Manuel Menendez Santos, Carlos Gonzalez Baerga, Sanjay Lamsal, Corey Engel, Savas Ozdemir
Werner Syndrome is a rare autosomal recessive condition characterized by premature aging and increased risk of malignancies due to gene mutations associated with DNA stability. We present the first case report of a 29-year-old Hispanic female with WS diagnosed with breast cancer. Diagnostic mammography and ultrasound, breast MRI and PET examinations revealed two lesions biopsy proven as invasive ductal carcinoma. The patient underwent neoadjuvant chemotherapy and radical mastectomy. Recurrence occurred 10 months postoperatively with molecular analysis demonstrating TP53 mutations...
October 2023: Journal of Radiology Case Reports
Afsara Anisa Ahmmed, Randeep Kulshrestha
A 60-year-old lady with alcoholic liver disease developed central cyanosis and orthodeoxia. A technetium-99m macro-aggregated albumin lung perfusion scan and contrast echocardiogram were performed. A 13% right to left shunt was calculated from the macro-aggregated albumin scan. There were more bubbles in the left heart than the right at the end of the contrast echocardiogram. Hepatopulmonary syndrome was therefore diagnosed. The patient had a liver transplant five days after these investigations. Further discussion about hepatopulmonary syndrome will be provided...
October 2023: Journal of Radiology Case Reports
Liao Juan, Yu Jianqun, Li Fanglan
Ewing sarcoma (ES) was first reported by Ewing in 1921. It is the second largest malignant bone tumor in children and adolescents, typically occurring in the bones of trunk or limbs . Extraskeletal Ewing sarcoma (EES) was first reported by Tefft et al. in 1969 and is extremely rare, accounting for less than 1% of all sarcomas. It can occur in any part of soft tissue, mostly in the trunk and lower limbs, and rarely in the pleura. We report a 22-year-old case of extraosseous Ewing sarcoma of pleural origin discovered and pathologically confirmed by physical examination...
October 2023: Journal of Radiology Case Reports
Chase C Dougherty, Barton F Branstetter
Persistent craniopharyngeal canal (PCC) is a rare congenital anomaly that appears as a linear well-corticated canal running from the sella through the clivus and into the nasopharynx. Case reports of this anomaly have shown it is associated with a range of craniofacial defects, pituitary abnormalities, and meningoencephaloceles. It predisposes patients to bacterial meningitis. In this case a 46-year-old gentleman presenting for preoperative planning for surgical drainage of Potts Puffy tumor was found to have a PCC on CT and MRI...
October 2023: Journal of Radiology Case Reports
Israa Alsulami, Reem Alwasiah, Mohammed Alsalman, Abdulmohsen Alyousef
Hydatid disease is a parasitic infection that usually targets the liver and is rarely seen affecting the heart. Herein, we present an incidentally diagnosed cardiac hydatid cyst with a pathognomonic radiological feature of a water lily sign.
September 2023: Journal of Radiology Case Reports
William Wakeford, Dimitrios Ioannidis
INTRODUCTION: We present a case of a fourteen year old girl who presented with a large intra-nasal mass to the ENT team at a district general hospital in the UK. PRESENTATION OF CASE: The girl presented predominantly with nasal obstruction and some symptoms of allergic rhinitis. Imaging revealed a large lesion abutting the skull base and causing bony remodelling with marked septal deviation. Based both on CT and MRI imaging, the reporting (non-head and neck) radiologist suggested inverted papilloma as a differential diagnosis...
September 2023: Journal of Radiology Case Reports
Thomas Hartmann, Nadia Solomon, Gabriel Lerner, Lauren Ehrlich
Rosai-Dorfman Disease, otherwise known as sinus histiocytosis with massive lymphadenopathy, is a rare form of non-Langerhans cell histiocytosis with an estimated incidence of 100 cases per year in the United States. Due to its variable presentation and nonspecific clinical findings, it is particularly difficult to diagnose in pediatric patients. We report a case of an 11-month-old male who presented with a 4-day history of a right groin mass. Ultrasound of the groin and pelvis demonstrated, and MRI of the abdomen and pelvis confirmed an inguinal mass with surrounding lymphadenopathy...
September 2023: Journal of Radiology Case Reports
L J Juergens, A Thalhammer, T Gruber-Rouh, V Koch, T J Vogl, S S Martin
A 51-year-old female patient was presenting dyspnea for more than a year with no previous lung infections or surgery. Initially, a diagnostic computed tomography was made, showing a rare arterio-arterial malformation between the right inferior phrenic and right pulmonary artery leading into a vascular bundle in the middle lung lobe. Due to the patients' dyspnea and massive extent of malformation, the indication for transcatheter arterial embolization was made. The first transcatheter arterial embolization procedure involved the inferior phrenic and a selective branch of the internal thoracic artery...
September 2023: Journal of Radiology Case Reports
Mirco Cleva, Luca Montaldo, Giovanna Graziani, Ennio Bruschi, Massimo Valentino
Zinner's syndrome is a rare congenital malformation characterized by the association of unilateral renal agenesis with ipsilateral seminal vesicle cyst and ejaculatory duct obstruction. Most patients are asymptomatic until the third or fourth decade of life when the syndrome is associated with dysuria, perineal pain, infertility, and painful ejaculation. In this report, we present the common imaging findings of this rare developmental anomaly involving the mesonephric duct in a 48-year-old male patient experiencing pelvic pain, recurrent dysuria, and pollakiuria...
August 2023: Journal of Radiology Case Reports
Pablo Penalver-Calero, Marco Leyva Vásquez-Caicedo, Jimena González-Nieto, Javier Eduardo Armijo Astrain, José Vicente Méndez Montero
Umbilical hernias are common in patients with cirrhosis of the liver and ascites; however, spontaneous rupture of the hernia is a rare complication. Flood Syndrome occurs very rarely in cirrhotic patients with massive ascites and refers to the spontaneous rupture of an umbilical hernia followed by leakage of ascites fluid. A literature search shows that patients have been managed both operatively and nonoperatively for this condition. We report a case of a 56-year-old man with a history of alcohol-related liver cirrhosis and massive ascites refractory to medical therapy with sudden and spontaneous perforation of his hernia leading to drainage of ascitic fluid from the abdomen...
August 2023: Journal of Radiology Case Reports
Sarah M Nwia, Christian D Huebner, Jeremy B Nguyen
We report a case of descending necrotizing mediastinitis (DNM) in a 68-year-old male who presented in acute respiratory distress accompanied with anterior cervical neck swelling and pain with swallowing. Contrast enhanced computed tomography (CECT) of the neck demonstrated a large, peripherally enhancing retropharyngeal fluid and air collection that appeared to communicate with a fluid and air collection within the mediastinum. CECT of the chest demonstrated punctate foci of air and fat stranding along the anterior and superior mediastinum...
August 2023: Journal of Radiology Case Reports
Koesbandono, Raditya Utomo, Benyamin Lukito, Jusef Treser, Nyoman Aditya Sindunata
An 18-year-old male developed a huge liver abscess with severe anemia over the course of 2 weeks. Abdominal contrast enhanced computed tomography showed ruptured huge liver abscess in the right liver lobe with signs of active hemorrhage (contrast extravasation). Serology examination confirmed amoeba as the suspected pathogen of cause. Angiography was performed followed by transcatheter arterial embolization to localize and control the hemorrhage. Embolization using a combination of polyvinyl alcohol and gelfoam successfully controlled the active hemorrhage...
August 2023: Journal of Radiology Case Reports
Apoorva Sehgal, Jyoti Kumar, Ishwar Singh, Ashish Gopal
Lipomatosis of nerve, earlier known as fibrolipomatous hamartoma is a rare condition which predominantly affects peripheral nerves, cranial nerve involvement being extremely uncommon. Preoperative consideration of this entity is of paramount importance as its inadvertent complete surgical resection may inevitably result in significant neurological deficit. We report a case of trigeminal lipomatosis in a young patient with trigeminal neuralgia.
August 2023: Journal of Radiology Case Reports
Edward Zhenyu Seah
Traditional Chinese medicine is a popular form of complementary and/or alternative medicine in Southeast Asia, often incorporating acupuncture. Acupuncture involves the insertion of thin needles into varied anatomical points on the body for the relief of a range of symptoms, such as musculoskeletal aches and pains. We present the first reported case of percutaneous liver injury secondary to acupuncture. We aim to familiarize readers with this rare and as-yet unreported case of intra-abdominal injury related to acupuncture, which is commonly practiced in many countries in Eastern and Southeast Asia...
August 2023: Journal of Radiology Case Reports
Cem Gokhan, Sagar Maheshwari, Harish Nagraj, Sofia Vrizidou, Thulasi Tharmalingam
One of the most common causes of chronic shoulder pain that significantly impairs patients' quality of life is rotator cuff calcific tendinitis. The supportive approach of analgesics, anti-inflammatory medications, and physiotherapy is preferred to treat mild symptoms. However, severe intractable symptoms necessitate alternative treatment, and ultrasonography-guided percutaneous barbotage is regarded as an effective treatment technique due to its minimal invasiveness, low cost, and rapid significant pain relief...
August 2023: Journal of Radiology Case Reports
Kirollos Bechay, Michael David Katz, Brian Quinn
First-line treatment of pulmonary artery aneurysms/pseudoaneurysms (PAA/PAPA) is percutaneous or endovascular embolization. The present case of a Rasmussen aneurysm, a PAPA caused by Tuberculosis (TB), was successfully treated with ethylene-vinyl alcohol (EVOH), a radiopaque liquid embolic agent with favorable characteristics. A 35-year-old man presented as a new patient with hemoptysis, and CT imaging revealed multiple cavitary lesions and a 2.1 cm aneurysm in the upper right lobe. Endovascular treatment was delivered and a complete lack of filling of the lesion was noted on post-treatment angiography...
August 2023: Journal of Radiology Case Reports
Madhura Bayaskar, Vikrant Bhende
Parasitic infestations of the ovary are quite rare with ovary being the least common site of infection in the female genital tract. Filariasis is a parasitic disease caused by filarial nematodes (Wuchereria bancrofti, Brugia malayai, Brugia timori). It causes lymphatic obstruction with resultant edema and increase in the size of the affected organ. We report a case of 24-year-old married female who presented to our radiology department for ultrasound evaluation with the main aim being to look for retained products of conception after the termination of early pregnancy...
July 2023: Journal of Radiology Case Reports
Freda Jawan, Weiling Lim, Joe Francis
We present a case of a 48-year-old female who presented with epistaxis. Magnetic resonance imaging (MRI) revealed a mass within the left nasal cavity which was revealed to be a phosphaturic mesenchymal sinonasal tumour. The patient defaulted treatment at this stage and later re-presented with pelvic and groin pain for which plain radiographs and computed tomography (CT) scan demonstrated diffuse osteopenia and multiple pelvic fractures of varying ages. MRI of the pelvis and both thighs revealed abnormal marrow signal of the bones and confirmed the presence of pelvic fractures...
July 2023: Journal of Radiology Case Reports
Desmond Lim Shi Wei, Euan Murugasu, Joo Hong Chuah
Facial nerve neuromas rarely occur in the intra-parotid segment of the facial nerve and when they do, masquerade as a parotid lump. The imaging and clinical features of the intra-parotid facial neuroma overlaps with the more commonly encountered salivary gland neoplasms and is thus overlooked. However, if not recognized, may result in serious and avoidable adverse events for the patient if biopsied or surgically removed. These include pain, facial nerve palsy and cosmetic deformity. In this report, we present the case of a 47-year-old male patient with an intra-parotid facial nerve neuroma with images including computer tomography, magnetic resonance imaging and intra-operative photos...
June 2023: Journal of Radiology Case Reports
Richa Gautam, Rashmi Dixit, Gaurav Shanker Pradhan
Venous malformations are now categorised under the broad heading of slow flow vascular malformations. They comprise abnormally dilated venous channels that fail to involute. These may be superficial or deep in location. We describe two cases of venous malformation in breast. Both the patients presented with focal pain in one breast. On mammography, they appeared as equal density well circumscribed soft tissue masses. No sonographic correlate was found on initial ultrasound examination. Subsequent ultrasonography performed by an experienced radiologist with minimal probe pressure revealed dilated veins...
May 2023: Journal of Radiology Case Reports
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