BJR Case Reports最新文献

Whole-body MRI for a patient with progressive multiple myeloma. 进行性多发性骨髓瘤患者的全身MRI。

IF 0.5

BJR Case Reports Pub Date : 2025-05-08 eCollection Date: 2025-05-01 DOI: 10.1093/bjrcr/uaaf028

Jonathan E Henning, Taiga Nishihori, Ciara Freeman, Alexander Lazarides, Jinming Song, Davis Kuruvilla, Sebastian Feuerlein, James R Costello

{"title":"Whole-body MRI for a patient with progressive multiple myeloma.","authors":"Jonathan E Henning, Taiga Nishihori, Ciara Freeman, Alexander Lazarides, Jinming Song, Davis Kuruvilla, Sebastian Feuerlein, James R Costello","doi":"10.1093/bjrcr/uaaf028","DOIUrl":"10.1093/bjrcr/uaaf028","url":null,"abstract":"Multiple Myeloma represents a plasma cell disorder that can result in hallmark bony destructive change in addition to other signs of myelomatous disease. Imaging often helps in establishing the diagnosis and staging the patient. There are several different imaging modalities that can provide different levels of insight into the disease extent. We report a unique case of multiple myeloma where the progressive nature of the patient's disease highlights the strengths and limitations of the different imaging approaches. Whole-body MRI represents a noncontrast imaging technique that directly images the bone marrow space, allowing for disease detection that can precede the onset of cortical and trabecular destructive changes. In so doing, whole-body MRI provides a level of insight that far exceeds traditional plain films and even CT. Using the findings from many different imaging modalities (plain films, CT, PET-CT, and whole-body magnetic resonance imaging), we will discuss how imaging can help clinicians to better assess the patient's disease burden and complement the foundations of traditional disease monitoring (serology, histopathology from biopsy, direct clinical exam, and observation).","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 3","pages":"uaaf028"},"PeriodicalIF":0.5,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095356","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

Bronchial systemic-artery-to-pulmonary-artery-fistula as mimicker of pulmonary embolism: computed tomography findings verified with bronchial artery angiography. 支气管系统动脉-肺动脉-动脉瘘作为肺栓塞的模拟物：计算机断层扫描结果与支气管动脉血管造影证实。

IF 0.5

BJR Case Reports Pub Date : 2025-05-05 eCollection Date: 2025-05-01 DOI: 10.1093/bjrcr/uaaf027

Gernot Rott

引用次数: 0

Bladder paraganglioma in pregnancy with a successful perinatal outcome: a case report. 妊娠期膀胱副神经节瘤围产儿结局成功一例报告。

IF 0.5

BJR Case Reports Pub Date : 2025-04-29 eCollection Date: 2025-05-01 DOI: 10.1093/bjrcr/uaaf026

Roy Teng, Joshua Silverman, Scott McClintock, Patricia Deonarine

{"title":"Bladder paraganglioma in pregnancy with a successful perinatal outcome: a case report.","authors":"Roy Teng, Joshua Silverman, Scott McClintock, Patricia Deonarine","doi":"10.1093/bjrcr/uaaf026","DOIUrl":"https://doi.org/10.1093/bjrcr/uaaf026","url":null,"abstract":"Paragangliomas (PGLs) during pregnancy is an uncommon neuroendocrine tumour that is associated with increased maternal and foetal morbidity and mortality. Furthermore, it is even rarer for these to be located within the urinary bladder, with a prevalence of <0.1% of all bladder tumours. This case report details a 29-year-old female who presented with pre-syncope, headache, and palpitations during voiding. Ultrasound and magnetic resonance imaging of the pelvis revealed a mass in her bladder, and biochemical workup demonstrated elevated plasma normetanephrine levels and a positive clonidine suppression test. Surgical resection and histopathology of the mass were consistent with PGL. Post-operatively, the patient was normotensive, her normetadrenaline levels normalized and she was discharged 3 days after the operation. She progressed through the remaining pregnancy without any significant complications and delivered a healthy baby at full term. This case depicts the rare nature of PGLs in pregnancy and the importance of antenatal imaging combined with a multidisciplinary approach for a successful pregnancy outcome.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 3","pages":"uaaf026"},"PeriodicalIF":0.5,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029542","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

Spontaneous rupture during observation for degenerated uterine leiomyoma revealing uterine leiomyosarcoma: a case report. 退行性子宫平滑肌瘤自发性破裂，显露子宫平滑肌肉瘤1例。

IF 0.5

BJR Case Reports Pub Date : 2025-04-27 eCollection Date: 2025-03-01 DOI: 10.1093/bjrcr/uaaf023

Masaki Tsuda, Hiromi Edo, Yuki Arai, Kohei Shikata, Ryo Tanaka, Tsubasa Ito, Morikazu Miyamoto, Masashi Takano, Chikako Sato, Sho Ogata, Hiroshi Shinmoto

{"title":"Spontaneous rupture during observation for degenerated uterine leiomyoma revealing uterine leiomyosarcoma: a case report.","authors":"Masaki Tsuda, Hiromi Edo, Yuki Arai, Kohei Shikata, Ryo Tanaka, Tsubasa Ito, Morikazu Miyamoto, Masashi Takano, Chikako Sato, Sho Ogata, Hiroshi Shinmoto","doi":"10.1093/bjrcr/uaaf023","DOIUrl":"https://doi.org/10.1093/bjrcr/uaaf023","url":null,"abstract":"This case report describes a 47-year-old premenopausal woman who presented with abdominal discomfort and had been previously monitored for a suspected uterine leiomyoma. MRI revealed a 15 cm mass within the uterine body and slight intratumoural haemorrhage. One month later, the patient presented with acute abdominal pain and was admitted to the hospital. Contrast-enhanced CT and MRI scans showed significant tumour enlargement to 20 cm, with disruption along the left margin, haemorrhagic ascites, and potential dissemination to the omentum. Total hysterectomy, bilateral salpingo-oophorectomy, and retroperitoneal lymph node dissection revealed uterine leiomyosarcoma with extensive necrosis and rupture. Pathological examination classified the tumour as stage IIB under the International Federation of Gynecology and Obstetrics system, with confirmed omental metastasis. Despite adjuvant chemotherapy, the patient experienced pelvic recurrence 10 months later and died 15 months postoperatively. This case emphasizes the importance of prompt gynaecological intervention for uterine masses exceeding 10 cm, as the risk of rupture increases, particularly when malignancy cannot be excluded based on imaging. Rupture in such cases is associated with a higher risk of recurrence and poor prognosis, making early surgical resection a reasonable consideration. Radiologists should actively communicate these risks to gynaecologists to facilitate timely surgical decision-making and improve patient outcomes.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf023"},"PeriodicalIF":0.5,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020615","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

Radiofrequency ablation of renal tumour in the supine position using a dorsal-space mat. 仰卧位使用背空垫射频消融肾肿瘤。

IF 0.5

BJR Case Reports Pub Date : 2025-04-11 eCollection Date: 2025-03-01 DOI: 10.1093/bjrcr/uaaf025

Yuya Koike, Kenji Motohashi, Naoki Kuwabara, Takahiro Miyauchi, Masahiro Okada

{"title":"Radiofrequency ablation of renal tumour in the supine position using a dorsal-space mat.","authors":"Yuya Koike, Kenji Motohashi, Naoki Kuwabara, Takahiro Miyauchi, Masahiro Okada","doi":"10.1093/bjrcr/uaaf025","DOIUrl":"https://doi.org/10.1093/bjrcr/uaaf025","url":null,"abstract":"Radiofrequency ablation (RFA) of renal tumours is one of the major procedures in nonvascular interventional radiology, but it is difficult to perform in patients who are limited to the supine position. In this technical note, we present 2 cases in which RFA of renal tumours was performed via a dorsal approach in patients in the supine position by using a mat with a space for the procedure. Three polyorefin mats, 15 cm high and of different lengths, were arranged on the CT table to provide space for the procedure. Each patient was placed supine on these mats, and RFA of the renal tumour was performed via a dorsal approach under CT fluoroscopy. Two patients successfully underwent RFA via the dorsal approach with no postural distress during the 40- and 75-min procedures. There were no complications related to the procedure. The dorsal approach using a mat with space for the procedure is particularly useful for performing renal tumour RFA in patients with limited supine positioning. The method of creating a space on the patient's dorsal side by arranging 3 polyorefin mats is reproducible in terms of simplifying the approach and is expected to be applied to other nonvascular interventions.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf025"},"PeriodicalIF":0.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019547","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

Case report: preoperative radiological diagnosis of uterine torsion in the non-gravid uterus. 1例报告：非妊娠子宫扭转的术前影像学诊断。

IF 0.5

BJR Case Reports Pub Date : 2025-04-04 eCollection Date: 2025-05-01 DOI: 10.1093/bjrcr/uaaf010

Senthan Rudrakumar, Kaivalya Bhagat, Lauren Jane Matthews, Ashish Bhagat, Vivek Malhotra

{"title":"Case report: preoperative radiological diagnosis of uterine torsion in the non-gravid uterus.","authors":"Senthan Rudrakumar, Kaivalya Bhagat, Lauren Jane Matthews, Ashish Bhagat, Vivek Malhotra","doi":"10.1093/bjrcr/uaaf010","DOIUrl":"10.1093/bjrcr/uaaf010","url":null,"abstract":"This case report describes the rare occurrence of a pre-operative radiological diagnosis of uterine torsion in the non-gravid uterus. A 78-year-old female presented with a 5-day history of worsening non-specific gastrointestinal symptoms. Her admission CT study initially reported a large adnexal mass lesion causing obstruction of neighbouring small bowel loops. Management was initiated under the presumption of a complex uterine fibroid causing local small bowel obstruction. Only a secondary radiological review-conducted due to persistent abdominal pain-identified the characteristic \"whirlpool\" sign of the uterine cavity and prompted the differential of uterine torsion. Contrast-enhanced MRI study further confirmed this suggestion with a lack of uterine contrast uptake and the \"X-sign.\" The patient subsequently had an emergency laparotomy for a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Intra-operative findings and further histological analysis demonstrated a distorted uterine cavity with haemorrhagic infarction, confirming a diagnosis of uterine torsion.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 3","pages":"uaaf010"},"PeriodicalIF":0.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051579","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

Imaging manifestations in infantile GM1 gangliosidosis: a rare lysosomal storage disorder: a paediatric case report. 婴儿GM1神经节脂质沉积症的影像学表现：一种罕见的溶酶体贮积症：一个儿科病例报告。

IF 0.5

BJR Case Reports Pub Date : 2025-04-01 eCollection Date: 2025-03-01 DOI: 10.1093/bjrcr/uaaf009

Shreya Bhat, Sachin Sharma, Sunil Bhat, Anjana Kaul

引用次数: 0

Treatment of a giant terminal internal carotid artery aneurysm in a 10-year-old child by flow diversion: long-term outcome and lessons learned. 分流治疗10岁儿童颈内动脉巨端动脉瘤：长期疗效及经验教训。

IF 0.5

BJR Case Reports Pub Date : 2025-03-28 eCollection Date: 2025-03-01 DOI: 10.1093/bjrcr/uaaf024

Wilhelm Kuker, Jayaratnam Jayamohan

引用次数: 0

Primary spinal meningeal melanoma with intramedullary and intradural extramedullary components-a case report. 原发性脊髓脑膜黑色素瘤伴髓内和硬膜内髓外成分- 1例报告。

IF 0.5

BJR Case Reports Pub Date : 2025-03-25 eCollection Date: 2025-03-01 DOI: 10.1093/bjrcr/uaaf020

Robert H Bardsley, Jasmine Kimber, Kassie McCullagh

{"title":"Primary spinal meningeal melanoma with intramedullary and intradural extramedullary components-a case report.","authors":"Robert H Bardsley, Jasmine Kimber, Kassie McCullagh","doi":"10.1093/bjrcr/uaaf020","DOIUrl":"10.1093/bjrcr/uaaf020","url":null,"abstract":"Primary melanomas of the spinal meninges are exceedingly rare. While both intramedullary and extramedullary spinal melanomas have been reported, to the best of our knowledge, this is the first noted case of primary spinal melanoma that has both intramedullary and intradural extramedullary components. We present a case of a 61-year-old female presenting with a 1-year history of lower back pain, bilateral lower extremity pain, and perceived weakness of left foot. Magnetic resonance imaging of the thoracic spine suggested intramedullary and intradural extramedullary mass at levels T8-T12. A T7-T12 laminectomy with resection of the spinal cord mass revealed a pathological diagnosis of primary meningeal melanoma. This case highlights the complexity of diagnosing spinal melanomas, which often mimic more common spinal tumours such as ependymomas, astrocytomas, metastasis, or lymphoma. Often meningeal melanomas require extensive imaging and clinical evaluation to exclude other sites of potential primary melanoma. This case adds to the sparse literature by documenting a rare manifestation and could provide valuable insights into the diagnosis and management of similar cases.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf020"},"PeriodicalIF":0.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755236","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

CT-like MR images to assess changes after radiotherapy for bone metastasis: a case report. ct样MR图像评估骨转移放疗后的变化：1例报告。

IF 0.5

BJR Case Reports Pub Date : 2025-03-24 eCollection Date: 2025-03-01 DOI: 10.1093/bjrcr/uaaf018

Osamu Tanaka, Takuya Taniguchi, Takuji Kiryu, Ryoshu Maejima, Chiyoko Makita, Masayuki Matsuo

{"title":"CT-like MR images to assess changes after radiotherapy for bone metastasis: a case report.","authors":"Osamu Tanaka, Takuya Taniguchi, Takuji Kiryu, Ryoshu Maejima, Chiyoko Makita, Masayuki Matsuo","doi":"10.1093/bjrcr/uaaf018","DOIUrl":"10.1093/bjrcr/uaaf018","url":null,"abstract":"Setting the echo time to zero allows for the acquisition of bone images that were otherwise difficult to obtain with conventional MRI and clear visualization of CT-like MR images. This technique is mainly useful for detecting compression fractures; however, studies examining bone tumours have been lacking. Furthermore, no reports to date have investigated the usefulness of MRI for evaluating images before and after radiotherapy (RT) for bone tumours. Therefore, plain CT and MRI (T1/T2-weighted image and CT-like MRI) were performed under the same conditions before and after radiation therapy (RT) and examined the obtained images. An 86-year-old man received RT (30 Gy/3 fraction) for painful lumbar metastasis from prostate cancer. At 2 months after RT, no changes in T2-weighted images and plain CT scans were noted, but CT-like MRI showed an increase in the signal inside the bone metastasis. Examining how the images change over time is imperative given the difficulty of predicting the duration of the pain relief effects of RT for bone metastases. Therefore, the current case report explored whether combining various modalities, such as CT and MRI, could predict prognosis. We highlight the importance of investigating whether signal changes are correlated with pain symptoms and whether MRI can be a predictor.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf018"},"PeriodicalIF":0.5,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781544","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