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April 2015 Issue

 




Other Radiology articles from the Interventional Radiology section Interventional Radiology

Popliteal vein aneurysm presenting as recurrent pulmonary embolism by Joel Lim et al.

Published: 2015 Apr
Issue: 9(4) :: Pages: 23-27


Free full text article: Popliteal vein aneurysm presenting as recurrent pulmonary embolism

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Abstract: Although rare, popliteal vein aneurysms can lead to pulmonary emboli, which can be fatal. We present a case of a popliteal vein aneurysm in a 39-year-old female who presented with her third episode of pulmonary embolism despite being on anticoagulants. Computed Tomography Venogram demonstrated a large Popliteal Vein Aneurysm measuring 71 x 36 x 77 mm which was surgically repaired. According to the current literature, anticoagulation is insufficient therefore early surgical intervention is recommended as it is safe and effective.


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Computed Tomography, Ultrasound, Table

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Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Prenatal Diagnosis of Nasal Glioma Associated with Metopic Craniosynostosis: Case Report and Review of the Literature by Andrew C Boyer et al.

Published: 2015 Apr
Issue: 9(4) :: Pages: 1-8


Free full text article: Prenatal Diagnosis of Nasal Glioma Associated with Metopic Craniosynostosis:  Case Report and Review of the Literature

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Abstract: Nasal gliomas (nasal glial heterotopia) are rare benign congenital frontonasal lesions occurring in approximately 1: 20.000 - 40,000 live births. The diagnosis is rarely reported prenatally. Nasal gliomas are typically isolated lesions, with syndromic association being exceedingly rare. Metopic craniosynostosis can occur as an isolated abnormality or in association with multiple syndromes. This case is the first reported case of nasal glioma in association with craniosynostosis in the published literature.


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





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

Placental site trophoblastic tumor: a case report and review of the literature by Rita Lucas et al.

Published: 2015 Apr
Issue: 9(4) :: Pages: 14-22


Free full text article: Placental site trophoblastic tumor:  a case report and review of the literature

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Abstract: We present a case of a gravida 1 para 1 woman, who presented with an 11-month history of amenorrhea after cesarean delivery. The patient was taking birth control pills at the time of presentation. She was observed with a slight elevation of serum β-hCG level, an enlarged heterogeneous uterus and hematometra. A biopsy was performed, and the patient was diagnosed with placental site trophoblastic tumor; the patient then underwent surgery. Placental site trophoblastic tumor is the rarest form of gestational trophoblastic disease, derived from intermediate trophoblast cells. It does not have a pathognomonic appearance; therefore, correlation with medical history, as well as results of laboratory tests and pathological analysis is mandatory. It is a relatively chemoresistant tumor, posing considerable therapeutic challenges; patients with localized disease are managed with surgery and those with metastatic disease require additional chemotherapy. Herein, we review the main features of this entity and top differential diagnosis, as the rarity of this tumor is associated with imaging and pathological pitfalls, reinforcing the need for further experience in this field.


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

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Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Incarcerated Grynfeltt-Lesshaft Hernia by Max Scheffler et al.

Published: 2015 Apr
Issue: 9(4) :: Pages: 9-13


Free full text article: Incarcerated Grynfeltt-Lesshaft Hernia

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Abstract: Superior lumbar triangle hernia, also known as Grynfeltt-Lesshaft hernia, denotes a subtype of abdominal wall hernia, and more specifically of lumbar hernia, occurring between the 12th rib, the internal oblique muscle, and the quadratus lumborum muscle. We report the case of a 92-year-old female patient in which this form of hernia occurred, complicated by incarceration and acute bowel obstruction. The discussion contains a short résumé of the different kinds of abdominal wall hernias.


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Conventional Radiography, Computed Tomography, Table

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

18-FDG Uptake in Pulmonary Dirofilariasis by Michael Stone et al.

Published: 2015 Apr
Issue: 9(4) :: Pages: 28-33


Free full text article: 18-FDG Uptake in Pulmonary Dirofilariasis

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Abstract: Solitary pulmonary nodules are a common finding on chest radiography and CT. We present the case of an asymptomatic 59-year-old male found to have a 13 mm left upper lobe nodule on CT scan. The patient was asymptomatic and the CT was performed to follow up mediastinal and hilar lymphadenopathy that had been stable on several previous CT scans. He had a history of emphysema and reported a 15 pack-year smoking history. PET-CT was performed which demonstrated mild 18-FDG uptake within the nodule. Given his age and smoking history, malignancy was a consideration and he underwent a wedge resection. Pathological examination revealed a necrobiotic granulomatous nodule with a central thrombosed artery containing a parasitic worm with internal longitudinal ridges and abundant somatic muscle, consistent with pulmonary dirofilariasis. Dirofilaria immitis, commonly known as the canine heartworm, rarely affects humans. On occasion it can be transmitted to a human host by a mosquito bite. There are two major clinical syndromes in humans: pulmonary dirofilariasis and subcutaneous dirofilariasis. In the pulmonary form, the injected larvae die before becoming fully mature and become lodged in the pulmonary arteries.


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Computed Tomography, Nuclear Medicine, Microscopic pathology, Table

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