Case Reports in Radiology最新文献

A Case of Physiologic Enhancement of Scarpa's Ganglia Mimicking Bilateral Vestibular Schwannomas in a Patient With Atypical Meningioma With NF2 Mutation. 伴有NF2突变的非典型脑膜瘤患者斯卡帕神经节模拟双侧前庭神经鞘瘤的生理性增强1例。

Case Reports in Radiology Pub Date : 2026-05-04 eCollection Date: 2026-01-01 DOI: 10.1155/crra/1815413

Elleana A Paradise, Justin A Schmidgall, Prachi Dubey, David S Baskin, Bin S Teh, Ivo W Tremont-Lukats, Steve H Fung

{"title":"A Case of Physiologic Enhancement of Scarpa's Ganglia Mimicking Bilateral Vestibular Schwannomas in a Patient With Atypical Meningioma With NF2 Mutation.","authors":"Elleana A Paradise, Justin A Schmidgall, Prachi Dubey, David S Baskin, Bin S Teh, Ivo W Tremont-Lukats, Steve H Fung","doi":"10.1155/crra/1815413","DOIUrl":"https://doi.org/10.1155/crra/1815413","url":null,"abstract":"We followed a 36-year-old man with an atypical meningioma with somatic NF2 mutation and invasion into the bone, temporalis muscle, and pterygopalatine fossa, treated with surgical resection and adjuvant radiation therapy. His medical history included medulloblastoma treated with resection and adjuvant radiation therapy and a WHO Grade 1 meningioma treated with gross total resection. A brain MRI during routine follow-up revealed small enhancing foci in both internal auditory canals (IACs), which prompted concern for bilateral vestibular schwannomas and suspect NF2-related schwannomatosis (NF2-SWN). However, the lesions were symmetric, fundal, and nonnodular on high-resolution constructive interference in steady-state (CISS) imaging, with smooth vestibular nerve contours, long-term interval stability, and a lack of clinical symptoms, favoring physiologic enhancement of the vestibular ganglia (Scarpa's ganglia) rather than vestibular schwannomas. Recognition of these distinguishing features also helped avoid associating the IAC findings with the known NF2 mutation, which was determined to be somatic. While germline NF2 mutations (NF2-SWN) often lead to meningiomas and vestibular schwannomas, somatic NF2 mutations are common in sporadic meningiomas and should not suggest NF2-SWN. This case highlights the need to correlate small enhancing IAC foci with morphology on CISS MRI, symmetry, longitudinal stability, and NF2 pathology to avoid misdiagnosis of enhancing Scarpa's ganglia as vestibular schwannomas, as misdiagnosis can lead to increased patient anxiety and unnecessary follow-ups.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":"2026 ","pages":"1815413"},"PeriodicalIF":0.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13138210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Isolated Lymphatic Injury Mimicking Bladder Rupture in a Young Male Following Blunt Trauma: A Case Report. 孤立淋巴损伤模拟膀胱破裂的年轻男性钝性创伤：1例报告。

Case Reports in Radiology Pub Date : 2026-04-27 eCollection Date: 2026-01-01 DOI: 10.1155/crra/4340538

Prashant Kumar Gupta, Evan Botterman, Sara Morgan, Aarti Gupta

{"title":"Isolated Lymphatic Injury Mimicking Bladder Rupture in a Young Male Following Blunt Trauma: A Case Report.","authors":"Prashant Kumar Gupta, Evan Botterman, Sara Morgan, Aarti Gupta","doi":"10.1155/crra/4340538","DOIUrl":"https://doi.org/10.1155/crra/4340538","url":null,"abstract":"Blunt abdominal trauma can be difficult to evaluate, especially when an unusual injury mimics a far more common one. We present a case of a 17-year-old boy who was struck in the abdomen by bicycle handlebars. His initial imaging suggested a possible bladder rupture because of the presence of both intraperitoneal and extraperitoneal fluid. A retrograde CT cystogram, however, ruled out any bladder injury. Because of his worsening condition, he underwent an urgent laparoscopy followed by exploratory laparotomy, which revealed a large volume of milky-white free fluid, suggestive of chyle, within the abdomen. Laboratory analysis of the aspirated fluid showed a high triglyceride level of 1,079 mg/dL, confirming the chylous nature of the fluid. There was an enlarged and engorged cisterna chyli in the retroperitoneum suggesting lymphatic injury. Treatment involved applying fibrin sealant in the region of the cisterna chyli, placing a peritoneal drain, and keeping a diet based on medium-chain triglycerides. The patient recovered well without any recurrence of chylous ascites. This case highlights the need to consider rare lymphatic injuries causing posttraumatic chylous ascites when evaluating blunt abdominal trauma with diffuse abdominal fluid collection, particularly when common injuries have been ruled out but the patient's clinical status continues to worsen.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":"2026 ","pages":"4340538"},"PeriodicalIF":0.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13113415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Caught Between the Brain and a Hard Place: A Case of a Cervicomedullary AVM. 夹在大脑和硬地方之间：颈髓动静脉畸形一例。

Case Reports in Radiology Pub Date : 2026-04-16 eCollection Date: 2026-01-01 DOI: 10.1155/crra/2571688

A Rumhumha, R Minty, A Lupuwana, A Ranchod, W Nkosi, M Ramantsi

引用次数: 0

Identification and Removal of a Fractured Portacath. 鉴别和移除骨折的Portacath。

Case Reports in Radiology Pub Date : 2026-04-16 eCollection Date: 2026-01-01 DOI: 10.1155/crra/6411769

Azri Johari, David Ding, Deepak Jain

引用次数: 0

Transient Aortic Vasospasm Case Report-The "Triple Adrenal" Sign. 短暂性主动脉血管痉挛病例报告-“肾上腺三联征”。

Case Reports in Radiology Pub Date : 2026-04-13 eCollection Date: 2026-01-01 DOI: 10.1155/crra/8910069

Adam Katz, Alexa DeMaio, Peter Frech, Dell P Dunn

引用次数: 0

Congenital Toxoplasmosis With Atypical Neuroimaging: Hydrocephalus and Bilateral Chorioretinitis Without Intracranial Calcifications. 伴有不典型神经影像学的先天性弓形虫病：脑积水和双侧脉络膜视网膜炎，无颅内钙化。

Case Reports in Radiology Pub Date : 2026-04-02 eCollection Date: 2026-01-01 DOI: 10.1155/crra/3021918

Saubhagya Dhakal, Pradeep Raj Regmi, Prajwal Dhakal, Binaya Adhikari, Shashi Shekhar Shingh, Basanta Sharma Paudel

引用次数: 0

Subacute Combined Degeneration Secondary to Nitrous Oxide Toxicity. 亚急性合并变性继发于氧化亚氮中毒。

Case Reports in Radiology Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.1155/crra/9512509

George Hanna, Panagiotis Gavathas, Jerome Hanna, Mina Mousa

引用次数: 0

Unilateral Pulmonary Artery Agenesis in an Adult: A Case Report and Review of Literature. 成人单侧肺动脉发育不全1例报告及文献复习。

Case Reports in Radiology Pub Date : 2026-03-02 eCollection Date: 2026-01-01 DOI: 10.1155/crra/1565940

Madhuranjan J, Arun Karthick R

{"title":"Unilateral Pulmonary Artery Agenesis in an Adult: A Case Report and Review of Literature.","authors":"Madhuranjan J, Arun Karthick R","doi":"10.1155/crra/1565940","DOIUrl":"https://doi.org/10.1155/crra/1565940","url":null,"abstract":"Background: Unilateral pulmonary artery agenesis (UPAA) is a rare congenital anomaly that may remain undiagnosed until adulthood, when patients present with exertional dyspnoea, recurrent respiratory infections, hemoptysis, or pulmonary hypertension.Case presentation: A 55-year-old female presented with exertional dyspnoea and hypoxemia. Clinical evaluation and echocardiography revealed pulmonary arterial hypertension, cor pulmonale with preserved left ventricular systolic function.Imaging findings: Chest radiography demonstrated cardiomegaly with prominent but otherwise normal hilar shadows. Computed tomography pulmonary angiography revealed complete absence of the right pulmonary artery, with the right lung supplied by extensive systemic collaterals. Diffuse mosaic attenuation was noted, reflecting chronic hypoperfusion.Management: The patient was managed conservatively with oxygen therapy and pulmonary vasodilator therapy, including ambrisentan and tadalafil, resulting in clinical stabilization.Conclusion: Unilateral pulmonary artery agenesis is a rare but important cause of pulmonary hypertension and cor pulmonale in adults. Computed tomography pulmonary angiography plays a pivotal role in diagnosis by accurately delineating vascular anatomy and collateral circulation, enabling appropriate management and prevention of complications.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":"2026 ","pages":"1565940"},"PeriodicalIF":0.0,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12951536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simultaneous Occurrence of Two Renal Artery Variations in a Single Potential Kidney Donor. 同一潜在肾脏供者同时发生两条肾动脉变异。

Case Reports in Radiology Pub Date : 2026-01-17 eCollection Date: 2026-01-01 DOI: 10.1155/crra/1016494

Ampuriire Nyakubaho, Sematimba Henry, Ssempa Phiona, Ddumba Micheal, Michael G Kawooya

{"title":"Simultaneous Occurrence of Two Renal Artery Variations in a Single Potential Kidney Donor.","authors":"Ampuriire Nyakubaho, Sematimba Henry, Ssempa Phiona, Ddumba Micheal, Michael G Kawooya","doi":"10.1155/crra/1016494","DOIUrl":"10.1155/crra/1016494","url":null,"abstract":"Background: Renal transplantation success depends on precise preoperative vascular mapping. This case report documents a rare instance of simultaneous dual renal artery variations in a prospective kidney donor.Procedure: A healthy 27-year-old male underwent MDCT renal angiography following standard protocols. The patient fasted for 8 h, received 80 mL of iohexol contrast at 1 mL/kg via a 20-gauge cannula, and was imaged using a 32-slice CT scanner. Scanning was performed from the descending aorta (just above the celiac trunk) to the iliac bifurcation using bolus tracking for optimal arterial enhancement.Ct findings: The CT scan demonstrated complex renal vascular anatomy. The right kidney was supplied by a main renal artery along with two accessory arteries, one originating laterally at L1 and another from the anterior aortic wall at L2. The left kidney exhibited a main renal artery with a single accessory branch arising immediately above its origin.Discussion: The embryological persistence of multiple aortic branches underlies these variations. Recognition of such anomalies is crucial as they may complicate donor nephrectomy through increased risk of intraoperative bleeding, complex vascular reconstructions, and compromised graft perfusion.Implications and recommendations: Routine use of high-resolution MDCT angiography is recommended for comprehensive donor evaluation. Enhanced interdisciplinary collaboration between radiologists and transplant surgeons is essential for tailoring surgical approaches and ensuring optimal outcomes.Conclusion: Detailed preoperative imaging is vital for identifying rare renal vascular anomalies, thereby optimizing surgical planning and promoting donor safety.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":"2026 ","pages":"1016494"},"PeriodicalIF":0.0,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lymphadenopathy in Concurrent Head and Neck Malignancies. 并发头颈部恶性肿瘤的淋巴结病。

Case Reports in Radiology Pub Date : 2026-01-16 eCollection Date: 2026-01-01 DOI: 10.1155/crra/1544831

Timothy Fitzgerald, Ryan K Rigsby

引用次数: 0