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July 2017 Issue

 




Other Radiology articles from the Neuroradiology section Neuroradiology

A Case Report of Mikulicz Syndrome by Dinesh Rao et al.

Published: 2017 Jul
Issue: 11(7) :: Pages: 1-7


Free full text article: A Case Report of Mikulicz Syndrome

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Abstract: Mikulicz Syndrome (MS) is a rare chronic condition characterized by the abnormal enlargement of glandular tissue in the head and neck. Patients usually present with enlarged lacrimal and parotid glands. While this can be a benign self-limiting condition, other complex systemic diseases, such as sarcoidosis, may represent other underlying etiologies. We present a case of MS in a patient with a history of Crohn`s disease.


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Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Paravertebral calcification as a potential indicator for nonaccidental trauma by Katsuaki Kojima et al.

Published: 2017 Jul
Issue: 11(7) :: Pages: 8-13


Free full text article: Paravertebral calcification as a potential indicator for nonaccidental trauma

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Abstract: We report a case of nonaccidental trauma (NAT) involving a 23-month-old boy who presented with seizures, acute subarachnoid hemorrhage, and acute subdural hemorrhage. Ophthalmologic examination showed bilateral intraretinal hemorrhages. Further evaluation revealed that he had bilateral thoracolumbar paravertebral calcifications. The Children`s Protective Services agency was involved in the case. The child was discharged to an inpatient rehabilitation facility. Vertebral fracture associated with paravertebral calcification has been reported as a sign of NAT. This case was unique because our patient had paravertebral calcifications without vertebral fracture. Paravertebral calcification alone could serve as an indicator of NAT.


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Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

That`s my STYLEoideum - Symptomatic os styloideum in an adolescent male by Malwina Kaniewska et al.

Published: 2017 Jul
Issue: 11(7) :: Pages: 14-19


Free full text article: That`s my STYLEoideum -  Symptomatic os styloideum in an adolescent male

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Abstract: We present a 15-year-old male patient with persistent localized pain on the dorsal side of the left wrist between the base of the 2nd and 3rd metacarpal bones and over the third carpometacarpal joint. It was diagnosed as an accessory metacarpal bone -Os styloideum. This entity may be detected on plain radiographs and in ultrasound examination and is often asymptomatic. Symptomatic os styloideum occurs more frequently in the dominant hand and may be treated conservatively with corticosteroid infiltration. A palpable prominence on the dorsal side of the wrist and focal pain evoked anxiety of the adolescent patient who searched medical consultation. In the clinical examination, a bony protrusion was confirmed and different possible diagnoses have been considered. After treatment with a corticosteroid infiltration of the third carpometacarpal joint under fluoroscopy the pain resolved completely. We would like to draw attention of clinicians and radiologists to this rare anatomical variant that normally is asymptomatic, and therefore not immediately recognized. Acquaintance with this entity and its early detection may lead to conservative treatment instead of surgical excision. A comprehensive literature search, review and discussion about os styloideum are provided in the article.


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Other Radiology articles from the Genitourinary Radiology section Genitourinary Radiology

Mature cystic teratoma with high proportion of solid thyroid tissue: a controversial case with unusual imaging findings by Rui Gil et al.

Published: 2017 Jul
Issue: 11(7) :: Pages: 20-30


Free full text article: Mature cystic teratoma with high proportion of solid thyroid tissue: a controversial case with unusual imaging findings

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Abstract: We describe a case of a mature cystic teratoma of the ovary with high proportion of solid thyroid tissue (< 50% of the entire tumor) in a childbearing woman. The patient presented with non-specific abdominal bloating. Pelvic ultrasound and magnetic resonance imaging revealed a complex cystic-solid tumor confined to the left ovary with an anterior fat-containing locus compatible with mature cystic teratoma and a posterior predominantly solid component with low signal intensity on T2-weighted images that was histopatologically diagnosed as benign thyroid tissue. Thyroglobulin levels were in normal range. Although thyroid tissue is present in up to 20% of mature cystic teratomas, with exception of struma ovarii, it is not usually macroscopically nor radiologically identified. The differential diagnosis should include T2-hypointense adnexal lesions associated with mature cystic teratoma, malignant transformation of mature teratoma, and immature teratoma.


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Ultrasound, Magnetic Resonance Imaging, Microscopic pathology, Table





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