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CASE 619 : ABDOMINAL AORTIC DILATATION, Dr PHAN THANH HẢI, Dr TRẦN THỊ THANH...

Old male patient 70 yo, with  AAA suspected came to Medic for reexamination.Abdominal CT with contrast thought about subrenal non dissection AAA, diameter # 29x32mm, with intramural aortic thrombus and...

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CASE 620: RECURRENT TONGUE CANCER, Dr PHAN THANH HẢI, Dr VÕ NGUYỄN THỤC...

Female patient 48 yo suffers from a tumor of her tongue for 2 months. The tongue tumor maybe is recurrent from the small tongue tumor  3 years before and now is still a scar on right border of tongue,...

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CASE 621: INCIDENTAL THYROID SMALL TUMOR, Dr PHAN THANH HẢI, Dr NGUYỄN TUẤN...

Female patient 48 yo came to Medic Center for a check-up .Ultrasound for thyroid incidentally detects a small nodule in left lobe that belongs TI-RADS 5 classification. Solid nodule, not well limited...

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CASE 622: RECTUM CARCINOMA, Dr ĐẶNG NGUYÊN KHÔI, Dr PHẠM CHÍ TOÀN, Dr VÕ...

 Male patient 64yo, revealed  himself blood in stool. Virtual Colonoscopy MSCT detected a vegetative tumor of sigmoid colon that narrowed 50% lumen of colon and blurred fatty tissue around.Colonoscopy...

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CASE 623: PYO CHOLECYSTITIS in ELDERLY PATIENT, Dr PHAN THANH HẢI and SURGEON...

 Male patient 83 yo with unknown cause of fever (T. 38-39 degree of Celsius) for one week. And nothing abnormal detected in clinical examination.A full body MSCT detected a big #90x60 mm gallbladder...

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CASE 624: RIGHT PSOAS LYMPHOMA, Dr PHAN THANH HẢI, Dr LÝ VĂN PHÁI, Dr ĐẶNG...

Female patient 51 yo with right leg pain  and lumbago for 3 monthsLumbar spine X-Rays was normal.Ultrasound detected  right psoas muscle poor echogeneicity like cystis pattern, no vascular, but bending...

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CASE 625: HEPATIC PREGNANCY, Dr PHAN THANH HẢI, Dr PHẠM VIỆT THANH, TỪ DỤ...

An intrahepatic pregnancy case in over 4 months could not diagnose by transvaginal ultrasound [TVS] for a 27yo patient, PARA 1001, beta HCG elevated in Kien giang province.2 months before, on June 13,...

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CASE 626: T-SHAPE IUD PENETRATING UTERUS TO URINARY BLADDER, Dr PHAN THANH...

 Female patient 46 yo  with trouble of urine discharge for 1 month.She wore her IUD for 8 years but could not find  it out 4 years before in giving up this contraception measure.Transabdominal...

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CASE 627: PROSTATE CANCER with SHARING SHEAR WAVE ELASTOGRAPHY, Dr PHAN THANH...

 Male patient 1940,  with difficult urine discharge and high level of PSA > 100 ng/mL.Prostatic hypertrophy with  10-30 mm lesions in 2 lobes PI-RADs 5.Seminal vesicules were invaded. Pelvic nodes...

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CASE 628 HYDROCELE VAGINALIS, Dr PHAN THANH HẢI, Dr NGUYỄN MINH THIỀN, MEDIC...

 Male patient, 1937, with  diabetis and arterial hypertension for 10 years. Getting big scrotum for 30 years and had been withdrawed 3 times but he still has feeling discomfort at scrotum since 6...

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CASE 629:Huge focal nodular hyperplasia presenting in a 7-year-old child: Dr...

A healthy 7-year-old boy on imaging examinations, including abdominal ultrasound and computed tomography (CT): An abdominal ultrasound scan revealed a 5.3 × 5.2 cm lesion which was homogeneous...

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CASE 630: PHYLLODES TUMOR in COVID19, Dr PHAN THANH HẢI, Dr HỒ CHÍ TRUNG, Dr...

 Female patient 41 yo from Baclieu province with left breast mass getting bigger for months, now after COVID 19 breakdown stop, she came to Medic to solve her big left breast.Breast US revealed the...

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CASE 631: LEFT COLON TUMOR INVADING STOMACH and CREATED a FISTULA, Dr LÂM CẨM...

Female patient born in 1980,  from Bentre province went to Medic with a result of local ultrasound which described an uncertain diagnosis about an unknown mass between spleen and left kidney.Ultrasound...

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CASE 632: STOMACH TUBERCULOSIS, Dr PHAN THANH HẢI, Dr PHAN THANH VIỆT BÌNH,...

 Female patient 32 yo, loss of weight #10kg with epigastric pain and nausea for 2 months. She herself took gastric drugs for a while but failed so went to Medic for reexamination.Ultrasound of abdomen...

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CASE 633: TCC of Kidney, Dr PHAN THANH HẢI, Dr TRẦN THỊ BẢO CHÂU, MEDIC...

Female patient 70yo with dysuria but without hematuria.Ultrasound detected left kidney hydronephrosis grade 2 as a hyperechoic mass # 47x35mm inside renal pelvis that suggested a transitional cell...

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CASE 634: RECTUM CANCER, Dr DƯƠNG NGỌC THÀNH, Dr PHAN THANH HẢI, MEDIC...

 Female patient 55yo loss of weight 7 kg for 4 months with bad feelings of contracting her muscle trying to empty her bowels. There was no blood stool, but existing abnormal uterine bleeding.  Digital...

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CASE 635: LEFT THORACIC WALL BULGING, Dr PHAN THANH HẢI, Dr JASMINE THANH...

   A 43 yo female patient found herself a mass of left thoracic wall for one month. It is painful when she  palpates it and moves her left arm.  Mammography and breast US in Vietnam detected nothing...

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CASE 636: PARALYSIS of LEFT LARYNGEAL NERVE due to THORACIC ANEURYSM , Dr...

 A 56 yo male patient undergoes hoarse voice for 6 months after screaming, now out of breath when talking loud voice.Laryngoscopy= Left apical arytenoid cartilage  incompletely closed.Cardiac...

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CASE 637, 638, 639 : SECOND OPINION * X-RAYS-CT-ULTRASOUND, Dr PHAN THANH...

DISCUSSIONSCase 1=  PneumomediastinumCase 2= Fracture of left claviculeCase 3 = Sealed - off  right pleural effusion Ultrasound could find out the abnormalities of 3 cases above but it need to confirm...

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CASE 640: ISOLATED COMMON ILIAC ARTERY DISSECTION, Dr Lê Văn Tài, Dr Võ...

 A  66 year-old male patient  (170 cm height, 64 kg weight) with thoracic pain was suffering from arterial hypertension [164/84 mmHg, BP 64b/min] for 3 years, and diabetes mellitus for 2...

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