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Other Radiology articles from the Neuroradiology section Neuroradiology

The Tunnel Sign Revisited: A Novel Observation of Cerebral Melioidosis Mimicking Sparganosis by Wee Ming Peh et al.

Published: 2018 Aug
Issue: 12(8) :: Pages: 1-11


Free full text article: The Tunnel Sign Revisited: A Novel Observation of Cerebral Melioidosis Mimicking Sparganosis

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Abstract: The tunnel sign has been described as a specific feature of cerebral sparganosis. We present a case of a 55-year-old gentleman found to have cerebral melioidosis and with initial imaging mimicking the appearance of sparganosis. This suggests that the tunnel sign in brain abscesses may be specific for infection by Burkholderia Pseudomallei, Spirometra Mansoni or Listeria Monocytogenes.


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Computed Tomography, Magnetic Resonance Imaging, Microscopic pathology, Table





Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Accidental Concentrated Hydrogen Peroxide Ingestion Associated with Portal Venous Gas by Eslam W Youssef et al.

Published: 2018 Aug
Issue: 12(8) :: Pages: 12-16


Free full text article: Accidental Concentrated Hydrogen Peroxide Ingestion Associated with Portal Venous Gas

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Abstract: A case of a 52-year old male patient who presented to the emergency department with severe nausea and vomiting following accidental ingestion of H2O2. A computed tomography (CT) abdomen performed at our institution demonstrated extensive portal venous gas throughout the liver with few gas droplets seen in the extrahepatic portal vein portion. Pneumatosis was also noted in the wall of the gastric antrum. Upper GI Endoscopy was done revealing diffuse hemorrhagic gastritis and mild duodenal bulb erosion. The patient was treated with hyperbaric oxygen. On the second day of admission, the patient was able to eat without difficulty or pain. Accidental ingestion of high concentration H2O2 solution has been shown to cause extensive injury to surrounding tissues. The injury occurs via three main mechanisms: corrosive damage, oxygen gas formation, and lipid peroxidation. We report a case of accidental ingestion of a highly concentrated (35%) solution of H2O2 causing portal venous gas.


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Computed Tomography, Clinical image, Table





Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Isolated delayed metastasis to the talus from Ewing`s sarcoma by Layla Nasr et al.

Published: 2018 Aug
Issue: 12(8) :: Pages: 17-24


Free full text article: Isolated delayed metastasis to the talus  from Ewing`s sarcoma

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Abstract: Bone metastasis to the hands and feet, known as acrometastasis, is a very rare finding and tends to be associated with extensive metastasis. We herein report the case of a 14-year-old girl known to have a history of successfully treated Ewing`s sarcoma arising from the ribs, who presented with a pathologically proven isolated metastatic lesion to the talus 7 years after achieving clinical and radiologic remission. We describe the imaging findings on MRI, CT scan and PET-CT. To our knowledge, talar metastasis from Ewing`s sarcoma has been previously reported only twice in the English literature. Noteworthy is the fact that one of the previously reported lesions was considered a skip metastasis, and the other was under-described in terms of primary and secondary tumor location and time to metastasis. In addition, the overall imaging findings were rather suggestive of a benign lesion, particularly on CT scan.


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Nuclear Medicine, Magnetic Resonance Imaging, Computed Tomography, Microscopic pathology, Table





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