Kenichiro Otsuka, Makoto Otsuka, Takayuki Matsunaga, Takashi Hirano, Miyuki Abe, Atsushi Osoegawa, Kenji Sugio, Tsutomu Daa, Yoshiki Asayama
Adenoid cystic carcinoma is a rare malignant tumor that primarily occurs in the salivary glands. There are few reports of sublingual gland adenoid cystic carcinoma with lung metastases on which 18 F-fluorodeoxyglucose positron emission tomography/computed tomography (18 F-FDG-PET/CT) was performed. We report the case of a 57-year-old Japanese woman with an adenoid cystic carcinoma of the sublingual gland with lung metastases in whom the FDG uptake of the lung metastasis was low despite high FDG uptake in the primary lesion...
August 2024: Radiology Case Reports
Roshna Adhikari, Mukesh Paudel, Saroj Sitaula
Mid gut volvulus is a rare clinical presentation in adults though it frequently occurs in infants and children. We report a case of 30 years male (post renal transplant patient) who presented with symptoms of abdominal pain, nausea and vomiting for 3 days. After demonstration of twisting of bowel loops around mesenteric vessels on Ultrasonography (USG). Contrast enhanced computed tomography (CECT) abdomen was done which showed small bowel malrotation, inverted relation of Superior mesenteric artery-Superior mesenteric vein and whirl pool sign of midgut volvulus...
August 2024: Radiology Case Reports
Manizhe A Kachuee, Iman Mohseni, Nikoo Emtiazi, Yasaman Sharifi
Synovial chondromatosis is a rare benign condition defined by the presence of cartilaginous lesions in the synovium of joints, tendon sheaths, and bursae. It most typically affects large joints, such as the knee, hip, and shoulder, but it is also reported in smaller joints. Nonetheless, ankle involvement is relatively uncommon. A complete history and clinical, physical, and radiographic examinations are usually used to determine the diagnosis. Hence, we reported a case of a young patient with left ankle primary synovial chondromatosis who presented with a left ankle mass and chronic pain...
August 2024: Radiology Case Reports
Fenny Susilo, Stella Clarissa, Quinta F Handoyono, Yopi Simargi, Ronny, Nurprasetyo
Scurvy is an infrequent pathological condition resulting from a sustained dietary vitamin C deficiency. Radiology becomes pivotal because the diagnostic process for scurvy can be intricate, given its resemblance to bone neoplasms. A 6-year-old boy, reported persistent pain and swelling in the right thigh for 2 months prior to hospitalization. Clinical examination revealed a mass localized in the right thigh and anemia. A radiograph of the right femur demonstrated extensive osteopenic changes, "Trümmerfeld zone", "Frankel line", "Pelkin fracture", "Wimberger ring sign", and para-epiphyseal subperiosteal hematoma...
August 2024: Radiology Case Reports
Mohammed Bouchoual, Kawtar Dadi, Soufiane Bigi, Marouane Jabrane, Arrayhani Mohamed
Perturbations in bone and mineral metabolism associated with chronic kidney disease (CKD) present a nuanced challenge, particularly in the context of their implications for fracture susceptibility in the pediatric demographic. Despite the well-established escalation of fracture risk in adults afflicted with end-stage renal disease, the extant scientific literature addressing this phenomenon in pediatric cohorts remains notably limited. Within this framework, we present the case of a 16-year-old adolescent devoid of significant medical antecedents, admitted to our facility due to terminal chronic kidney disease of indeterminate etiology...
August 2024: Radiology Case Reports
Maryam Bolouri, Perry Veras, Shashank Gupta, Yuliya Zayats, Emad Allam
A paraganglioma is a neuroendocrine tumor that may secrete catecholamines and present with symptoms of sympathetic overload such as hypertension and diaphoresis. It is important that paragangliomas are identified, as they must often be treated by surgical excision. IgG4-related retroperitoneal fibrosis (IgG4-RPF) is a systemic inflammatory disease that results in the infiltration of IgG4-positive plasma cells in the retroperitoneum. Such fibrosis may adversely affect nearby organs and tissues. Here, we describe a case of combined paraganglioma and IgG4-RPF in a 47-year-old female patient...
August 2024: Radiology Case Reports
Sang Un Kim, Jihoon Hong
Esophagojejunal varices occurring after total gastrectomy are rare but potentially fatal in cases of variceal bleeding. Owing to their rarity, treatment strategies for this condition are not well established. Here, we describe the case of a 48-year-old woman who presented with hematemesis and melena. Four years prior, she underwent a total gastrectomy for gastric cancer. Esophagojejunal variceal bleeding supplied by a dilated jejunal vein, along with liver cirrhosis, was diagnosed as per endoscopy and computed tomography findings...
August 2024: Radiology Case Reports
Reid Portnoy, Raufay Abbasi, Thaddeus M Yablonsky, Erik G Cohen, Mark Widmann
De-differentiated primary mediastinal liposarcomas account for less than 1% of all liposarcoma pathology. We report the case of an 82-year-old male who was suffering from progressive dysphagia, shortness of breath, and dysphonia for a period of 2 months. A CT scan of the chest with contrast revealed a large heterogeneously enhancing posterior mediastinal mass extending into the posterior soft tissues of the neck, abutting bilateral carotid arteries, and displacing the trachea and esophagus. Treatment chosen for our patient was surgical resection followed by adjuvant radiation therapy which resolved the patient's presenting symptoms...
August 2024: Radiology Case Reports
Ali Sadeghei, Yasamin Chaibakhsh, Maryam Ghadimi, Shima Hadipoorzadeh, Farshad Jalili Shahandashti, Maryam Shojaeifard, Anahita Esmaeili
Cardiac lymphangioma is a characteristically benign primary neoplasm of the heart, previously reported only in a handful of cases. A right atrial lesion was found of a 56-years old healthy male patient. The lesion was surgically excised and identified as cardiac lymphangioma in postoperative pathological analysis. While open surgical tumor resection is preferred in patients with cardiac lymphangioma, preoperative characterization of suspected lesions may warrant conservative management in selected cases.
August 2024: Radiology Case Reports
Luke Wright, Dan Schneider
The purpose of this report is to describe via a case example an efficient mechanical thrombectomy technique for hemodialysis access thrombosis using the InThrill Thrombectomy System (Inari Medical, Irvine, CA). A man in his late 60s with end-stage renal disease and a thrombosed femoral arteriovenous graft (AVG) underwent a thrombectomy procedure to remove all thrombotic material including the arterial plug and restore use of the graft for hemodialysis. The InThrill Thrombectomy System used in this procedure consists of a mechanical thrombectomy catheter with a wall-apposing coring element and a sheath with a retractable funnel and aspiration port...
August 2024: Radiology Case Reports
Nicholas W Kemper, Alexander C Myers, Hanna K Thompson, Nana Ohene Baah, Sohail Contractor
Pulmonary arteriovenous malformations, previously considered a rare condition, have been increasingly identified in asymptomatic patients over the past 2 decades. Usually congenital and associated with hereditary hemorrhagic telangiectasia, these fistulae result in right-to-left shunting of blood by abnormal communication of pulmonary arteries and veins lacking capillary beds. Clinical findings of right-to-left shunting in the presence of feeding and draining vessels identified on imaging confirm the diagnosis, for which the first-line therapy is embolization...
August 2024: Radiology Case Reports
Naoki Kataoka, Shoji Oura, Akito Furuta
A 44-year-old woman was referred to our hospital for the examination and treatment of a presumed gallbladder tumor. Both ultrasound and computed tomography showed an intracystic tumor but failed to point out the discontinuity between the cystic lesion and the gallbladder. Magnetic resonance imaging, however, could clearly depict the presumed intracystic tumor and the discontinuity between the gallbladder and the target lesion. Both contents of the gallbladder and the cystic lesion showed hypo and hyper intense patterns, though both with slightly different intensities, on T1- and T2-weighted images, respectively...
August 2024: Radiology Case Reports
Sweta Krishnan, Khushpreet Kaur, Bhartendu, Pooja Kundu, Nilotpal Chowdhury, Farhanul Huda, Anjum Syed
Complex sclerosing lesion (CSL)/radial scar of breast is a benign entity that can pose a diagnostic challenge due to resemblance to breast carcinoma on imaging. Hamartoma are uncommon benign tumors, composed of disorganized mixture of glandular, fibrous, and adipose tissues, which can exhibit classical imaging characteristics. Here we describe a case of concomitant CSL and hamartoma in left beast, of which CSL presented as suspicious mass on imaging but was ultimately confirmed to be benign on histopathology with 4 years of documented stability...
August 2024: Radiology Case Reports
Soukaina Srhiri, Ismail Chaouche, Amal Akammar, Nizar El Bouardi, Mereim Haloua, Badreddine Alami, Meryem Boubbou, Mustapha Maaroufi, M Y Youssef Lamrani Alaoui
The prevalence of intracranial aneurysms (IA) is higher in patients with stenosis of the internal carotid artery (ICA), the intracavernous internal carotid aneurysm is an intracranial aneurysm causing major functional and vital complications. We report the case of a 26-year-old man who consulted for a reduction in visual acuity, converging strabismus and ptosis of the right eye evolving for 7 months before his consultation, the various neuro-radiological examinations made it possible to identify diagnose a giant aneurysm of the right intracavernous internal carotid artery associated with severe stenosis of the contralateral internal carotid artery, hence the performance of a therapeutic arteriography consisting of an occlusion of this aneurysm...
August 2024: Radiology Case Reports
Yodit Abraham Yaynishet, Fathia Omer Salah, Hermon Miliard Derbew, Abel Hailu, Diriba Fufa, Abdo Kedir Abafogi, Hailu Alemu
Congenital infantile fibrosarcoma is a rare malignant soft tissue tumor, accounting for less than 1%-2% of childhood cancers. Although it can arise from any body part, an abdominal wall origin is exceptionally rare. This case report presents a case of congenital infantile fibrosarcoma originating from the abdominal wall. To the best of our knowledge, this is only the second reported case of abdominal wall congenital infantile fibrosarcoma. Unlike adult fibrosarcoma, infantile fibrosarcoma has a good prognosis with less metastasis...
August 2024: Radiology Case Reports
Soedarsono Soedarsono, Sri Sarwosih Indah Marthaty, Caesar Rozaq Auditiawan, Anita Widyoningroem
The complication of hydropneumothorax and colovesical fistula is rare, especially in patients with tuberculosis (TB) and COVID-19. This particular situation poses a management difficulty, and can significantly threaten the patient's life without a clear diagnosis and timely treatment. We report a 28-year-old woman with pulmonary and intestinal TB with COVID-19 complicated with hydropneumothorax and colovesical fistula (CVF) which worsened her condition. Treatment for this patient was given according to the diagnosis...
August 2024: Radiology Case Reports
Bi Ying Xie, Zachary Drew, Dalveer Singh, Gary Quagliotto
Schwannomas are slow growing, benign tumours arising from Schwann cells. They are usually solitary and are sometimes associated with Neurofibromatosis type 1 and 2. As reported by Okada et al., while approximately 25%-40% of extra-cranial schwannomas occur in the head and neck region, Schwannomas of the oral cavity are very uncommon, accounting for only 1% of all Schwannomas. We report a case of a sublingual schwannoma in a 47-year-old female, discovered incidentally during the workup for tinnitus. The radiological and histopathological findings, along with a literature review, are presented...
August 2024: Radiology Case Reports
Niloofar Ayoobi Yazdi, Maziar Daneshvar, Bahman Rasuli, Alimohamad Moradi, Maryam Azizi
A primary benign hepatic schwannoma is an extremely rare disease with a good prognosis. A 55-year-old man with chronic hepatitis B was referred to our hospital because of jaundice, weight loss, and a hepatic lesion found during an ultrasound examination. Magnetic resonance image revealed a 55 × 120 mm solid mass lesion in the segment V and VIII of the liver. The mass extended directly to the segmental biliary ducts and common hepatic duct, causing obstruction of the biliary duct and upstream dilatation, particularly in the left liver lobe...
August 2024: Radiology Case Reports
Indranil Balki, David Wang
Esophageal cancer, consisting primarily of squamous cell carcinoma and adenocarcinoma pathology, is a leading cause of morbidity and mortality worldwide with rates of metastasis at time of diagnosis up to 50%. Renal metastasis is rare, with most pathological diagnosis yielding squamous cell carcinoma. We present the unique case of a 78-year-old man with biopsy proven adenocarcinoma metastasis to the kidney on routine surveillance following initial esophagectomy, chemoradiation and adjuvant immunotherapy. Imaging features of the solitary renal metastasis highly mimicked a primary renal cell carcinoma...
August 2024: Radiology Case Reports
Yodit Abraham Yaynishet, Michael Teklehaimanot Abera, Birhanu Kassie Reta, Demelash Darota Dojamo, Fadil Nuredin Abrar, Tesfaye Kebede Legesse, Tesfahun Amsal Dessie
Castleman's disease is a rare benign lymphangioproliferative disorder. The hyaline vascular subtype has a better outcome and is curable after surgical resection. Typically, Castleman disease manifests in the thorax, with rare reports of a renal hilum location. We present a 42-year-old male patient who had an incidentally detected right hilar hyaline vascular type of Castleman's disease, which we managed with surgical excision. Cross-sectional imaging modalities help in suggesting the diagnosis based on enhancement patterns and, more importantly, define the extent of the tumor pre-operatively...
August 2024: Radiology Case Reports
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