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October 2013 Issue

 




Other Radiology articles from the Breast Imaging section Breast Imaging

Pilomatrixoma of the breast, a rare lesion simulating breast cancer: a case report by Jacopo Nori et al.

Published: 2013 Oct
Issue: 7(10) :: Pages: 43-50


Free full text article: Pilomatrixoma of the breast, a rare lesion simulating breast cancer: a case report

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Abstract: Pilomatrixoma or calcifying epithelioma of Malherbe is a rare, benign, skin tumour originating from piliferous follicles; breast localization is considered to be very rare. These lesions can origin from the peri-areolar piliferous bulbs and, due to the clinical and imaging features, be easily misdiagnosed as a breast neoplasm. We present a case of pilomatrixoma of the left breast in a woman of 43 years appearing as a firm, deep nodule in the external quadrants. The lesion had mammographic and sonographic malignant features, but histological analysis on core-needle biopsy and surgical specimens revealed this unusual benign lesion.


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Conventional Radiography, Ultrasound, Table

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Other Radiology articles from the Genitourinary Radiology section Genitourinary Radiology

Papillary carcinoma arising in struma ovarii versus ovarian metastasis from primary thyroid carcinoma: a case report and review of the literature by Inęs Leite et al.

Published: 2013 Oct
Issue: 7(10) :: Pages: 24-33


Free full text article: Papillary carcinoma arising in struma ovarii versus ovarian metastasis from primary thyroid carcinoma:  a case report and review of the literature

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Abstract: We present a case of a postmenopausal woman diagnosed with an ovarian mass containing thyroid follicles and foci of papillary thyroid carcinoma during pathological examination. This patient referred having had a metachronous thyroid malignancy 10 years before. The differential diagnosis between a thyroid malignancy arising from a struma ovarii and a metastatic ovarian tumor originating from thyroid-cancer is challenging. Struma ovarii should be considered when thyroid components are the predominant element or when thyroid malignant tissue is identified within an ovarian lesion. Thyroid carcinoma arising from a struma ovarii is reported to occur in a minority of cases. Of these, papillary carcinoma is the most frequent subtype encountered. Regarding primary thyroid carcinomas, papillary carcinomas have a lower metastatic potential when compared to follicular carcinomas, and most of the metastases occur in the cervical lymph nodes. Ovarian metastases are exceedingly rare and generally associated with widespread disease. However, they must be considered in the presence of previous history of malignant thyroid carcinoma. The authors review the main clinical, imaging and therapeutic aspects of both these entities and present the most likely diagnosis.


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Ultrasound, Magnetic Resonance Imaging, Microscopic pathology, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

A case of septum pellucidum subependymoma with a subtle imaging appearance simulating a cavum septum pellucidum by Sawsan Taifš*, Hunaina Al-Kindi˛, Renjan Vargheseš et al.

Published: 2013 Oct
Issue: 7(10) :: Pages: 7- 16


Free full text article: A case of septum pellucidum subependymoma with a subtle imaging appearance simulating a cavum septum pellucidum

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Abstract: Subependymoma is a rare benign slowly growing tumor which usually appears as a well-defined lobulated entirely intraventricular mass, in the fourth or lateral ventricles. We report a case of subependymoma involving the septum pellucidum in a 28 year old female demonstrating a subtle and unusual radiological appearance. It showed very low attenuation on computed tomography, with very high signal on T2- and low signal on T1 weighted magnetic resonance images, merging with the ventricular wall, without definite focal mass. This appearance made the tumor difficult to differentiate from the cerebrospinal fluid and simulating a cavum septum pellucidum. The patient was treated by craniotomy and gross total resection of the mass.


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Computed Tomography, Magnetic Resonance Imaging, Microscopic pathology, Table

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Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

Reversed Halo Sign on CT as a Presentation of Lymphocytic Interstitial Pneumonia by Marcus D Freeman et al.

Published: 2013 Oct
Issue: 7(10) :: Pages: 51-56


Free full text article: Reversed Halo Sign on CT as a Presentation of Lymphocytic Interstitial Pneumonia

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Abstract: A 52 year-old African American female with a past medical history of symptomatic uterine fibroids and increasing abdominal circumference underwent abdominal computed tomography (CT) as part of her workup. Because of an abnormality in the left lower lobe, CT of the chest was subsequently performed and showed a focal region of discontinuous crescentic consolidation with central ground glass opacification in the right lower lobe, suggestive of the reversed halo sign. The patient underwent percutaneous CT-guided core biopsy of the lesion, which demonstrated lymphocytic interstitial pneumonia, a benign lymphoproliferative disease characterized histologically by small lymphocytes and plasma cells. This case report describes the first histologically confirmed presentation of lymphocytic interstitial pneumonia with the reversed halo sign on CT.


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Computed Tomography, Microscopic pathology, Table

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Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Sclerosing Encapsulating Peritonitis (Cocoon Bowel) Presenting after Laparotomy for Splenic Abscess by Jason Caldwell

Published: 2013 Oct
Issue: 7(10) :: Pages: 17-23


Free full text article: Sclerosing Encapsulating Peritonitis (Cocoon Bowel) Presenting after Laparotomy for Splenic Abscess

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Abstract: Sclerosing encapsulating peritonitis, previously referred to as cocoon bowel, is a rare cause of intestinal obstruction that often results in obstruction due to the development of a fibrous enhancing membrane that encases multiple small bowel loops. We present a case of a patient who presented to our institution with abdominal distension and guarding. Computed tomography was obtained which revealed findings concerning for sclerosing encapsulating peritonitis. Sonographic imaging was also obtained and provides correlative imaging.


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Computed Tomography, Ultrasound, Table

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Other Radiology articles from the General Radiology section General Radiology

A Case of Multisystem Endometriosis by Pardeep Athwal et al.

Published: 2013 Oct
Issue: 7(10) :: Pages: 1-6


Free full text article: A Case of Multisystem Endometriosis

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Abstract: Catamenial pneumothorax is a rare complication secondary to pleural endometriosis. We present a case of a 37-year-old-female with a history of recurrent pneumothoraces with an associated temporal relationship to the onset of her menses. In addition to her recurrent pneumothoraces, on further evaluation, she was found to have multiple nodular masses within the omentum. A thoracoscopic biopsy was subsequently performed, which showed endometrial implants within the pleural space and within the omental cavity. The radiological features and pathogenesis of this rare disease are reviewed and discussed with reference to relevant literature.


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Computed Tomography, Table

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Other Radiology articles from the OB/GYN section OB/GYN

Ruptured Interstitial Ectopic Pregnancy at 18 Weeks Gestation Diagnosed by MRI: A Case Report by Ehab SM Hamouda et al.

Published: 2013 Oct
Issue: 7(10) :: Pages: 34-42


Free full text article: Ruptured Interstitial Ectopic Pregnancy at 18 Weeks Gestation Diagnosed by MRI: A Case Report

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Abstract: Ectopic pregnancy in the interstitial part of the fallopian tube is a rare event, associated with a high rate of complications due to delayed diagnosis. Rupture of such pregnancy often results in catastrophic hemorrhage. Several reports highlighted the role of magnetic resonance imaging in establishing the diagnosis of interstitial pregnancy, but magnetic resonance imaging findings of a ruptured advanced interstitial ectopic pregnancy have not been published before. The authors therefore present characteristic findings on magnetic resonance imaging of a ruptured interstitial ectopic pregnancy which had reached 18 weeks, in a 25-year-old woman who presented with acute abdominal pain.


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Ultrasound, Magnetic Resonance Imaging, Macroscopic pathology, Graph, Table

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