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January 2014 Issue

 




Other Radiology articles from the Nuclear Medicine / Molecular Imaging section Nuclear Medicine / Molecular Imaging

Bilateral cryptorchidism mimicking external iliac lymphadenopathy in a patient with leg melanoma: role of FDG-PET and ultrasound in management by Samuel Kyle et al.

Published: 2014 Jan
Issue: 8(1) :: Pages: 13-19


Free full text article: Bilateral cryptorchidism mimicking external iliac lymphadenopathy in a patient with leg melanoma: role of FDG-PET and ultrasound in management

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Abstract: Cryptorchidism is the most common congenital anomaly present at birth in males. Spontaneous testicular descent occurs in the majority of patients, typically before 6 months of age. Radiology plays an important role, predominantly in the assessment of the nonpalpable testis, with ultrasound being the most commonly employed modality. Magnetic resonance imaging is however the most accurate modality for the assessment of the nonpalpable testis, particularly with the use of fat suppressed T2 and diffusion weighted sequences. While traditionally treated in infancy, the untreated or occult form can radiologically be mistaken for lymphadenopathy. Fluorodeoxyglucose (FDG) positron emission tomography can play an important role in differentiating cryptorchidism from lymphadenopathy, most commonly in patients with known malignancy, although FDG uptake can be variable. We present a case of bilateral cryptorchidism in an adult male which masqueraded as lymphadenopathy in a patient with lower limb melanoma.


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Computed Tomography, Nuclear Medicine, Ultrasound, Table

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Other Radiology articles from the General Radiology section General Radiology

Adrenal and Extra-adrenal Myelolipomas - A Comparative Case Report by Arsany Hakim et al.

Published: 2014 Jan
Issue: 8(1) :: Pages: 1-12


Free full text article: Adrenal and Extra-adrenal Myelolipomas -  A Comparative Case Report

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Abstract: Myelolipoma is an uncommon benign tumour composed of mature fat tissue and haematopoietic elements and is most commonly found in the adrenal gland. We report a case, which was discovered incidentally on chest X-ray, of a rare occurrence of multifocal extra-adrenal myelolipoma in the thoracic paravertebral region. This was further investigated with multi-detector computed tomography and magnetic resonance imaging. The presumed diagnosis, of extra-adrenal myelolipoma, was histologically confirmed via tissue sample obtained by computed tomography guided biopsy. We compare the adrenal and extra-adrenal entities from the perspective of published literature and also review the cases, published in Pubmed, of extra-adrenal myelolipomas in order to summarize the different locations of this lesion.


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Conventional Radiography, Computed Tomography, Magnetic Resonance Imaging, Microscopic pathology, Table

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Other Radiology articles from the Genitourinary Radiology section Genitourinary Radiology

Management of iatrogenic urinothorax following ultrasound guided percutaneous nephrostomy by Deepak Batura et al.

Published: 2014 Jan
Issue: 8(1) :: Pages: 34-40


Free full text article: Management of iatrogenic urinothorax following ultrasound guided percutaneous nephrostomy

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Abstract: A 64 year-old male with metastatic prostate adenocarcinoma presented with bilateral hydronephrosis and renal impairment. Bilateral percutaneous nephrostomy drainage followed by ante-grade stenting was done. Shortly afterwards, the patient developed an extensive left-sided pleural effusion. His serum creatinine rose and he became anuric. Emergency pleural aspiration and later, pleural drainage were performed. Pleural aspirate was diagnostic of urinothorax and non contrast CT scan demonstrated a left reno-pleural fistula. The right stent was removed cystoscopically. The left stent could not be removed cystoscopically and was replaced in an ante grade manner through a fresh percutaneous renal approach. This led to cessation of pleural fluid accumulation. The patient was discharged with bilateral ureteric stents and normal renal function. A month later, he had normal renal function, no hydronephrosis and normal chest x-rays.


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Ultrasound, Fluoroscopy, Conventional Radiography, Computed Tomography, Table

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Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Adult abdominal Burkitt lymphoma with isolated peritoneal involvement by Catarina Oliveira et al.

Published: 2014 Jan
Issue: 8(1) :: Pages: 27-33


Free full text article: Adult abdominal Burkitt lymphoma  with isolated peritoneal involvement

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Abstract: Burkitt lymphoma is a fast-growing high grade B-cell neoplasm that rarely affects adults. Three clinical variants are described in the World Health Organization classification: endemic, sporadic, and immunodeficiency-associated. The non-endemic form typically presents as an abdominal mass in children. Symptoms usually occur due to mass effect or direct intestinal involvement. We describe a very unusual presentation of a sporadic Burkitt lymphoma case in a 61-year-old male with diffuse peritoneal and omental involvement, without lymphadenopathies, mimicking peritoneal carcinomatosis.


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Ultrasound, Computed Tomography, Microscopic pathology, Table

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Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

Unique Venocaval Anomalies: Case of Duplicate Superior Vena Cava and Interrupted Inferior Vena Cava by Iris Hagans et al.

Published: 2014 Jan
Issue: 8(1) :: Pages: 20-26


Free full text article: Unique Venocaval Anomalies:  Case of Duplicate Superior Vena Cava and  Interrupted Inferior Vena Cava

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Abstract: Venocaval anomalies are uncommon in the general population and often go unrecognized, but physicians should be aware of their significance. Duplicate superior vena cava should be identified during cardiac imaging, surgery, and catheter insertions. While interrupted inferior vena cava can predispose to thrombus formation, they protect against pulmonary embolism from lower extremity deep vein thrombosis. We describe a unique case of a patient in which combined superior vena cava and inferior vena cava anomalies were found incidentally. This is the first reported case of a duplicate superior vena cava and interrupted inferior vena cava in a single patient in English literature. This article also provides a literature review on the topic.


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Conventional Radiography, Computed Tomography, Ultrasound, Angiography, Interventional, Graph, Table

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Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Heterotopic Ossification of the Quadratus Lumborum Muscle by Brie Alport et al.

Published: 2014 Jan
Issue: 8(1) :: Pages: 41-46


Free full text article: Heterotopic Ossification  of the Quadratus Lumborum Muscle

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Abstract: Heterotopic ossification is a benign process of mature laminar bone formation in the soft tissues. A synonymous term used to describe this pathology in muscle is myositis ossificans. The pathogenesis is unclear, but is likely multifactorial. The basic pathology is thought to be ectopic production of osseous tissue as part of a repair process in response to tissue injury. This report describes a case of heterotopic ossification of the quadratus lumborum muscle as an incidental finding. This case highlights that treatment is based on symptoms and conservative management might be appropriate for the asymptomatic patient.


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Computed Tomography, Conventional Radiography, Table

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