Dubai Surgical Residents
Figure it out fridays
#65
A 56 year old western male patient was referred to Urology clinic for evaluation of left renal cyst that appeared on abdominal imaging.
The patient was complaining of pain in the left side of middle back and discomfort in the left hypochondrium for a few months.
No nausea, vomiting, chest pain, cough, fever, or urinary symptoms. No history of abdominal trauma in the recent past.
Past medical history: hypothyroidism, hypertension, and dyslipidemia, and was on oral medical treatment including: Levothyroxine, Atorvastatin, and Valsartan/Hydrochlorothiazide.
No past surgical history
No known allergies
Social history: married, non-smoker, non-alcoholic, and had an office job.
The physical examination was unremarkable. The abdomen was soft and lax with no tenderness, palpable masses, or jaundice.
X-ray of lumbosacral spine showed mild scoliosis of lumbar spine, and reduced disc space at L1- L2, L2-L3, and L5-S1.
CT abdomen with contrast was done (shown above)
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Based on the history and CT images, what is your most likely diagnosis?
A. Splenic cyst
D. Tumor
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