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April 2017 Issue

 




Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Radiologic Findings in Gabapentin-Induced Myositis by Tyler Michael Coupal et al.

Published: 2017 Apr
Issue: 11(4) :: Pages: 30-37


Free full text article: Radiologic Findings in Gabapentin-Induced Myositis

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Abstract: Throughout recent years, Gabapentin has become increasingly used for the treatment of neuropathic pain. We report on a case of a 31 year old female who presented to the emergency department with unilateral leg pain, weakness, and swelling after increasingly titrating her Gabapentin dosage over three weeks. Magnetic resonance imaging confirmed the presence of myositis confined to the left thigh and the patient`s symptoms and laboratory abnormalities resolved following Gabapentin cessation. While Gabapentin-induced myositis and rhabdomyolysis is a rare entity, it should be a diagnostic consideration for radiologists, particularly in the absence of infection or trauma.


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Ultrasound, Computed Tomography, Magnetic Resonance Imaging, Table





Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Adenocarcinoma of the Appendix Presenting as a Palpable Right Thigh Mass by Marci Handler et al.

Published: 2017 Apr
Issue: 11(4) :: Pages: 20-29


Free full text article: Adenocarcinoma of the Appendix Presenting as a Palpable Right Thigh Mass

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Abstract: Intra-abdominal and intra-pelvic pathologies initially presenting in extra-abdominal/pelvic locations is unusual. This spread predominantly occurs with infectious processes to sites including the buttock, thigh, and calf. The routes of extension into adjacent anatomically weak compartments include the pelvic outlet, greater sciatic foramen, obturator foramen, inguinal or femoral canal, weak bones, or along nerves and blood vessels. Malignant neoplasms of the appendix, while extremely rare and accounting for only 0.4% of all gastrointestinal cancers, is one of the intra-abdominal pathologies that can spread via these routes. Adenocarcinoma of the appendix accounts for 10-20% of primary appendiceal tumors. They usually present as acute appendicitis or as a right lower quadrant abdominal mass when associated with a mucocele. We report the unique case of mucinous appendiceal adenocarcinoma in a 57-year-old male who initially presented with a right thigh mass secondary to extension of the neoplasm from the right lower quadrant through the femoral canal. A similar presentation of a mucinous appendiceal cystadenoma has been previously reported, however, to our knowledge, this is the first case of a malignant appendiceal tumor extending into the thigh. We review the literature and discuss imaging findings and treatment of this tumor.


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





Other Radiology articles from the Neuroradiology section Neuroradiology

Bilateral persistent primitive hypoglossal arteries associated with unilateral symptomatic carotid thromboembolism by Riddhi Patira et al.

Published: 2017 Apr
Issue: 11(4) :: Pages: 1-9


Free full text article: Bilateral persistent primitive hypoglossal arteries associated with unilateral symptomatic carotid thromboembolism

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Abstract: We report the fifth case of bilateral persistent primitive hypoglossal arteries in the literature. This is also the first such case to be demonstrated on computerized tomography angiogram (CTA) and the first case to be associated with a symptomatic carotid thrombus. The sub-occlusive thrombus was distal to the take-off of the dominant persistent hypoglossal artery (PHA) from the internal carotid artery, thus sparing involvement of posterior circulation. Timely identification of the internal carotid artery thromboembolism in the setting of a PHA is important to allow for thrombectomy. Any intervention was not done in this case as the patient was out of the window and at an additional risk of inducing intracranial thromboembolism. Symptomatic carotid stenosis at the PHA take-off is typically treated with endovascular angioplasty and stenting due to the typically high level of the bifurcation in the neck.


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Computed Tomography, Magnetic Resonance Imaging, Graph, Table





Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

Incidental finding - the discovery of a bronchopulmonary foregut malformation through investigations for Crohn`s disease by Humza Mahmood et al.

Published: 2017 Apr
Issue: 11(4) :: Pages: 10-19


Free full text article: Incidental finding - the discovery of a bronchopulmonary foregut malformation through investigations for Crohn`s disease

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Abstract: Pulmonary sequestration (PMS) is a rare bronchopulmonary malformation. It has an incidence of between 0.15% to 1.7%. Likewise, cystic adenomatoid malformation (CCAM) is another relatively rare category of a bronchopulmonary malformation with a reported incidence of between 1 in 25,000 to 1 in 35,000. Moreover, a bronchopulmonary malformation with features allied to both of these forms is considered an even rarer entity. In general, bronchopulmonary malformations present with a range of non-specific symptoms. Radiological features can be non-specific yet distinctive when related to clinical features. Ultimately, definitive diagnosis depends upon histological assessment of lung tissue. We present an adult female with radiological features of both pulmonary sequestration and cystic adenomatoid malformation. This was an incidental finding unrelated to the patients presenting complaint. This case highlights the importance of using a structured and systematic approach when interpreting medical imagery.


Available image modalities: (click on modality to browse for other articles)
Magnetic Resonance Imaging, Computed Tomography, Table





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