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January 2015 Issue

 




Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Soft tissue aneurysmal bone cyst: a rare case in a middle aged patient by Kevin S Baker et al.

Published: 2015 Jan
Issue: 9(1) :: Pages: 26-35


Free full text article: Soft tissue aneurysmal bone cyst: a rare case in a middle aged patient

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Abstract: Soft tissue aneurysmal bone cyst is a rare entity, with about 20 cases reported in literature, only 3 of which are in patients over 40 years of age. We present a case of a 41 year old Latin American female who presented for evaluation of atraumatic chest pain with radiation to the left shoulder. Her initial workup was negative, including radiographic imaging of the chest and left shoulder. 4 months later, she presented to her orthopedic surgeon with a palpable mass and mild left shoulder pain. Radiographs acquired at that time demonstrated a 7.0 x 5.5 x 6.7 cm mass with rim calcification in the region of the upper triceps muscle. Subsequent CT imaging showed central areas of hypodensity and thin septations, a few of which were calcified. MR evaluation showed hemorrhagic cystic spaces with multiple fluid-fluid levels and enhancing septations. Surgical biopsy was performed and pathology was preliminarily interpreted as cystic myositis ossificans, however on final review the diagnosis of soft tissue aneurysmal bone cyst was made. The lesion was then surgically excised and no evidence of recurrence was seen on a 3 year post-op radiograph. Following description of our case, we conduct a literature review of the imaging characteristics, diagnosis, and treatment of soft tissue aneurysmal bone cyst.


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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

Inflammatory Pseudotumor of the Urinary Bladder by Elsa Rosado et al.

Published: 2015 Jan
Issue: 9(1) :: Pages: 36-42


Free full text article: Inflammatory Pseudotumor of the Urinary Bladder

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Abstract: We report a case of an inflammatory pseudotumor of the urinary bladder in a 31 year-old woman. She presented at the emergency room with low abdominal pain and urinary symptoms. Abdominal ultrasound, computed tomography and magnetic resonance imaging were performed and revealed asymmetric thickening of the urinary bladder wall. Cystoscopy with urinary cytology revealed a benign nature of the process. The patient underwent partial cystectomy and the pathologic examination of the specimen revealed an inflammatory pseudotumor. We reviewed the clinical, imaging and pathological features of the inflammatory pseudotumor of the urinary bladder and discussed its differential diagnosis.


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Ultrasound, Computed Tomography, Magnetic Resonance Imaging, Macroscopic pathology, Microscopic pathology, Table

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Other Radiology articles from the Cardiac Imaging section Cardiac Imaging

Coronary periarteritis in a patient with multi-organ IgG4-related disease by Yueyang Guo et al.

Published: 2015 Jan
Issue: 9(1) :: Pages: 1-17


Free full text article: Coronary periarteritis in a patient  with multi-organ IgG4-related disease

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Abstract: Immunoglobulin G4-related disease is a recently described systemic clinicopathological entity characterized by immunoglobulin G4-producing plasmacytic infiltration of tissue and frequently by elevated serum immunoglobulin G4 concentration. Manifestations of this disease have been documented in nearly all organs and locations, but coronary artery involvement is not widely recognized. We report the coronary findings of a patient with multi-organ immunoglobulin G4-related disease. Non-electrocardiogram-gated computed tomography of the chest demonstrated nodular and rind-like periarterial soft tissue thickening along the proximal coronary artery segments with improvement following steroid therapy.


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Microscopic pathology, Nuclear Medicine, Table

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Other Radiology articles from the Interventional Radiology section Interventional Radiology

Seeding of the Rectus Sheath with Hepatocellular Carcinoma after Image Guided Percutaneous Liver Biopsy Using Coaxial Biopsy Needle System by Vladislav V. Tchatalbachev et al.

Published: 2015 Jan
Issue: 9(1) :: Pages: 18-25


Free full text article: Seeding of the Rectus Sheath with Hepatocellular Carcinoma after Image Guided Percutaneous Liver Biopsy Using Coaxial Biopsy Needle System

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Abstract: Needle track seeding following image guided needle biopsy is a known but uncommon complication in the workup of hepatocellular carcinoma. We present the case of a 55 year-old male who was found to have a recurrent hepatocellular carcinoma in the rectus sheath five years following a CT guided biopsy with the biopsy needle passing through the anterior abdominal wall muscles.


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Computed Tomography, Microscopic pathology, Magnetic Resonance Imaging, Macroscopic pathology, Table

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Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Transduodenal migration of a retained surgical swab causing small bowel obstruction - imaging findings in the acute setting and prior to onset of symptoms by Marc Williams

Published: 2015 Jan
Issue: 9(1) :: Pages: 43-48


Free full text article: Transduodenal migration of a retained surgical swab causing small bowel obstruction - imaging findings in the acute setting and prior to onset of symptoms

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Abstract: Transmural migration of a retained surgical sponge causing small bowel obstruction is a rare occurrence. We report a case which demonstrates both the associated foreign body reaction seen on computed tomography months in advance of the onset of symptoms and confirms the subsequent fistulous decompression into the duodenum on both computed tomography and barium meal studies. To the best of the author`s knowledge, a retained surgical swab causing small bowel obstruction has not been previously described with imaging both pre and post transluminal decompression.


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Conventional Radiography, Computed Tomography, Fluoroscopy, Table

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