This document contains profiles of 28 patients who underwent endoscopic ultrasound exams. For each patient, it includes their profile information, clinical diagnosis, relevant imaging findings, endoscopic ultrasound findings, and histopathology report results. The profiles cover a range of diagnoses including pancreatic masses, lymphadenopathy, liver lesions, and more. Endoscopic ultrasound identified masses, cysts, and enlarged lymph nodes. Biopsies were taken and histopathology provided diagnostic confirmation for conditions such as cancer, tuberculosis, and benign lesions.
2. Patient
Profile
Clinical
Diagnosis
Imaging Findings Endoscopic Ultrasound Histopathology
(USG, CT scan)
Findings
Report
Nazish
30 y/F
Pancreatitis
Pancreas with swollen
more at head of
pancreas.no discrete mass
seen.FNAC done.no
pancreatic
lymphadenopathy.
Chronic
pancreatitis
Saeed.ur.r
ehman
22y/M
Suspected
tuberculosis
Para-aortic lynph nodes
with low echogenecity
Tuberculous
granuloma
Abdulrazzaq
45y/M
Metastatic
liver disease
There is a suspicion of a
mass near pancreatic tail as
well as peripancreatic area
which appears to 3x2
cm.biopsy taken
Talib
46y/M
Gohar
begum
55y/F
Ambreen
30y/F
A mass surrounding tail of
pancreas 5x5cm.multiple
biopsies taken.
Tuberculousis Mediastinal
lymphadenopathy
Ghulam
jilani
63y/M
Shabbir
25y/M
5x5cm paraaortic lymph
nodes.multiple biopsies
taken
5x5cm left adrenal mass
&hepatic SOL
Mediastinal
cancer
Multiple small pancreatic
&deep par-aortic lymph
nodes.small mediastinal
lymph nodes in
aortopulmonary area.
Metastatis in
adrenal gland
3.
4. Patient
Profile
Clinical
Diagnosis
Wali
Gastric outlet
mohamma obstruction
d
60y/M
Imaging Findings Endoscopic Ultrasound Histopathology
(USG, CT scan)
Findings
Report
No mediastinal lymph
nodes seen.gall bladder is
distended.left kidney
appears to be
hydronephroticwith cystic
changes.pancreas
normal.no aortic lymph
nodes seen.
Kamran
jan
60y/M
Suspected GI
malignancy
Manzoor
64y/M
Suspected CA
pancreas
Pancreatic lymph nodes
enlarged.suspected
pancreatic mass
Ghulam
jilani
63y/M
Metastatic CA
Subcarinal lymph nodes
1.16x1 cm.another lymph
node in aortic area 2.4x3
cm
Zarat
abbasi
63y/M
Disseminated
TB
Suspected paraaortic
lymph node 1.5x1.5 cmno
pancreatic
mass.mediastinal lymph
nodes with biopsies taken.
Mohamm
ad ehsan
55y/M
Noor
SOL in liver
mohamma
d
60y/M
Multiple lymph nodes in
para-aortic region.pancreas
normal
Azra
53y/F
Sakina
begum
Lymph node 1.3x5.1seen in
para-tracheal region.
Metastatic CA.
5. Patient
Profile
Clinical
Diagnosis
Imaging Findings Endoscopic Ultrasound Histopathology
(USG, CT scan)
Findings
Report
Mohamm
ad ayub
65y/M
Pancreatic body swollen
with heterogenous
hypodense areas but no
definite mass or cyst
seen.GB couldnot be
visualized.no par-aortic or
hilar lymph nodes seen.
Amjad
36y/M
No mediastinal
lymphadenopathy.no paraaortic or peripancreatic
lymph nodes.intraheapatic
ducts & CBD dilated.no
other mass visualized.
AttA
MOHAM
MAD
55Y/M
Tuberculous
pericarditis
Lymph nodes at
aortopulmonary
window.1x1 cm in defined
margins.
Surriya
23y/F
Mediastinal &
abdominal
lymph nodes
enlarged.
Para.aortic lymph node 7x8
cm.subcarinal lymph
nodes.hypoechoic discrete
perigastric lymph nodrs.
Zarat
abbasi
56y/M
Khaista
rehman
43y/M
Celiac ganglion nerve block
via absolute alcohol.
Chronic
pancreatitis.s
uspected
mass lesion in
head of
pancreas.
Pancreas is shrunken.it
shows hyperechoic
strands.dilated pancreatic
duct measuring 4.5
cm.irregular with
beading.no mass lesion in
head body & tail of
pancreas.duodenum
dilated.chronic non
calcified pancreatitis.
6. Patient
Profile
Farzana
26y/F
Clinical
Diagnosis
Pulmonary
tuberculosis
Hakeem
15y/M
Sobia
18y/F
Imaging Findings Endoscopic Ultrasound Histopathology
(USG, CT scan)
Findings
Report
Multiple celiac & para
aortic lymph nodes with
suspicion of caseation.
Subcarinal lymph nodes
1.5x1.5 cm.single portal
lymh node.
tuberculosis
Adeel
16y/M
Histopathology
consistent with
non-hodgkin
lymphoma
anaplastic large
cell type.
Mediastinal lymph node
2.5x2.5 cm.subcarinal
lymph nodes & paragastric
lymoh nodes 1cm.
Subcarinal lymph nodes
1.5x1.5 cm para-aortic &
portahepatic lymph nodes
enlarged.
Mohamm
ad siraj
80y/M
CA at head of
pancreas
Suspicion of subcentmetric
subcarinal lymph
nodes.pancreas swollen
with hypoechoic areas in
body of pancreas
measuring 13.7x 6.7 cm.
Salma bibi
45y/F
Multiple SOL
in liver
Multiple matted lymph
nodes are seen in paraaortic region
Bushra
21y/F
Tuberculous
lymphadenop
athy
Multiple matted lymph
nodes in arto-pulmonary
window & subcarinal
space.size vary from 3x3 &
5x3 cm.suspicion of
portohepatic lymph nodes
enlargement.
Histopathology
material
scnty.nondiagnostic.FNAC
consistent with
scanty benign
lymphoid
aspirate.
8. Patient
Profile
Clinical
Diagnosis
Mohamm
ad younis
50/M
Suspected
pancreatic CA
Imaging Findings Endoscopic Ultrasound Histopathology
(USG, CT scan)
Findings
Report
Pancreatic mass.
Onab bibi
50y/F
Matted mass lymph node
in porta hepatis & celiac
area 5x4 cm.few lymph
nodes along proximal
aorta.2x1 cm
aortopulmonary lymph
nodes in aorto-pulmonary
area.
Mohamm
ad irshad
60y/M
Intrahepatic biliary
channels markedly
dilated.gall bladder
markedly dilated.no other
mass appreciated.
Riffat
30y/F
Mild swelling of pancreatic
duct.no definite mass or
lymph node.
Tasawwar
40y/M
CA stomach
Hameeda
bibi
80y/F
CA gall
bladder
Nasir khan Chronic
active
hepatitis C
Pyloric
obstruction.thickened
gastric folds.thickening of
gastric walls.
Mass in lumen of gall
bladder attaching to its
wall 4x2 cm.a mass
possibly lymph node is
seen at the level of
paratrachealregion at
aortopulmonary window.
2 small portahepatis lymph
nodes measuring 1.7x0.7
cm & 1x 1.5 cm
respectively.
9. Patient
Profile
Ramzan
55y/M
Clinical
Diagnosis
Imaging Findings Endoscopic Ultrasound Histopathology
(USG, CT scan)
Findings
Report
Pulmonary
tuberculosis
Aortopulmonary lymph
nodes 2.5x1 cm.subcarinal
lymph nodes 1x1 cm.
Nor.ul.haq CA colon
65y/M
No specific abdominal
lymph nodes found.
Sharif
40/M
APD
1x1.5 cm dilated lymph
nodes in porta heaptis.
Ghulam
hussain
75y/M
CA stomach
Narrow pyloric antrum
1.5x16 cm.
Feroza
begum
60y/F
Growth
surrounding 2nd &
3rd part of
duodenum.
Gall bladder markedly
dilated.another mass 4x4
cm with cystic centre
below the mediastinal
vessels.a lymph node
1x1cm in same
area.multiple FNAC
biopsies taken.
FNAC shows
benign lymphoid
aspirate.histopat
hology slides
material
scanty.nondiagnostic.
Nasreen
bibi
30y/F
Mass in head of
pancreas
Pancreatic mass 47x56mm
mainly homogenous
compressing surrounding
structures eith hypoechoic
areas & liquefaction.no
intralesional vessels
seen.portal vein seems to
be infiltrared.multiple
FNAC biopsies taken
FNAC consistent
with benign
epithelial
neoplasm.histop
athology slide
shows
inflammatory
debris.
ABDUL
MOHAM
MAD
70Y/M
Dilated CBD eith
few
stones.intrahepati
c cholestasis &
dilatation of CB.
Pancreatic head body & tail
normal.CBD dilated with
mild intrahepatic
dilatation.gall bladder
markedly dilated.
10. Patient
Profile
Clinical
Diagnosis
Imaging Findings Endoscopic Ultrasound Histopathology
(USG, CT scan)
Findings
Report
Rabiya
shoukat
60y/F
CA at head of
pancreas
Subcarinal lymph nodes
1.4x1.4cm.paraaortic
lymph node 16x14
mm.another mass 5x3 cm
in pancreatic body.multiple
biopsies taken.
Maryam
53y/F
Abdominal
tuberculosis
Small aortopulmonary &
subcarinal lymph nodes
0.8x8cm with non specific
margins.no para-aortic or
peripancreatic lymph
nodes .left lobe of liver
congested & showing
dilatation of hepatic vein.
Shakeela
35y/F
Acute
pancreatitis
Abdul
majid
51y/M
Cervical
lymphadenop
athy
Najina
45y/F
lymphoma
pseudocyst
No mediastinal
lymphadenopathy.cyst
mass 8.25x9 cm in tail of
pancreas.body & head of
pancreas appear
hypoechoic.no para aortic
or pancreatic lymph nodes.
Para-tracheal lymph nodes
normal.aortopulmonary &
subcarinal area enlarged
1.5x1 cm & 2x1.5
cm.hepatogastric lymph
nodes0.5x0.5 cm while rest
are normal.
Enlargedaortopulmonary
lymph nodes 1.4x1.6
cm.multiple lymph nodes
enlargedbehind aortic arch
2x2.6 cm.FNAC biopsies
taken.
FNAC consistent
with another
FNAC shows
reactive
hyperplasia
lymph
nodehistopathol
ogy consistent
with
adenocarcinoma
7 reactive
hyperplasia.
FNAC shows
scanty lymphoid
aspirate.in
histopathology
slides no tissue
found in
container.
Malignant cells.
Consistent with
metastatic
adenocarcinoma
in FNAC.in
histopathology
slides material
scanty.nondiagnostic.
12. Patient
Profile
Clinical
Diagnosis
Imaging Findings Endoscopic Ultrasound Histopathology
(USG, CT scan)
Findings
Report
Abdul-wali
48y/M
hemangioma
A non specific area of porta
hepatis.
Khadim
63y/M
Mass in head of
pancreas
Diffuse indistinct
enlargement of head of
pancreas 4.2x3.5 cm.gall
bladder enlarged.no lymph
node involvement.
Noor
begum
65y/F
Mass in left lobe of A cystic solid mass in left
liver
lobe of liver 4x4 cm.FNAC
done.a small lymph node
0.5x0.5 cm near porta
hepatis in gastrohepatic
ligament.pancreas & gall
bladder normal
Pancreatic mass
66.6mmx50mm.subcentri
metric aortopulmonary
lymph nodes.2 pancreatic
cystic areas.one near
head6.6x5 cm.other near
body 5x4 cm.rest
pancreatic tissue
heterogenous.
Mrs
murtaza
baig
75y/F
Khadim
63y/M
CA head of
pancreas
4x5cm heterogenous large
mass at head of
pancreas,irregular
interface with portal vein
eithout invasion of its wall
causing CBD
obstruction.gall bladder &
CBD grossly dilated with
out metastasis.multiple
FNAC biopsies
takenTANNENBAUM
multiflange stent inserted
wiyhout fluoroscope.bile
drainage established.
Hemorrhagic
aspirate in
FNAC.no tissue
found in
histopathology
slides.
Atypical cells
suspicion of
malignancy.
In FNAC benign
ductal epithelial
tissue.cytology
consistent with
benign cystic
lesion.
Adenocarcinoma
…pancreatic
mass
13. Patient
Profile
Najma
45y/F
Clinical
Diagnosis
Imaging Findings Endoscopic Ultrasound Histopathology
(USG, CT scan)
Findings
Report
LYMPHOMA
Heterogenous mass
encircling arch of aorta
extending from subclavian
vessels upto carina
involving SVC.Interface
between artery,mass
preserved.inaccessible for
biopsy
Murtaza
baig
46y/F
Pancreatic cyst
Pseudopancreatic cyst was
noted 10x7 cm.purulent
material was drained after
passing stent.pus collected
& sent for gram staining.
Hameeda
bibi
80y/F
Mass in gall
bladder
Mohamm
ad ashraf
68y/M
Right hilar mass
Small aortopulmonary
lymph node 0.5x0.7
cm.FNAC taken.pancreas
normal.gall bladder
normal.a small mass
adherent to posterior wall
of gall bladder.biopsy not
possible.
A mass at subcarinal area
extending to
aortopulmonary
window.mass is
homogenous with small air
spaces.scope cannot be
passed beyond 35 cm
because of narrow
esophagus.
Mohamm
ad saleem
50y/M
SCOPE ADVANCED UPTO
ESOPHAGUS WHERE
ULCERATION WIYH
STRICTURE SEEN.NO
OBVIOUS mediastinal
lymph nodes seensevere
esophagitis with ulceration
& candidiasis involving
distal 2nd & 3rd part of
esophagus.
Reactive
hyperplasia in
FNAC.no tissue in
histopathology
slides.
In histopathology
slides material
scanty.nondiagnostic in
FNAC dysplastic
squamous
epithelial cells
suggestive of
squamous cell
carcinoma.
14. Patient
Profile
Clinical
Diagnosis
Imaging Findings Endoscopic Ultrasound Histopathology
(USG, CT scan)
Findings
Report
Said akber Mass in
75y/M
epigastrium
& left
hypochondriu
m
a big mass of about 5x7 cm
heterogenous &
cystic,appears to be
continued with gastric
wall.multiple FNAC
biopsies
taken.aortopulmonary &
subcarinal lymph
nodes1.5x 7 cmcystic in
nature.biopsies taken.
Abdul
rehman
60y/M
Heterogenous solid cystic
mass in head of
pancreas.2.5x2.5 cm.CBD
dilated 1.7 cmceliac &
peripancreatic lymph
nodes present.
Scope couldn’t be passed
beyond 35 cmbecause of
malignant stricturetumour
appears to be extended
outside the wall of
esophagus.small multiple
lymph nodes in subcarinal
area.FNAC taken.
Obstructive
juandice
Aziz ur
rehman
65y/M
CA esophagus
Tasleem
49y/F
Hilar & mediastinal 2 small paratracheal lymph
lymphadenopathy nodes 1x1 cm.FNAC
taken.about 1.5x1 mass
likely lymph node in celiac
region.gall bladder dilated
with impression of small
stones.
Pancreas normal.no
mediastinal lymph
nodes.porta heptis
normal.gall bladder not
visualized.
Sardar ali
45y/M
In FNAC
Dysplastic
squames
consistent with
squamous cell
carcinoma.
Reactive
hyperplasia
15. Patient
Profile
Clinical
Diagnosis
Imaging Findings Endoscopic Ultrasound Histopathology
(USG, CT scan)
Findings
Report
OBSTRUCTIVE
JUANDICE
Small subcarinal lymph
nodes seen.1.5x1.3 cm
celiac lymph node.gall
bladder distended.head of
pancreas not seen.
FNAC consistent
with non-hodgkin
lymphoma-large
cell type.
Rustam ali
85y/F
Aortopulmonary lymph
nodes enlarged &
peripancreatic lymph
node.FNAC taken.
FNAC suggestive
of
lymphoproliferati
ve disorder
suggestive of
lymphoma.histop
athology
slidesreveal
neutrophils
only.no lymph
nodes.
Abdul
ghani
Mediastinal mas at
aortopulmonary
window.bronchogenic CA.
Ghulam
rabbani
GA junction was tight &
infiltrated.stomach layers
were effaced by
heterogenous infiltration
involving all layers and
sparing mucosa &
submucosa at other
places.antrum & body
were involved.stomach
was shortened.small lymph
nodes seen
Fatima
begum
75y/F
NO MEDIASTINAL LYMPH
NODES,PANCREAS IS
NORMAL.no celiac &
mediastinal lymph
nodes,small hypoechoic
area in pancreatic
region.FNAC taken.gall
bladder appears
distended.head of
pancreas normal.
Abdul
rehman
60y/M
FNAC Suggestive
of
lymphoproliferati
ve disorder
16. Mohamm Military
ad hussain tuberculosis
75y/M
Moznabia
bibi
60y/F
Obstructive
juandice
lymphoma
Multiple paratracheal &
subcarinal lymph
nodes.multiple lymph
nodes in aortopulmonary
region & para aortic,celiac
& peripancreatic
region.biopsies taken.
A mass possibly lymph
node near the porta
hepatis.no mediastinal
lymphadenopathy.FNAC
taken.marked dilatation of
intrahepatic ducts.
Histopathology
consistent with
non-hodgkin
lymphoma-large
cell type.FNAC
suggestive of
non-hodgkin
lymphoma.
FNAC consistent
with
adenosquamous
carcinoma.no
tissue in
histopathology
slides.