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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;

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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.


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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  • Robin Spiller, editor

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