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September 2011 Issue

 




Other Radiology articles from the General Radiology section General Radiology

An Unusual Cause of Widespread Lytic Bone Lesions Caused by Sarcoidosis by Pallavi Mehrotra et al.

Published: 2011 Sep
Issue: 5(9) :: Pages: 1-7


Free full text article: An Unusual Cause of Widespread Lytic Bone Lesions Caused by Sarcoidosis

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Abstract: We present a case of a 59 year old asymptomatic lady who was found to have incidental findings of pulmonary, osseous and hepatic involvement with sarcoidosis. The osseous lesions were lytic and involved unusual sites such as the vertebrae and skull base. The initial clinical concern had been of multiple myeloma or disseminated metastases. Biopsy of material obtained following mediastinoscopy revealed chronic, non-necrotising granulomatous lymphadenopathy indicative of sarcoidosis. Cases such as this could greatly benefit from multidisciplinary team discussion particularly when the clinical picture is not typical of malignancy.


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Computed Tomography, Conventional Radiography, Table





Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Critical Pitfall: Varices in Cancer Patients mimicking Lymphadenopathy; Differentiation of varicose veins and enlarged lymph nodes in routine staging by Tilman Schubert et al.

Published: 2011 Sep
Issue: 5(9) :: Pages: 23-29


Free full text article: Critical Pitfall: Varices in Cancer Patients mimicking Lymphadenopathy; Differentiation of varicose veins and enlarged lymph nodes in routine staging

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Abstract: Two patients, each with a history of multiple cancers, were referred to our institution for routine cancer staging. Contrast enhanced multislice-CT showed round and oval shaped inguinal and retroperitoneal masses in one patient and inguinal mass lesions in the other patient. The mass lesions were suspicious of lymphadenopathy related to cancer recurrence. Additional MR-Imaging, however, showed tortuous varicose veins as well as suspicious lymph nodes in one patient and solely venous convolutes in the other patient. Regarding the routine contrast enhanced CT-scan in the portovenous phase, varices showed no significant difference in radiodensity compared to enlarged lymph nodes.


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Computed Tomography, Magnetic Resonance Imaging, Table

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Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Giant keloid of left buttock treated with post-excisional radiotherapy by Michele Troiano et al.

Published: 2011 Sep
Issue: 5(9) :: Pages: 8-15


Free full text article: Giant keloid of left buttock treated with post-excisional radiotherapy

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Abstract: Keloids are defined as excessive scar tissue formation extending beyond the area of the original skin injury and occurring in predisposed individuals. While no single treatment has proven widely effective, several series report excellent outcomes for keloids with post-surgery radiation therapy as described in the literature. We present a patient with recurrent giant keloid of left buttock after several surgical removals, that at physical examination shows the size of 40x22x10 cm in the largest dimension. Patient underwent a surgical excision of gluteal lesion and postoperative radiotherapy using photons at 8 MV of linear accelerator: the total dose delivered was 22 Gy in 11 days, with a daily fraction of 2 Gy. No relapse was showed at 36 months post-therapy. Several methods seem unsatisfactory for preventing keloid recurrence. The combination of surgery and adjuvant radiotherapy seems an excellent strategy to prevent recurrent disease.


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Clinical image, Magnetic Resonance Imaging, Nuclear Medicine, Computed Tomography, Table

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Other Radiology articles from the Nuclear Medicine / Molecular Imaging section Nuclear Medicine / Molecular Imaging

Inflammatory Pseudotumor of the Spleen: Review of clinical presentation and diagnostic methods by Hooman Yarmohammadi et al.

Published: 2011 Sep
Issue: 5(9) :: Pages: 16-22


Free full text article: Inflammatory Pseudotumor of the Spleen: Review of clinical presentation and diagnostic methods

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Abstract: We describe a 91-year-old woman with a clinical history of invasive ductal carcinoma of the breast diagnosed in 1991 who was admitted because of dizziness, poor appetite, and some swelling and tenderness over her cheeks. The patient`s initial work up revealed a 5-cm well-demarcated hypodense solid lesion in her spleen with abnormally intense uptake on PET/CT scan raising suspicion for malignancy i.e. breast metastasis versus lymphoma. Further review demonstrated the presence of this splenic lesion, though slightly smaller, on a CT scan from ten years earlier (2000). An ultrasonographic guided core needle splenic biopsy was performed and the pathology result revealed histological findings compatible with inflammatory pseudotumor of the spleen. As a result, unnecessary splenectomy was avoided.


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Computed Tomography, Nuclear Medicine, Ultrasound, Microscopic pathology, Table

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Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Case Report of Idiopathic Pulmonary Haemosiderosis in a Child with recurrent chest infections by Renan Ibrahem et al.

Published: 2011 Sep
Issue: 5(9) :: Pages: 30-35


Free full text article: Case Report of Idiopathic Pulmonary Haemosiderosis in a Child with recurrent chest infections

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Abstract: Idiopathic pulmonary haemosiderosis (IPH) is a rare condition that usually presents as a triad of haemoptysis, iron deficiency anaemia and pulmonary infiltrates. We report a case of IPH diagnosed in a 7 year old boy who had recurrent hospital admissions with severe chest infections and haemoptysis from his first few months of life. He was found to have microcytic hypochromic anaemia, diffuse infiltrate shadowing on his chest X-ray (CXR) and ground-glass opacification on his computed tomogram (CT). Perl`s Prussian blue staining of his bronchoalveolar lavage fluid revealed haemosiderin-laden macrophage infiltration. After exclusion of infective, cardiac, immunological and glomerular causes, he was diagnosed with idiopathic pulmonary haemosiderosis. He has since been treated intermittently with steroids, which have failed to control his symptoms fully.


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Conventional Radiography, Computed Tomography, Microscopic pathology, Table

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