F. Celii, J. Burris, R. Hausner, C. Wray, Naveen Manisundaram, Chakradhar R. Thupili, V. Tammisetti
{"title":"Barium Granulomatosis: A Rare Cause of Obstruction after Remote Bariatric Surgery and a Cautionary Tale of Contrast Selection with Surgical and Pathologic Correlation","authors":"F. Celii, J. Burris, R. Hausner, C. Wray, Naveen Manisundaram, Chakradhar R. Thupili, V. Tammisetti","doi":"10.17756/micr.2022-077","DOIUrl":"https://doi.org/10.17756/micr.2022-077","url":null,"abstract":"Bariatric weight loss procedures have dramatically increased in recent years, but are not without significant complications, including post-procedural leakage. Upper gastrointestinal examination (UGI) studies or computed tomography (CT) abdomen with oral contrast, in conjunction with clinical suspicion, have ex-cellent specificity for detection of leaks; however, attention to the contrast agent can be crucial to avoid worsening the patient’s clinical outcome. We present a 64-year-old male with a previous adjustable gastric band (AGB) converted to a laparoscopic sleeve gastrectomy who was evaluated with barium UGI study in the post-operative period. Years later, the patient presented to the emergency room with acute small bowel obstruction (SBO), secondary to barium granulomatosis, and required extensive small bowel resection hemicolectomy and anastomosis. In addition to this novel complication, this case highlights the importance of appro-priate contrast media selection and treatment options should this complication arise.","PeriodicalId":410090,"journal":{"name":"Journal of Medical Imaging and Case Reports","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114571883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Necrotizing Autoimmune Myopathy: A Rare Subset of Inflammatory Myopathy","authors":"Shiva Malaty, P. Sidhu, J. Eschbacher","doi":"10.17756/MICR.2021-060","DOIUrl":"https://doi.org/10.17756/MICR.2021-060","url":null,"abstract":"A 19-year-old Hispanic male with past medical history of hypothyroidism presented for progressive muscle weakness. This muscle weakness was present throughout the entire body including upper and lower extremities. Upon further evaluation was found to have antibody positive for anti-HMG CoA reductase antibody along with muscle biopsy patient showing active necrotizing myopathy, consistent with diagnosis of necrotizing autoimmune myopathy.","PeriodicalId":410090,"journal":{"name":"Journal of Medical Imaging and Case Reports","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128269670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Müller-Weiss Disease","authors":"Sarthak Nepal, Bavornrit Chuckpaiwong","doi":"10.17756/micr.2019-025","DOIUrl":"https://doi.org/10.17756/micr.2019-025","url":null,"abstract":"","PeriodicalId":410090,"journal":{"name":"Journal of Medical Imaging and Case Reports","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121855676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asra Nayab, Muhammad Hammad Malik, Anusha Parisapogu, Arunima Sharma, J. Musa, D. DeLone, J. J. Thangaiah, A. Raghunathan, D. Shlapak
{"title":"Perineural Spread of Melanoma: Lessons Learned the Hard Way","authors":"Asra Nayab, Muhammad Hammad Malik, Anusha Parisapogu, Arunima Sharma, J. Musa, D. DeLone, J. J. Thangaiah, A. Raghunathan, D. Shlapak","doi":"10.17756/micr.2022-078","DOIUrl":"https://doi.org/10.17756/micr.2022-078","url":null,"abstract":"Extension of tumor cells along the perineural environment is referred to as perineural spread. Amongst the head and neck malignancies, nonmelanoma cutaneous or non-cutaneous cancers such as squamous cell carcinoma, adenoid cystic carcinoma and lymphoma are the more common malignancies known to spread perineurally. Melanoma especially the rare desmoplastic subtype has a propensi-ty to spread along cranial nerves. We present two cases of metastatic melanoma with perineural spread, in the absence of a concurrent cutaneous lesion, resulting in a delayed diagnosis. In this retrospective case series, we highlight the factors that complicate timely accurate diagnosis. Detailed medical and surgical history, clinically appropriate differential diagnosis, sensitive imaging modalities, and experience of the interpreting neuroradiologist all play crucial role in the clinical investigation and reaching a timely and accurate diagnosis.","PeriodicalId":410090,"journal":{"name":"Journal of Medical Imaging and Case Reports","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134500947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rheumatoid Meningitis: Exploring the Broad Differential of Leptomeningeal and Pachymeningeal Enhancement on Brain MRI","authors":"Phoebe Ann, O. Jafari","doi":"10.17756/micr.2022-080","DOIUrl":"https://doi.org/10.17756/micr.2022-080","url":null,"abstract":"Pachymeningeal and leptomeningeal enhancement on contrast-enhanced brain MRI come with broad differentials, including granulomatous disease of infectious or non-infectious etiology, carcinomatosis, and autoimmune disorders such as vasculitis, giant cell arteritis, and IgG-4 related disease. Among them is rheumatoid meningitis, one of the rare manifestations of central nervous system (CNS) involvement in rheumatoid arthritis (RA). Its clinical presentation is nonspecific and grossly overlaps with that of infectious meningitis. Given its vague neurologic symptoms and broad differential of leptomeningeal and pachymeningeal enhancement, rheumatoid meningitis poses a significant diagnostic challenge. In the absence of tissue sampling, a combination of clinical symptoms, serum markers such as rheumatoid factor and complements, and MRI imaging findings is required to arrive at this diagnosis. Rheumatoid meningitis portends high mortality and morbidity, and appropriate immunosuppressive treatment is often delayed in favor of long-term antibiotics. We present a case report on rheumatoid meningitis and corresponding recent literature review including clinical, laboratory, and imaging findings, as well as an exploration of the differentials of pachymeningeal and leptomeningeal enhancement.","PeriodicalId":410090,"journal":{"name":"Journal of Medical Imaging and Case Reports","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131480491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Terminal Ileal Bleed as Intestinal Complication of Enteric Fever – Symptomatic Management","authors":"","doi":"10.17756/micr.2022-083","DOIUrl":"https://doi.org/10.17756/micr.2022-083","url":null,"abstract":"","PeriodicalId":410090,"journal":{"name":"Journal of Medical Imaging and Case Reports","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123253246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Madeleine Warwick, I. M. D. Frisco, Marie Clements - Baker, Onofre Moran - Mendoza
{"title":"Resolution of Organizing Pneumonia Secondary to Nitrofurantoin without Immunosuppression","authors":"Madeleine Warwick, I. M. D. Frisco, Marie Clements - Baker, Onofre Moran - Mendoza","doi":"10.17756/micr.2023-093","DOIUrl":"https://doi.org/10.17756/micr.2023-093","url":null,"abstract":"Organizing pneumonia (OP) is an interstitial lung disease (ILD) that can be a primary process or secondary to a wide variety of medical conditions or medications, including nitrofurantoin. A prolonged course of corticosteroids is the mainstay of treatment for OP. We present a novel case of nitrofurantoin induced OP in an 82-year-old woman in which there was complete resolution clinical and radiographic findings following discontinuation of the drug and without the use of corticosteroids. This case highlights the potential role for watchful waiting when there is a clear modifiable trigger of OP in a stable patient in the outpatient setting","PeriodicalId":410090,"journal":{"name":"Journal of Medical Imaging and Case Reports","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116371306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Heidari, Firouzeh Heidari, Amirhossen Yadegar, K. Aghazadeh, E. Karimi
{"title":"Retropharyngeal Lymphangioma: A Case Report","authors":"F. Heidari, Firouzeh Heidari, Amirhossen Yadegar, K. Aghazadeh, E. Karimi","doi":"10.17756/micr.2019-033","DOIUrl":"https://doi.org/10.17756/micr.2019-033","url":null,"abstract":"Lymphangioma is presented as a painless mass with a soft consistency in the head and neck. The involvement of retropharyngeal space in lymphangioma is rare. Here, we presented the case of retropharyngeal lymphangioma and discussed its manifestations, imaging, and treatment. An 11-year-old female was presented with shortness of breath, stridor, fever, dysphagia and drooling. Clinical examinations revealed a retropharyngeal swelling and a hot-potato speech. MRI revealed the multicystic lesions extending from the base of the skull to the level of T4 in retropharyngeal space. The mass resection was done under general anesthesia and 5 ml dehydrated alcohol was injected as sclerotherapy. The pathological analysis yielded cystic hygroma. The six months post-surgery follow up showed no recurrence, and the patient remained symptoms free. Retropharyngeal lymphangioma should be considered as a differential diagnosis of retropharyngeal abscess. Their treatment in primary and acute conditions is the same, including drainage, intravenous antibiotics therapy, and airway care. However, diagnosis of retropharyngeal lymphangioma is important because it needs farther evaluation and treatment. Few cases of retropharyngeal lymphangioma were reported, and this was a challenging case with a wide area of involvement.","PeriodicalId":410090,"journal":{"name":"Journal of Medical Imaging and Case Reports","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128831712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hypermanganesemia with Polycythemia and Dystonia in an 8-year-old: A Case Study","authors":"","doi":"10.17756/micr.2023-088","DOIUrl":"https://doi.org/10.17756/micr.2023-088","url":null,"abstract":"","PeriodicalId":410090,"journal":{"name":"Journal of Medical Imaging and Case Reports","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130849261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}