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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":"18 1","pages":"1-7"},"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":"18 1","pages":"8-13"},"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":"18 1","pages":"20-25"},"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":"18 1","pages":"14-19"},"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":"18 1","pages":"26-34"},"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
Rare origin - Ewing's sarcoma of the pleura: a case report and literature review 罕见病因--胸膜尤文氏肉瘤：病例报告和文献综述
IF 1
Journal of Radiology Case Reports Pub Date : 2024-01-05 DOI: 10.3941/jrcr.v17i10.5184
Liao Juan, Jianqun Yu, Fanglan Li
{"title":"Rare origin - Ewing's sarcoma of the pleura: a case report and literature review","authors":"Liao Juan, Jianqun Yu, Fanglan Li","doi":"10.3941/jrcr.v17i10.5184","DOIUrl":"https://doi.org/10.3941/jrcr.v17i10.5184","url":null,"abstract":"Ewing sarcoma (ES) was first reported by Ewing in 1921. It is the second largest malignant bone tumor in children and adolescents, typically occurring in the bones of trunk or limbs . Extraskeletal Ewing sarcoma (EES) was first reported by Tefft et al. in 1969 and is extremely rare, accounting for less than 1% of all sarcomas. It can occur in any part of soft tissue, mostly in the trunk and lower limbs, and rarely in the pleura. We report a 22-year-old case of extraosseous Ewing sarcoma of pleural origin discovered and pathologically confirmed by physical examination. We report its CT manifestations and pathological results, and review the literature to summarize and analyze the clinical and imaging characteristics of extraosseous Ewing sarcoma, in order to improve our understanding of the disease.","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":"91 6","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139381259","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
Imaging in hepatopulmonary syndrome- case report. A multicenter approach during the coronavirus pandemic 肝肺综合征的影像学检查--病例报告。冠状病毒大流行期间的多中心方法
IF 1
Journal of Radiology Case Reports Pub Date : 2024-01-05 DOI: 10.3941/jrcr.v17i10.4411
Afsara A. Ahmmed, Randeep Kulshrestha
{"title":"Imaging in hepatopulmonary syndrome- case report. A multicenter approach during the coronavirus pandemic","authors":"Afsara A. Ahmmed, Randeep Kulshrestha","doi":"10.3941/jrcr.v17i10.4411","DOIUrl":"https://doi.org/10.3941/jrcr.v17i10.4411","url":null,"abstract":"A 60-year-old lady with alcoholic liver disease developed central cyanosis and orthodeoxia. A technetium-99m macro-aggregated albumin lung perfusion scan and contrast echocardiogram were performed. A 13% right to left shunt was calculated from the macro-aggregated albumin scan. There were more bubbles in the left heart than the right at the end of the contrast echocardiogram. Hepatopulmonary syndrome was therefore diagnosed. The patient had a liver transplant five days after these investigations. Further discussion about hepatopulmonary syndrome will be provided.\u0000Normally, macro-aggregated albumin scans are performed in few centers, however as this was at the height of the coronavirus pandemic, the scan needed to be performed locally to reduce the chance of the patient getting coronavirus. Local radiographers were remotely instructed on conducting the macro-aggregated albumin scan by a larger center to provide a timely and important investigation in a logistically difficult scenario.","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":"107 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139383313","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
Breast cancer in a Hispanic patient with Werner syndrome 一名患有维尔纳综合征的西班牙裔患者罹患乳腺癌
IF 1
Journal of Radiology Case Reports Pub Date : 2023-12-20 DOI: 10.3941/jrcr.v17i10.5168
Manuel Menendez Santos, Carlos Gonzalez Baerga, Sanjay Lamsal, Corey Engel, Savas Ozdemir
{"title":"Breast cancer in a Hispanic patient with Werner syndrome","authors":"Manuel Menendez Santos, Carlos Gonzalez Baerga, Sanjay Lamsal, Corey Engel, Savas Ozdemir","doi":"10.3941/jrcr.v17i10.5168","DOIUrl":"https://doi.org/10.3941/jrcr.v17i10.5168","url":null,"abstract":"Werner Syndrome is a rare autosomal recessive condition characterized by premature aging and increased risk of malignancies due to gene mutations associated with DNA stability. We present the first case report of a 29-year-old Hispanic female with WS diagnosed with breast cancer. Diagnostic mammography and ultrasound, breast MRI and PET examinations revealed two lesions biopsy proven as invasive ductal carcinoma. The patient underwent neoadjuvant chemotherapy and radical mastectomy. Recurrence occurred 10 months postoperatively with molecular analysis demonstrating TP53 mutations. The multifactorial assessment of breast cancer in this case study is crucial towards optimizing screening, diagnosis and management of this disease in patients with WS.","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":"45 26","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138957275","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
Persistent craniopharyngeal canal with an associated sphenoid sinus fistula 伴有蝶窦瘘的顽固性颅咽管
IF 1
Journal of Radiology Case Reports Pub Date : 2023-12-20 DOI: 10.3941/jrcr.v17i10.4707
Chase Dougherty, Barton F. Branstetter IV
{"title":"Persistent craniopharyngeal canal with an associated sphenoid sinus fistula","authors":"Chase Dougherty, Barton F. Branstetter IV","doi":"10.3941/jrcr.v17i10.4707","DOIUrl":"https://doi.org/10.3941/jrcr.v17i10.4707","url":null,"abstract":"Persistent craniopharyngeal canal (PCC) is a rare congenital anomaly that appears as a linear well-corticated canal running from the sella through the clivus and into the nasopharynx. Case reports of this anomaly have shown it is associated with a range of craniofacial defects, pituitary abnormalities, and meningoencephaloceles. It predisposes patients to bacterial meningitis. In this case a 46-year-old gentleman presenting for preoperative planning for surgical drainage of Potts Puffy tumor was found to have a PCC on CT and MRI. Imaging also demonstrated the presence of chronic inflammation and a fistula extending from the tract into the sphenoid sinus. This unusual presentation of a PCC with a sphenoid sinus fistula broadens the potential clinical presentations of PCC and further emphasizes the ability of this anomaly to serve as a conduit for CNS infection.","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":"35 10","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138994254","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
Rare origin - Ewing's sarcoma of the pleura: a case report and literature review. 罕见病因--胸膜尤文氏肉瘤：病例报告和文献综述。
IF 1
Journal of Radiology Case Reports Pub Date : 2023-10-31 eCollection Date: 2023-10-01 DOI: 10.3941/jrcr.v17i8.5187
Liao Juan, Yu Jianqun, Li Fanglan
{"title":"Rare origin - Ewing's sarcoma of the pleura: a case report and literature review.","authors":"Liao Juan, Yu Jianqun, Li Fanglan","doi":"10.3941/jrcr.v17i8.5187","DOIUrl":"10.3941/jrcr.v17i8.5187","url":null,"abstract":"<p><p>Ewing sarcoma (ES) was first reported by Ewing in 1921. It is the second largest malignant bone tumor in children and adolescents, typically occurring in the bones of trunk or limbs . Extraskeletal Ewing sarcoma (EES) was first reported by Tefft et al. in 1969 and is extremely rare, accounting for less than 1% of all sarcomas. It can occur in any part of soft tissue, mostly in the trunk and lower limbs, and rarely in the pleura. We report a 22-year-old case of extraosseous Ewing sarcoma of pleural origin discovered and pathologically confirmed by physical examination. We report its CT manifestations and pathological results, and review the literature to summarize and analyze the clinical and imaging characteristics of extraosseous Ewing sarcoma, in order to improve our understanding of the disease.</p>","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":"17 10","pages":"21-25"},"PeriodicalIF":1.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10852051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724469","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
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