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May 2016 Issue

 




Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

Middle Lobe Torsion after Unilateral Lung Transplant by Chad S Cox et al.

Published: 2016 May
Issue: 10(5) :: Pages: 15-21


Free full text article: Middle Lobe Torsion after Unilateral Lung Transplant

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Abstract: Lobar torsion is well documented after pneumonectomy, but is very rare after lung transplant. To the best of our knowledge, this is the twelfth reported case of lobar torsion after lung transplant. In our case, bronchoscopies and chest radiographs were inconclusive; however, CT scan clearly demonstrated findings consistent with right middle lobe torsion. We review the literature and discuss the epidemiology, clinical presentation, imaging features, and treatment considerations for this condition. We also propose that if a clinical picture could be secondary to torsion and bronchoscopies and chest x ray are inconclusive that a CT scan should be obtained as soon as possible since early recognition increases the likelihood of being able to successfully detorse the lung and avoid lobectomy.


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





Other Radiology articles from the General Radiology section General Radiology

Spinal Metastases of Extramammary Paget Disease with Radiologic-Pathologic Correlation by Jason T Little et al.

Published: 2016 May
Issue: 10(5) :: Pages: 1-8


Free full text article: Spinal Metastases of Extramammary Paget Disease with Radiologic-Pathologic Correlation

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Abstract: Extramammary Paget disease (EMPD) is an uncommon malignancy. It manifests either in the primary form in the skin as an intraepithelial neoplasm, or in secondary form as pagetoid (intraepithelial) spread of an underlying internal carcinoma to the skin. Although local invasion and recurrence of primary extramammary Paget disease are relatively frequent, widespread metastases are rare. As such, there are very few reports and little characterization of the radiologic features of widespread spinal metastases. To our knowledge, there are no prior reports of a metastatic extramammary Paget disease presenting as a painful pathologic vertebral body compression fracture. We report the radiological features of a case of primary extramammary Paget disease with subsequent spinal metastases presenting as a painful compression fracture.


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Clinical image, Nuclear Medicine, Conventional Radiography, Computed Tomography, Magnetic Resonance Imaging, Microscopic pathology, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

MR Imaging Findings in Xp21.2 Duplication Syndrome by Matthew T Whitehead et al.

Published: 2016 May
Issue: 10(5) :: Pages: 9-14


Free full text article: MR Imaging Findings in  Xp21.2 Duplication Syndrome

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Abstract: Xp21.2 duplication syndrome is a rare genetic disorder of undetermined prevalence and clinical relevance. As the use of chromosomal microarray has become first line for the work-up of childhood developmental delay, more gene deletions and duplications have been recognized. To the best of our knowledge, the imaging findings of Xp21.2 duplication syndrome have not been reported. We report a case of a 33 month-old male referred for developmental delay that was found to have an Xp21.2 duplication containing IL1RAPL1 and multiple midline brain malformations.


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





Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Case Report: Gallbladder Varices in a Patient with Portal Vein Thrombosis Secondary to Hepatocellular Carcinoma by Jeffrey Gnerre et al.

Published: 2016 May
Issue: 10(5) :: Pages: 22-28


Free full text article: Case Report: Gallbladder Varices in a Patient with Portal Vein Thrombosis Secondary to Hepatocellular Carcinoma

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Abstract: Gallbladder varices are a rare form of collateralization that develop in patients with portal hypertension. We present here a case of gallbladder varices accurately diagnosed by contrast enhanced CT imaging of the abdomen and confirmed by Color Doppler Sonography. A 76-year-old patient with hepatocellular carcinoma developed portal vein thrombosis due to tumor extension during the course of treatment and was incidentally discovered to have gallbladder varices. While most commonly asymptomatic, gallbladder varices are associated with increased risk of massive bleeding, either spontaneously or during cholecystectomy. As a result, the existence of such varices should be well documented if the patient is to undergo any abdominal surgical procedures. In addition, because of a particular association with portal vein thrombosis, patients with portal hypertension that are found to possess gallbladder varices should be evaluated for portal vein thrombosis.


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





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

Intravenous leiomyomatosis disguised as a large deep vein thrombosis by Camille C Gunderson et al.

Published: 2016 May
Issue: 10(5) :: Pages: 29-35


Free full text article: Intravenous leiomyomatosis disguised as a large deep vein thrombosis

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Abstract: Intravenous leiomyomatosis is a benign smooth muscle tumor which despite its histology can have devastating consequences. Furthermore, the clinical manifestations are variable and nonspecific, typically leading to delayed or missed diagnosis. Thus, it is critical for clinicians to be aware of this condition and have a high index of suspicion in a middle-aged woman with a history of uterine leiomyoma presenting with an inferior vena cava mass to enable early diagnosis and treatment. We report a case of a large intravenous leiomyoma which was initially considered to be a very large deep venous thrombosis; with thorough preoperative planning, it was successfully removed intact and in entirety with a single-stage operation.


Available image modalities: (click on modality to browse for other articles)
Ultrasound, Computed Tomography, Macroscopic pathology, Table





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