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Multisystemic Benign Metastasizing Leiomyoma: An Unusual Condition with an Atypical Clinical Presentation. 多系统良性转移性平滑肌瘤:一种不典型临床表现的罕见疾病。
Case Reports in Radiology Pub Date : 2019-04-10 eCollection Date: 2019-01-01 DOI: 10.1155/2019/7014248
Fernando Matos, Cristina Santiago, Duarte Silva
{"title":"Multisystemic Benign Metastasizing Leiomyoma: An Unusual Condition with an Atypical Clinical Presentation.","authors":"Fernando Matos,&nbsp;Cristina Santiago,&nbsp;Duarte Silva","doi":"10.1155/2019/7014248","DOIUrl":"https://doi.org/10.1155/2019/7014248","url":null,"abstract":"<p><p>Benign metastasizing leiomyoma (BML) is a rarely found entity with few documented cases in the literature, usually occurring in women of reproductive age with a history of myomectomy or hysterectomy. The leiomyomas can metastasize to several organs, the lungs being the most commonly affected. We report a case of a 40-year-old female patient who presented at our institution with low back pain. She underwent a lumbar MR that revealed the presence of an expansive and compressive mass in the body of L4. This mass was biopsied, corresponding to a metastasizing leiomyoma with no malignant characteristics. Subsequently, a CT examination showed several soft tissue density round masses in both lungs, but the most striking feature was a 12 cm mass located in the left iliac crest. There was asymmetrical uterus enlargement, caused by the presence of several leiomyomas. Since the lesions were estrogen and progesterone positive, hormone suppression consisting of oophorectomy followed by anastrozole was the chosen treatment. No signs of progression were observed at the 6-month follow-up. This case is one of the very few that occurred in a woman with no previous uterine intervention, adding further evidence that surgery is not an essential condition for this entity to develop.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/7014248","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37243818","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: 10
Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal Function. 功能正常的骨骼成熟患者肩部无症状半骨骺发育不良。
Case Reports in Radiology Pub Date : 2019-03-27 eCollection Date: 2019-01-01 DOI: 10.1155/2019/5356246
Vincenzo Giordano, Marcos Giordano, Carolina Giordano, José Giordano, Renato Mendonça, Hilton Augusto Koch
{"title":"Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal Function.","authors":"Vincenzo Giordano,&nbsp;Marcos Giordano,&nbsp;Carolina Giordano,&nbsp;José Giordano,&nbsp;Renato Mendonça,&nbsp;Hilton Augusto Koch","doi":"10.1155/2019/5356246","DOIUrl":"https://doi.org/10.1155/2019/5356246","url":null,"abstract":"<p><p>Dysplasia epiphysealis hemimelica is a rare osteocartilaginous overgrowth syndrome of bone epiphysis, mostly encountered in the lower limbs of immature skeleton patients. We report a case of proximal humerus presentation in an adult male, with neither articular involvement nor clinical dysfunction. This case highlights the importance of stratification into intra- and extra-articular lesions, as this distinction ultimately influences both symptoms and treatment outcome. In addition, the case highlights the importance of specific imaging modalities, such as CT and MR images, which provide excellent anatomic location of the lesion, adequate extension of cartilaginous components, exact status of articular cartilage, and accurate assessment of neighboring structures, such as vessels, nerves, ligaments, tendons, and muscles. The imaging features are described, the relevant literature is reviewed, and salient features are discussed.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/5356246","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37355551","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
Septic Pulmonary Embolism Secondary to Klebsiella pneumoniae Epididymitis: Case Report and Literature Review. 肺炎克雷伯菌附睾炎继发脓毒性肺栓塞:1例报告及文献复习。
Case Reports in Radiology Pub Date : 2019-03-19 eCollection Date: 2019-01-01 DOI: 10.1155/2019/5395090
Juan Sebastián Alonso Ojeda Gómez, Jorge Alberto Carrillo Bayona, Laura Cristina Morales Cifuentes
{"title":"Septic Pulmonary Embolism Secondary to <i>Klebsiella pneumoniae</i> Epididymitis: Case Report and Literature Review.","authors":"Juan Sebastián Alonso Ojeda Gómez,&nbsp;Jorge Alberto Carrillo Bayona,&nbsp;Laura Cristina Morales Cifuentes","doi":"10.1155/2019/5395090","DOIUrl":"https://doi.org/10.1155/2019/5395090","url":null,"abstract":"Background Septic pulmonary embolism (SPE) is defined as the occurrence of septic thrombi in the pulmonary circulation. We report a case of SPE secondary to K. pneumoniae epididymitis. Case Presentation A 74-year-old male with a history of diabetes mellitus experienced SPE secondary to epididymitis, with isolation of K. pneumoniae in blood and presence of lung nodules, with a chest computed tomography showing the halo and reversed halo signs. Discussion SPE is characterized by the presence of septic thrombi in the pulmonary circulation coming from an extrapulmonary infective focus. SPE secondary to K. pneumoniae epididymitis is an uncommon condition that is characterized by the presence of multiple bilateral nodules of peripheral distribution. Conclusion SPE is an unusual complication of acute epididymitis. Suspicion of SPE should be considered in patients with a diagnosis of epididymitis, respiratory symptoms, and multiple nodules in chest imaging assessments.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/5395090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37342352","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: 8
Pneumocephalus and Meningitis as Complications of Mastoiditis. 乳突炎并发气脑和脑膜炎。
Case Reports in Radiology Pub Date : 2019-02-19 eCollection Date: 2019-01-01 DOI: 10.1155/2019/7876494
Conor Barry, George Rahmani, Diane Bergin
{"title":"Pneumocephalus and Meningitis as Complications of Mastoiditis.","authors":"Conor Barry,&nbsp;George Rahmani,&nbsp;Diane Bergin","doi":"10.1155/2019/7876494","DOIUrl":"https://doi.org/10.1155/2019/7876494","url":null,"abstract":"<p><p>Pneumocephalus in the absence of trauma, tumour, or surgery is a rare entity. We report a case of a 73-year-old lady who presented with sepsis leading to confusion and unresponsiveness. A CT of brain revealed mastoiditis, sinusitis, and associated pneumocephalus. Further investigations led to an eventual diagnosis of pneumococcal meningitis. The combination of pneumocephalus and meningitis as complications of mastoiditis is rare with very few cases published in the literature. We describe one such case.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/7876494","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37094292","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: 8
A Case of Progressive Ossifying Fibrodysplasia of Tracheobronchial Respiratory Muscles. 气管支气管呼吸肌进行性骨化性纤维发育不良1例。
Case Reports in Radiology Pub Date : 2019-02-11 eCollection Date: 2019-01-01 DOI: 10.1155/2019/5095343
Nouraly Habib, Anhum Konan, Tra Bi Zamble Olivier Didier
{"title":"A Case of Progressive Ossifying Fibrodysplasia of Tracheobronchial Respiratory Muscles.","authors":"Nouraly Habib,&nbsp;Anhum Konan,&nbsp;Tra Bi Zamble Olivier Didier","doi":"10.1155/2019/5095343","DOIUrl":"https://doi.org/10.1155/2019/5095343","url":null,"abstract":"<p><p>The authors report a case of progressive ossifying myositis (POM) in a 13-year-old boy, revealed by dry cough and dyspnea. Conventional chest x-rays and whole-body CT showed extraskeletal ossification that seems to affect the left bronchial strain and trachea. This lesional topography, if established, not yet described to our knowledge, contrasts with the observations of all the authors, including Munchmeyer, for whom smooth muscles and muscles attached to the skeleton by a single end are spared by the heterotopic ossifications characteristic of the disease. Therefore, this observation raises the question of the ubiquity of muscle ossifications during POM.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/5095343","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37244604","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: 1
A Case Series of Breast Metastases from Different Extramammary Malignancies and Their Literature Review. 不同乳腺外恶性肿瘤乳腺转移病例分析及文献复习。
Case Reports in Radiology Pub Date : 2019-01-08 eCollection Date: 2019-01-01 DOI: 10.1155/2019/9454201
Liliana Moreno-Astudillo, Yolanda Villaseñor-Navarro, Vyanka Sánchez-Goytia, Fany Porras-Reyes, Alfredo Lara-Mercado, Isabel Sollozo-Dupont
{"title":"A Case Series of Breast Metastases from Different Extramammary Malignancies and Their Literature Review.","authors":"Liliana Moreno-Astudillo,&nbsp;Yolanda Villaseñor-Navarro,&nbsp;Vyanka Sánchez-Goytia,&nbsp;Fany Porras-Reyes,&nbsp;Alfredo Lara-Mercado,&nbsp;Isabel Sollozo-Dupont","doi":"10.1155/2019/9454201","DOIUrl":"https://doi.org/10.1155/2019/9454201","url":null,"abstract":"<p><p>Metastasis to the breast from all other primary sites is unusual. Twelve patients were diagnosed between 2007 and 2017 at National Cancer Institute, Mexico. Solitary or multiple masses, round or oval, and hypoechoic and solid lesions with posterior acoustic shadowing were patterns commonly reported in these patients; other arrangements include diffuse involvement of the breast simulating an inflammatory carcinoma. The development of a breast metastasis is revealed, in our experience, as a negative prognostic factor. Thus, the radiologist should know about the varied appearance of metastatic breast lesions and provide radiopathological correlations when available.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/9454201","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36937754","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: 11
Primary Rosai-Dorfman Disease of Bone: A Report of Two Cases. 原发性骨Rosai-Dorfman病2例报告
Case Reports in Radiology Pub Date : 2019-01-03 eCollection Date: 2019-01-01 DOI: 10.1155/2019/1720131
Andrew B Ross, Kirkland W Davis, Darya Buehler, Brian Y Chan
{"title":"Primary Rosai-Dorfman Disease of Bone: A Report of Two Cases.","authors":"Andrew B Ross,&nbsp;Kirkland W Davis,&nbsp;Darya Buehler,&nbsp;Brian Y Chan","doi":"10.1155/2019/1720131","DOIUrl":"https://doi.org/10.1155/2019/1720131","url":null,"abstract":"<p><p>Rosai-Dorfman disease (RDD), sometimes known as sinus histiocytosis with massive lymphadenopathy, is a rare histiocytic disorder that most commonly presents as painless, massive cervical lymphadenopathy in young adults. Extranodal disease can occur in up to 40% of patients but primary involvement of bone is rare. We present two cases of primary RDD of bone: one case of multifocal osseous RDD presenting as a painful lesion in the elbow, and one case of a solitary osseous lesion presenting as a painful lesion in the wrist.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/1720131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36929931","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: 8
The Diagnostic Challenge of an Infrequent Spectrum of Cryptococcus Infection. 罕见的隐球菌感染的诊断挑战。
Case Reports in Radiology Pub Date : 2019-01-02 eCollection Date: 2019-01-01 DOI: 10.1155/2019/5970648
Francisco Barbosa De Araujo Neto, Camila Corona De Godoy Bueno, Liege Tambelini Gomes, Daniela Alejandra Ortiz Navas, Mark Wanderley, Stefanie Gallotti Borges Carneiro, Rita Karine Veras Gomes De Mello, Laura Mendes Coura, Larissa Sayuri Missumi, Henrique Durante, Ricardo Francisco Cintra Zagatti, Márcio Valente Yamada Sawamura
{"title":"The Diagnostic Challenge of an Infrequent Spectrum of <i>Cryptococcus</i> Infection.","authors":"Francisco Barbosa De Araujo Neto,&nbsp;Camila Corona De Godoy Bueno,&nbsp;Liege Tambelini Gomes,&nbsp;Daniela Alejandra Ortiz Navas,&nbsp;Mark Wanderley,&nbsp;Stefanie Gallotti Borges Carneiro,&nbsp;Rita Karine Veras Gomes De Mello,&nbsp;Laura Mendes Coura,&nbsp;Larissa Sayuri Missumi,&nbsp;Henrique Durante,&nbsp;Ricardo Francisco Cintra Zagatti,&nbsp;Márcio Valente Yamada Sawamura","doi":"10.1155/2019/5970648","DOIUrl":"https://doi.org/10.1155/2019/5970648","url":null,"abstract":"<p><p>Cryptococcal infection results from inhalation of fungal spores and usually is confined to the lungs, but may disseminate systemically. Radiologically, cryptococcal infection has multiple forms of presentation. The diagnosis is usually based on fungal isolation from cultured clinical specimens. Long term antifungal therapy is recommended, but surgical procedures may eventually be necessary when large thoracic symptomatic masses are present. We report a case of a 41-year-old male, immunocompetent, investigating a palpable mass in the left supraclavicular region associated with unintentional weight loss over the last three months. He also reported chest pain in this period. Chest X-ray, ultrasonography, and computed tomography were performed, which diagnosed a mediastinal and left supraclavicular mass, interpreted as lymph node conglomerates of unknown etiology. He also underwent a biopsy of the left supraclavicular mass for etiological determination by histopathology, which confirmed cryptococcosis infection. Although very infrequent, mediastinal cryptococcal infection (simulating masses) is a challenging but important differential diagnosis of benign and malignant lesions, since its treatment is usually clinical.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/5970648","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36929932","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: 2
Multiple Myeloma Breast Involvement: A Case Report. 多发性骨髓瘤累及乳房1例报告。
Case Reports in Radiology Pub Date : 2019-01-01 DOI: 10.1155/2019/2079439
Heba O E Ali, Zafar Nasir, Ahmed M S M Marzouk
{"title":"Multiple Myeloma Breast Involvement: A Case Report.","authors":"Heba O E Ali,&nbsp;Zafar Nasir,&nbsp;Ahmed M S M Marzouk","doi":"10.1155/2019/2079439","DOIUrl":"https://doi.org/10.1155/2019/2079439","url":null,"abstract":"<p><p>Multiple Myeloma involving the breast is very rare and the diagnosis is challenging because the clinical and radiological features of breast multiple myeloma are indistinguishable to other forms of breast disease whether primary or metastatic. In this article the authors report a case presented with breast masses, which were found to be extra osseous Multiple Myeloma. The patient was managed for multiple spinal lesions that were primarily thought to be metastasis from primary breast cancer.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/2079439","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10640565","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: 5
Contribution of Imaging in the Diagnosis of Cholangiocarcinoma in Choledochal Cyst. 影像学对胆总管囊肿胆管癌诊断的贡献。
Case Reports in Radiology Pub Date : 2018-12-12 eCollection Date: 2018-01-01 DOI: 10.1155/2018/8346232
Djivèdé Witchékpo Maurice Mohamed Akanni, Kouassi Paul N'zi, Kofi-Mensa Savi de Tové, Laura Petrovai
{"title":"Contribution of Imaging in the Diagnosis of Cholangiocarcinoma in Choledochal Cyst.","authors":"Djivèdé Witchékpo Maurice Mohamed Akanni,&nbsp;Kouassi Paul N'zi,&nbsp;Kofi-Mensa Savi de Tové,&nbsp;Laura Petrovai","doi":"10.1155/2018/8346232","DOIUrl":"https://doi.org/10.1155/2018/8346232","url":null,"abstract":"The choledochal cyst is a rare congenital malformation of the bile ducts. It is considered as a precancerous state. The incidence of cancer in choledochal cyst increases with age and occurs around 32 years old. Therefore, young adults are often involved. In adults, clinical signs are rare and unspecific. We are reporting here the case of a cholangiocarcinoma in choledochal cyst in young adult diagnosed by ultrasonography, CT scan, and MRI and confirmed by histopathological examination.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/8346232","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36908010","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: 1
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