on the right side of his face. Additionally, he noted right-sided neck swelling that had been increasing in size over the past five days. Clinical Examination: No eye movement on the right side. Deficit in cranial

70 years old male  presented in Emergency with 3 weeks history of constant back pain associated with weight loss. The pain was notably worse at night and aggravated by movement, progressively worsening since the previous night. On examination, mid-spinal tenderness was noted on palpation, and there was a 3/5 power loss that developed over last 2 hours. PSA was >100 ng/dl hence it was diagnosed as de novo Metastatic Prostate cancer.​ IMAGING: ​ MRI whole spine was requested as

"A 53-year-old male presented in the Radiation Oncology clinic with a complaint of hoarseness of voice for 6 months. On flexible fiber optic laryngoscopy (FODL), a lesion was identified on the left vocal cord. A biopsy sample was taken, which was consistent with squamous cell carcinoma. A CT scan revealed a lesion in the left vocal cord with bilateral cervical lymph nodes. On examination, the patient was grossly unremarkable, with no palpable cervical lymph nodes. PET CT scan

CLINICAL HISTORY A 65-year-old lady presented to the Radiation Oncology clinic with biopsy-proven squamous cell carcinoma of the uterine cervix FIGO IIB. The systemic examination did not reveal any clinically significant lymphadenopathy. Imaging indicated metastatic disease. Since the FDG avid nodes on the PET CT scan did not follow the anatomical pattern of spread typical for cervical cancer (i.e., no para-aortic nodal enlargement), and some of the PET avid mediastinal nodes

CLINICAL HISTORY A 37-year-old female with diagnosis of high-grade glioma in 2015. She had surgical resection followed by concurrent chemoradiotherapy with 60Gy/30# from 9/6/2015 to 28/07/2015. Adjuvant temozolomide on 31/08/2015 completed 6 cycles in February 2016. However, a recent MRI done in December 2022 suggestive of necrosis rather than recurrence. IMAGING: FDG PET/CT show hypermetabolic lesion is seen at the right temporal region with SUV max 16.9 (reference gray ma

CLINICAL HISTORY A 47-year-old female is a known case locally advanced breast cancer. Invasive ductal carcinoma, grade 2- ER: Positive, Allred score 5+3=8 PR: Positive. FDG PET/CT and CT head are performed for staging. IMAGING: FDG PET CT scan shows hypermetabolic lesions in right breast (multicentric, multifocal) involving the overlying skin with multiple FDG avid right level I and II axillary and right internal mammary lymph nodes, likely metastatic. CT head : show large e