대한흉부영상의학회 Korean Society of Thoracic Radiology

대한흉부영상의학회 Weekly Case 메뉴

Close

대한흉부영상의학회 Weekly Case 검색
대한흉부영상의학회 Weekly Case 검색
Advanced Search..

Close

Weekly Chest CasesArchive of Old Cases

Case No : 1474 Date 2026-01-19

Add to Favorites

  • Courtesy of Ga Young Noh, Ji-Yeon Han, Seok Jin Choi / Inje University Busan Paik Hospital
  • Age/Sex 75 / M
  • Chief ComplaintPost TACE follow up
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Intrathoracic migration of lipiodol following gastric variceal obliteration
Radiologic Findings
Fig 1. Chest radiograph reveals a high-density nodular opacity in the left lower lung field, showing density significantly higher than the adjacent rib.
Fig 2. Contrast-enhanced chest CT reveals a high-attenuation nodule in the left supradiaphragmatic region, showing similar attenuation to the intrahepatic Lipiodol accumulation.
Fig 3. A: Chest radiograph obtained 2 years ago is unremarkable. B: Follow-up image obtained one day later reveals high-density material in the stomach and along the diaphragm.
Brief Review
Additional figure 1. Endoscopic variceal obturation (EVO) procedure involving the injection of Histocryl-Lipiodol mixture into the engorged varix at the gastric fundus.
Additional figure 2. A: Contrast-enhanced abdominal CT shows glue casts in the gastric cardia and the left supradiaphragmatic extrapleural space. B: Sagittal view reveals the glue cast extending superiorly along the course of the left inferior phrenic vein (arrow) and left supradiaphragmatic extrapleural space.

Endoscopic obliteration of gastric varices using an N-butyl-2-cyanoacrylate (NBCA)
References
1. Tripathi D, Stanley AJ, Hayes PC, et al. UK guidelines on the management of variceal haemorrhage in cirrhotic patients. Gut. 2015;64:1680
Keywords

No. of Applicants : 88

▶ Correct Answer : 12/88,  13.6%
  • - medical scanning , Japan HIROAKI ARAKAWA
  • - , Japan HIROKI SAKURADA
  • - Chonnam National University Hospital , Korea (South) HYUNJIN KIM
  • - Chonnam National University Hwasun Hospital , Korea (South) DONGHUN HAN
  • - Seoul Medical Center , Korea (South) HYUK GI HONG
  • - University of Yamanashi , Japan HIROYUKI MORISAKA
  • - Chiba University Hospital , Japan HIROKI MIYAZAKI
  • - Nara Medical University , Japan AYA YAMADA
  • - , Japan MASAMICHI IWAI
  • - Shiga General Hospital , Japan YUSAKU MORIBATA
  • - Matsunami General Hospital , Japan TARO TAKEDA
  • - University of Yamanashi , Japan KOJIRO ONOHARA
▶ Correct Answer as Differential Diagnosis : 6/88,  6.8%
  • - The University of Tokyo Hospital , Japan ISSEI FUKUDA
  • - Chonnam National University Hospital , Korea (South) CHAEWON SONG
  • - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
  • - Osaka Metropolitan University Hospital , Japan SHU MATSUSHITA
  • - , Japan SHUNJIRO NOGUCHI
  • - Korea University Anam Hospital , Korea (South) KYU-CHONG LEE
▶ Semi-Correct Answer : 4/88,  4.5%
  • - Oita University, Faculty of Medicine , Japan FUMITO OKADA
  • - Japanese Red Cross Otsu Hospital , Japan JUN YOSHIDA
  • - Yonsei University,Severance Hospital , Korea (South) SEO BUM CHO
  • - Chonnam National University Hospital , Korea (South) JAEBONG YANG
  • Top
  • Back

Each Case of This Site Supplied by the Members of KSTR.
Copyright of the Images is in the KSTR and Original Supplier.
Current Editor : Eui Jin Hwang, M.D., Ph.D Email : weeklychestcases@gmail.com

This website is optimized for IE 10 and above.