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General Case of the Day1

Samy F. Saleeb, MD and Steven K. Teplick, MD

1 From the Department of Radiology, University of South Alabama College of Medicine, 2451 Fillingim St, Mobile, AL 36617. From the 1998 RSNA scientific assembly. Received November 19, 1998; revision requested December 29 and received February 2, 1999; accepted February 3. Address reprint requests to S.F.S.



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Figure 1.  Abdominal radiograph shows bilateral staghorn calculi and subchondral bone resorption at the ileal aspect of the sacroiliac joint.

 


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Figure 2.  Chest radiograph shows multiple healed rib fractures and bone resorption of the distal clavicle.

 


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Figure 3.  Unenhanced CT scan of the upper abdomen demonstrates a hypoattenuating lesion with central calcification in the tail of the pancreas and bilateral staghorn calculi.

 


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Figure 4.  MIBI scintiscan of the chest shows focal uptake in the superior mediastinum.

 





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