Nazim Dakaj, Kaltrina Gocaj, Serbeze Kabashi, Kreshnike Dedushi, Vullnet Blakaj, Alba Goçaj
Presented here is a compelling case of a patient with a history of untreated hypertension, highlighting symptoms indicative of Wallenberg syndrome, including acute-onset dizziness, visual disturbances, continuous vomiting, difficulty walking, and an altered level of consciousness. This case's significance lies in its clinical presentation and in the diagnostic journey undertaken to elucidate its underlying pathology. Throughout the patient's hospitalization, a comprehensive assessment incorporating clinical, laboratory, and imaging techniques was conducted to delineate the extent of their condition...
August 2024: Radiology Case Reports
Linjuan He, Wangsheng Chen
Pseudomyxoma peritonei (PMP) is a relatively uncommon condition primarily associated with neoplasms of the appendiceal epithelium. It is characterized by non-specific clinical manifestations, leading to a high rate of misdiagnosis. This report describes the case of a 62-year-old male patient with recurrent and metastatic PMP. The patient first experienced unexplained epigastric pain and paroxysmal abdominal pain accompanied by distension over 8 years ago. He underwent surgical interventions for the condition in other hospitals in 2015 and 2018, respectively...
August 2024: Radiology Case Reports
Renato Farina, Pietro Valerio Foti, Corrado Inì, Emanuela Tona, Concetta Timpanaro, Sebastiano Galioto, Claudia Motta, Lorenzo Aliotta, Francesco Marino, Antonio Basile
Branchiogenic fistulas are congenital alterations that affect the cervical compartments. Those of the fourth branchial cleft are rarest and can begin late with very serious complications. The suppurative thyroiditis can be a complication of these alterations. We describe a case of 3-year-old girl with high fever, left cervical swelling and increased inflammation indices. The neck ultrasound showed an abscess of the left thyroid lobe and a fluid mass with aerial content in laterocervical region. On MRI, the fluid mass extended from the left piriform sinus to the mediastinum...
August 2024: Radiology Case Reports
Mariam Erradi, Widade Kojmane
Hydrocephalus is defined as an anomaly in the flow of cerebrospinal fluid, with multiple and varied etiologies, both acquired and congenital. The most dominant etiology in the congenital aspect is the stenosis or atresia of the Sylvian Aqueduct, whether isolated or associated with other malformations. We report a case of congenital hydrocephalus due to a stenosis of the Aqueduct of Sylvius in a 2 and a half-year-old child, which was unrecognized in the neonatal period, and the importance of imaging, especially MRI, in the rapid diagnosis of this pathology...
August 2024: Radiology Case Reports
Ryan C Rizk, Mohammad Yasrab, Linda C Chu, Edmund M Weisberg, Elliot K Fishman
Adrenal schwannoma is a rare tumor of Schwann cell origin that represents less than 0.2% of all adrenal tumors. These typically benign tumors are most often found in the head, neck, and limbs. However, schwannomas can also rarely occur rarely in the adrenal gland within the retroperitoneal cavity. In the adrenal gland, these tumors arise from the medulla and are difficult to diagnose, often misdiagnosed as other benign or malignant entities. In this article, we report the case of a 43-year-old female with a large left adrenal mass revealed by biopsy to be a schwannoma...
August 2024: Radiology Case Reports
Giovanni Failla, Francesco Tiralongo, Pina Crimi, Salvatore Lo Fermo, Pietro Valerio Foti, Emanuele David, Corrado Ini, Monica Palermo, Daniele Falsaperla, Stefano Palmucci, Antonio Basile
Wernicke encephalopathy (WE) is a rare but severe neurological syndrome characterized, in its classic form, by the acute onset of ocular disturbances, ataxia, and cognitive impairment. It is caused by a deficiency of thiamine (vitamin B1) and mainly affects chronic alcoholics, although it can also affect patients with pathologies that lead to malnutrition. We present a case of a 58-year-old woman, who presented with significant weight loss over the past 6 months and who came to the emergency department for episodes of repetitive vomiting and a sleepy state...
August 2024: Radiology Case Reports
Hajar Zebbakh, Kaoutar Imrani, Taha Yassine Aaboudech, Zakia Bernoussi, Nabil MoatassimBillah, Ittimade Nassar
Pheochromocytoma, a neuroendocrine tumor, represents a rare medical condition characterized by the excessive secretion of catecholamines. These tumors often exhibit distinctive features on imaging studies, notably appearing hypervascular. Furthermore, they may present as cystic masses with thin walls, a characteristic that becomes more evident following the administration of contrast medium. The cystic form of adrenal pheochromocytoma, as exemplified in our case, is particularly uncommon, thus underscoring the importance of recognizing its atypical presentation...
August 2024: Radiology Case Reports
Jimin Kim, Yunhee Lim
Tracheobronchopathia osteoplastica is a rare condition involving large airways with multiple bone and cartilage nodules in the tracheobronchial submucosa. This can cause tracheal stenosis, leading to difficulty in endotracheal intubation. A 79-year-old female patient, who had a history of successful endotracheal intubation for general anesthesia 8 years prior, was scheduled for abdominal surgery. Preoperative chest computed tomography and bronchoscopy revealed slight progression of tracheobronchopathia osteoplastica...
August 2024: Radiology Case Reports
Adele Hwee Hong Lee, Samuel Jackson Macalister, Kelvin K Yap
Nodular soft tissue pleural thickening on imaging is highly suggestive of malignancy, of which pleural malignant mesothelioma and metastatic disease are differentials. We present the case of a 71-year-old male who presented with acute worsening of shortness of breath associated with a recurrent left pleural effusion post-pleurocentesis. He was an ex-smoker with previous asbestos exposure. Computed tomography performed demonstrated left-sided pleural thickening in the hemithorax and hemidiaphragm with complex pleural effusion...
August 2024: Radiology Case Reports
Maria Andrea Parra Corral, Jesus R Diaz
Three distinct types of adipose tissue have been characterized: brown, white, and beige. Brown adipose tissue (BAT) is typically found in specific regions including the anterior cervical, supraclavicular, axillary, and paravertebral areas. White adipose tissue (WAT) predominantly resides in subcutaneous layers, intramuscular spaces and among visceral organs, while beige adipose tissue is a subtype of WAT and is found interspersed within WAT deposits. BAT displays metabolic activity detectable on PET/CT scans, in contrast to WAT, which typically exhibits minimal to no uptake...
August 2024: Radiology Case Reports
Motoki Yamataka, Satoshi Tsutsumi, Kasumi Inami, Natsuki Sugiyama, Hideaki Ueno, Hisato Ishii
A 50-year-old man presented with headache and left hemiparesis. No noticeable preceding head trauma was observed. Computed tomography (CT) scans revealed a compressive chronic subdural hematoma (CSDH). The patient underwent burr-hole irrigation, during which he was considerably restless. In addition, extensive avulsion was found in the parietal dura mater posterior to the burr hole. CT performed immediately after the surgery revealed the emergence of a thick epidural hematoma (EDH) located posterior to the burr-hole...
August 2024: Radiology Case Reports
Fumiaki Fukamatsu, Daisuke Nakamura, Kuniharu Ippongi, Keiichi Yamada, Daiya Takekoshi, Shun Imai
Epipericardial fat necrosis is a rare cause of acute pleuritic chest pain and is a benign and self-limiting condition. It is important to distinguish epipericardial fat necrosis from other diseases that cause acute chest pain, such as acute myocardial infarction, pulmonary embolism, and acute pericarditis, because conservative treatment is recommended for epipericardial fat necrosis. This report presents the case of a 25-year-old man with severe pleuritic chest pain located on the left anterior side that was associated with dyspnea...
August 2024: Radiology Case Reports
Nora A Alexander, Paul Nghiem, Delphine L Chen, Song Y Park
Merkel cell carcinoma (MCC) is a neuroendocrine skin cancer with a high risk of recurrence and metastasis. Regular surveillance through physical exams and imaging studies is crucial for the timely detection of recurrences. MCC patients who produce antibodies to the Merkel cell polyomavirus oncoprotein may benefit from antibody testing in addition to routine imaging surveillance for the early detection of disease recurrence. The clinically available Anti MERKel cell panel (AMERK) is a sensitive tumor marker for Merkel cell polyomavirus positive MCC...
August 2024: Radiology Case Reports
Manuela Montatore, Federica Masino, Gianmichele Muscatella, Rossella Gifuni, Giacomo Fascia, Alessio Sciacqua, Giuseppe Guglielmi
We report a case of myxofibrosarcoma of the posterior region of the femur, part of the group of soft-tissue sarcomas: a set of rare and heterogeneous tumors with various subtypes and different prognostic. It is characterized by local infiltrative activity and an extremely high rate of local recurrence. A 58-year-old man came to the Radiology Department to examine a voluminous round and expansive formation of the posterior thigh region. The patient stated that the mass had grown suddenly for about 3 months, maybe after a trauma, increasing in volume exponentially and causing him discomfort, embarrassment, and pain...
August 2024: Radiology Case Reports
Abdulla Husain, Ayoub Abedzadeh, Shaikh Sayeed Iqbal
The occurrence of testicular dislocation resulting from blunt trauma to the scrotum or abdominopelvic region is infrequent. Due to the presence of significant associated injuries, the diagnosis of this condition can often be missed. This case study presents a case of an adult male who experienced bilateral testicular dislocation following a motorbike accident. Additionally, a concise review of relevant literature is included.
August 2024: Radiology Case Reports
Federica Masino, Manuela Montatore, Rossella Carpentiere, Marina Balbino, Rossella Gifuni, Giacomo Fascia, Giuseppe Guglielmi
We present a case of hereditary multiple exostoses with malignant transformation to chondrosarcoma in a woman complaining of enlargement and pain in the right thigh. Hereditary multiple exostoses is a rare genetic disorder characterized by multiple osteochondromas. Malignant transformation to chondrosarcoma of a pre-existing osteochondroma is a possible significant manifestation of this hereditary syndrome. Imaging modalities such as X-ray, Ultrasound, and computed tomography play a crucial role in the diagnosis and management of these patients, as described in this case...
August 2024: Radiology Case Reports
Ajay Doniparthi, Aaron B Deutsch, Joel D Stibbe, Nida M Khan, Matthew M Palilonis
Choroidal detachment (CD) is a rare and potentially vision-threatening complication of glaucoma surgery. Inflammation and prolonged ocular hypotony can promote fluid accumulation between the choroid and sclera. Risk factors include trauma, advanced age, use of anticoagulant medications, systemic hypertension, atherosclerosis, and diabetes. CD ultrasound findings will show 2 layers, detaching as far anteriorly as the ciliary bodies, that protrude convexly into the vitreous without extending to the optic disc, often described as the appositional or kissing choroidal sign...
August 2024: Radiology Case Reports
Mahmoud Abdallat, Mohammed Aloqaily, Wafi Aloqaily, Mohammad Al-Qob, Saleh Al-Jbour, Abdallah Al-Muhtaseb, Nosaiba Al Ryalat, Fatima Obeidat
Choroid plexus papillomas are rare brain neoplasms, primarily observed in children, and typically manifest with symptoms indicative of heightened intracranial pressure and cerebral irritation. In addition, the tumor's localization varies with the patient's age, and diagnostic and therapeutic approaches predominantly rely on imaging findings and surgical interventions, with histopathological examination being essential for confirmation. This study outlines a unique instance of choroid plexus papilloma in a 30-year-old female, who presented with severe headache and vomiting, subsequently revealing hydrocephalus on Brain CT...
August 2024: Radiology Case Reports
Yodit Abraham Yaynishet, Fathia Omer Salah, Bemnet Taye Gebregiorgis, Abdulmejid Suleyman Mume, Henok Dessalegn Damtew, Tinsae Zelalem Amare, Tilahun Mengistu Manaleh
Fibrodysplasia ossificans progressiva (FOP) is a rare and progressively debilitating disorder affecting 1 in 2 million individuals. It is characterized by the progressive ossification of soft tissues into ectopic bone and congenital malformations of the great toes. FOP leads to significant disability and can result in death due to thoracic insufficiency syndrome. These case reports examine the presentation, diagnosis, and management of FOP, highlighting the diagnostic challenges inherent in managing such rare conditions because of their unique clinical features...
August 2024: Radiology Case Reports
Al Rasyid, Nita Widjaya, Salim Harris, Mohammad Kurniawan, Taufik Mesiano, Rakhmad Hidayat, Adrian Ridski Harsono, Setyo Widi Nugroho, Reyhan Eddy Yunus, Elvan Wiyarta
Brain arteriovenous malformations (AVM) present complex treatment decisions, particularly for low-grade AVM where surgical resection is often considered the standard. This case report emphasizes the importance of patient preferences and cultural considerations in selecting endovascular embolization over traditional surgical approaches for Spetzler-Martin Grade I AVM management, highlighting the evolving practice of patient-centered care in neurointervention. A 30-year-old male presented with recurrent seizures, characterized by a sudden onset of headache followed by speech arrest, without any preceding medical history of neurological deficits...
August 2024: Radiology Case Reports
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