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November 2012 Issue

 




Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Daughter cyst sign by William Thoburn Randazzo et al.

Published: 2012 Nov
Issue: 6(11) :: Pages: 43-47


Free full text article: Daughter cyst sign

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Abstract: The daughter cyst sign is a specific indicator of an uncomplicated ovarian cyst and pathologically represents a stimulated ovarian follicle. This finding must be differentiated from an ectopic pregnancy in a patient who has the potential to become pregnant. We report an uncomplicated ovarian cyst in a 3-year-old female with McCune-Albright syndrome and precocious puberty mimicking an ectopic pregnancy.


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Ultrasound, Table

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Other Radiology articles from the Breast Imaging section Breast Imaging

Dracunculiasis of the Breast: Radiological Manifestations of a Rare Disease by Shannon K. Barry et al.

Published: 2012 Nov
Issue: 6(11) :: Pages: 29-33


Free full text article: Dracunculiasis of the Breast:  Radiological Manifestations of a Rare Disease

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Abstract: Dracunculiasis of the breast is a rare manifestation of prior infection with the parasite dracunculus medinensis (guinea worm). We describe a case of a 60-year-old woman, who had recently emigrated from Cameroon. She presented for an annual screening mammogram and was found to have coarse linear or coiled serpiginous calcifications. These findings were recognized as calcified guinea worms within the breast tissue. This case report aims to highlight the mammographic findings of this rare infectious disease.


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Conventional Radiography, Table





Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

Multisystemic Langerhans Cell Histiocytosis with advanced lung involvement by Ricardo Andrade Fernandes de Mello¹*, Joana Waked Tanos¹, Melissa Bozzi Nonato Mello¹, Edson Marchiori2 et al.

Published: 2012 Nov
Issue: 6(11) :: Pages: 22-28


Free full text article: Multisystemic Langerhans Cell Histiocytosis with advanced lung involvement

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Abstract: Langerhans cell histiocytosis is a rare disease of unknown cause, characterized by the proliferation of histiocytic cells (Langerhans cells), that can sometimes be especially difficult to diagnose due to its wide clinical spectrum, ranging from a single lesion to a multisystemic disorder. Appropriate disease staging is fundamental, since treatment depends upon the severity of the disease, and imaging methods play a fundamental role not only in diagnosing and assessing the extent of Langerhans cell histiocytosis, as well as guiding the appropriate treatment for the patient and their monitoring.


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Clinical image, Microscopic pathology, Conventional Radiography, Computed Tomography, Table

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

Flare Response versus Disease Progression in Patients with Non-small Cell Lung Cancer by Khalsa Al-Nabhani et al.

Published: 2012 Nov
Issue: 6(11) :: Pages: 34-42


Free full text article: Flare Response versus Disease Progression in Patients with Non-small Cell Lung Cancer

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Abstract: We present a case report of a patient with metastatic non-small cell lung cancer (NSCLC) who had a series of fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) scans for assessment of response to treatment. A restaging 18F-FDG PET/CT scan after six cycles showed increased FDG activity in the bone lesions with reduced activity in the lung and liver lesions. The increased bone activity was considered to be due to flare phenomenon rather than metastasis. A short interval follow up scan after 1 month was advised to confirm this interpretation but this repeat scan showed disease relapse. Although the flare phenomenon does exist, caution should be exercised in attributing increased tracer uptake in the lesions in patients with adenocarcinoma of lung and especially those who have received erlotinib during the course of their treatment. Distinguishing the `flare phenomenon` and `disease progression` is at times difficult but is important since misdiagnosis may result in an unnecessary delay in patient management.


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

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Other Radiology articles from the Genitourinary Radiology section Genitourinary Radiology

"BCGitis": A rare case of tuberculous epididymo-orchitis following intravesical Bacillus Calmette-Guérin therapy by Virginie Demers et al.

Published: 2012 Nov
Issue: 6(11) :: Pages: 16-21


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Abstract: Tuberculous epididymo-orchitis is a rare complication of intravesical Bacillus Calmette-Guérin (BCG) therapy for urothelial cancer of the bladder. We present such a case, describe its sonographic appearance and review the literature. The difficulties in diagnosing this condition based on imaging alone, given the extensive overlap with the appearance of bacterial epididymo-orchitis, malignant testicular disease and testicular torsion, are discussed. Adequate knowledge of tuberculous epididymo-orchitis is of capital importance in order to ensure a proper diagnosis and treatment.


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Ultrasound, Macroscopic pathology, Microscopic pathology, Table

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Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

An Unusual Urinary Tract Presentation in a Case of Megacystis Microcolon Intestinal Hypoperistalsis Syndrome by Melkamu Adeb et al.

Published: 2012 Nov
Issue: 6(11) :: Pages: 1-7


Free full text article: An Unusual Urinary Tract Presentation in a Case of Megacystis Microcolon Intestinal Hypoperistalsis Syndrome

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Abstract: Megacystis microcolon intestinal hypoperistalsis syndrome is a rare congenital anomaly. Several pathogeneses have been described so far, but there is no single mechanism that can explain all the findings of the syndrome. Affected newborns usually present clinically in the first few days of life. The mainstay of diagnosis is a pre or a postnatal imaging evaluation using ultrasound or magnetic resonance imaging. We report an unusual urinary tract finding in a patient with the classic triads of the syndrome that was diagnosed with both pre and postnatal imaging evaluation.


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Ultrasound, Magnetic Resonance Imaging, Computed Tomography, Conventional Radiography, Fluoroscopy, Table

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Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Angiomatoid Fibrous Histiocytoma: A Case Report and Review of the Literature by Adam Bauer et al.

Published: 2012 Nov
Issue: 6(11) :: Pages: 8-15


Free full text article: Angiomatoid Fibrous Histiocytoma:  A Case Report and Review of the Literature

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Abstract: Angiomatoid fibrous histiocytoma (AFH) is a rare soft tissue tumor most commonly occurring in children, adolescents, and young adults. Clinically and radiographically the lesion is easily confused with a hematoma, soft tissue hemangioma, or malignant fibrous histiocytoma. While the lesion is rare, due to the potential for local recurrence and metastasis, it is imperative to consider this lesion in the differential diagnosis of a soft tissue mass in a child or adolescent. Here, we present the clinical, radiologic, and pathologic findings of a case of AFH.


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Conventional Radiography, Magnetic Resonance Imaging, Microscopic pathology, Table

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