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case_images: Imaging findings of pleural, pericardial, and peritoneal involvements. (A and B) Contrast-enhanced images of the chest and abdomen before chemotherapy. (C and D) Images without enhancement of the chest and abdomen after chemotherapy. Thickened pericardium, pericardial effusion, pleural effusion, and ascites found before treatment disappeared after chemotherapy.
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case_images: During that hospital stay, pleuritis, pericarditis, and peritonitis were identified (Figure 1A and B). After the treatment regimen, marked clinical and radiographic improvements were observed (Figure 1C and D).
case_images: Magnetic resonance imaging of the prostate. Horizontal planes on magnetic resonance imaging are shown. The yellow arrow indicates the tumor. (A) T1-weighted image; the tumor shows mixed signal intensity. (B) T2-weighted image; the tumor shows mixed intensity. (C) Diffusion-weighted image; the tumor shows high intensity. (D) Apparent diffusion coefficient mapping; the tumor shows low intensity.
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case_images: Magnetic resonance imaging confirmed a prostate mass (Figure 2).
case_images: Timeline of the patient's clinical course. The horizontal axis indicates the timeline. The vertical axis indicates the HbA1c level. The black line indicates changes in HbA1c. Horizontal bars indicate medications for tuberculosis and diabetes mellitus.
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case_images: Figure 3 summarizes the patient's clinical course timeline, including clinical events, chemotherapy, diabetes medications, and HbA1c level.
case_images: Imaging findings of the scrotum. Scrotum ultrasonography and horizontal plane on magnetic resonance imaging are shown. The yellow arrow indicates the tumor. (A and B) Right and left scrotum ultrasonography. Bilaterally enlarged epididymis demonstrating heterogeneous and hypoechogenic texture. (C) T1-weighted image; the tumor shows slightly higher intensity relative to testicular parenchyma. (D) T2-weighted image; the tumor shows lower intensity relative to testicular parenchyma.
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case_images: Scrotal ultrasonography revealed diffusely enlarged bilateral epididymis with a heterogeneous and hypoechogenic texture (Figure 4A and B). T2-weighted images, respectively (Figure 4C and D).