FLUORO-CT GUIDED BIOPSY OF LUNG NODULES: A STEP BY STEP REVISION.

Transthoracic biopsies under fluoro-computer tomography (CT) guidance play an important role on the diagnosis and management of lung nodules, permitting histological examination and differentiation between benign and malignant lesions(1). Furthermore, with recent advances in target therapy, it is increasingly necessary to obtain tumor tissue for the analysis of molecular fingerprints allowing personalized treatment(1). Although many studies report low complication rates for this procedure, they are not negligible, urging the need for a structured and reproducible guide to reduce technique-related complications(1,2).

Rare mesenchymal antral gastric tumors: Case reports of glomus tumor and plexiform fibromyxoma.

Gastrointestinal stromal tumors account for the majority of the mesenchymal neoplasms of the gastric antrum, but other entities should also be considered. We present the case of a 70-year-old man with an ulcerated well-circumscribed polypoid submucosal mass in the gastric antrum which was proven to be a glomus tumor. CT showed progressive contrast enhancement.

Acute aortic syndrome: Spectrum of imaging appearances.

Objectives: The main objective of this paper is to illustrate and analyse the spectrum of MDCT findings of the entities that compose acute aortic syndrome (AAS) - namely acute aortic dissection (AD), intramural hematoma (IMH) and penetrating atherosclerotic ulcer (PAU) - discussing their pathophysiology. These related entities have a similar nonspecific clinical presentation mimicking other conditions such as myocardial infarction. Therefore, a high degree of clinical suspicion should prompt immediate confirmation by non-invasive imaging techniques which can modify its natural history, being MDCT the technique of choice, allowing accurate detection, characterization and complications evaluation in the Emergency Department.

[Thymic lesions: A 4 years-review].

Introduction: The difficulty in differentiating invasive from non-invasive thymic tumours solely by histological features, leads to the decision of resecting suspected lesions except in the presence of: (a) diffuse metastasis; or (b) typical imaging findings of thymic hyperplasia or after recovering from some recent stress. Therefore, the role of radiology is of the utmost importance in the initial evaluation and staging of thymic mediastinal masses.

Methods: The objective of this study was to elaborate a retrospective analysis of the cases of thymic lesions that underwent surgery at the Cardiothoracic Department of Centro Hospitalar Vila Nova de Gaia/Espinho (CHVNG/E), from January 2013 to December 2016, illustrating their main radiologic findings with computed tomography (CT) images.