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November 2009 Issue

 




Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Multifocal extra-adrenal myelolipoma arising in the greater omentum by Adib R. Karam

Published: 2009 Nov
Issue: 3(11) :: Pages: 20-23


Free full text article: Multifocal extra-adrenal myelolipoma arising in the greater omentum

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Abstract: Myelolipomas are rare benign tumors composed of mature fat and hematopoietic elements. They are most often discovered incidentally within the adrenal glands, with extra-adrenal myelolipomas being extremely rare tumors. We report a case of multifocal omental extra-adrenal myelolipoma in a patient who had undergone bilateral adrenalectomy. To our knowledge, this is the first reported case of an intraperitoneal extra-adrenal myelolipoma.


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Computed Tomography, Macroscopic pathology, Microscopic pathology

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Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Lipid Infusion Through Malpositioned Central Venous Catheter: Head Ultrasound Features by Morgan Roth Goldberg et al.

Published: 2009 Nov
Issue: 3(11) :: Pages: 13-19


Free full text article: Lipid Infusion Through Malpositioned Central Venous Catheter: Head Ultrasound Features

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Abstract: Properly placed central venous catheters have been effective in establishing prolonged access for total parenteral nutrition infusion in ill neonates. However, malposition of the catheter may lead to lethal complications. Malposition and infusion into the epidural venous plexus is most commonly diagnosed on the basis of radiographs and has been confirmed by lumbar puncture. Several studies describe catheter malposition and associated complications. None, however, demonstrate head ultrasound features. We present sonographic findings in a patient who received hyperalimentation for 15 days through a malpositioned lower extremity peripherally inserted central venous catheter.


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Ultrasound, Conventional Radiography, Magnetic Resonance Imaging

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Other Radiology articles from the Genitourinary Radiology section Genitourinary Radiology

Supernumerary Testis by Jaiger Chintamani et al.

Published: 2009 Nov
Issue: 3(11) :: Pages: 29-32


Free full text article: Supernumerary Testis

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Abstract: Polyorchidism is a rare congenital anomaly of the genital tract in which more than two testes are present, usually within the scrotum. Less than 100 cases of polyorchidism have been reported in medical literature till date. The most common form is the presence of three testis referred as triorchidism or tritestis. There are characteristic sonographic features of polyorchidism, and the diagnosis is often made on the basis of ultrasonography. Magnetic resonance imaging can be used for confirmation. We present a case of polyorchidism in a 13 yrs old adolescent.


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Ultrasound, Magnetic Resonance Imaging

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

Complete cloacal duplication imaged before and during pregnancy by Omar Ragab et al.

Published: 2009 Nov
Issue: 3(11) :: Pages: 24-28


Free full text article: Complete cloacal duplication imaged before and during pregnancy

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Abstract: The authors describe a 31 year-old female who presented emergently with abdominal pain and was found at CT to have complete genitourinary duplication including separate urinary bladders, uteri, cervices, and vaginas, and also duplication of the rectum. No etiology for abdominal pain was identified. The patient was referred to urology for further evaluation, and an intravenous urographic study was obtained, which confirmed complete lower urinary tract duplication. The patient presented emergently 9 months later during a subsequent pregnancy for further evaluation of abdominal pain. A second CT scan was ordered to rule out appendicitis. Findings consistent with cloacal duplication were again noted. There was also dilatation of the urinary collecting systems, more prominently on the right side. A Cesarean section was performed and confirmed total genitourinary and rectal duplication.


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Computed Tomography, Ultrasound, Conventional Radiography

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Other Radiology articles from the Neuroradiology section Neuroradiology

Dural Based Mass: Malignant or Benign by Kurt Scherer et al.

Published: 2009 Nov
Issue: 3(11) :: Pages: 1-12


Free full text article: Dural Based Mass: Malignant or Benign

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Abstract: In March 2007, a 68 year old female was diagnosed with colonic adenocarcinoma metastatic to the lungs and a frontoparietal parafalcine lesion suspected to be a meningioma was also noted. She denied neurologic symptoms and resection of the parafalcine lesion did not occur. For 14 months, she received chemotherapy with poor response. In June 2008, she developed multiple focal neurologic deficits. Enlargement of the parafalcine brain lesion was noted on head computerized tomography and magnetic resonance imaging. Cerebral angiogram demonstrated a parafalcine mass supplied by the middle meningeal artery. All 3 modality findings confirmed a meningioma. Embolization of the middle meningeal artery with craniotomy for excision of the suspected meningioma was performed. Pathology indicated metastatic adenocarcinoma with colonic primary without evidence of meningioma. Meningiomas are the most common dural based lesions; however, a variety of dural lesions mimic meningiomas. Dural metastatic tumors mimicking meningiomas is an uncommon phenomenon, particularly when the primary location is the colon. This paper additionally discusses the differentiation of benign dural based tumors like meningiomas from malignant findings. Multiple adjunct studies can differentiate meningiomas from metastatic tumor. The definitive diagnosis is based on histopathology.


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

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

Expansive Masses Arising From The Clivus: The Role Of FDG-PET/CT In The Metabolic Assessment Of Skeletal Lesions by Angelina Cistaro et al.

Published: 2009 Nov
Issue: 3(11) :: Pages: 33-40


Free full text article: Expansive Masses Arising From The Clivus: The Role Of FDG-PET/CT In The Metabolic Assessment Of Skeletal Lesions

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Abstract: A patient with neurological symptoms underwent CT scan that showed a sellar and suprasellar mass with bone erosions, involving especially the clivus and the right petrous apex. The first diagnostic hypothesis was chordoma in relation to the mass position. The MRI showed a solid well-enhancing mass; moreover another circumscribed lesion, with similar signal pattern, was found in the left mandibular condyle. the signal and the presence of another lesion did not agree with diagnosis of chordoma. FDG-PET/CT study showed multiple pathological uptakes suggesting a metastatic disease. A trans-sphenoidal excisional biopsy was performed and the histopathological analysis showed a population of cells consistent with a plasmacell tumor, confirmed by the presence of a monoclonal gammopathy on blood analysis. Our case suggests that FDG-PET/CT can modify the diagnostic and therapeutic procedures in myeloma, by evaluating the bone marrow involvement.


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Magnetic Resonance Imaging, Computed Tomography, Nuclear Medicine, Microscopic pathology

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