PEIR Digital Library

Welcome to the Pathology Education Informational Resource (PEIR) Digital Library, a multidisciplinary public access image database for use in medical education.

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RADIOLOGY: HEPATOBILIARY: Case# 33743: 50-year-old white female with history of leiomyosarcoma of the left thigh (resected). Patient now has right back pain. 1. Multiple hypodense lesions in the liver are suspicious for metastases. 2. Pancreatic neck lesion is also suspicious for malignancy. 3. Lytic lesions in L4 vertebral body, left iliac bone and sacrum with presacral mass, all consistent with metastases. 4. Gallbladder is surgically absent. 5. Probable hyperplasia of left adrenal.