{"title":"Retinoblastoma Metastatic to Bone: Case Series and Literature Review.","authors":"Pablo Troop, Bita Esmaeli, J Matthew Debnam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Retinoblastoma (RB) is a treatable tumor that arises in the retina, mainly affecting children under 2 years old. It results from a mutation on the long arm of chromosome 13, specifically of the RB1 gene (13q14). Patients with the hereditary form of RB have a higher incidence of metastases and secondary cancer development. These cancers, including metastasis, secondary malignant neoplasms, and radiation-associated sarcomas, are rare and typically occur in advanced stages. Although the overall prognosis for RB is generally favorable, it declines significantly when metastases develop. While rare, the most common sites of RB metastasis are the brain, osseous structures, cervical nodes, central nervous system, lungs, and liver. Here, we present the clinical and radiologic features of three patients with osseous metastasis from RB and review current literature, including the development of secondary malignant neoplasms, radiation-associated sarcomas, prognosis, and treatment options.</p>","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":"20 6","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149008560","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}
Brett A Fadrique, Levi Sanchez Ramirez, Trevor Abts, Salmaan Ahmed, J Matthew Debnam
{"title":"Pituitary Metastases from Thyroid Carcinoma: Case Series and Literature Review.","authors":"Brett A Fadrique, Levi Sanchez Ramirez, Trevor Abts, Salmaan Ahmed, J Matthew Debnam","doi":"10.3941/jrcr.5557","DOIUrl":"10.3941/jrcr.5557","url":null,"abstract":"<p><p>Metastases to the pituitary gland are extremely rare. Most of the reported cases arise from breast and lung cancer, with metastases from thyroid cancer seldom reported. Thyroid cancer metastases to the pituitary gland may occur as the initial presentation of metastatic disease or part of widespread disease and may occur years after the primary thyroid cancer diagnosis. Herein, we present three cases of thyroid cancer that metastasized to the pituitary gland and review the literature to address its clinical and radiologic features, prognosis, treatment, and differential diagnosis.</p>","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":"19 2","pages":"1-9"},"PeriodicalIF":0.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13157642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876092","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}
Levi Sanchez Ramirez, Bita Esmaeli, Hila Goldberg, Janet Fan, J Matthew Debnam
{"title":"Subcutaneous Forehead and Incidental Orbital Varices Diagnosed with MRI Under Sedation.","authors":"Levi Sanchez Ramirez, Bita Esmaeli, Hila Goldberg, Janet Fan, J Matthew Debnam","doi":"10.3941/jrcr.5353","DOIUrl":"10.3941/jrcr.5353","url":null,"abstract":"<p><p>A 5-year-old boy presented for evaluation of an intermittent lesion in the left forehead that, per history from his mother, enlarged when the child slept on his right side. On clinical exam, although there were no notable findings with the child in the upright position, fullness and an enlarging mass when the child was placed on his right side could be reproduced. A diagnosis of a venous varix was suspected. Under sedation, a routine Magnetic Resonance Imaging of the orbits without and with intravenous contrast in the supine position and an axial T1 post-contrast in the right lateral decubitus position was obtained. The forehead lesion demonstrated a positional increase in size and had the Magnetic Resonance Imaging appearance of a varix. An incidental extraconal mass was also noted on Magnetic Resonance Imaging, which had the appearance of a varix and also increased in size in the right lateral decubitus position, confirming the diagnosis of an orbital varix. This case reviews the clinical presentation and imaging findings of two head and neck varices that were diagnosed with Magnetic Resonance Imaging under sedation using positional changes, thus, negating the need for radiation exposure to a child if Computed Tomography was utilized for the radiologic diagnosis.</p>","PeriodicalId":46520,"journal":{"name":"Journal of Radiology Case Reports","volume":"18 8","pages":"8-13"},"PeriodicalIF":0.7,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13181577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976408","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}
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}
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}
{"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}
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}
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}
{"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}
{"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}