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{ "pk": 1089, "title": "Adrenocortical Carcinoma Discovered with Point-of-care Ultrasound", "subtitle": null, "abstract": "Case Presentation:\n A 34-year-old woman presented to the emergency department with bilateral lower extremity edema and shortness of breath. She had been seen by her primary care provider. Lab work and a follow-up with endocrinology had been unrevealing. Using point-of-care ultrasound we identified a cystic mass in the right upper quadrant prompting further imaging.\nDiscussion:\n Abdominal and pelvic computed tomography confirmed a mass in the right posterior liver, which was later identified as an adrenocortical carcinoma. Ultrasound is an important diagnostic tool in the setting of lower extremity edema and can be used to assess for heart failure, liver failure, obstructive nephropathy, venous thrombosis, and soft tissue infection. In this case, ultrasound helped expedite the diagnosis and treatment of a rare malignancy.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "ultrasound" }, { "word": " imaging" }, { "word": "malignancy" }, { "word": "oncology" }, { "word": " adrenocortical carcinoma" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3dp355p2", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "McIntyre", "name_suffix": "", "institution": "Ohio State University College of Medicine, Department of Emergency Medicine, Columbus, Ohio", "department": "None" }, { "first_name": "Michael", "middle_name": "I.", "last_name": "Prats", "name_suffix": "", "institution": "Ohio State University College of Medicine, Department of Emergency Medicine, Columbus, Ohio", "department": "None" } ], "date_submitted": "2021-10-06T02:37:09Z", "date_accepted": "2021-10-06T02:37:09Z", "date_published": "2021-10-06T02:37:50Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1089/galley/831/download/" } ] }