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March 2016 Issue

 




Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

A Rare Triad of Giant Occipital Encephalocele with Lipomyelomeningocele, Tetralogy of Fallot, and Situs Inversus by Arie Franco et al.

Published: 2016 Mar
Issue: 10(3) :: Pages: 36-46


Free full text article: A Rare Triad of Giant Occipital Encephalocele with Lipomyelomeningocele, Tetralogy of Fallot, and Situs Inversus

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Abstract: Giant encephalocele is an uncommon congenital anomaly with very few published reports available in the English literature. Tetralogy of Fallot associated with situs inversus is also infrequently reported. To our knowledge there are no published reports of an association between giant encephalocele and Tetralogy of Fallot. The additional finding of situs inversus results in a rare pathologic triad, not heretofore described.


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Magnetic Resonance Imaging, Ultrasound, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

Capecitabine-induced leukoencephalopathy involving the bilateral corticospinal tracts by Mark Bang-Wei Tan et al.

Published: 2016 Mar
Issue: 10(3) :: Pages: 1-10


Free full text article: Capecitabine-induced leukoencephalopathy  involving the bilateral corticospinal tracts

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Abstract: An 80 year old lady with a history of metastatic sigmoid carcinoma presented with expressive dysphasia and unsteady gait 4 days after commencement of adjuvant capecitabine chemotherapy. MRI demonstrated restricted diffusion and T2/FLAIR hyperintensity involving the course of the bilateral corticospinal tracts, the corpus callosum and the middle cerebellar peduncles. Discontinuation of chemotherapy lead to symptom resolution in 2 days; repeat MRI at 2 months demonstrated reversal of the diffusion changes and improvement of the previous T2W/FLAIR hyperintensity. This report describes the first case of capecitabine induced leukoencephalopathy causing restricted diffusion along the corticospinal tracts, which should be differentiated from other entities that involve the corticospinal tracts (i.e. amyotrophic lateral sclerosis (ALS), primary lateral sclerosis (PLS), hypoglycemic coma, etc.)


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Magnetic Resonance Imaging, Table





Other Radiology articles from the Interventional Radiology section Interventional Radiology

Treatment of Hypersplenism by Partial Splenic Embolization Through Gastric Collaterals by Souheil Saddekni et al.

Published: 2016 Mar
Issue: 10(3) :: Pages: 28-35


Free full text article: Treatment of Hypersplenism by Partial Splenic Embolization Through Gastric Collaterals

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Abstract: We report a case of Chronic lymphocytic leukemia (CLL) with associated hypersplenism, that was referred to us for partial splenic embolization (PSE) as the patient was not a surgical candidate for splenectomy. Initially, we were not successful in catheterizing the splenic artery from the celiac trunk due to significant atherosclerotic disease. Therefore, we successfully managed to access the distal splenic artery through patent gastro-epiploic collateral circulation along the greater curvature of the stomach. Partial splenic embolization was successfully performed and resulted in improvement of the patient`s peripheral blood cell count as well as 60-70% reduction in the size of the spleen on follow up. Our case highlights an alternative pathway for splenic artery embolization when catheterization of the splenic artery is not feasible. To our knowledge, the use of gastro-epiploic collaterals to embolize the spleen has not been previously reported in literature.


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Computed Tomography, Angiography, Interventional, Table





Other Radiology articles from the Breast Imaging section Breast Imaging

Male Pectoral Implants: Radiographic Appearance of Complications by Cherie M Kuzmiak et al.

Published: 2016 Mar
Issue: 10(3) :: Pages: 11-19


Free full text article: Male Pectoral Implants:  Radiographic Appearance of Complications

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Abstract: There has been a significant surge in aesthetic chest surgery for men in the last several years. Male chest enhancement is performed with surgical placement of a solid silicone pectoral implant. In the past, male chest correction and implantation were limited to the treatment of men who had congenital absence or atrophy of the pectoralis muscle and pectus excavatum deformity. But today, the popularization of increased chest and pectoral size fostered by body builders has more men desiring chest correction with implantation for non-medical reasons. We present a case of a 44-year-old, male with a displaced left pectoral implant with near extrusion and with an associated peri-implant soft tissue mass and fluid collection. While the imaging of these patients is uncommon, our case study presents the radiographic findings of male chest enhancement with associated complications.


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





Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Incidental Anterior Cruciate Ligament Calcification: Case Report by Hisami Hayashi et al.

Published: 2016 Mar
Issue: 10(3) :: Pages: 20-27


Free full text article: Incidental Anterior Cruciate Ligament Calcification: Case Report

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Abstract: The calcification of knee ligaments is a finding noted only in a handful of case reports. The finding of an anterior cruciate ligament calcification has been reported once in the literature. Comparable studies involving the posterior cruciate ligament, medial collateral ligament and an ossicle within the anterior cruciate ligament are likewise discussed in reports of symptomatic patients. We report a case of incidentally discovered anterior cruciate ligament calcification. We discuss the likely etiology and clinical implications of this finding.


Available image modalities: (click on modality to browse for other articles)
Computed Tomography, Conventional Radiography, Table





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