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Journal of Radiology Case Reports最新文献

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A Case Report of Uterine Torsion in a Postmenopausal Female with a Large Leiomyoma. 绝经后患巨大子宫肌瘤的女性发生子宫扭转的病例报告。
IF 0.6
Journal of Radiology Case Reports Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI: 10.3941/jrcr.v18i1.5035
Jennifer Qin, Isabelle Wijangco, Marley Rashad, Mark Sugi, Stacy Young
{"title":"A Case Report of Uterine Torsion in a Postmenopausal Female with a Large Leiomyoma.","authors":"Jennifer Qin, Isabelle Wijangco, Marley Rashad, Mark Sugi, Stacy Young","doi":"10.3941/jrcr.v18i1.5035","DOIUrl":"10.3941/jrcr.v18i1.5035","url":null,"abstract":"<p><p>This case report discusses a diagnosis of uterine torsion in an 84-year-old woman who presented with five days of right lower quadrant abdominal pain, nausea, vomiting, constipation, and poor intake. Computed tomography (CT) imaging demonstrated a whorled configuration at the junction of the cervix and lower uterine segment, with the left gonadal vein crossing midline, and two previously known right leiomyomas now appearing on the left. These findings were consistent with the diagnosis of uterine torsion. She then underwent an urgent exploratory laparotomy, and the uterus was found to be dextroverted 270 degrees, with dark mottled purple tissue and engorged vessels. A supracervical hysterectomy and bilateral salpingo-oopherectomy were performed. Final pathology demonstrated extensive necrosis. This case reviews the classic presentation and imaging findings for the rare diagnosis of uterine torsion and options for management of both non-gravid and gravid patients.</p>","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11188770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443520","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
The Value of 3D SPACE MRI in Differentiating between Sequestrated Lumbar Disc Herniation and Tumors: Two Cases and Literature. 3D SPACE MRI 在区分腰椎间盘突出症和肿瘤方面的价值：两例病例和文献。
IF 0.6
Journal of Radiology Case Reports Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI: 10.3941/jrcr.v18i1.5195
Hissein M Fadoul, Nadeer M Gharaibeh, Gang Wu, Xiaoming Li
{"title":"The Value of 3D SPACE MRI in Differentiating between Sequestrated Lumbar Disc Herniation and Tumors: Two Cases and Literature.","authors":"Hissein M Fadoul, Nadeer M Gharaibeh, Gang Wu, Xiaoming Li","doi":"10.3941/jrcr.v18i1.5195","DOIUrl":"10.3941/jrcr.v18i1.5195","url":null,"abstract":"<p><strong>Background: </strong>Intervertebral disc herniation, defined as the protrusion or extrusion of the disc mass outside the disc space, is common and easy to diagnose on conventional Magnetic Resonance imaging (MRI) or Computed Tomography (CT) scans. However, the sequestrated disc fragments are challenging to detect, and intervertebral disc mass displacement into the dural sac, which can lead to serious neurological problems such as Cauda equina syndrome (CES). The sequestrated disc fragments do not have specific clinical or radiological characteristics that can differentiate an atypical disc mass from a tumor, making the diagnosis difficult preoperatively. Herein, we describe the use of Sampling Perfection with Application Optimized Contrast using different flip angle Evolution in Magnetic Resonance Imaging (3D SPACE MRI) in the diagnosis of the intervertebral disc fragment that mimicked a tumor.</p><p><strong>Case presentation: </strong>In this study, we report two cases of sequestered lumbar disc herniation. The first case was a 37-year-old patient with a 2-year history of intermittent left lower limb pain that aggravates with exercise and is relieved at rest, while the second case was a 42-year-old patient with a history of 40 days of numbness and pain in the left lower limb.</p><p><strong>Conclusion: </strong>3D SPACE MRI is a beneficial diagnostic imaging tool for discriminating between disc mass that mimics a tumor and a tumor before surgery. If the disc fragment mimicking a tumor can be identified before the operation, open surgical treatment won't be necessary for all patients.</p>","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11188771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443523","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
Unusual Unique Renal Metastasis of Rectal Carcinoma. 不寻常的直肠癌肾转移
IF 0.6
Journal of Radiology Case Reports Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI: 10.3941/jrcr.v18i1.5233
Sidki Kenza, Hatim Essaber, Sara Habib Chorfa, Omor Youssef, Latib Rachida
{"title":"Unusual Unique Renal Metastasis of Rectal Carcinoma.","authors":"Sidki Kenza, Hatim Essaber, Sara Habib Chorfa, Omor Youssef, Latib Rachida","doi":"10.3941/jrcr.v18i1.5233","DOIUrl":"10.3941/jrcr.v18i1.5233","url":null,"abstract":"<p><p>Rectal cancer Is a Common malignant pathology; its usual spread in volves the liver and lungs. The occurrence of renal metastases is exceptional. CT scanning aims to evaluate extension and may incidentally reveal a renal mass, which can be better characterized through MRI and ultrasound. We describe a case of a solitary renal metastasis from rectal cancer and underscore the significant role of imaging in positively diagnosing this uncommon pathology.</p>","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11188772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443539","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
Isolated Abducens Nerve Palsy: A Rare Manifestation of Recurrent Extramedullary Myeloma. 孤立性弓状神经麻痹：复发性髓外骨髓瘤的罕见表现
IF 0.6
Journal of Radiology Case Reports Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI: 10.3941/jrcr.v18i1.5240
Neal Joshi, Joy Li, Ajit Karambelkar, Payton Boere
{"title":"Isolated Abducens Nerve Palsy: A Rare Manifestation of Recurrent Extramedullary Myeloma.","authors":"Neal Joshi, Joy Li, Ajit Karambelkar, Payton Boere","doi":"10.3941/jrcr.v18i1.5240","DOIUrl":"10.3941/jrcr.v18i1.5240","url":null,"abstract":"<p><p>Multiple myeloma is a plasma cell neoplasm, which may present as a solitary plasmacytoma and, uncommonly, as an extramedullary plasmacytoma. Intracranial plasmacytomas may manifest in central nervous system involvement as cranial nerve palsies. Cranial nerve six palsy is the most common in cases of malignancy. However, isolated abducens palsy presenting as multiple myeloma recurrence is very uncommon. Here, we detail two cases in which intracranial plasmacytoma lesions were present within the region of the Dorello canal, resulting in acute isolated unilateral diplopia from disease recurrence in the absence of systemic marrow involvement.</p>","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11188768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443521","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
Placement of Endovascular Stent for Reperfusion of Cerebral Infarct After Pediatric Traumatic Internal Carotid Artery Dissection. 为小儿外伤性颈内动脉夹层后的脑梗塞再灌注植入血管内支架
IF 0.6
Journal of Radiology Case Reports Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI: 10.3941/jrcr.v18i1.5217
Arthur Rezayev, William S Coggins, Adewumi Amole, Mudassar Kamran, Tomoko Tanaka
{"title":"Placement of Endovascular Stent for Reperfusion of Cerebral Infarct After Pediatric Traumatic Internal Carotid Artery Dissection.","authors":"Arthur Rezayev, William S Coggins, Adewumi Amole, Mudassar Kamran, Tomoko Tanaka","doi":"10.3941/jrcr.v18i1.5217","DOIUrl":"10.3941/jrcr.v18i1.5217","url":null,"abstract":"<p><strong>Background: </strong>Traumatic intracranial ICA dissections are not commonly seen in children. Dissection resulting in perfusion deficit warrants intervention. Here we encountered a patient who experienced traumatic ICA dissection, treated by endovascular stenting.</p><p><strong>Methods: </strong>A 10-year-old female presented with aphasia and right sided weakness following trauma. Imaging showed deficit in the left MCA territory without core. Further imaging showed dissection of the left supraclinoid ICA, confirmed by digital subtraction angiography.</p><p><strong>Results: </strong>A Neuroform Atlas stent was placed without complication. All dysarthria and weakness had resolved on follow-up 5 months post-stenting.</p><p><strong>Conclusions: </strong>Acute stroke symptoms in children can result in lasting deficits if not treated quickly. Medical management is regarded to be first line, depending on presentation. Endovascular stenting may provide a promising means to treat pediatric ICA dissections involving perfusion deficits and mitigate permanent ischemic changes.</p>","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11188769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443522","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 findings of arterial calcification due to deficiency of CD73: A case study CD73 缺乏导致动脉钙化的影像学发现：病例研究
IF 1
Journal of Radiology Case Reports Pub Date : 2024-02-09 DOI: 10.3941/jrcr.v17i12.5175
Aniruddh Mandalapu, Kathryn J Stevens
{"title":"Imaging findings of arterial calcification due to deficiency of CD73: A case study","authors":"Aniruddh Mandalapu, Kathryn J Stevens","doi":"10.3941/jrcr.v17i12.5175","DOIUrl":"https://doi.org/10.3941/jrcr.v17i12.5175","url":null,"abstract":"A 52-year-old male developed right knee pain after hiking in Guatemala. On his return he underwent a knee MRI for an indication of medial knee pain, which demonstrated a medial meniscal tear. However, the MRI demonstrated marked tortuosity and dense calcification of the popliteal artery, confirmed on subsequent radiographs. Review of previous CT studies of the abdomen and lower extremities showed severe ectasia and arterial calcification in the femoral and popliteal arteries bilaterally, but no calcifications in the aorta and common iliac arteries. Dual energy CT studies of the extremities demonstrated extensive periarticular soft tissue calcification throughout the wrists, hands, ankle and feet without evidence of uric acid. Review of the electronic medical records revealed a diagnosis of Arterial Calcification due to Deficiency of CD73 (ACDC), a rare genetic disorder presenting with debilitating pain in the wrists and hands, claudication of the calves, thighs and buttocks, progressing to chronic ischemia of the feet which may be limb-threatening. The patient was enrolled in an NIH trial of bisphosphonates and dual-antiplatelet therapy with stabilization of symptoms. This case discusses the imaging findings of this rare condition, differential diagnosis to consider, and current management.","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139789229","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}
引用次数: 0
Myopericytoma. A rare case of parapharyngeal localization. 肌细胞瘤。咽旁定位的罕见病例。
IF 1
Journal of Radiology Case Reports Pub Date : 2024-02-09 DOI: 10.3941/jrcr.v17i12.5186
Vincenzo Dolcetti, Sergio Ruggiero, R. Pellini, Anastasia Mercurio, A. Vidiri
{"title":"Myopericytoma. A rare case of parapharyngeal localization.","authors":"Vincenzo Dolcetti, Sergio Ruggiero, R. Pellini, Anastasia Mercurio, A. Vidiri","doi":"10.3941/jrcr.v17i12.5186","DOIUrl":"https://doi.org/10.3941/jrcr.v17i12.5186","url":null,"abstract":"This case study presents a 66-year-old man referred to the Otolaryngology and Head and Neck Surgery department due to a one-history of persistent pain in the left posterior cervical region. No abnormalities were detected in the oral and pharyngeal regions during clinical and endoscopic examinations. Subsequently, a magnetic resonance imaging revealed a lesion (14 x 12 x 14 mm) into the left parapharyngeal space, with high signal intensity on T2-weighted images, enhancement after contrast medium, restricted signal on diffusion weighted imaging and high vascularization on perfusion MRI. The histological examination of the lesion led to a diagnosis of myopericitoma. Post-surgery, no adjuvant therapy was administered. Myopericytomas are rare soft-tissue benign neoplasms, predominantly reported in extremities, with a limited number of cases in the head and neck region and almost never described in the literature with elective localization in the parapharyngeal space.","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139789304","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}
引用次数: 0
Myopericytoma. A rare case of parapharyngeal localization. 肌细胞瘤。咽旁定位的罕见病例。
IF 1
Journal of Radiology Case Reports Pub Date : 2024-02-09 DOI: 10.3941/jrcr.v17i12.5186
Vincenzo Dolcetti, Sergio Ruggiero, R. Pellini, Anastasia Mercurio, A. Vidiri
{"title":"Myopericytoma. A rare case of parapharyngeal localization.","authors":"Vincenzo Dolcetti, Sergio Ruggiero, R. Pellini, Anastasia Mercurio, A. Vidiri","doi":"10.3941/jrcr.v17i12.5186","DOIUrl":"https://doi.org/10.3941/jrcr.v17i12.5186","url":null,"abstract":"This case study presents a 66-year-old man referred to the Otolaryngology and Head and Neck Surgery department due to a one-history of persistent pain in the left posterior cervical region. No abnormalities were detected in the oral and pharyngeal regions during clinical and endoscopic examinations. Subsequently, a magnetic resonance imaging revealed a lesion (14 x 12 x 14 mm) into the left parapharyngeal space, with high signal intensity on T2-weighted images, enhancement after contrast medium, restricted signal on diffusion weighted imaging and high vascularization on perfusion MRI. The histological examination of the lesion led to a diagnosis of myopericitoma. Post-surgery, no adjuvant therapy was administered. Myopericytomas are rare soft-tissue benign neoplasms, predominantly reported in extremities, with a limited number of cases in the head and neck region and almost never described in the literature with elective localization in the parapharyngeal space.","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139849498","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}
引用次数: 0
Blastomycosis of the Central Nervous System 中枢神经系统布氏杆菌病
IF 1
Journal of Radiology Case Reports Pub Date : 2024-02-09 DOI: 10.3941/jrcr.v17i12.5167
Alexander Kazmer, Rami El-Baba, Andreas Kontosis, Ewa Borys, Mariah Siddiqui
{"title":"Blastomycosis of the Central Nervous System","authors":"Alexander Kazmer, Rami El-Baba, Andreas Kontosis, Ewa Borys, Mariah Siddiqui","doi":"10.3941/jrcr.v17i12.5167","DOIUrl":"https://doi.org/10.3941/jrcr.v17i12.5167","url":null,"abstract":"The reported incidence of blastomycosis is increasing in certain regions of the United States. The diagnosis is primarily made via urine antigen testing, culture, or cytology smear. The differential diagnosis for blastomycosis includes pneumonia, tuberculosis, and non-infectious pulmonary disease. Clinical context and epidemiologic exposure play a crucial role in diagnosis. However, the differential can expand significantly if there is disseminated central nervous system involvement, especially if pulmonary manifestations are not seen. Imaging begins to play a vital role when differentiating disseminated blastomycosis from other etiologies such as malignancy. Herein we present a case of a 58-year-old male who presented with seizures and right sided gaze preference found to have disseminated central nervous system blastomycosis. In this article, we will discuss symptoms and imaging findings of disseminated blastomycosis to help guide diagnosis and management.","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139788726","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}
引用次数: 0
Blastomycosis of the Central Nervous System 中枢神经系统布氏杆菌病
IF 1
Journal of Radiology Case Reports Pub Date : 2024-02-09 DOI: 10.3941/jrcr.v17i12.5167
Alexander Kazmer, Rami El-Baba, Andreas Kontosis, Ewa Borys, Mariah Siddiqui
{"title":"Blastomycosis of the Central Nervous System","authors":"Alexander Kazmer, Rami El-Baba, Andreas Kontosis, Ewa Borys, Mariah Siddiqui","doi":"10.3941/jrcr.v17i12.5167","DOIUrl":"https://doi.org/10.3941/jrcr.v17i12.5167","url":null,"abstract":"The reported incidence of blastomycosis is increasing in certain regions of the United States. The diagnosis is primarily made via urine antigen testing, culture, or cytology smear. The differential diagnosis for blastomycosis includes pneumonia, tuberculosis, and non-infectious pulmonary disease. Clinical context and epidemiologic exposure play a crucial role in diagnosis. However, the differential can expand significantly if there is disseminated central nervous system involvement, especially if pulmonary manifestations are not seen. Imaging begins to play a vital role when differentiating disseminated blastomycosis from other etiologies such as malignancy. Herein we present a case of a 58-year-old male who presented with seizures and right sided gaze preference found to have disseminated central nervous system blastomycosis. In this article, we will discuss symptoms and imaging findings of disseminated blastomycosis to help guide diagnosis and management.","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139848667","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}
引用次数: 0
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