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February 2015 Issue

 




Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Situs Ambiguous, Levocardia, Right Sided Stomach, Obstructing Duodenal Web, and Intestinal Nonrotation: A Case Report by Tomas Mujo et al.

Published: 2015 Feb
Issue: 9(2) :: Pages: 16-23


Free full text article: Situs Ambiguous, Levocardia, Right Sided Stomach, Obstructing Duodenal Web, and Intestinal Nonrotation: A Case Report

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Abstract: When approaching a case with a situs abnormality, using the proper terminology, making a specific diagnosis, and understanding the other often associated abnormalities that need to be excluded are of great importance. We present a case of situs ambiguous in the presence of intestinal nonrotation and an obstructing duodenal web. Our patient initially presented at two days old with bilious emesis and failure to pass meconium after birth. An abdominal radiograph demonstrated an unusual bowel gas pattern, a reversed "double bubble" sign. A subsequent thorough imaging survey was crucial to further characterize our patient`s unique anatomy. Overall, our case demonstrates many of the unusual plain radiographic and sonographic findings associated with our patient`s situs abnormality and allows for review of situs abnormalities and their significance.


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Conventional Radiography, Ultrasound, Table





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

Systemic Mastocytosis: A Rare Cause of Single Vertebral Body Uptake on Bone Scan by Monzer Chehab et al.

Published: 2015 Feb
Issue: 9(2) :: Pages: 31-41


Free full text article: Systemic Mastocytosis: A Rare Cause of Single Vertebral Body Uptake on Bone Scan

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Abstract: Systemic Mastocytosis is a rare condition characterized by the abnormal proliferation of Mast Cells. Presentation as a solitary vertebral body lesion is extremely uncommon and may be confused with more ominous conditions such as metastasis. Familiarity with the condition can heighten clinical suspicion, direct tissue diagnosis, guide management and indicate appropriate follow up. We present a case of a 64-year-old woman undergoing staging for recently diagnosed breast cancer who was found to have Systemic Mastocytosis of a single vertebral body.


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Conventional Radiography, Ultrasound, Nuclear Medicine, Computed Tomography, Microscopic pathology, Table





Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

Pulmonary Imaging Abnormalities in an Adult Case of Congenital Lobar Emphysema by Damien Pike et al.

Published: 2015 Feb
Issue: 9(2) :: Pages: 9-15


Free full text article: Pulmonary Imaging Abnormalities in an Adult Case of Congenital Lobar Emphysema

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Abstract: Congenital lobar emphysema is mainly diagnosed in infants, although rare cases are reported in adults. A 20-yr-old female with acute dyspnea, chest pain and left upper lobe (LUL) chest x-ray hyperlucency underwent 3He magnetic resonance imaging (MRI) for ventilation and apparent diffusion coefficient (ADC) measurements, as well as CT for emphysema and airway wall measurements. Forced expiratory volume in 1s, residual volume, and airways-resistance were abnormal, but there was normal carbon-monoxide-diffusing-capacity. The LUL relative area of the density histogram <-950 HU and airway morphology were highly abnormal compared with the other lobes and coincident with highly abnormal MRI-derived acinar duct dimensions. CT also identified bronchial atresia and congenital lobar emphysema as the source of symptoms in this case where there was also functional imaging evidence of collateral ventilation from the fissure (and not the abnormally terminated airway) into the emphysematous LUL.


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Conventional Radiography, Computed Tomography, Magnetic Resonance Imaging, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

IgG4-Related Disease Presenting as a Solitary Neck Mass by Tyler McKinnon et al.

Published: 2015 Feb
Issue: 9(2) :: Pages: 1-8


Free full text article: IgG4-Related Disease  Presenting as a Solitary Neck Mass

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Abstract: IgG4-related disease is a newly recognized entity associated with autoimmune conditions involving almost every organ system. It is characterized by elevated serum IgG4 as well as mass like tissue infiltration by IgG4-positive plasma cells. Imaging findings are nonspecific, vary depending on the site of disease, and include mass like enlargement of the salivary or lacrimal glands and enlarged lymph nodes. Radiographic findings often mimic malignancy, necessitating tissue sampling to confirm the diagnosis. Distinguishing IgG4-related disease from malignancy is important as IgG4 responds well to steroids and conservative management.


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Computed Tomography, Microscopic pathology, Table





Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Synovial sarcoma of the abdominal wall: Imaging findings and review of the literature by Robbert J. de Haas et al.

Published: 2015 Feb
Issue: 9(2) :: Pages: 24-30


Free full text article: Synovial sarcoma of the abdominal wall: Imaging findings and review of the literature

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Abstract: Synovial sarcoma is the fourth most common type of soft-tissue sarcoma (following undifferentiated pleomorphic sarcoma, liposarcoma, and rhabdomyosarcoma), and should be considered a high-grade neoplasm with a high number of local recurrences and late metastases. Synovial sarcoma predominantly occurs in adolescents and young adults, and typically arises near the joints of the lower extremity. However, this tumor can also occur at uncommon sites such as the abdominal wall, which is illustrated in this article. Furthermore, we reviewed the available literatures on the clinical, pathological and radiological appearances, as well as the current knowledge concerning treatment options and prognosis.


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





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