What is Wunderlich?

Wunderlich syndrome (WS) is a rare condition characterized by acute onset of spontaneous, nontraumatic renal hemorrhage into the subcapsular and perirenal spaces. Wunderlich syndrome is classically characterized by the Lenk’s triad: acute flank pain, flank mass, and hypovolemic shock.

Should Angiomyolipomas be removed?

In general, the prognosis of angiomyolipoma is good as long as the tumors don’t have dilated blood vessels or grow rapidly. However, the prognosis decreases if the tumor becomes very large or compromises the kidney’s function so that it may need to be removed or the patient may require dialysis.

Are Angiomyolipomas cancerous?

Angiomyolipoma is regarded as a benign tumor of the kidney; however, it may also show aggressive behaviors and rarely transform to sarcoma.

Are angiomyolipomas rare?

Angiomyolipomas (AMLs) are the most frequent benign renal tumour, with a prevalence varying between 0.2% and 0.6% and a strong female predilection. They occur as sporadic, isolated entities in 80% of cases.

Is kidney embolization painful?

Angiomyolipoma embolization is performed by an interventional radiologist, typically in an outpatient setting. Instead of general anesthesia, you’ll be sedated through an intravenous (IV) line, which means you’ll be drowsy for the procedure but you won’t experience pain.

When does a mass show up on one mammogram view?

When a mass shows up on one mammogram view, the radiologists will ask himself, ‘is it only one view’?’ If so, it may be ‘asymmetric density’. The radiologist must look at both views, (They call them ‘orthogonal’ views. Orthogonal views are views from different angles, usually at 90 degrees, like looking at a face from the front and side )

What does a radiologist call a mass on the breast?

Furthermore, radiologists will call a breast mass ‘indeterminate’ if there are no malignant features and none of the benign combinations. In the ultrasound image below, one notes a suspicious hypoechoic mass with microlobulations. This mass would definitely need a biopsy.

What is the likelihood of malignancy with focal asymmetry?

The likelihood of malignancy with focal asymmetry is less than 1%. Follow-up procedures will, to some degree, depend upon whether or not this is a first or subsequent screening. If there are previous mammograms and the focal asymmetry seems to be stable, then a radiologist will consider this mass to be benign.

What is the whitest spot on a breast mammogram?

The breast mammogram in the image, certainly appears to have a nodule of some sort, but since it may or may not be a real nodule, one could label it as an ‘asymmetric density’ or a ‘developing asymmetry’. Notice the whitest spot, near the bottom of the image?

How is a preliminary diagnosis of angiomyolipoma done?

The preliminary diagnosis of angiomyolipoma is usually done either incidentally while the patient is undergoing imaging tests for other reasons or directly by ultrasound, CT scan, and/or MRI scan.

What kind of tumor is an Angiolipoma?

Angiolipoma. Angiolipomas (also sometimes known as haemangiolipomas, vascular lipomas , and fibromyolipomas) are rare soft tissue tumors composed of mature adipocytes and vessels. They can occur essentially anywhere and can be subclassified into infiltrating and non-infiltrating variants 1 . Please refer to the epidural (spinal)…

Where do renal angiomyolipoma lesions appear on ultrasound?

tend to appear as hyperechoic lesions on ultrasound, located in the cortex and with posterior acoustic shadowing Most lesions involve the cortex and demonstrate macroscopic fat (less than -20 HU). When small, volume averaging may make differentiation from a small cyst difficult.

Is it possible to recurve an angiolipoma after surgery?

Angiolipomas are benign. They won’t spread and aren’t life-threatening. Surgery to remove an angiolipoma is typically very successful, and there’s very little risk of recurrence. However, it’s possible that new, unrelated angiolipomas can appear. Lipomas can look very similar to a rare cancer called liposarcoma.