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Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Diagnostic dilemma in a neglected case of fetus-in-fetu solved with Magnetic Resonance Imaging and MDCT - a case report and review of literature by Umesh Chandra Parashari et al.

Published: 2011 Oct
Issue: 5(10) :: Pages: 29-37


Free full text article: Diagnostic dilemma in a neglected case of fetus-in-fetu solved with Magnetic Resonance Imaging and MDCT - a case report and review of literature

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Abstract: Fetus-in-fetu (FIF) is a rare anomaly in which a vertebrate fetus is enclosed within the body of its twin in diamniotic monochorionic pregnancy. To the best of our knowledge, fewer than 100 cases have been reported in literature. Although a wide variety of presentations have been described in clinical reports, the characteristic features on MRI which distinguish FIF from teratoma have not been well delineated. Here we present a case of fetus-in-fetu in which characteristic MDCT and MR findings were used to diagnose FIF preoperatively and successfully differentiate it from teratoma. Although both CT and MRI can be used for definitive preoperative diagnosis of FIF, MRI is an ideal imaging modality due to inherent high tissue contrast and spatial resolution. Furthermore, MRI obviates the need for iodine contrast and eliminates the risk of ionizing radiation. We emphasize that MRI is an ideal valuable diagnostic tool for definite preoperative diagnosis of FIF and surgical planning.


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Conventional Radiography, Ultrasound, Computed Tomography, Magnetic Resonance Imaging, Macroscopic pathology, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

Aggressive hemangioma of the thoracic spine by Wesley B. Schrock et al.

Published: 2011 Oct
Issue: 5(10) :: Pages: 7-13


Free full text article: Aggressive hemangioma of the thoracic spine

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Abstract: Vertebral hemangiomas are common lesions and usually considered benign. A rare subset of them, however, are characterized by extra-osseous extension, bone expansion, disturbance of blood flow, and occasionally compression fractures and thereby referred to as aggressive hemangiomas. We present a case of a 67-year-old woman with progressive paraplegia and an infiltrative mass of T4 vertebra causing mass effect on the spinal cord. Multiple conventional imaging modalities were utilized to suggest the diagnosis of aggressive hemangioma. Final pathologic diagnosis after decompressive surgery confirmed the diagnosis of an osseous hemangioma.


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Magnetic Resonance Imaging, Computed Tomography, Angiography, Interventional, Microscopic pathology, Table

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Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

An unusual cause of external snapping hip by Milva Battaglia et al.

Published: 2011 Oct
Issue: 5(10) :: Pages: 1-6


Free full text article: An unusual cause of external snapping hip

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Abstract: The external snapping hip syndrome is a condition characterized by palpable or audible snap on the lateral region of the hip occurring during movements and sometimes associated with pain. It is typical of young adults and athletes and can be favored by the abnormal sliding of the iliotibial band or of the gluteus maximus muscle over the greater trochanter. We present a case of external snapping hip syndrome occurring in a young woman secondary to a dysmorphic sickle-shaped myotendinous junction of the gluteus maximus muscle. Diagnosis was allowed by an integrated clinical and radiological approach, based on dynamic ultrasound and magnetic resonance imaging (MRI).


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Conventional Radiography, Ultrasound, Magnetic Resonance Imaging, Table

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Other Radiology articles from the Interventional Radiology section Interventional Radiology

Investigation of polymethylmethacrylate pulmonary embolus in a patient ten years following vertebroplasty by David Leitman et al.

Published: 2011 Oct
Issue: 5(10) :: Pages: 14-21


Free full text article: Investigation of polymethylmethacrylate pulmonary embolus in a patient ten years following vertebroplasty

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Abstract: Percutaneous vertebroplasty (PV) is a procedure commonly used for the treatment of vertebral compression fractures, and the number of procedures has been steadily increasing over the past decade. We report a case of an 81 year old female with a history of breast cancer that developed two vertebral body compression fractures and was subsequently treated with PV. The patient developed a subsegmental pulmonary polymethylmethacrylate (PMMA) embolus as a complication of the procedure. Ten years following the procedure, she remained asymptomatic with the PMMA embolus being discovered incidentally during workup for a suspected chronic obstructive pulmonary disease (COPD) exacerbation. In reviewing the case, we describe the typical presentation of a pulmonary PMMA embolus and consider methods to decrease the incidence of this complication.


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Conventional Radiography, Fluoroscopy, Computed Tomography, Table

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Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

A case of type A aortic dissection with underlying fibromuscular dysplasia by Viesha Ciura et al.

Published: 2011 Oct
Issue: 5(10) :: Pages: 22-28


Free full text article: A case of type A aortic dissection with underlying fibromuscular dysplasia

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Abstract: Fibromuscular dysplasia is a rare, non-atherosclerotic non-inflammatory vascular disease that most commonly involves the renal arteries and carotid arteries, but has been described in nearly every vascular bed in the body. Complications of fibromuscular dysplasia include aneurysms and vascular dissection. We present a rare case of fibromuscular dysplasia involving the aorta, complicated by type A aortic dissection.


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Computed Tomography, Microscopic pathology, Table

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