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Classical signs: modern imaging
  1. A M Groves1,
  2. K K Balan2
  1. 1Department of Radiology, Addenbrooke’s Hospital, Cambridge, UK
  2. 2Department of Nuclear Medicine, Addenbrooke’s Hospital, Cambridge, UK
  1. Correspondence to:
    Dr A M Groves
    Radiology Department, Box 219, Addenbrooke’s Hospital, Hills Rd, Cambridge, CB2 2QQ, UK; drashleygroveshotmail.com

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Clinical presentation

A 64 year old man presented with a two month history of increasing dysphagia and weight loss. Upper gastrointestinal endoscopy was performed and a lesion was identified in the region of the gastro-oesophageal junction, which was biopsied. The patient then underwent both a 18F-fluorodeoxyglucose positron emission tomography study (fig 1) and a 16 detector computed tomography examination (fig 2).

Figure 1

 An anterior coronal image from a half body 18F-fluorodeoxyglucose positron emission tomography examination.

Figure 2

 Coronal reconstruction from a 16 detector multislice computed tomography image of the anterior abdomen.

Question

What abnormality is the white arrow pointing to on both images?

See page 1395 for answer

This case is submitted by:

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Footnotes

  • Robin Spiller, editor

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