BJR Case Reports最新文献

A rare case of thyroid cartilage chondroma: diagnostic challenges and the role of multimodal imaging and histopathology. 罕见的甲状腺软骨软骨瘤病例：诊断挑战和多模式成像和组织病理学的作用。

IF 0.6

BJR Case Reports Pub Date : 2026-08-03 eCollection Date: 2026-07-01 DOI: 10.1093/bjrcr/uaag032

Jitesh Arora, Zena A Ahmad

{"title":"A rare case of thyroid cartilage chondroma: diagnostic challenges and the role of multimodal imaging and histopathology.","authors":"Jitesh Arora, Zena A Ahmad","doi":"10.1093/bjrcr/uaag032","DOIUrl":"10.1093/bjrcr/uaag032","url":null,"abstract":"Chondromas are rare benign cartilaginous tumours, typically arising in the small bones of the hands and feet. Laryngeal chondromas are exceptionally uncommon and account for a very small proportion of head and neck neoplasms. We present a case of a 72-year-old male referred with a painless, slowly enlarging right-sided neck mass. Multimodal imaging, including ultrasound, CT, and MRI, revealed a well-circumscribed lesion with internal calcification arising from the thyroid cartilage. Differential diagnoses included chondroma and low-grade chondrosarcoma. Initial cytological assessment was inconclusive, prompting expert histopathological review, which confirmed a well-differentiated benign chondroid lesion consistent with a chondroma. The patient underwent successful surgical excision, and follow-up imaging over a 4-year period has shown no evidence of recurrence. This case highlights the diagnostic challenges in distinguishing chondromas from malignant cartilaginous tumours in atypical locations, and emphasises the importance of a multidisciplinary approach, combining imaging, histology, and specialist input to guide management.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 4","pages":"uaag032"},"PeriodicalIF":0.6,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13533568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875835","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

MRI in non-pregnancy-related decidualization of deep pelvic endometriosis: a case report and review of the literature. 非妊娠相关的深盆腔子宫内膜异位症的MRI诊断：1例报告及文献复习。

IF 0.6

BJR Case Reports Pub Date : 2026-07-31 eCollection Date: 2026-07-01 DOI: 10.1093/bjrcr/uaag031

Alessandra Iacono, Beatrice Morelli, Giacomo Avesani, Luca D'Erme, Floriana Mascilini, Anna Fagotti, Evis Sala, Benedetta Gui, Miriam Dolciami

{"title":"MRI in non-pregnancy-related decidualization of deep pelvic endometriosis: a case report and review of the literature.","authors":"Alessandra Iacono, Beatrice Morelli, Giacomo Avesani, Luca D'Erme, Floriana Mascilini, Anna Fagotti, Evis Sala, Benedetta Gui, Miriam Dolciami","doi":"10.1093/bjrcr/uaag031","DOIUrl":"https://doi.org/10.1093/bjrcr/uaag031","url":null,"abstract":"Decidual changes in deep pelvic endometriosis (DPE) are extremely rare. During pregnancy, endometriotic activity and symptoms diminish due to hormonal changes, whereas the endometrial lining undergoes decidualization in response to progesterone. In some cases, a significant hormonal boost can promote the decidualization of endometriotic implants, with endometriomas being the most common sites for such changes. Decidualized endometriosis at sites outside the ovaries is a rarer phenomenon, and the associated imaging features have been studied less. We present a case of non-pregnancy-related decidualization involving multiple sites of DPE. A 33-year-old woman exposed to ovarian stimulation before in vitro fertilization (IVF) presented with chronic pelvic pain and vaginal bleeding. Emergency CT demonstrated irregular solid tissue in the pouch of Douglas and along the bowel loops, raising concern for a neoplastic process. Tumor markers were negative. Transvaginal ultrasound showed a hypoechoic, irregular, hypervascular lesion, and ultrasound-guided biopsy demonstrated decidualized stromal endometriosis. MRI confirmed a solid mass centered in the posterior cul-de-sac with intermediate T2-weighted (W) signal intensity, hemorrhagic foci on fat-suppressed T1W images, marked diffusion restriction, and avid post-contrast enhancement. Similar solid components were also present at multiple pelvic sites, adjacent to DPE implants. Short-interval MRI follow-up showed size reduction; however, due to persistent pain, fertility-sparing surgery was performed, and histology confirmed decidualization of DPE at all sites. This rare case emphasizes that decidualization can also occur on DPE and outside pregnancy, potentially mimicking malignant transformation, highlighting the role of MRI in aiding diagnosis and guiding proper management for these patients.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 4","pages":"uaag031"},"PeriodicalIF":0.6,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13471994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760027","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

Inflammatory mass or malignancy? The radiology of fish bone phlegmon: a review of 3 cases. 炎性肿块还是恶性肿瘤？鱼骨痰3例放射学分析。

IF 0.6

BJR Case Reports Pub Date : 2026-07-28 eCollection Date: 2026-07-01 DOI: 10.1093/bjrcr/uaag030

Michel Alhilani, Larne Jones-Whiting, Sharmin Malekout, Abdelhamid Elshawarby, Andrew J Hayes, Eleanor Moskovic

{"title":"Inflammatory mass or malignancy? The radiology of fish bone phlegmon: a review of 3 cases.","authors":"Michel Alhilani, Larne Jones-Whiting, Sharmin Malekout, Abdelhamid Elshawarby, Andrew J Hayes, Eleanor Moskovic","doi":"10.1093/bjrcr/uaag030","DOIUrl":"10.1093/bjrcr/uaag030","url":null,"abstract":"Soft-tissue sarcomas of the abdomen and abdominal wall are rare, and their imaging appearances can overlap with those of benign inflammatory conditions. Foreign body-related phlegmon caused by a migrated fish bone from the bowel represents an uncommon but important diagnostic mimic, often indistinguishable from malignancy on cross-sectional imaging. Although several single case reports describe this entity, no radiology-focused multi-case series has been previously published. We present 3 patients referred to a regional sarcoma service with abdominal wall masses initially suspected to represent soft-tissue sarcoma. All 3 underwent multimodality imaging, which demonstrated heterogeneous, enhancing abdominal-wall lesions with associated inflammatory change. In each case, thin-slice CT ultimately identified a subtle linear hyperdense structure, corresponding to a migrated fish bone traversing or lying adjacent to bowel, establishing the correct diagnosis of foreign-body-induced phlegmon. MRI appearances were non-specific and mimicked neoplastic processes. Management varied from conservative antibiotic therapy to incision and drainage, with all patients making a full recovery and no recurrence. This case series highlights a rare but significant radiologic pitfall in the assessment of abdominal wall masses. Key learning points include scrutinizing CT in thin slices and bone windows for linear calcified foreign bodies, recognizing that MRI and PET-CT may mislead toward malignancy, and maintaining foreign-body phlegmon within the differential diagnosis for atypical abdominal wall \"tumours.\" Awareness of this entity can prevent unnecessary biopsies, oncologic referrals, and radical surgeries.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 4","pages":"uaag030"},"PeriodicalIF":0.6,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713950","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

Reversal of diastolic flow in epididymo-orchitis: a red flag for impending testicular infarction. 附睾睾丸炎患者舒张期血流逆转：睾丸梗死的危险信号。

IF 0.6

BJR Case Reports Pub Date : 2026-07-21 eCollection Date: 2026-07-01 DOI: 10.1093/bjrcr/uaag028

Yilin Liu, Arpit Talwar

引用次数: 0

Multimodal imaging in the diagnosis of uterine polypoid adenomyoma: a case report. 多模态影像诊断子宫息肉样腺肌瘤1例。

IF 0.6

BJR Case Reports Pub Date : 2026-07-16 eCollection Date: 2026-07-01 DOI: 10.1093/bjrcr/uaag029

Alexandra Jade Davis, Erin Gomez

{"title":"Multimodal imaging in the diagnosis of uterine polypoid adenomyoma: a case report.","authors":"Alexandra Jade Davis, Erin Gomez","doi":"10.1093/bjrcr/uaag029","DOIUrl":"10.1093/bjrcr/uaag029","url":null,"abstract":"Uterine polypoid adenomyoma (UPA) is a rare focal form of adenomyosis that can present as an intracavitary lesion and pose a significant diagnostic challenge, often mimicking more common or concerning entities, such as endometrial polyps or uterine adenosarcoma. We describe the case of a 53-year-old woman who presented with profound anemia (hemoglobin 3.9 g/dL) secondary to acute on chronic heavy vaginal bleeding. Multimodal imaging, including ultrasound and MRI, prompted the initial diagnosis of UPA, later supported by surgical pathology. Ultrasound demonstrated diffusely heterogeneous myometrial echotexture and multifocal \"venetian blind\" artifact consistent with adenomyosis. MRI revealed an ovoid lesion within the endometrial cavity containing numerous T2 hyperintense cystic foci and imaging characteristics similar to the junctional zone, consistent with a submucosal UPA. Management included blood transfusions, hormone therapy, and ultimately hysterectomy. This case serves to underscore the importance of a combined approach, including both multimodal imaging and histopathology, in guiding the accurate diagnosis and optimal management of UPA. It is also intended to increase awareness of this rare lesion and encourage its consideration in the differential diagnosis of intracavitary uterine masses, as it may have implications for treatment planning.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 4","pages":"uaag029"},"PeriodicalIF":0.6,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580698","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

A case of superior mesenteric artery embolism successfully treated by combined thrombus retrieval therapy using the CAPTIVE technique. 采用俘虏技术联合取栓治疗肠系膜上动脉栓塞1例。

IF 0.6

BJR Case Reports Pub Date : 2026-07-08 eCollection Date: 2026-07-01 DOI: 10.1093/bjrcr/uaag025

Tomoki Kawano, Tetsuaki Sugimoto, Maki Imada, Mitsuru Tamura, Takuya Hara, Ichiro Ikushima, Minako Azuma, Yoshiko Okita

{"title":"A case of superior mesenteric artery embolism successfully treated by combined thrombus retrieval therapy using the CAPTIVE technique.","authors":"Tomoki Kawano, Tetsuaki Sugimoto, Maki Imada, Mitsuru Tamura, Takuya Hara, Ichiro Ikushima, Minako Azuma, Yoshiko Okita","doi":"10.1093/bjrcr/uaag025","DOIUrl":"10.1093/bjrcr/uaag025","url":null,"abstract":"Acute superior mesenteric artery (SMA) embolism is potentially fatal if intestinal necrosis develops, and prompt revascularization is essential. Although thrombolytic therapy and aspiration thrombectomy are commonly employed, thrombolysis is contraindicated in patients with hemorrhagic lesions. We report the application of the continuous aspiration prior to intracranial vascular embolectomy (CAPTIVE) technique in an elderly woman with acute SMA embolism complicated by hemorrhagic stroke. Mechanical thrombectomy using a React 71 aspiration catheter and Solitaire stent retriever was performed under proximal balloon flow control. Staged thrombectomy of the jejunal and ileal branches achieved wide recanalization with a limited number of passes, avoiding intestinal necrosis. This case highlights the feasibility of adapting an established neuroendovascular technique to visceral arterial occlusion. The CAPTIVE technique may represent a minimally invasive alternative in selected patients in whom thrombolytic therapy is not indicated.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 4","pages":"uaag025"},"PeriodicalIF":0.6,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13391149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563409","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

Giant adenomatoid odontogenic tumor of maxilla-a case report exploring the radiological imaging aspects and pathway to diagnosis with review of literature. 上颌巨大腺瘤样牙源性肿瘤1例，探讨影像学方面及诊断途径并文献复习。

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BJR Case Reports Pub Date : 2026-07-08 eCollection Date: 2026-07-01 DOI: 10.1093/bjrcr/uaag027

Sakshi Agrawal, Abhinav Chander Bhagat, Anshul Rai, Ujjawal Khurana, Raj Barfa, Radha Sarawagi Gupta, Rajesh Malik

引用次数: 0

Emergency management of cerebral air gas embolism as a complication of CT-guided lung biopsy. ct引导下肺活检并发症脑气栓塞的急诊处理。

IF 0.6

BJR Case Reports Pub Date : 2026-07-07 eCollection Date: 2026-07-01 DOI: 10.1093/bjrcr/uaag026

Vinayak Sharma Ramdhun, Caryl E Richards, Zaid Hussain Khan, Abdurrahmaan Manga, Rachel Marsh, Rajini Sudhir, Bruce Mathew, Indrajeet Das, Amrita Bajaj

{"title":"Emergency management of cerebral air gas embolism as a complication of CT-guided lung biopsy.","authors":"Vinayak Sharma Ramdhun, Caryl E Richards, Zaid Hussain Khan, Abdurrahmaan Manga, Rachel Marsh, Rajini Sudhir, Bruce Mathew, Indrajeet Das, Amrita Bajaj","doi":"10.1093/bjrcr/uaag026","DOIUrl":"https://doi.org/10.1093/bjrcr/uaag026","url":null,"abstract":"Cerebral arterial gas embolism is a rare complication of percutaneous CT-guided lung biopsy, associated with seizures and neurological deficits such as stroke. Failure to promptly recognize and urgently treat can lead to a very poor prognosis. This case describes an 80-year-old woman undergoing a CT-guided lung biopsy for histological assessment of a suspected malignant cavitating lung lesion. Shortly after the procedure, the patient developed complete left-sided hemiparesis. A CT scan of the head demonstrated air in the right middle cerebral artery territory. Urgent transfer to a specialist centre for gold standard hyperbaric oxygen therapy was critical to optimize patient recovery. To prevent further air migration, the patient was placed in the Trendelenburg and left lateral decubitus position and high flow oxygen was administered, while awaiting transfer. Following hyperbaric oxygen therapy, the patient was stepped down to a stroke unit for rehabilitation. Full neurological recovery was made. This case highlights that radiologists should be well-versed in recognizing the signs and immediate management of air embolism and anticipate it as a rare but severe complication of lung biopsy.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 4","pages":"uaag026"},"PeriodicalIF":0.6,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13474808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766406","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

Concurrent inferior vena cava syndrome and spontaneous retroperitoneal hemorrhage secondary to inferior vena cava filter thrombosis, treated with large bore mechanical thrombectomy: a case report. 同时下腔静脉综合征和自发性腹膜后出血继发于下腔静脉滤过器血栓形成，大口径机械取栓治疗：1例报告。

IF 0.6

BJR Case Reports Pub Date : 2026-06-16 eCollection Date: 2026-07-01 DOI: 10.1093/bjrcr/uaag024

Basil Zia Khan, Andrew Wigham, Daniel Kearns

{"title":"Concurrent inferior vena cava syndrome and spontaneous retroperitoneal hemorrhage secondary to inferior vena cava filter thrombosis, treated with large bore mechanical thrombectomy: a case report.","authors":"Basil Zia Khan, Andrew Wigham, Daniel Kearns","doi":"10.1093/bjrcr/uaag024","DOIUrl":"10.1093/bjrcr/uaag024","url":null,"abstract":"Inferior Vena Cava (IVC) filters are an established treatment option to prevent morbidity and mortality in patients who are at high risk for pulmonary embolus and unable to receive pharmacological anticoagulation. As their use increases, we are now seeing an increasing incidence of associated complications; IVC thrombosis is one of them and can be challenging to treat. Our report describes a rare case of a 55-year-old male patient with active metastatic lung cancer presenting with concurrent inferior vena cava syndrome and spontaneous retroperitoneal hemorrhage due to an occlusive IVC filter-associated thrombus. The case demonstrates successful treatment with large bore mechanical thrombectomy. Our case aims to provide insight into a rare yet complex complication that can occur due to IVC filter use. Our hope is that this case increases awareness of how to successfully manage concurrent IVC filter thrombosis and resultant retroperitoneal hemorrhage with large bore mechanical thrombectomy.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 4","pages":"uaag024"},"PeriodicalIF":0.6,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550724","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

Pathologic fracture: a rare initial manifestation of sarcoidosis. 病理性骨折：结节病的一种罕见的初始表现。

IF 0.6

BJR Case Reports Pub Date : 2026-06-13 eCollection Date: 2026-05-01 DOI: 10.1093/bjrcr/uaag023

Claudine A Vera Cruz, Joshua E Cunningham, Tomy Kalapparambath, Sandeep Grewal

{"title":"Pathologic fracture: a rare initial manifestation of sarcoidosis.","authors":"Claudine A Vera Cruz, Joshua E Cunningham, Tomy Kalapparambath, Sandeep Grewal","doi":"10.1093/bjrcr/uaag023","DOIUrl":"10.1093/bjrcr/uaag023","url":null,"abstract":"Sarcoidosis is a multisystem granulomatous disease that most commonly involves the lungs and intrathoracic lymph nodes. Osseous involvement is uncommon, reported in approximately 1%-14% of cases, and is frequently subclinical or discovered incidentally on imaging. Symptomatic bone involvement as the presenting manifestation of sarcoidosis is rare. In the largest single-center series, only 1 of 20 patients (5%) had osseous disease as the sole manifestation. We describe a 48-year-old man who presented with progressive atraumatic right shoulder pain and was initially suspected to have rotator cuff pathology. MRI instead revealed supraspinatus and infraspinatus tendinitis, multifocal destructive osseous lesions involving the humerus and scapula, and a pathologic scapular fracture. Subsequent FDG PET-CT demonstrated pulmonary and multifocal skeletal hypermetabolic lesions, and CT-guided biopsy of the left iliac crest showed non-caseating granulomas, establishing the diagnosis of sarcoidosis. This case highlights the diagnostic challenge of osseous sarcoidosis when it presents before a known systemic diagnosis and mimics both common shoulder pathology and metastatic disease. It also illustrates the value of advanced imaging and tissue diagnosis in clarifying destructive bone lesions in patients without classic systemic symptoms.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 3","pages":"uaag023"},"PeriodicalIF":0.6,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13303285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346765","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