Expert Panel Non Gynaecological Submitted by Bastiaan DeBoer.

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Presentation transcript:

Expert Panel Non Gynaecological Submitted by Bastiaan DeBoer

Clinical History 62yo Female Presented with four-week history of bilateral painful erythematous swollen ankles, unable to ambulate due to pain, tender on palpation, ?panniculitis, ?erythema nodosum. No obvious underlying arthropathy. Bone scan showed non-specific inflammation of soft issues mainly in the fat pad region and MRI a showed non-specific changes in the fat pad and muscles, ? old trauma bilaterally, Concurrent CT abdomen showed a 6 cm mass in the pancreas with multiple masses in the liver. Slides 1,2: Direct FNA left ankle nodule adjacent to the tendo achilles. Slides 3-6: Ultrasound FNA liver masses.