{"title":"Uterine cervical melanoma presenting with rapid progression detected by PET/CT.","authors":"Ya-Ju Tsai, Pei-Wei Shueng, Sheng-Chien Chan, Wen-Yu Chuang, Yu-Chien Shiau, Chung-Huei Hsu","doi":"10.1258/arsr.2012.120026","DOIUrl":"https://doi.org/10.1258/arsr.2012.120026","url":null,"abstract":"<p><p>Malignant melanoma of the uterine cervix is a rare extracutaneous melanoma which develops aggressively and is associated with a bleak prognosis. To our knowledge, no prior published reports have discussed the role of 18F-FDG positron emission tomography/computed tomography (PET/CT) in managing this disease. Our case study involved a 66-year-old woman with a malignant melanoma of the uterine cervix. The patient received PET/CT that identified metastases and lesions which had not been detected from her MRI. Serial PET/CT elucidated that the disease was initially limited to the pelvis, but then metastasized to the abdominal para-aortic lymph nodes, followed by extensive metastases to the brain, lungs, breast, supraclavicular, neck, and other abdominal lymph nodes, as observed at 6-month follow-up. PET/CT was used to complement conventional anatomic imaging modalities, and provided a novel modality for whole body screening. Visualization of the metabolic activity of indeterminate lesions may help in staging, re-staging, treatment planning, and prognostic prediction for patients with this rare disease. </p>","PeriodicalId":30445,"journal":{"name":"Acta Radiologica Short Reports","volume":"1 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1258/arsr.2012.120026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31691284","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}
{"title":"Hydrocele of the canal of Nuck: imaging findings.","authors":"Yc Manjunatha, Yc Beeregowda, A Bhaskaran","doi":"10.1258/arsr.2012.110016","DOIUrl":"https://doi.org/10.1258/arsr.2012.110016","url":null,"abstract":"<p><p>The hydrocele of the canal of Nuck is quite a rare condition and results from the failure of obliteration of the distal portion of evaginated parietal peritoneum within the inguinal canal which forms a sac containing fluid. It generally presents with painless inguinal swelling. Ultrasonography and MRI is plays an important role to differentiate from the other conditions presenting with inguinal swelling. We present the imaging findings of a case in 5-year-old girl. </p>","PeriodicalId":30445,"journal":{"name":"Acta Radiologica Short Reports","volume":"1 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1258/arsr.2012.110016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31691282","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}
{"title":"FDG-PET/CT finding of benign metastasizing leiomyoma of the lung.","authors":"Masatoyo Nakajo, Hirofumi Nakayama, Masayuki Sato, Yoshihiko Fukukura, Masayuki Nakajo, Yoriko Kajiya, Masakazu Yanagi, Kazuhiro Tabata, Michiyo Higashi","doi":"10.1258/arsr.2012.120012","DOIUrl":"https://doi.org/10.1258/arsr.2012.120012","url":null,"abstract":"<p><p>We report a case of multiple benign metastasizing leiomyoma (BML) lung nodules showing faint or non-avid uptake of F-18 fluorodeoxyglucose (FDG) (respective 1-hour early and 2-hour delayed maximum standardized uptake values; 1.3 or less and 1.2 or less) in a 50-year-old woman with a history of hysterectomy for uterine leiomyoma at the age of 38 years. When multiple lung nodules show faint or non-avid FDG uptake in a patient with a history of hysterectomy for uterine leiomyoma, BML should be included in the differential diagnosis. </p>","PeriodicalId":30445,"journal":{"name":"Acta Radiologica Short Reports","volume":"1 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1258/arsr.2012.120012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31691280","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}
{"title":"A case of lymphatic malformation/lymphangioma of the scrotum.","authors":"Gensuke Akaike, Taiki Nozaki, Akari Makidono, Yukihisa Saida, Takeshi Hirabayashi, Koyu Suzuki","doi":"10.1258/arsr.2012.120021","DOIUrl":"https://doi.org/10.1258/arsr.2012.120021","url":null,"abstract":"<p><p>Lymphatic malformation/lymphangioma of the scrotum is rare. It is caused by lymphatic abnormalities and the most common sites are the neck and axilla. The scrotum is one of the most uncommon sites. We report the case of a 12-year-old boy with pathologically confirmed cystic lymphangioma/lymphatic malformation in the scrotum. The diagnosis was suspected from ultrasonography and magnetic resonance imaging. The most common cause of a cystic mass in the scrotum is scrotal hydrocele, but cystic lymphangioma/lymphatic malformation should be considered as a differential diagnosis for multicystic scrotal mass. </p>","PeriodicalId":30445,"journal":{"name":"Acta Radiologica Short Reports","volume":"1 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1258/arsr.2012.120021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31691281","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}
{"title":"Embolization of pulmonary AVMs of feeding arteries less than 3 mm: reports of two cases and an 8-year follow-up without embolization.","authors":"Poul Erik Andersen, Anette D Kjeldsen","doi":"10.1258/arsr.2012.120001","DOIUrl":"https://doi.org/10.1258/arsr.2012.120001","url":null,"abstract":"<p><p>Pulmonary arteriovenous malformations (PAVMs) with feeding arteries of 3 mm or more have been shown to be associated with paradoxical embolization and serious neurologic complications. Therefore it is generally recommended to occlude feeding arteries of this size, while smaller feeding arteries often are left untreated. However, neurologic complications have also been described in patients with small PAVMs, and it has not been possible to stratify risk by size of feeding artery and thus there is no evidence that 3 mm is the critical size of the feeding artery potentially giving complications. Further, it is well-known that with time PAVMs and their feeding arteries may enlarge. Also, embolization of small feeding arteries will minimize the risk of paradoxical emboli and reduce the need for CT follow-up controls in these patients. Two cases demonstrate the possibility to embolize small feeding arteries. </p>","PeriodicalId":30445,"journal":{"name":"Acta Radiologica Short Reports","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1258/arsr.2012.120001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31691275","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}
Kouichi Asahi, M Hori, N Hamasaki, S Sato, H Nakanishi, R Kuwatsuru, K Sasai, S Aoki
{"title":"Dynamic alteration of regional cerebral blood flow during carotid compression and proof of reversibility.","authors":"Kouichi Asahi, M Hori, N Hamasaki, S Sato, H Nakanishi, R Kuwatsuru, K Sasai, S Aoki","doi":"10.1258/arsr.2012.110015","DOIUrl":"https://doi.org/10.1258/arsr.2012.110015","url":null,"abstract":"<p><strong>Background: </strong>It is difficult to non-invasively visualize changes in regional cerebral blood flow caused by manual compression of the carotid artery.</p><p><strong>Purpose: </strong>To visualize dynamic changes in regional cerebral blood flow during and after manual compression of the carotid artery.</p><p><strong>Material and methods: </strong>Two healthy volunteers were recruited. Anatomic features and flow directions in the circle of Willis were evaluated with time-of-flight magnetic resonance angiography (MRA) and two-dimensional phase-contrast (2DPC) MRA, respectively. Regional cerebral blood flow was visualized with territorial arterial spin-labeling magnetic resonance imaging (TASL-MRI). TASL-MRI and 2DPC-MRA were performed in three states: at rest, during manual compression of the right carotid artery, and after decompression. In one volunteer, time-space labeling inversion pulse (Time-SLIP) MRA was performed to confirm collateral flow.</p><p><strong>Results: </strong>During manual carotid compression, in one volunteer, the right thalamus changed to be fed only by the vertebrobasilar system, and the right basal ganglia changed to be fed by the left internal carotid artery. In the other volunteer, the right basal ganglia changed to be fed by the vertebrobasilar system. 2DPC-MRA showed that the flow direction changed in the right A1 segment of the anterior cerebral artery and the right posterior communicating artery. Perfusion patterns and flow directions recovered after decompression. Time-SLIP MRA showed pial vessels and dural collateral circulation when the right carotid artery was manually compressed.</p><p><strong>Conclusion: </strong>Use of TASL-MRI and 2DPC-MRA was successful for non-invasive visualization of the dynamic changes in regional cerebral blood flow during and after manual carotid compression.</p>","PeriodicalId":30445,"journal":{"name":"Acta Radiologica Short Reports","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1258/arsr.2012.110015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31691278","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}
S Yata, T Kaminou, M Hashimoto, Y Ohuchi, K Sugiura, A Adachi, T Kawai, M Endo, S Takasugi, S Yamamoto, K Matsumoto, M Kodani, T Ihaya, H Suyama, T Ogawa
{"title":"Successful closure of intractable tracheoesophageal fistula using a combination of a modified silicon stent and metallic stents.","authors":"S Yata, T Kaminou, M Hashimoto, Y Ohuchi, K Sugiura, A Adachi, T Kawai, M Endo, S Takasugi, S Yamamoto, K Matsumoto, M Kodani, T Ihaya, H Suyama, T Ogawa","doi":"10.1258/arsr.2012.110005","DOIUrl":"https://doi.org/10.1258/arsr.2012.110005","url":null,"abstract":"<p><p>Although surgery is the usual management strategy for acquired benign tracheoesophageal fistula, sometimes this approach is contraindicated or the patient declines surgical management. In this report, we describe a case of a patient with tracheoesophageal fistula at the level of the carina due to bronchial arterial infusion chemotherapy. Closure could not be achieved in response to multiple treatment strategies, including airway stenting, esophageal stenting, occlusion with microcoils, or cyanoacrylate glue. We subsequently achieved closure of this fistula through the combination of a modified silicon stent and metallic stents. </p>","PeriodicalId":30445,"journal":{"name":"Acta Radiologica Short Reports","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1258/arsr.2012.110005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31691277","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}
{"title":"Successful treatment of ruptured duodenal varices with dual balloon-occluded embolotherapy.","authors":"Osamu Ikeda, Yutaka Nakasone, Toru Beppu, Hideo Baba, Yasuyuki Yamashita","doi":"10.1258/arsr.2012.120008","DOIUrl":"https://doi.org/10.1258/arsr.2012.120008","url":null,"abstract":"<p><p>Duodenal varices are ectopic portosystemic shunts that do not tend to result in gastrointestinal bleeding. Balloon-occluded retrograde transvenous obliteration is an established treatment for gastric varices. We report a 60-year-old man with melena due to ruptured duodenal varices originating at an inferior pancreaticoduodenal vein; drainage was into a gonadal vein. His ruptured duodenal varices were successfully treated by dual balloon-occluded embolotherapy. </p>","PeriodicalId":30445,"journal":{"name":"Acta Radiologica Short Reports","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1258/arsr.2012.120008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31691276","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}
{"title":"Massive retroperitoneal hemorrhage from a giant renal angiomyolipoma treated by selective arterial embolization with an Amplatzer Vascular Plug II.","authors":"Ulf Km Teichgräber, Maximilian De Bucourt","doi":"10.1258/arsr.2012.110029","DOIUrl":"https://doi.org/10.1258/arsr.2012.110029","url":null,"abstract":"<p><p>We report on a 36-year-old Caucasian woman who presented to the emergency department with post-traumatic retroperitoneal bleeding diagnosed by computed tomography. After clinical stabilization of the patient, selective arterial embolization was performed. The angiomyolipoma's feeding artery was successfully treated with an 8-mm Amplatzer Vascular Plug Type II. The upper pole of the left kidney, which was supplied by a separate upper renal artery, was conserved. Consequently, the renal angiomyolipoma became necrotic and surgical resection of the entire renal angiomyolipoma was performed. This case illustrates a simple and effective application of an Amplatzer Vascular Plug occluder for vessel embolization, without additional coiling. </p>","PeriodicalId":30445,"journal":{"name":"Acta Radiologica Short Reports","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1258/arsr.2012.110029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31691279","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}
Stephen N Ponnampalam, Wilkinson Yj Tan, Nayyer Naveed Wazir, John George
{"title":"Unusual cause of neuropathy: extensive dural spread of primary cervical osteosarcoma.","authors":"Stephen N Ponnampalam, Wilkinson Yj Tan, Nayyer Naveed Wazir, John George","doi":"10.1258/arsr.2012.110028","DOIUrl":"https://doi.org/10.1258/arsr.2012.110028","url":null,"abstract":"<p><p>We report a very rare case of a high grade osteosarcoma of the cervical spine in a 62-year-old woman. She presented with a relatively short history of a swelling in the posterior neck and cervical lymphadenopathy. This was associated with hoarseness of the voice, significant weight loss, and right upper arm radicular symptoms initially, progressing to paraplegia. Based on MR and CT imaging of the neck and an excision biopsy of an enlarged right supraclavicular lymph node, the histology revealed a high grade primary osteosarcoma of the cervical spine. </p>","PeriodicalId":30445,"journal":{"name":"Acta Radiologica Short Reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1258/arsr.2012.110028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31691879","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}