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Section: General Radiology

 




Other Radiology articles from the General Radiology section General Radiology

Abdominal CT Scan Findings of Decompression Sickness: A Case Report by Taylor Schwartz et al.

Published: 2018 Oct
Issue: 12(10) :: Pages: 17-23


Free full text article: Abdominal CT Scan Findings of  Decompression Sickness: A Case Report

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Abstract: This case report depicts the radiologic findings of a 51-year-old male presenting with Decompression Sickness. Decompression Sickness is diagnosed clinically, therefore radiologic imaging of this disease entity is limited. Our patient`s history includes a scuba dive to depth of 110 feet with a descending time of 24 minutes and an ascending time of 8 minutes. The patient subsequently presented to the Emergency Room with symptoms of shortness of breath and abdominal pain. The abdominal pain prompted physicians to explore further, and hence computed tomography (CT) imaging of the abdomen and pelvis was performed. This case report demonstrates a striking and unique gas pattern in both the systemic and portal venous system of our patient and provides an excellent example of the imaging findings of Decompression Sickness in the literature.


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Computed Tomography, Table





Other Radiology articles from the General Radiology section General Radiology

Ruptured Berry Aneurysm as the initial presentation of Polycystic Kidney Disease: A case report and review of literature by Dana AlNuaimi et al.

Published: 2018 Sep
Issue: 12(9) :: Pages: 1-8


Free full text article: Ruptured Berry Aneurysm as the initial presentation of Polycystic Kidney Disease: A case report and review of literature

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Abstract: Intra-cranial saccular aneurysms, also known as Berry aneurysms, have a well-known association with autosomal dominant polycystic kidney disease (ADPKD). Aneurysmal rupture can be the initial presentation of the disease. ADPKD has two types of gene mutations: PKD1 and PKD2.The latter one is of a milder form presenting later in life. Imaging plays a crucial role in the diagnosis and assessment in order to provide adequate management of these patients however, there are no official standardized guidelines established for screening of these intracranial aneurysms.


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Computed Tomography, Angiography, Interventional, Table





Other Radiology articles from the General Radiology section General Radiology

Extensive Thrombus and Brain Microabscesses After Sleeve Gastrectomy by race Faith Chao et al.

Published: 2018 Mar
Issue: 12(3) :: Pages: 10-17


Free full text article: Extensive Thrombus and Brain Microabscesses After Sleeve Gastrectomy

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Abstract: Sleeve gastrectomy is a relatively newer bariatric surgical procedure and has become the most common of all bariatric surgeries performed. Complication rates reported with sleeve gastrectomies are relatively low and are generally due to staple line leaks, hemorrhage, or sleeve stricture. Portal vein thrombosis is an uncommon but potentially dangerous complication. We present a case of a 21-year-old woman who developed thrombosis of the portal, splenic, and right common iliac veins that then resulted in multifocal brain abscesses from presumed Fusobacterium septic emboli following an uncomplicated laparoscopic sleeve gastrectomy.


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Fluoroscopy, Ultrasound, Computed Tomography, Magnetic Resonance Imaging, Conventional Radiography, Graph, Table





Other Radiology articles from the General Radiology section General Radiology

Spinal Metastases of Extramammary Paget Disease with Radiologic-Pathologic Correlation by Jason T Little et al.

Published: 2016 May
Issue: 10(5) :: Pages: 1-8


Free full text article: Spinal Metastases of Extramammary Paget Disease with Radiologic-Pathologic Correlation

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Abstract: Extramammary Paget disease (EMPD) is an uncommon malignancy. It manifests either in the primary form in the skin as an intraepithelial neoplasm, or in secondary form as pagetoid (intraepithelial) spread of an underlying internal carcinoma to the skin. Although local invasion and recurrence of primary extramammary Paget disease are relatively frequent, widespread metastases are rare. As such, there are very few reports and little characterization of the radiologic features of widespread spinal metastases. To our knowledge, there are no prior reports of a metastatic extramammary Paget disease presenting as a painful pathologic vertebral body compression fracture. We report the radiological features of a case of primary extramammary Paget disease with subsequent spinal metastases presenting as a painful compression fracture.


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Clinical image, Nuclear Medicine, Conventional Radiography, Computed Tomography, Magnetic Resonance Imaging, Microscopic pathology, Table





Other Radiology articles from the General Radiology section General Radiology

Radiological features of a rare case of pancreatic panniculitis presenting in bilateral lower extremities by Chee Hui Ng et al.

Published: 2016 Apr
Issue: 10(4) :: Pages: 1-7


Free full text article: Radiological features of a rare case of pancreatic panniculitis presenting in bilateral lower extremities

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Abstract: Pancreatic panniculitis is a rare cutaneous presentation in patients with pancreatic pathology. While it presents as cutaneous inflammation with painful and erythematous nodules which demonstrate ulceration, imaging features of this pathology are seldom described. The common sites of involvement are the extremities. It demonstrates characteristic histological features of lobular panniculitis with ghost cells. MR imaging with its excellent soft tissue contrast can be helpful in confirming the diagnosis, demonstrating imaging features of fat necrosis with surrounding inflammation as demonstrated in our patient.


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Clinical image, Computed Tomography, Magnetic Resonance Imaging, Microscopic pathology, Table





Other Radiology articles from the General Radiology section General Radiology

A Case of Desmoplastic Small Round Cell Tumor by David Reisner et al.

Published: 2015 Aug
Issue: 9(8) :: Pages: 1-7


Free full text article: A Case of Desmoplastic Small Round Cell Tumor

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Abstract: Desmoplastic small round cell tumor is a rare, aggressive tumor primarily affecting young males. It is considered a childhood cancer, and is characterized by a unique chromosomal translocation which leads to failure to suppress tumor growth. It is classified as a soft tissue sarcoma, sharing some features with other small round cell tumors such as Ewing`s Sarcoma and primitive neuroectodermal tumor. Typical imaging findings include multiple heterogeneous, lobular abdominal masses, which can grow very large. Often there is a dominant mass with additional peritoneal, omental, retroperitoneal and retrovesical masses. Prognosis is relatively poor with a 3 year survival rate of 50% in those treated aggressively with surgical resection, chemotherapy, and radiation therapy. The clinical presentation, imaging characteristics and pathology are discussed in regards to a recent case.


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





Other Radiology articles from the General Radiology section General Radiology

Neuroimaging and renal ultrasound manifestations of Oculocerebrorenal syndrome of Lowe by Andrew Mark Allmendinger et al.

Published: 2014 Oct
Issue: 8(10) :: Pages: 1-7


Free full text article: Neuroimaging and renal ultrasound manifestations of Oculocerebrorenal syndrome of Lowe

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Abstract: Oculocerebrorenal syndrome of Lowe (OCRL) is a multisystem disorder characterized by congenital cataracts, hypotonia, and cognitive developmental delay with renal complications developing in the first few months of life. Clinical and laboratory findings of Lowe syndrome are well documented. Though a small number of case reports describe the neuroimaging features and the renal ultrasound manifestations of this disease, a comprehensive review of all the imaging manifestations has not been reported. The authors present a case of OCRL and review the neuroimaging and renal ultrasound manifestations of this multisystem disease.


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Ultrasound, Magnetic Resonance Imaging, Table

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Other Radiology articles from the General Radiology section General Radiology

Hajdu-Cheney Syndrome: A case report with review of literature by Shailesh Palav et al.

Published: 2014 Sep
Issue: 8(9) :: Pages: 1-8


Free full text article: Hajdu-Cheney Syndrome:  A case report with review of literature

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Abstract: Hajdu-Cheney syndrome is a very rare connective tissue disorder. It has autosomal dominant inheritance or may occur due to spontaneous de novo mutation. Recent research suggests that it is caused by heterozygous mutation of terminal exon of NOTCH 2. Most characteristic findings include transverse band of acro-osteolysis involving the phalanges of both hands and feet and osteoporosis and deformities involving skull, mandible, spine and other bones. Patient may progressively develop kyphoscoliosis, basilar invagination, and bone fractures due to bone softening. Treatment is symptomatic. In this case report we present clinical and radiological features of a 43-year-old female patient who presented with features of Hajdu-Cheney syndrome.


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Conventional Radiography, Magnetic Resonance Imaging, Table

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Other Radiology articles from the General Radiology section General Radiology

The curious case of the disappearing IVC: A case report and review of the aetiology of Inferior Vena Cava Agenesis by Michael Paddock et al.

Published: 2014 Apr
Issue: 8(4) :: Pages: 38-47


Free full text article: The curious case of the disappearing IVC:  A case report and review of the aetiology of  Inferior Vena Cava Agenesis

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Abstract: We report the case of a previously well 18-year-old male who presented to the Emergency Department with lower limb pain. An ultrasound demonstrated extensive left sided deep vein thrombosis and computed tomography demonstrated inferior vena cava agenesis, leading to the diagnosis of inferior vena cava agenesis associated deep vein thrombosis. The aetiology of inferior vena cava agenesis is explored in depth.


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Ultrasound, Conventional Radiography, Computed Tomography, Table

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Other Radiology articles from the General Radiology section General Radiology

Anaplastic Cutaneous Lymphoma Mimicking an Infection by Luciana Barbosa et al.

Published: 2014 Mar
Issue: 8(3) :: Pages: 39-47


Free full text article: Anaplastic Cutaneous Lymphoma  Mimicking an Infection

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Abstract: We present a case of a 17-year-old boy who presented with a skin lesion with extension to the soft tissues of the left thigh. On ultrasound, a homogeneous and hypoechoic expansile formation in the subcutaneous tissue was found, measuring 6.5 5 3.5 cm, with scarce vascularization. Computed tomography showed a low attenuating neoformation with surrounding edema. An inflammatory disorder was the first diagnosis, but the absence of improvement with antibiotics led us to perform magnetic resonance imaging that showed a high signal lesion on T2-weighted imaging and low intensity signal on T1-weighted imaging and surrounding contrast uptake. Positron emission tomography and computed tomography showed uptake of 18F-fluorodeoxyglucose by the lesion. The final diagnosis was anaplastic cutaneous lymphoma.


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Clinical image, Ultrasound, Computed Tomography, Magnetic Resonance Imaging, Microscopic pathology, Nuclear Medicine, Table

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Other Radiology articles from the General Radiology section General Radiology

Vascular type Ehlers-Danlos Syndrome with fatal spontaneous rupture of a right common iliac artery dissection: case report and review of literature by Aly Abayazeed et al.

Published: 2014 Feb
Issue: 8(2) :: Pages: 63-69


Free full text article: Vascular type Ehlers-Danlos Syndrome with fatal spontaneous rupture of a right common iliac artery dissection: case report and review of literature

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Abstract: Vascular Ehlers-Danlos Syndrome (previously Ehlers-Danlos IV) is a rare autosomal dominant collagen vascular disorder caused by a 2q31 COL3A1 gene mutation encoding pro-alpha1 chain of type III collagen (in contrast to classic Ehlers-Danlos, caused by a COL5A1 mutation). The vascular type accounts for less than 4% of all Ehlers-Danlos cases and usually has a poor prognosis due to life threatening vascular ruptures and difficult, frequently unsuccessful surgical and vascular interventions. In 70% of cases, vascular rupture or dissection, gastrointestinal perforation, or organ rupture is a presenting sign. We present a case of genetically proven vascular Ehlers-Danlos with fatal recurrent retroperitoneal hemorrhages secondary to a ruptured right common iliac artery dissection in a 30-year-old male. This case highlights the need to suspect collagen vascular disorders when a young adult presents with unexplained retroperitoneal hemorrhage, even without family history of such diseases.


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Computed Tomography, Microscopic pathology, Table

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Other Radiology articles from the General Radiology section General Radiology

Adrenal and Extra-adrenal Myelolipomas - A Comparative Case Report by Arsany Hakim et al.

Published: 2014 Jan
Issue: 8(1) :: Pages: 1-12


Free full text article: Adrenal and Extra-adrenal Myelolipomas -  A Comparative Case Report

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Abstract: Myelolipoma is an uncommon benign tumour composed of mature fat tissue and haematopoietic elements and is most commonly found in the adrenal gland. We report a case, which was discovered incidentally on chest X-ray, of a rare occurrence of multifocal extra-adrenal myelolipoma in the thoracic paravertebral region. This was further investigated with multi-detector computed tomography and magnetic resonance imaging. The presumed diagnosis, of extra-adrenal myelolipoma, was histologically confirmed via tissue sample obtained by computed tomography guided biopsy. We compare the adrenal and extra-adrenal entities from the perspective of published literature and also review the cases, published in Pubmed, of extra-adrenal myelolipomas in order to summarize the different locations of this lesion.


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Conventional Radiography, Computed Tomography, Magnetic Resonance Imaging, Microscopic pathology, Table

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Other Radiology articles from the General Radiology section General Radiology

A Case of Multisystem Endometriosis by Pardeep Athwal et al.

Published: 2013 Oct
Issue: 7(10) :: Pages: 1-6


Free full text article: A Case of Multisystem Endometriosis

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Abstract: Catamenial pneumothorax is a rare complication secondary to pleural endometriosis. We present a case of a 37-year-old-female with a history of recurrent pneumothoraces with an associated temporal relationship to the onset of her menses. In addition to her recurrent pneumothoraces, on further evaluation, she was found to have multiple nodular masses within the omentum. A thoracoscopic biopsy was subsequently performed, which showed endometrial implants within the pleural space and within the omental cavity. The radiological features and pathogenesis of this rare disease are reviewed and discussed with reference to relevant literature.


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Computed Tomography, Table

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Other Radiology articles from the General Radiology section General Radiology

Asymptomatic Bowel Perforation by Abandoned Ventriculoperitoneal Shunt by Eric K Rinker et al.

Published: 2013 Sep
Issue: 7(9) :: Pages: 1-8


Free full text article: Asymptomatic Bowel Perforation by  Abandoned Ventriculoperitoneal Shunt

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Abstract: We report a case of an abandoned abdominal ventriculoperitoneal shunt that migrated into the gastric antrum, colonic hepatic flexure, and liver parenchyma, which was discovered incidentally on an abdominal CT obtained for renal stones. In regards to the migrated abandoned VP shunt, the patient was asymptomatic. Upon review of prior CT scans, these findings had progressed over approximately 7 years. We describe the case and discuss the clinical and radiologic findings, complications resulting from ventriculoperitoneal shunts, and possible approaches to their management.


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Computed Tomography, Table

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Other Radiology articles from the General Radiology section General Radiology

Craniocervical Pneumatization by Alan James Quigley et al.

Published: 2013 Aug
Issue: 7(8) :: Pages: 27-33


Free full text article: Craniocervical Pneumatization

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Abstract: Craniocervical bony pneumatization is a rare finding, with limited numbers of cases reported in the literature. It is thought to be linked to Eustachian tube dysfunction and a ball valve mechanism, and has a link with recurrent Valsalva maneuvers. We report a case of pneumatization of the occiput, atlas (C1) and axis (C2) in a patient with extensive ENT (Ear, Nose and Throat) surgical history who presented following a fall. Plain film, CT and MRI images are presented.


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Conventional Radiography, Computed Tomography, Magnetic Resonance Imaging, Table

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Other Radiology articles from the General Radiology section General Radiology

Radiographic diagnosis and differentiation of an aggressive angiomyxoma in a male patient by Grzegorz Marek Karwacki et al.

Published: 2013 Jul
Issue: 7(7) :: Pages: 1-6


Free full text article: Radiographic diagnosis and differentiation of an aggressive angiomyxoma in a male patient

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Abstract: Aggressive angiomyxoma is a rare soft-tissue tumor which usually occurs in female patients of reproductive age. Its occurrence in men is even more unusual and as illustrated in this case the difference between pathology suggested by a physical examination and its actual extent can be quite striking. We present a case report of an 81-year-old man with the typical MRI appearances of a pelvic aggressive angiomyxoma, describe imaging and histopathologic features of this rarely seen locally infiltrative neoplasm and also discuss therapeutic options for patients with an aggressive angiomyxoma.


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Magnetic Resonance Imaging, Microscopic pathology, Table

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Other Radiology articles from the General Radiology section General Radiology

Malignant fat-forming solitary fibrous tumor (lipomatous hemangiopericytoma) in the neck: Imaging and histopathological findings of a case by Alice Duarte de Carvalho et al.

Published: 2013 Mar
Issue: 7(3) :: Pages: 1-7


Free full text article: Malignant fat-forming solitary fibrous tumor (lipomatous hemangiopericytoma) in the neck: Imaging and histopathological findings of a case

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Abstract: Fat-forming solitary fibrous tumor (SFT) is a rare variant of solitary fibrous tumor, a mesenchymal fibroblastic neoplasia with a particular branching hypervascular pattern. This tumor is usually classified as benign and only very few fat-forming SFTs with malignant histologic features have been reported. We report a histologically malignant fat-forming solitary fibrous tumor in a 61-year-old man, located in his neck. Ultrasonography examination was first performed showing a heterogeneous lesion, predominantly hyperechoic, with sound beam attenuation, containing two hypoechoic solid nodules. Magnetic resonance imaging and computed tomography examinations demonstrated a heterogeneous and predominantly adipose mass, containing post contrast enhancing solid nodules and thin septations. Treatment consisted of total removal of the lesion. Histologically, the tumor showed hypercellularity, numerous mitoses and cytological atypia, fulfilling the criteria for malignancy. The patient had no metastasis. This rare tumor may be confused with other fat-containing lesions on imaging examinations, mainly liposarcoma.


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

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Other Radiology articles from the General Radiology section General Radiology

Spontaneous intramural esophageal hematoma (IEH) secondary to anticoagulation and/or thrombolysis therapy in the setting of a pulmonary embolism: a case report by Melina Hong et al.

Published: 2013 Feb
Issue: 7(2) :: Pages: 1-10


Free full text article: Spontaneous intramural esophageal hematoma (IEH) secondary to anticoagulation and/or thrombolysis therapy in the setting of a pulmonary embolism: a case report

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Abstract: Intramural esophageal hematoma is part of a spectrum of esophageal injuries. Vomiting and straining, endoscopic procedures and bleeding disorders are the most common predisposing factors. However, it can also be an unusual complication of anticoagulation and/or thrombolysis therapy. The most common symptoms are retrosternal chest pain, dysphagia and hematemesis. Computed tomography is the modality of choice and treatment is medically conservative with the cessation of Warfarin and thrombolysis use. When anticoagulation and/or thrombolysis therapy is necessary, periodic reassessment for symptoms of intramural esophageal hematoma may be helpful for early identification and management. We described one case of intramural esophageal hematoma possibly resulting from anticoagulation and/or thrombolysis therapy in the setting of pulmonary embolism.


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Ultrasound, Computed Tomography, Clinical image, Table

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Other Radiology articles from the General Radiology section General Radiology

Isolated pancreatic tuberculosis: A case report and radiological comparison with cystic pancreatic lesions by Anna L. Falkowski et al.

Published: 2013 Jan
Issue: 7(1) :: Pages: 1-11


Free full text article: Isolated pancreatic tuberculosis: A case report and radiological comparison with cystic pancreatic lesions

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Abstract: Pancreatic tuberculosis is rare and can occur in the absence of evidence of tuberculosis elsewhere in the body. Here we review the radiological appearance of pancreatic tuberculosis and compare it with other cystic pancreatic lesions, including common lesions (pseudocysts, serous or mucinous cystadenomas, intraductal papillary mucinous neoplasm) and rare lesions such as solid pseudopapillary tumors, etc. Their typical localizations within the pancreas and their malignant potential are presented. Knowledge of these can assist radiologists and clinicians in selecting the best approach towards making the correct diagnosis.


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

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Other Radiology articles from the General Radiology section General Radiology

Primary tuberculosis in a malnourished adolescent by Mazen Zawaideh et al.

Published: 2012 Jul
Issue: 6(7) :: Pages: 1-8


Free full text article: Primary tuberculosis in a malnourished adolescent

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Abstract: Although the overall prevalence of tuberculosis has decreased in the United States, with the increasing prevalence of tuberculosis globally, higher rates of tuberculosis in some states and localities have been reported, with some component probably related to immigrant populations. We report a case of primary pulmonary tuberculosis in a malnourished adolescent.


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Conventional Radiography, Computed Tomography, Microscopic pathology, Table

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Other Radiology articles from the General Radiology section General Radiology

Presacral myelolipoma: a case report and review of imaging findings by Kevin S Baker et al.

Published: 2012 Jun
Issue: 6(6) :: Pages: 1-9


Free full text article: Presacral myelolipoma: a case report and review of imaging findings

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Abstract: Extra-adrenal myelolipoma is a relatively rare entity, with fewer than 50 cases reported in literature. We present a case of a 79 year-old female who presented for evaluation of hip fracture following trauma, where a lobulated presacral mass with mixed fat/soft tissue attenuation was incidentally seen on initial bone algorithm pelvic CT. Subsequent MRI showed signal characteristics of a lesion with mixed fat and soft tissue composition. The lesion demonstrated stability on follow-up imaging. An elective surgical resection was performed which yielded a grossly fatty mass. The diagnosis of presacral myelolipoma was confirmed on microscopic examination. Following description of our case, we conduct a literature review of the imaging characteristics, diagnosis, and treatment of presacral myelolipoma.


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Computed Tomography, Magnetic Resonance Imaging, Microscopic pathology, Table

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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 General Radiology section General Radiology

Acrokeratosis paraneoplastica (Bazex syndrome): Report of a case associated with small cell lung carcinoma and review of the literature by Jessica G. Zarzour et al.

Published: 2011 July
Issue: 5(7) :: Pages: 1-6


Free full text article: Acrokeratosis paraneoplastica (Bazex syndrome): Report of a case associated with small cell lung carcinoma and review of the literature

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Abstract: Acrokeratosis paraneoplastic (Bazex syndrome) is a rare, but distinctive paraneoplastic dermatosis characterized by erythematosquamous lesions located at the acral sites and is most commonly associated with carcinomas of the upper aerodigestive tract. We report a 58-year-old female with a history of a pigmented rash on her extremities, thick keratotic plaques on her hands, and brittle nails. Chest imaging revealed a right upper lobe mass that was proven to be small cell lung carcinoma. While Bazex syndrome has been described in the dermatology literature, it is also important for the radiologist to be aware of this entity and its common presentations.


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Clinical image, Microscopic pathology, Conventional Radiography, Computed Tomography, Table

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Other Radiology articles from the General Radiology section General Radiology

Local recurrence and multi-organ metastasis of primary retroperitoneal leiomyosarcoma in unusual locations after surgical resection by Hira Lal et al.

Published: 2011 June
Issue: 5(6) :: Pages: 1-8


Free full text article: Local recurrence and multi-organ metastasis of primary retroperitoneal leiomyosarcoma in unusual locations after surgical resection

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Abstract: We report a case of retroperitoneal leiomyosarcoma in a 52-year-old woman, who developed local recurrence, pulmonary, hepatic, peritoneal, pancreatic, subcutaneous and intramuscular metastases two years after surgical resection of the primary tumor. Metastasis to the pancreas, subcutaneous or muscular tissue is very rare; however, presence of a lesion in these locations in a known case of leiomyosarcoma might indicate a metastatic tumor deposit.


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Microscopic pathology, Conventional Radiography, Ultrasound, Computed Tomography, Table

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Other Radiology articles from the General Radiology section General Radiology

Right isomerism with complex cardiac anomalies presenting with dysphagia - A case report by Himanshu Agarwal et al.

Published: 2011 Apr
Issue: 5(4) :: Pages: 1-9


Free full text article: Right isomerism with complex cardiac anomalies presenting with dysphagia - A case report

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Abstract: Isomerism or Heterotaxy syndromes are rare multifaceted congenital anomalies with multi-system involvement. Grouped under the broad category of Situs Ambiguous defects, these often pose diagnostic difficulties due to their varied and confusing anatomy. Since patients rarely survive into adulthood due to cardiovascular complications, the etiology and natural history of such conditions are not fully understood. Imaging provides the most accurate non invasive method for diagnosis and thereby, prognosis in such cases. We present a case of right sided Isomerism with complex cardiac anomalies in a 17 year old adolescent, who presented with dysphagia as one of the main complaints. Multi modality imaging demonstrated the intricate abnormalities in vital systems.


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Conventional Radiography, Ultrasound, Computed Tomography, Magnetic Resonance Imaging, Table

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Other Radiology articles from the General Radiology section General Radiology

A Tender Pulsatile Epigastric Mass is NOT Always an Abdominal Aortic Aneurysm: A Case Report and Review of Literature by Osama Moussa et al.

Published: 2010 Oct
Issue: 4(10) :: Pages: 26-31


Free full text article: A Tender Pulsatile Epigastric Mass is NOT Always an Abdominal Aortic Aneurysm: A Case Report and Review of Literature

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Abstract: Of greatest concern in the assessment of a patient with a tender pulsatile abdominal mass is the possibility of a leaking or ruptured Abdominal Aortic Aneurysm (AAA). Other serious abdominal pathologies may demonstrate the same clinical signs but require entirely different treatments. Even amongst patients with proven abdominal aortic aneurysms CT imaging findings may influence the timing and nature of surgery and provide useful prognostic information. We present a case in which a large abdominal tender pulsatile mass was not aortic in origin. The patient had a significantly large tender congested liver associated with right side heart failure due to progressive tricuspid valve regurgitation. We have also discussed the differential diagnoses which may mimic abdominal aneurysms and discussed the role of imaging in resolving these problems.


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Other Radiology articles from the General Radiology section General Radiology

A Case of Craniofacial Polyostotic Fibrous Dysplasia by Justin Clark et al.

Published: 2010 Sep
Issue: 4(9) :: Pages: 1-6


Free full text article: A Case of Craniofacial Polyostotic Fibrous Dysplasia

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Abstract: We present the case of a patient with craniofacial polyostotic fibrous dysplasia. Polyostotic fibrous dysplasia is relatively rare and usually presents in late childhood/early adulthood. It is occasionally associated with endocrine disorders such as McCune-Albright syndrome. The benign pathology of this bone tumor belies its implications in the region of the skull base. Craniofacial polyostotic fibrous dysplasia can have devastating complications depending on which ostia are involved, including vision loss. Our patient was already beginning to experience visual field deficits from ischemic neuropathy. He was treated surgically with optic nerve decompression; however, the efficacy of this approach is currently being debated.


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Conventional Radiography, Computed Tomography, Nuclear Medicine, Table

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