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August 2016 Issue

 




Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Multiple hereditary exostoses: A pseudoaneurysm masquerading as tumor by Hari Trivedi et al.

Published: 2016 Aug
Issue: 10(8) :: Pages: 50-59


Free full text article: Multiple hereditary exostoses:  A pseudoaneurysm masquerading as tumor

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Abstract: Multiple hereditary exostoses is an autosomal dominant condition characterized by numerous benign osteochondromas. Complications are rare and can include deformity, growth abnormality, fracture, adventitial bursa formation, local mass effect on a nerve, malignant degeneration, and vascular complications including stenosis, occlusion, arteriovenous fistula, and pseudoaneurysm. We present a case of multiple hereditary exostoses leading to a deep femoral artery pseudoaneurysm in the proximal medial thigh with subsequent rupture and hematoma, masquerading as tumor.


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Conventional Radiography, Magnetic Resonance Imaging, Ultrasound, Computed Tomography, Angiography, Interventional, Microscopic pathology, Table





Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Adult pancreatoblastoma - Case report and review of literature by Filipa Vilaverde et al.

Published: 2016 Aug
Issue: 10(8) :: Pages: 28-38


Free full text article: Adult pancreatoblastoma -  Case report and review of literature

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Abstract: Most cases of pancreatoblastoma, a rare malignant epithelial tumor of the pancreas, are seen in the pediatric population. The rarity of pancreatoblastoma, the similar radiologic findings to those seen in other pancreatic lesions, and its histopathologic heterogeneity, make its preoperative diagnosis in adults a real challenge. We report ultrasound, computed tomography and magnetic resonance imaging correlative findings of a histologically proven pancreatoblastoma in a 37-year-old woman. Pancreatoblastoma should be considered in the differential diagnosis of a pancreatic mass presenting uncommon imaging features.


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





Other Radiology articles from the Cardiac Imaging section Cardiac Imaging

Left Anterior Descending Coronary Artery and Multiple Peripheral Mycotic Aneurysms Due to Mycobacterium Bovis Following Intravesical Bacillus Calmette-Guerin Therapy: A Case Report by Petar Duvnjak et al.

Published: 2016 Aug
Issue: 10(8) :: Pages: 12-27


Free full text article: Left Anterior Descending Coronary Artery and Multiple Peripheral Mycotic Aneurysms Due to Mycobacterium Bovis Following Intravesical Bacillus Calmette-Guerin Therapy: A Case Report

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Abstract: The use of live attenuated intravesicular Bacillus Calmette-Guerin (BCG) therapy is a generally accepted safe and effective method for the treatment of superficial transitional cell carcinoma (TCC) of the bladder. Although rare, < 5% of patient`s treated with intravesicular BCG therapy may develop potentially serious complications, including localized infections to the genitourinary tract, mycotic aneurysms and osteomyelitis. We present here a case of a 63-year-old male who developed left coronary and multiple peripheral M. Bovis mycotic aneurysms as a late complication of intravesicular BCG therapy for superficial bladder cancer. The patient initially presented with acute onset pain and swelling in the left knee > 2 years following initial therapy, and initial workup revealed a ruptured saccular aneurysm of the left popliteal artery as well as incidental bilateral common femoral artery aneurysms. Following endovascular treatment and additional workup, the patient was discovered to have additional aneurysms in the right popliteal artery and left anterior descending artery (LAD). Surgical pathology and bacterial cultures obtained from the excised femoral aneurysms and surgical groin wounds were positive for Mycobacterium Bovis, and the patient was initiated on a nine-month antimycobacterial course of isoniazid, rifampin and ethambutol. Including the present case, there has been a total of 32 reported cases of mycotic aneurysms as a complication from intravesicular BCG therapy, which we will review here. The majority of reported cases involve the abdominal aorta; however, this represents the first known reported case of a coronary aneurysm.


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Ultrasound, Computed Tomography, Angiography, Interventional, Table





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

CHAOS: Prenatal imaging findings with post mortem contrast radiographic correlation by Kanika Gupta et al.

Published: 2016 Aug
Issue: 10(8) :: Pages: 39-49


Free full text article: CHAOS: Prenatal imaging findings with  post mortem contrast radiographic correlation

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Abstract: Congenital high airway obstruction syndrome is a rare fetal anomaly with characteristic constellation of prenatal findings on ultrasound and MRI. The typical triad of imaging features are enlarged and echogenic lungs, flattening or inversion of diaphragm and fetal hydrops. Early prenatal recognition of congenital high airway obstruction syndrome by ultrasound and/or MRI is mandatory for the appropriate perinatal management. We report a case of a male fetus with typical imaging findings of congenital high airway obstruction syndrome on ultrasound and MRI at 19 weeks of gestation. The role of contrast radiographs of fetal airways, including retrograde laryngogram, in confirming the postnatal diagnosis of this fetal condition is demonstrated. The prenatal imaging findings were correlated with contrast radiographs of upper airways, sonography of aborted fetus and fetal autopsy findings.


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Ultrasound, Magnetic Resonance Imaging, Conventional Radiography, Macroscopic pathology, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

Intracranial Migration of Silicone Delaying Life Saving Surgical Management: A Mimicker of Hemorrhage by Dani Sarohia et al.

Published: 2016 Aug
Issue: 10(8) :: Pages: 1-11


Free full text article: Intracranial Migration of Silicone  Delaying Life Saving Surgical Management:  A Mimicker of Hemorrhage

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Abstract: We present a case in which intraocular silicone injection for complex retinal detachment resulted in migration and distribution of silicone along the intracranial visual pathway, and ultimately throughout the ventricular system. Misinterpretation of this material as intracranial hemorrhage on outside computed tomography imaging delayed emergent repair of a Type A aortic dissection until the diagnosis was made on repeat imaging. A discussion of this case and salient computed tomography and magnetic resonance imaging characteristics of silicone is provided.


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Computed Tomography, Magnetic Resonance Imaging, Table





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