{"title":"Multimodal Ultrasound Findings of Pediatric Inflammatory Myofibroblastic Tumor in the Liver: A Case Report.","authors":"Yichun Liu, Wenying Zhou, Meixi Chen, Luyao Zhou","doi":"10.1002/jcu.70272","DOIUrl":"10.1002/jcu.70272","url":null,"abstract":"<p><p>An 8-year-old girl with persistent dizziness was discovered to have a lesion in the liver. Abdominal CT and MRI both favored the diagnosis of focal nodular hyperplasia (FNH). In contrast, multimodal ultrasound suggested a malignant nature of the lesion, for which biopsy was recommended. Following multidisciplinary consultation, the patient underwent laparoscopic resection of the lesion. Histopathology confirmed a borderline inflammatory myofibroblastic tumor of the liver. Postoperatively, the patient's clinical symptoms improved significantly, and she was discharged in stable condition.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":"2029-2032"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Case Report: Fetal Congenital Right Atrial Appendage Aneurysm With 2-Year Postnatal Follow-Up.","authors":"Jing Yang, Ting Wu","doi":"10.1002/jcu.70269","DOIUrl":"10.1002/jcu.70269","url":null,"abstract":"<p><p>Congenital right atrial appendage aneurysm (RAAA) represents a rare cardiac anomaly whose exact etiology, prognostic implications, and optimal management remain undetermined. RAAA characteristic echocardiographic features include a cystic structure demonstrating continuity with the right atrial chamber, with confirmed hemodynamic communication between the two structures. While fetal RAAA is typically detected during the third trimester of pregnancy, our case represents an unusually early diagnosis during the first trimester, with comprehensive longitudinal follow-up extending to 2 years postnatally. Notably, this case revealed a potential association with chromosome 1 abnormalities, suggesting a possible genetic component in the pathogenesis of this condition.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":"2019-2022"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147972799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abdominopelvic Actinomycosis Mimicking Malignant Tumors: Two Case Reports.","authors":"Quanlin Ren, Tian Tian, Qiuyang Jing","doi":"10.1002/jcu.70329","DOIUrl":"10.1002/jcu.70329","url":null,"abstract":"<p><strong>Background: </strong>Abdominopelvic actinomycosis is a rare chronic suppurative granulomatous infection that often mimics malignant tumors on imaging, leading to preoperative misdiagnosis and unnecessary radical surgery. This report aims to highlight key clinical and imaging features that can aid in differentiating this entity from malignancy.</p><p><strong>Methods: </strong>We retrospectively reviewed two cases of abdominopelvic actinomycosis confirmed by surgical pathology. Clinical presentations, laboratory findings, imaging characteristics (ultrasound, MRI, and CT), and pathological results were analyzed.</p><p><strong>Results: </strong>Both patients presented with non-specific symptoms (abdominal dull pain/distension). Imaging revealed ill-defined, irregular heterogeneous masses with moderate-to-high resistance flow on ultrasound (RI 0.63-0.70) and no ascites. One case had a history of cesarean section; the other long-term intrauterine device (IUD) use (20 years). Preoperative imaging suggested malignancy, but postoperative pathology confirmed actinomycosis with inflammatory adhesions, microabscess formation, and reactive lymph nodes. Both patients underwent surgical resection with good outcomes and no recurrence during follow-up.</p><p><strong>Conclusion: </strong>Abdominopelvic actinomycosis should be considered in the differential diagnosis of pelvic masses, especially in women with IUD use or abdominal surgery history. Key differentiating features include moderate-to-high resistance flow, absence of ascites, internal cystic changes (microabscesses), and infiltrative changes due to adhesions rather than destructive invasion. In selected diagnostically challenging cases, preoperative core needle biopsy may help avoid unnecessary extensive surgery; however, surgery remains indicated when malignancy is strongly suspected or complications are present.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":"2078-2082"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148404868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Primary Small Cell Neuroendocrine Carcinoma of the Gallbladder With Liver Metastases: Case Report and Narrative Review.","authors":"Xufan Yi, Feifei Song, Wenjie Hu, Can Liu","doi":"10.1002/jcu.70271","DOIUrl":"10.1002/jcu.70271","url":null,"abstract":"<p><strong>Background: </strong>Primary small cell neuroendocrine carcinoma (SCNEC) of the gallbladder is exceedingly uncommon and highly malignant, typically presenting at an advanced stage with a poor prognosis. Due to its rarity and nonspecific clinical manifestations, timely diagnosis remains a major challenge in clinical practice.</p><p><strong>Case presentation: </strong>An 80-year-old woman presented with a 10-day history of intermittent epigastric pain radiating to the back. Abdominal ultrasound and contrast-enhanced CT revealed a gallbladder fundus mass invading adjacent hepatic segments, accompanied by multiple hepatic lesions. Ultrasound-guided biopsy of a hepatic lesion confirmed SCNEC by histopathology and immunohistochemistry.</p><p><strong>Conclusions: </strong>Primary gallbladder SCNEC is a rare, high-grade malignancy with rapid progression and poor prognosis. This case highlights the importance of early multimodal imaging evaluation and timely histopathologic confirmation. Early recognition and multidisciplinary care are pivotal to optimizing outcomes.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":"2015-2018"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Honeycomb-Like Mucinous Carcinoma of the Pancreas, Mimicking Serous Cystadenoma.","authors":"Taketoshi Fujimoto, Yo Kato, Kuni Ohtomo","doi":"10.1002/jcu.70267","DOIUrl":"10.1002/jcu.70267","url":null,"abstract":"<p><p>Mucinous carcinoma of the pancreas has been rarely documented. Consequently, studies on imaging criteria for distinguishing mucinous carcinoma from other pancreatic tumors remain insufficient. Herein, we report a resected case of mucinous carcinoma of the pancreas, including correlation analysis between imaging and pathology. Imaging studies revealed a honeycomb-like multinodular cystic mass with poor contrast enhancement and an irregular contour. In conclusion, mucinous carcinoma of the pancreas can present as a multinodular cystic mass with a honeycomb-like structure. A key feature distinguishing it from serous cystadenoma is poor contrast enhancement, which might be accompanied by an irregular contour.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":"2023-2028"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147981997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supra Occipital Flattening: A Key Sign for Antenatal Diagnosis of Isolated Sagittal Craniosynostosis.","authors":"Paola Quaresima, Lorenzo Figà Talamanca, Lech Dudarewicz, Giampiero Russo, Michele Morelli, Maurizio Guido, Umber Agarwal","doi":"10.1002/jcu.70285","DOIUrl":"10.1002/jcu.70285","url":null,"abstract":"<p><p>Craniosynostosis is an isolated finding in most cases, involving either the metopic or the sagittal suture. It is detected only sporadically during prenatal ultrasound, in the third trimester for non-isolated cases. When synostosis of the sagittal suture occurs, head shape growth proceeds in an anteroposterior direction, leading to scaphocephaly (long, narrow, boat-shaped skull). Moreover, the reduced vertical growth of the skull vault causes a supra-occipital flattening, detectable at the profile view. Fetuses' head shape diagnosed as dolicocephalic should be carefully studied for the presence of the supra-occipital bone flattening; this sign may lead to the suspicion of a sagittal craniosynostosis.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":"2046-2048"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148156708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contrast-Enhanced Ultrasound Successfully Diagnoses a Rare Case of Coexisting Colorectal Cancer Liver Metastasis and Hepatocellular Carcinoma: A Case Report.","authors":"Jiahui Peng, Yajuan Sui, Renjie Li, Junfeng Zhu, Danni He, Wenyi Meng, Zuofeng Xu","doi":"10.1002/jcu.70279","DOIUrl":"10.1002/jcu.70279","url":null,"abstract":"<p><p>Colorectal cancer liver metastasis (CRLM) with concomitant hepatocellular carcinoma (HCC) in a single patient has not been previously reported. We present a case of a 57-year-old Asian male with a rectal mass and synchronous, radiologically distinct multiple liver lesions. Contrast-enhanced ultrasound (CEUS) characterized the liver lesions as suggestive of both CRLM and concomitant HCC, which was later histologically confirmed by ultrasound-guided biopsy. This case underscores the significant diagnostic value of CEUS in differentiating complex multifocal liver lesions and the critical role of targeted biopsy for definitive diagnosis.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":"2041-2045"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Davide Meneghesso, Mattia Pasquinucci, Martina Bruniera, Filippo Carletti, Alessandro Morlacco
{"title":"Diagnosis by Resolution: Ultrasound Follow-Up of Neonatal Polypoid Cystitis Mimicking Botryoid Rhabdomyosarcoma.","authors":"Davide Meneghesso, Mattia Pasquinucci, Martina Bruniera, Filippo Carletti, Alessandro Morlacco","doi":"10.1002/jcu.70286","DOIUrl":"10.1002/jcu.70286","url":null,"abstract":"<p><p>Bladder masses in neonates are rare and often raise concern for rhabdomyosarcoma; benign inflammatory conditions may mimic malignant diseases on ultrasound. A 16-day-old male presented with hematuria and blood clots, no clinical symptoms. Urinalysis showed pyuria, and urine culture was positive for Escherichia coli. Ultrasound revealed bladder-wall thickening and an 8-mm polypoid lesion, suspicious for botryoid-rhabdomyosarcoma. Given the patient's condition, a conservative approach with antibiotics and ultrasound follow-up was adopted. At 12 days, ultrasound demonstrated complete bladder normalization. In selected stable neonates, short-interval US follow-up may support diagnosis through resolution, helping to distinguish inflammatory conditions from malignancy. This approach may reduce unnecessary procedures.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":"2070-2074"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148225600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luis Rodriguez-Guzman, Amy E Wong, Gabriele Tonni, Waldo Sepulveda
{"title":"Teaching Point: Determining Chorio-Amnionicity in Early Triplet Pregnancy Using a Single-Shot Image Obtained by Three-Dimensional Ultrasound.","authors":"Luis Rodriguez-Guzman, Amy E Wong, Gabriele Tonni, Waldo Sepulveda","doi":"10.1002/jcu.70317","DOIUrl":"10.1002/jcu.70317","url":null,"abstract":"<p><p>In a dichorionic-triamniotic triplet pregnancy, transvaginal acquisition of three-dimensional volume data sets and post-processing offline analysis were important ultrasound tools to document chorio-amnionicity in early pregnancy.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":"2011-2014"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Rare Cardiac Triple Siege in Youth: Right Atrial Lipoma, Coronary Stenosis, and Myocardial Bridge.","authors":"Jiao Peng, Dandan Chen, Yanling Xue, Xiaojing Ma, Yafeng He, Juan Xia","doi":"10.1002/jcu.70304","DOIUrl":"10.1002/jcu.70304","url":null,"abstract":"<p><p>Right atrial lipoma combined with severe coronary stenosis and myocardial bridge is an extremely rare triad in young adults. We report a 34-year-old male presenting with acute palpitations and chest tightness. Multimodal imaging diagnosed a right atrial lipoma, severe left anterior descending artery stenosis, and myocardial bridge. One-stage surgical resection and coronary bypass were successfully performed, with histopathology confirming benign lipoma. At 1-year follow-up, there was no tumor recurrence and cardiac function was normal. This case demonstrates the value of multimodal imaging and one-stage surgery for this rare complex cardiac condition.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":"2075-2077"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148239496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}