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A 92-year old woman was admitted to our internal medicine ward for dyspnea and asthenia. Oxygen saturation (SpO2) was 82%, blood pressure was 100/60 mm Hg, heart rate was 78 bpm and body temperature was 36.1 °C. Lung examination showed diffuse rales while heart auscultation bared amild systolic murmur at the apex. Pastmedical history revealed only permanent atrial fibrillation treated with digoxin 0.125 mg q.d. and warfarin with a target I.N.R. range of 2.0–3.0. She never smoked and used EtOH or drugs. She was a housewife. The dyspnea-onset was dated the month before and characterized by slow

In recent years, interest in endovascular foreign bodies (IFB) has greatly increased, as evidenced by the increasingly high casuistry and the growing number of publications on this subject. Surely the increase in interventional procedures can be correlated either as the cause, due to the increasingly higher number of IFB iatrogenic, or to the increasing introduction into clinical practice of a number of techniques for the recovery of these.

To evaluate the tomographic features in differentiating benign from malignant splenic diseases, 54 patients with a cytohistological examination and a contrast-enhanced multidetector computed tomography (ce-MDCT) and/or positron emission tomography/computed tomography (PET/CT) were retrospectively selected. Significant associations were observed between ce-MDCT Pattern 3 (focal hyperdense lesion) and Pattern 4 (infarcts/cysts) as well as PET/CT Pattern 3 (focal photopenia/diffuse uptakeliver) and benign pathologies, and between ce-MDCT Pattern 1 (splenomegaly without focal lesions) and Pattern 2 (focal hypodense lesion) as well as PET/CT Pattern 1 (diffuse uptake ≥ liver) and Pattern 2 (focal increased uptake) and malignant diseases. No significant association between benign or malignant diseases and spleen volumes and maximum standardized uptake value (SUV(max)) as well as lesion characteristics was observed. The metabolic data do not improve the performance of morphological patterns.