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May 2014 Issue

 




Other Radiology articles from the Breast Imaging section Breast Imaging

Nodular Fasciitis in the Axillary Tail of the Breast by Dejan Samardzic et al.

Published: 2014 May
Issue: 8(5) :: Pages: 16-26


Free full text article: Nodular Fasciitis in the Axillary Tail of the Breast

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Abstract: Nodular fasciitis is a benign proliferation of myofibroblasts which presents clinically as a rapidly growing mass with nonspecific features on imaging and high cellular activity on histopathology. Nodular fasciitis can be mistaken for malignant fibrous lesions such as soft tissue sarcoma or breast carcinoma when located within breast tissue. This presents a problem for appropriate treatment planning as the natural history of nodular fasciitis is spontaneous regression. We present the mammographic, sonographic, computed tomography, and histopathologic characteristics of nodular fasciitis in a 68 year female initially presenting with a rapidly enlarging right axillary mass.


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

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Other Radiology articles from the Neuroradiology section Neuroradiology

Delayed leukoencephalopathy after acute carbon monoxide intoxication by Ana Filipa Geraldo et al.

Published: 2014 May
Issue: 8(5) :: Pages: 1-8


Free full text article: Delayed leukoencephalopathy  after acute carbon monoxide intoxication

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Abstract: Delayed leukoencephalopathy is an uncommon complication of hypoxic-ischemic events of different etiologies, including carbon monoxide intoxication. We present a case of a 40-year-old male patient who was admitted with rapidly progressive neurocognitive and behavioral deficits. There was a history of accidental carbon monoxide intoxication one month before, presenting with loss of consciousness and short hospitalization, followed by a complete clinical recovery. The imaging studies in the delayed phase depicted confluent, symmetric supra-tentorial white matter lesions in keeping with diffuse demyelinization. Restricted diffusion and metabolite abnormalities in magnetic resonance proton spectroscopy were also seen. The diagnosis of CO-mediated delayed post-hypoxic leukoencephalopathy was assumed after exclusion of other mimickers. Hyperbaric oxygen therapy was tentatively performed and the patient had a favorable clinical and radiological evolution.


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Computed Tomography, Magnetic Resonance Imaging, Table





Other Radiology articles from the Cardiac Imaging section Cardiac Imaging

Magnetic Resonance Imaging of AMS (Aneurysm of the Membranous Septum), review of the literature and case report by Ernesto Di Cesare et al.

Published: 2014 May
Issue: 8(5) :: Pages: 9-15


Free full text article: Magnetic Resonance Imaging of AMS  (Aneurysm of the Membranous Septum),  review of the literature and case report

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Abstract: Aneurysm of the Membranous Septum (AMS) is a rare cardiac disease, mostly associated with other cardiac anomalies, very rare in the absence of other congenital heart defects. A prompt diagnosis is important, due to severe potential complications, but remain challenging. Most of the cases were earlier diagnosed using ventriculography, but, with the availability of echocardiography and cardiovascular magnetic resonance (CMR), this disease can be accurately assessed non-invasively. We report a case of a 62 years old female patient, without other cardiac congenital disease, who was incidentally diagnosed, by means of CMR with a true and isolated AMS. Our report underlines CMR usefulness in AMS diagnosis, thanks to accurate evaluation (both morphologic and functional) provided by this diagnostic tool, which is able to demonstrate clearly the presence of AMS (aneurysm of the membranous septum) and depict its features.


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Magnetic Resonance Imaging, Table

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Other Radiology articles from the Interventional Radiology section Interventional Radiology

Symptomatic Vertebral Artery Loop: A case report and review of literature by Ahmed Doweidar et al.

Published: 2014 May
Issue: 8(5) :: Pages: 35-41


Free full text article: Symptomatic Vertebral Artery Loop:  A case report and review of literature

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Abstract: Vertebral artery loop formation is a rare anatomical variant capable of causing bony erosion, encroachment on cervical neural foramen, neurovascular compression, or vertebrobasilar insufficiency. Health professionals should keep the diagnosis of vertebral artery loop formation in mind, especially when the plain radiograph of the cervical spine shows enlargement of the intervertebral foramen. If overlooked, serious complications like vertebral artery injury may occur during surgery or vertebrobasilar angiography, as well as cerebrovascular stroke during transforaminal cervical epidural steroid injections. This case report aims at increasing the awareness of both clinicians and radiologists of this entity as a known rare cause of cervical radiculopathy. In suspected cases, Magnetic resonance imaging & Magnetic resonance angiography should always be the first choice in this regard.


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Computed Tomography, Magnetic Resonance Imaging, Table

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Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Long-Term Lumbar Multifidus Muscle Atrophy Changes Documented With Magnetic Resonance Imaging: A Case Series by Mark Woodham et al.

Published: 2014 May
Issue: 8(5) :: Pages: 27-34


Free full text article: Long-Term Lumbar Multifidus Muscle Atrophy Changes Documented With Magnetic Resonance Imaging: A Case Series

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Abstract: A retrospective case series of three patients with chronic low back pain who received baseline MRI scans revealing multifidus muscle atrophy with fatty replacement is provided. Each patient received spinal manipulative therapy, and two were compliant with low back exercises targeting the multifidus. A follow-up scan performed >1 year later was compared to the baseline scan revealing a decrease in atrophy with fatty replacement in the two patients who performed multifidus-focused low back exercises (15% and 39% on the left and 7% and 32% on the right respectively), and an increase in the patient who underwent spinal manipulation alone (41% and 53%). Interestingly, the decrease in atrophy in the two patients that performed the exercises correlated to functional improvements. Though limited, these results highlight the utility of MRI in quantifying positive and negative long-term changes in multifidus atrophy, which may be an indicator of recovery in chronic low back pain patients.


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Graph, Magnetic Resonance Imaging, Table

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