Figure 7.

61 year old male with cardiac metastases of melanoma.

Findings: axial contrast enhanced total body CT in the venous phase highlights a hypodense lesion of hepatic segment III, most likely a metastasis, with maximum diameters of around 15×19 mm (fig. 7a) (arrow). In B is evident the tumefaction of both adrenal glands (around 18×20 mm the left gland, 23×28 mm the right) (arrows) with radiological characteristic of metastasis. Image 7c shows para-aortic (arrow) and para-caval lymph nodes, most likely malign (around 11×13 and 13×15 mm). 2 cerebral focal lesions (arrows) with vivid contrast enhancement (around 25×32 mm the posterior one and 15×18 mm the anterior), highly suggestive for metastasis, are clearly recognizable in D.

Technique: total body CT (Somatom Definition 64-slice multidetector CT, Siemens, Germany) venous phase (70 seconds after the intravenous injection of iodine contrast agent, 300 seconds after the injection for the brain scan, 100 ml at 5 ml/sec, Iomeron 400 mg iodine/ml, Bracco), slice thickness of 5 mm on chest and abdomen, 4 mm on the brain scan, 120 kVp, 98 mAs. A: axial plane of the abdomen. B: axial plane of the abdomen. C: axial plane of the abdomen. D: axial plane of the brain.