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July 2016 Issue

 




Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Paediatric post-traumatic osseous cystic lesion following a distal radial fracture by Joey Chan Yiing Beh et al.

Published: 2016 Jul
Issue: 10(7) :: Pages: 23-29


Free full text article: Paediatric post-traumatic osseous cystic lesion following a distal radial fracture

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Abstract: Post-traumatic osseous cystic lesions are a rare complication in children. An aetiology of intramedullary fat seepage through the damaged bone cortex and its entrapment within the subperiosteum has been proposed. These lesions run a benign course and usually resolve spontaneously. The presence of fatty marrow gives it a distinct appearance which aids in its diagnosis and differentiation from other bone lesions. This case demonstrates a fat-fluid level within the subperiosteal cystic lesion in Magnetic Resonance Imaging (MRI) and this is a typical feature of post-traumatic cystic lesion in a child. Recognition of this imaging feature allows for a confident diagnosis, cutting down on unnecessary, potentially invasive investigations.


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Conventional Radiography, Magnetic Resonance Imaging, Table





Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Fishbone Perforated Appendicitis by Joey Chan Yiing Beh et al.

Published: 2016 Jul
Issue: 10(7) :: Pages: 14-22


Free full text article: Fishbone Perforated Appendicitis

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Abstract: Ingested foreign bodies tend to pass through the gastrointestinal tract without incidence, and vast majority of cases do not need intervention. Rarely, these foreign bodies drop into the appendix and not likely to re-enter the normal digestive tract. We describe a case of a 72-year-old male patient who presented with right iliac fossa pain of 3-day duration. Clinical examination suggested classic acute appendicitis. Blood test results revealed leukocytosis. Computed tomography of the abdomen and pelvis showed evidence of acute appendicitis and a linear hyperdensity (foreign body) perforating the appendix. The patient was managed successfully with prompt laparoscopic appendectomy and removal of the foreign body which was confirmed to be a fish bone measuring about 10mm. While imaging diagnosis of fishbone in the appendix has been published, reports are few. To the best of the author`s knowledge, fishbone induced perforated appendicitis has been described only in 2 cases (including this case) in the literature.


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





Other Radiology articles from the Interventional Radiology section Interventional Radiology

Percutaneous Retrieval of an Embolized Kyphoplasty Cement Fragment From the Pulmonary Artery: A Case Report and Literature Review by Nicole A. Lamparello et al.

Published: 2016 Jul
Issue: 10(7) :: Pages: 40-47


Free full text article: Percutaneous Retrieval of an Embolized Kyphoplasty Cement Fragment From the Pulmonary Artery: A Case Report and Literature Review

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Abstract: We present a case of a 41-year-old man with symptomatic pulmonary cement embolism following percutaneous vertebral augmentation, which was successfully retrieved via a percutaneous endovascular approach, a novel technique with only two prior cases reported. Cement leakage, including venous embolization of cement into the cardiopulmonary circulation, is a known potential complication following percutaneous kyphoplasty and vertebroplasty. While many patients with pulmonary cement embolism are asymptomatic and likely go undiagnosed, others experience respiratory distress and hemodynamic compromise requiring surgical and medical intervention. The optimal management for pulmonary cement embolism must be tailored to fit each individual patient, dependent upon the acuity of the clinical presentation, coexisting patient comorbidities, and the risks of systemic anticoagulation. In our patient, cement migration was visualized in real-time during vertebral augmentation. Endovascular retrieval by our Interventional Radiology section obviated the need for anticoagulation therapy or more invasive open surgical procedures.


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Nuclear Medicine, Fluoroscopy, Computed Tomography, Angiography, Interventional, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

Diffusion, Perfusion, and Histopathologic Characteristics of Desmoplastic Infantile Ganglioglioma by Chang Y Ho et al.

Published: 2016 Jul
Issue: 10(7) :: Pages: 1-13


Free full text article: Diffusion, Perfusion, and Histopathologic Characteristics of Desmoplastic Infantile Ganglioglioma

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Abstract: We present a case series of a rare tumor, the desmoplastic infantile ganglioglioma (DIG) with MRI diffusion and perfusion imaging quantification as well as histopathologic characterization. Four cases with pathologically-proven DIG had diffusion weighted imaging (DWI) and two of the four had dynamic susceptibility contrast imaging. All four tumors demonstrate DWI findings compatible with low-grade pediatric tumors. For the two cases with perfusion imaging, a higher relative cerebral blood volume was associated with higher proliferation index on histopathology for one of the cases. Our results are discussed in conjunction with a literature review.


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





Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Delayed Presentation of a Chronic Morel-Lavallée Lesion by David Christian et al.

Published: 2016 Jul
Issue: 10(7) :: Pages: 30-39


Free full text article: Delayed Presentation of a  Chronic Morel-Lavallée Lesion

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Abstract: Morel-Lavellée lesions are soft tissue degloving injuries resulting from shearing trauma that induces separation of the superficial and deep fascias creating a potential space that becomes filled with hemolymph. Here we present a case of a 28-year-old male presenting with a persistent Type I Morel-Lavallée lesion 2.5 years after an automobile versus pedestrian accident. These lesions can be visualized via computed tomography, plain film and ultrasound, but magnetic resonance imaging is the modality of choice for their identification and characterization.


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Clinical image, Ultrasound, Conventional Radiography, Computed Tomography, Magnetic Resonance Imaging, Graph, Table





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