BJR Case ReportsPub Date : 2025-10-10eCollection Date: 2025-11-01DOI: 10.1093/bjrcr/uaaf050
Fatima Chait, Nourrelhouda Bahlouli, Adam Sqalli Houssaini, Ihssane Lahlou, Meryem Edderai, Jamal El Fenni
{"title":"Severe cytomegalovirus encephalitis in an immunocompetent man: a case report.","authors":"Fatima Chait, Nourrelhouda Bahlouli, Adam Sqalli Houssaini, Ihssane Lahlou, Meryem Edderai, Jamal El Fenni","doi":"10.1093/bjrcr/uaaf050","DOIUrl":"10.1093/bjrcr/uaaf050","url":null,"abstract":"<p><p>Cytomegalovirus (CMV) is a viral infection that is generally considered benign in immunocompetent patients; however, it can be life-threatening in immunocompromised patients. We present the case of a 46-year-old patient with severe primary CMV encephalitis. The patient presented to the hospital emergency department with impaired alertness and speech. A brain scan and initial lumbar puncture (LP) were normal. However, the patient's state of consciousness deteriorated rapidly with the onset of seizures, prompting a brain MRI scan, which revealed lesions suggestive of encephalitis. Polymerase Chain Reaction (PCR) detection of cytomegalovirus was confirmed on a second lumbar puncture. Following the confirmation of the diagnosis, the patient was commenced on appropriate antiviral treatment, which resulted in a favourable outcome. Our aim is to report on the clinical manifestations and the contribution of imaging to the diagnosis of CMV encephalitis in immunocompetent persons.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 6","pages":"uaaf050"},"PeriodicalIF":0.5,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12579542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432566","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}
BJR Case ReportsPub Date : 2025-09-18eCollection Date: 2025-09-01DOI: 10.1093/bjrcr/uaaf049
Rashed Al-Khudairi, Danielle Forster, Sofina Begum, Alexandra Rice, Adrienne M Flanagan, Fernanda Amary, Paul O'Donnell
{"title":"Fibrocartilaginous mesenchymoma of the rib with atypical imaging features.","authors":"Rashed Al-Khudairi, Danielle Forster, Sofina Begum, Alexandra Rice, Adrienne M Flanagan, Fernanda Amary, Paul O'Donnell","doi":"10.1093/bjrcr/uaaf049","DOIUrl":"10.1093/bjrcr/uaaf049","url":null,"abstract":"<p><p>Fibrocartilaginous mesenchymoma is a locally aggressive intraosseous lesion first described in 1984, which most commonly presents in the long bones of children and young adults. It is rare-less than 40 cases have been reported to date. The typical radiological features are those of an expansile lytic lesion with chondroid calcification, cortical destruction and frequent extraosseous extension, suggesting an aggressive benign or low-grade malignant tumour. On MRI the lesion returns low T1 and high T2 signal and usually shows intense contrast enhancement. Histologically the lesion is characterised by a spindle cell proliferation, areas of ossification and benign cartilage nodules resembling the epiphyseal plate, the latter considered the hallmark of this tumour. We present a case of fibrocartilaginous mesenchymoma in the rib of a 28-year-old female, a very uncommon location for this tumour. The case is also exceptional because of the age of the patient and its unusual imaging appearances: the lesion showed no evidence of chondral-type matrix mineralisation, displayed profound T2 hypointensity and only minimal enhancement following intravenous Gadolinium administration.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 5","pages":"uaaf049"},"PeriodicalIF":0.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233624","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}
BJR Case ReportsPub Date : 2025-09-18eCollection Date: 2025-09-01DOI: 10.1093/bjrcr/uaaf048
Jessica Carter, Jody Maclachlan, Peter Wylie, Shilen Patel, Sherif Hanna
{"title":"Pneumoparotid causing subcutaneous emphysema secondary to chronic habitual Valsalva behaviours in a 13-year-old girl.","authors":"Jessica Carter, Jody Maclachlan, Peter Wylie, Shilen Patel, Sherif Hanna","doi":"10.1093/bjrcr/uaaf048","DOIUrl":"10.1093/bjrcr/uaaf048","url":null,"abstract":"<p><p>Pneumoparotid is an unusual condition involving retrograde insufflation of air via the mouth into the parotid gland. In rare circumstances it can be complicated by subcutaneous emphysema. We describe a highly unusual case of rapid-onset facial swelling and limited eye-opening in an otherwise clinically well 13-year-old female. Computed tomography imaging showed pneumoparotid and extensive surgical emphysema involving the cervicofacial soft tissues and mediastinum. A detailed history revealed habitual Valsalva-related behaviours, including ear-popping and blowing bubbles in drinks. She was diagnosed with subcutaneous emphysema secondary to pneumoparotid, and her symptoms resolved with conservative management.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 5","pages":"uaaf048"},"PeriodicalIF":0.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245433","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}
BJR Case ReportsPub Date : 2025-09-09eCollection Date: 2026-03-01DOI: 10.1093/bjrcr/uaaf044
Jainam A Doshi, Pushpa Bhari Thippeswamy
{"title":"Case review of 3 patients with musculoskeletal manifestation of human immunodeficiency virus and highly active antiretroviral therapy in the form of osteopenia and insufficiency fractures.","authors":"Jainam A Doshi, Pushpa Bhari Thippeswamy","doi":"10.1093/bjrcr/uaaf044","DOIUrl":"10.1093/bjrcr/uaaf044","url":null,"abstract":"<p><p>Patients infected with human immunodeficiency virus are prone to develop multiple complications related to the musculoskeletal system with aetiologies including infection, inflammatory, neoplastic, and coagulopathy, of which infection is the most common.<sup>1</sup> The underlying mechanisms leading to these diseases are complex and multifactorial. Antiretroviral drugs have helped to reduce the burden of complications; however, they may pose several adverse effects. We have tried to draw attention to the impact of intake of nucleoside reverse transcriptase inhibitor-class drugs (like tenofovir), which is implicated in severe osteoporosis, multiple insufficiency fractures, and osteonecrosis.<sup>2</sup> <sup>,</sup> <sup>3</sup> Radiology plays an important role in early diagnosis and treatment planning in these patients, in whom clinical and laboratory findings are commonly equivocal and non-specific.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 2","pages":"uaaf044"},"PeriodicalIF":0.6,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500139","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":"Secondary aneurysmal bone cyst arising from polyostotic craniofacial fibrous dysplasia.","authors":"Niket Patel, Kiran Kumar Sailagundla, Essaki Rajulu, Shanmuga Jayanthan, Ganesh Rajagopal, Harpreet Singh Grewal","doi":"10.1093/bjrcr/uaaf047","DOIUrl":"10.1093/bjrcr/uaaf047","url":null,"abstract":"<p><p>Fibrous dysplasia (FD) is a benign condition affecting osteoblasts, which fail to undergo proper differentiation and maturation, resulting in the replacement of normal osteoid matrix with ground glass fibrous tissue. Aneurysmal bone cyst (ABC) is a benign, expansile, lytic lesion characterized by multiple blood-filled cystic cavities containing haemorrhagic products at varying stages. Secondary ABC arising from craniofacial FD is extremely rare. To date, only 10 cases have been reported in the literature. This report highlights the clinical presentation, imaging findings, and histopathological confirmation of a secondary ABC in a patient with polyostotic craniofacial FD.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 5","pages":"uaaf047"},"PeriodicalIF":0.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114568","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}
BJR Case ReportsPub Date : 2025-09-09eCollection Date: 2025-09-01DOI: 10.1093/bjrcr/uaaf045
Samuel B Ogunlade, Todd D Rozen, Andrew R Lewis, Beau B Toskich, Zlatko Devcic
{"title":"New daily persistent headache with May-Thurner physiology and spinal epidural venous congestion: treatment with ascending lumbar vein embolization.","authors":"Samuel B Ogunlade, Todd D Rozen, Andrew R Lewis, Beau B Toskich, Zlatko Devcic","doi":"10.1093/bjrcr/uaaf045","DOIUrl":"10.1093/bjrcr/uaaf045","url":null,"abstract":"<p><p>May-Thurner physiology (MTP) can lead to various congestion syndromes due to compression of the left common iliac vein (LCIV) by the right common iliac artery (RCIA). This compression may result in venous reflux through the lumbar vein, leading to congestion of the spinal epidural venous plexus (EVP), which could contribute to refractory headaches. This case report details the clinical course of a patient with severe refractory new daily persistent headache associated with MTP who underwent ascending lumbar vein (ALV) embolization. The patient is a 59-year-old female with a 3-year history of daily persistent headache which failed multiple migraine prevention therapies and minimally invasive procedures. Imaging studies revealed significant LCIV compression by the RCIA, retrograde ALV flow, and EVP congestion. The patient underwent ALV embolization, resulting in significant symptomatic relief. At the 22-month follow-up, headache severity reduced by 80%, with the patient no longer requiring routine headache medications. Additionally, treatment of associated pelvic congestion syndrome through gonadal vein embolization resolved longstanding associated pelvic pain and pressure. This case highlights the role of venous congestion in refractory headache syndromes and underscores the potential of targeted venous interventions, such as embolization, in their management. The findings expand on emerging evidence linking venous compression syndromes to headache pathophysiology and support exploring interventional strategies as viable treatment options for selected patients. Further research is needed to validate these findings and establish evidence-based guidelines for clinical practice.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 5","pages":"uaaf045"},"PeriodicalIF":0.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114606","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}
BJR Case ReportsPub Date : 2025-09-09eCollection Date: 2025-09-01DOI: 10.1093/bjrcr/uaaf046
Ali Mokhtari, Valeria Onofrj, Carine Neugroschl
{"title":"Spot the new lesion: a case report of intra-MRI cerebral haemorrhage with discussion of previous literature.","authors":"Ali Mokhtari, Valeria Onofrj, Carine Neugroschl","doi":"10.1093/bjrcr/uaaf046","DOIUrl":"10.1093/bjrcr/uaaf046","url":null,"abstract":"<p><p>The appearance of intracranial haemorrhage on magnetic resonance imaging (MRI) is complex and depends on its evolution over time. The ability of the MRI to detect hyperacute haemorrhage has been debated as it seems to depend on several factors (ie, delay of imaging, MRI field strength, imaging technique). We present the first case of intracranial haemorrhage occurring during MRI acquisition in a 61-year-old female suffering a severe hypoxic-ischaemic encephalopathy from a suicide attempt by hanging. The imaging characteristics of the haematoma differ from what has been described in the past, as it lacks the typical peripheral T2 and T2* hypointensity usually seen in hyperacute haematomas. We discuss previous literature in order to explain these peculiar imaging features.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 5","pages":"uaaf046"},"PeriodicalIF":0.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132069","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":"Idiopathic isolated bilaterally symmetrical brachymetacarpia of the fifth metacarpal in a woman with rheumatoid arthritis.","authors":"Mohamed Tazi, Fatima Zahrae Taik, Youssef El Hassnaoui, Anass Adnine, Nihad Takrifa, Fatima Ezzahra Abourazzak","doi":"10.1093/bjrcr/uaaf043","DOIUrl":"10.1093/bjrcr/uaaf043","url":null,"abstract":"<p><p>We report a rare case of idiopathic, isolated, and bilaterally symmetrical brachymetacarpia of the fifth metacarpal bones in a 60-year-old woman followed for seropositive rheumatoid arthritis. Despite the radiographic anomaly, the patient remained asymptomatic and had normal hand function. Extensive investigations ruled out syndromic or metabolic causes. This case emphasizes the importance of recognizing rare skeletal variants in rheumatologic evaluations.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 1","pages":"uaaf043"},"PeriodicalIF":0.5,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12809538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999120","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}
BJR Case ReportsPub Date : 2025-07-31eCollection Date: 2025-07-01DOI: 10.1093/bjrcr/uaaf039
Pierpaolo Biondetti, Anna Maria Ierardi, Elisa De Lorenzis, Jacopo Tintori, Emanuele Montanari, Gianpaolo Carrafiello
{"title":"An unusual renal colic during trans-arterial embolization after trauma and its multidisciplinary management.","authors":"Pierpaolo Biondetti, Anna Maria Ierardi, Elisa De Lorenzis, Jacopo Tintori, Emanuele Montanari, Gianpaolo Carrafiello","doi":"10.1093/bjrcr/uaaf039","DOIUrl":"10.1093/bjrcr/uaaf039","url":null,"abstract":"<p><p>Selective embolization is the treatment of choice for traumatic renal pseudoaneurysm (PSA) in stable patients. N-Butyl-2-cyanoacrilate (NBCA) is an embolic agent frequently used to embolize peripheral lesions. N-Butyl-2-cyanoacrilate is one of the most widely used embolic materials because it is easy to prepare, it acts quickly and is highly cost-effective. Its use, however, requires a learning curve before becoming confident and being able to handle it safely. We describe a case of embolization of a renal traumatic PSA without clear pre-procedural CT-evidence of artero-calyx fistula in which the migration of NBCA in the renal pelvis occurred during the procedure. We report the successful multidisciplinary management of this complication.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 4","pages":"uaaf039"},"PeriodicalIF":0.5,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785597","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}
BJR Case ReportsPub Date : 2025-07-28eCollection Date: 2025-09-01DOI: 10.1093/bjrcr/uaaf041
Yasutaka Takagi, Hiroshi Yamada, Hidehumi Ebara, Hiroyuki Hayashi, Hiroyuki Inatani, Yuta Nakamura, Koichiro Ae, Aki Nakanami, Tetsutaro Yahata, Hiroyuki Tsuchiya
{"title":"Aneurysmal bone cyst of the talus: a case report of local recurrence treated with adjuvant therapy.","authors":"Yasutaka Takagi, Hiroshi Yamada, Hidehumi Ebara, Hiroyuki Hayashi, Hiroyuki Inatani, Yuta Nakamura, Koichiro Ae, Aki Nakanami, Tetsutaro Yahata, Hiroyuki Tsuchiya","doi":"10.1093/bjrcr/uaaf041","DOIUrl":"10.1093/bjrcr/uaaf041","url":null,"abstract":"<p><p>Aneurysmal bone cyst (ABC) is a locally destructive benign tumour-like condition of the bones with blood-filled cystic cavities. The talus is an extremely rare site for an ABC, with <20 reported cases till 2012 based on a PubMed database search. Aneurysmal bone cyst recurrence in the talus after curettage and bone grafting is extremely rare. To the best of our knowledge, no detailed reports of resection and adjuvant therapy with artificial bone packing of recurrent ABC of the talus have been published. We report a case of ABC in the talus of a 9-year-old boy. As the initial surgery consisted of only lesion resection and artificial bone (beta-tricalcium phosphate [TCP]) packing, local recurrence was diagnosed. Reoperation was performed 5 months after the initial surgery. The recurrent lesion was resected using a curette, and the bone cavity septum was shaved with a high-speed burr. Phenol-ethanol ablation was used as an adjuvant with artificial bone (beta-TCP) packing to prevent recurrence. No local recurrence was observed 36 months after the reoperation. This extremely rare case of resection and adjuvant therapy with artificial bone packing of recurrent ABC of the talus highlights the need for careful observation to assess the progression of ankle joint osteoarthrosis.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 5","pages":"uaaf041"},"PeriodicalIF":0.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993781","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}