Case studies
from our archive

Real reports translated from the Czech originals, with identifying details removed: history, technique, key findings, conclusion with differential diagnosis and recommendation. Each case also includes the version we use to explain it to the client.

Ruling out disease, Abdomen

Hypoglycaemia with normoinsulinaemia: negative whole-body CT, triple-phase CT angiography recommended

Patient
female, 6 years
Examination
Whole-body CT, pre- and post-contrast
Date
September 2026

History

Lethargy, hypoglycaemia, normoinsulinaemia. Suspected insulinoma.

Technique

6,205 slices (1 and 2 mm), pre- and post-contrast series reconstructed with medium- and high-frequency algorithms; 2 post-contrast series in the late venous and excretory phases. Good study quality; motion artefacts.

Findings

  • Abdominal cavity: no detectable abnormality of the pancreas or other organs; adrenal glands within normal limits (DV right 5–6 mm, left 7–7.3 mm).
  • Lungs: multifocal ground-glass opacities with an irregular distribution in several lobes.
  • Heart: dilatation of the left atrium and left ventricle.
  • Spine: focal osteoproliferation of the L7 vertebral body on the left; mild narrowing of the left L7–S1 neuroforamen.

Conclusion

  • No detectable abnormality of the pancreas or other abdominal organs.
  • The pulmonary changes may be secondary to anaesthesia and inadequate lung inflation.
  • Mild left L7–S1 foraminal stenosis.

Recommendation

Triple-phase CT angiography of the abdomen.

Translated from the Czech original, with identifying details removed. Report signed by MVDr. Ladislav Stehlík, Ph.D..

The story for clients