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Rare occurrence of triple primary malignant tumors: Dermatofibrosarcoma protuberans, lung adenocarcinoma and papillary thyroid carcinoma in a patient with genetic evaluation
Radiology Case Reports Pub Date : 2024-12-03 DOI: 10.1016/j.radcr.2024.11.031
Luan Minh Bao Tran , Minh Duc Do , Truong Hung Nguyen , Ngoc-Minh Vuong
{"title":"Rare occurrence of triple primary malignant tumors: Dermatofibrosarcoma protuberans, lung adenocarcinoma and papillary thyroid carcinoma in a patient with genetic evaluation","authors":"Luan Minh Bao Tran ,&nbsp;Minh Duc Do ,&nbsp;Truong Hung Nguyen ,&nbsp;Ngoc-Minh Vuong","doi":"10.1016/j.radcr.2024.11.031","DOIUrl":"10.1016/j.radcr.2024.11.031","url":null,"abstract":"<div><div>Triple primary malignancies are rare, involving the occurrence of three distinct, unrelated cancers in a single patient, requiring a personalized, multidisciplinary treatment approach. A 69-year-old male was diagnosed with dermatofibrosarcoma protuberans (DFSP), lung adenocarcinoma, and papillary thyroid carcinoma. After amputation for DFSP, following staging and genetic evaluation, a multidisciplinary tumor board designed a tailored treatment plan, adjuvant chemotherapy for lung adenocarcinoma while monitor regularly the thyroid carcinoma via ultrasound. This case highlights the extreme rarity of this triple primary cancers combination and emphasizes the need for individualized treatment planning. Each cancer's unique characteristics, prognosis, and potential interactions must be considered, alongside the patient's overall health and treatment tolerability, to optimize outcomes in such complex cases.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1194-1199"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759195","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 right fronto-parietal gliosarcoma
Radiology Case Reports Pub Date : 2024-12-03 DOI: 10.1016/j.radcr.2024.11.036
Na Li , Wangsheng Chen
{"title":"A case of right fronto-parietal gliosarcoma","authors":"Na Li ,&nbsp;Wangsheng Chen","doi":"10.1016/j.radcr.2024.11.036","DOIUrl":"10.1016/j.radcr.2024.11.036","url":null,"abstract":"<div><div>Gliosarcoma (GS) is a rare subtype of glioblastoma multiforme, characterized by a shorter clinical course and poorer prognosis compared to glioblastoma. Here, we report the case of a 50-year-old male patient who presented with episodic loss of consciousness and left-sided limb weakness for one month. MRI revealed a complex neoplastic lesion in the right fronto-parietal region. Postoperative pathology confirmed GS, and the patient underwent adjuvant radiotherapy and chemotherapy. This case highlights the characteristic features of GS through a combination of imaging and pathological findings, providing valuable insights for radiologists.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1200-1204"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759384","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 case of dysphagia lusoria due to an anomalous vertebral artery originating from the aortic arch
Radiology Case Reports Pub Date : 2024-12-03 DOI: 10.1016/j.radcr.2024.10.121
Abubeker Fedlu Abdela MD, Natnael Alemu Bezabih MD, Amir Alwan MD
{"title":"Rare case of dysphagia lusoria due to an anomalous vertebral artery originating from the aortic arch","authors":"Abubeker Fedlu Abdela MD,&nbsp;Natnael Alemu Bezabih MD,&nbsp;Amir Alwan MD","doi":"10.1016/j.radcr.2024.10.121","DOIUrl":"10.1016/j.radcr.2024.10.121","url":null,"abstract":"<div><div>Dysphagia lusoria is a rare condition characterized by swallowing difficulties due to vascular compression of the esophagus. While most commonly caused by an aberrant right subclavian artery (ARSA), other vascular anomalies can also lead to this condition. We present a unique case of dysphagia lusoria in a 20-year-old Ethiopian male, caused by a vertebral artery originating anomalously from the aortic arch. The patient presented with a 6-month history of progressive dysphagia, particularly with solid foods. Diagnostic imaging revealed an aberrant right vertebral artery compressing the esophagus. Conservative management, including dietary modifications and swallowing exercises, led to significant symptom improvement. This case highlights the importance of considering rare vascular anomalies in the differential diagnosis of dysphagia, especially in young patients. It also demonstrates the potential effectiveness of conservative management in such cases. This report discusses the clinical presentation, diagnostic approach, and management of this rare variant of dysphagia lusoria.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1179-1181"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759383","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
Incidental finding of hepatic pseudolesion from aberrant right gastric vein in a breast cancer patient
Radiology Case Reports Pub Date : 2024-12-03 DOI: 10.1016/j.radcr.2024.11.022
Ahmed Sawafta MD , Zaid Sawaftah MD , Ameer Awashra MD , Yaqoot Anabseh MD , Husam Hamshary MD , Ali Bani Odah MD , Jana Dibas MD , Aseel Eid MD , Jehad Khamaysa MD , Ahmad Hamdan MD
{"title":"Incidental finding of hepatic pseudolesion from aberrant right gastric vein in a breast cancer patient","authors":"Ahmed Sawafta MD ,&nbsp;Zaid Sawaftah MD ,&nbsp;Ameer Awashra MD ,&nbsp;Yaqoot Anabseh MD ,&nbsp;Husam Hamshary MD ,&nbsp;Ali Bani Odah MD ,&nbsp;Jana Dibas MD ,&nbsp;Aseel Eid MD ,&nbsp;Jehad Khamaysa MD ,&nbsp;Ahmad Hamdan MD","doi":"10.1016/j.radcr.2024.11.022","DOIUrl":"10.1016/j.radcr.2024.11.022","url":null,"abstract":"<div><div>Aberrant right gastric veins (ARGV) represent rare anatomical variations that can result in hepatic pseudolesions, mimicking malignancies due to their atypical drainage directly into the liver parenchyma. This case highlights a 44-year-old woman initially presenting with a breast mass incidentally found to have an ARGV-related pseudolesion in hepatic segment IVa. ARGV is clinically significant as it can alter hepatic blood flow dynamics, leading to hyperdense or hypodense regions on imaging. Recognizing these pseudolesions is essential to avoid misdiagnosis, unnecessary procedures, and to distinguish them from true hepatic lesions. This case emphasizes the importance of advanced imaging modalities in diagnosing such anomalies, ensuring accurate patient management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1205-1207"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759282","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
Macro-vacuolar steatosis in a cirrhotic liver mimicking metastatic disease
Radiology Case Reports Pub Date : 2024-12-03 DOI: 10.1016/j.radcr.2024.11.025
Pietro Pitrone MD , Agatino Cacciola MD , Antonino Cattafi MD , Alessia Maria Romeo MD , Annalisa Cracò MD. , Francesco Marcello Aricò MD , Nicola Migliaccio MD , Francesca Magnani MD , Italo Giuseppe Bellone MD , Simona Caloggero MD , Giampiero Mastroeni MD
{"title":"Macro-vacuolar steatosis in a cirrhotic liver mimicking metastatic disease","authors":"Pietro Pitrone MD ,&nbsp;Agatino Cacciola MD ,&nbsp;Antonino Cattafi MD ,&nbsp;Alessia Maria Romeo MD ,&nbsp;Annalisa Cracò MD. ,&nbsp;Francesco Marcello Aricò MD ,&nbsp;Nicola Migliaccio MD ,&nbsp;Francesca Magnani MD ,&nbsp;Italo Giuseppe Bellone MD ,&nbsp;Simona Caloggero MD ,&nbsp;Giampiero Mastroeni MD","doi":"10.1016/j.radcr.2024.11.025","DOIUrl":"10.1016/j.radcr.2024.11.025","url":null,"abstract":"<div><div>Multinodular steatosis represents a relatively uncommon manifestation of fatty liver disease (FLD). Co-morbidities such as metabolic syndrome or cirrhosis are often associated. Despite typical features of imaging (ultrasound, CT, and MRI), core biopsy sometimes remains the gold standard for diagnosis. We describe the case of a 57-year-old male patient with a long history of hepatic cirrhosis and a recent diagnosis of carcinoma of the tongue, successfully treated. Due to the occurrence of nausea, diarrhea and jaundice the patient is admitted to Our Hospital where ultrasound examination and contrast-enhanced CT are performed, showing global hypoechogenicity of the liver parenchyma with multiple hypo-attenuating lesions. To rule out metastatic lesions, contrast-enhanced CT of the thorax and cranium and gastroscopy and colonoscopy are performed, with no evidence of primary malignancy. Core biopsy reveals macro-vacuolar steatosis within a cirrhotic liver with regenerative aspects.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1208-1210"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759294","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
Postoperative chylous ascites successfully managed by selective lymphatic embolization: Case report and literature review
Radiology Case Reports Pub Date : 2024-12-03 DOI: 10.1016/j.radcr.2024.11.007
Nguyen Ngoc Cuong PhD , Nguyen Thanh Van Anh PhD , Le Tuan Linh PhD , Tran Quoc Hoa PhD
{"title":"Postoperative chylous ascites successfully managed by selective lymphatic embolization: Case report and literature review","authors":"Nguyen Ngoc Cuong PhD ,&nbsp;Nguyen Thanh Van Anh PhD ,&nbsp;Le Tuan Linh PhD ,&nbsp;Tran Quoc Hoa PhD","doi":"10.1016/j.radcr.2024.11.007","DOIUrl":"10.1016/j.radcr.2024.11.007","url":null,"abstract":"<div><div>Postoperative chylous ascites is a rare complication following retroperitoneal surgeries, presenting significant challenges in diagnosis and management. Retroperitoneal cyst surgery resulting in chylous leaks is an uncommon complication that has not been previously reported in the literature. Therefore, we report a clinical case of postoperative chylous ascites following retroperitoneal cyst removal with underlying idiopathic thoracic duct obstruction. This case report details the clinical features and imaging characteristics, as well as provides insights into the diagnosis of chylous leaks and the management of selective embolization of the lymphatic branches in the lumbar region.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1189-1193"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759295","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
Extracapsluar lipohaemarthrosis: A case report and review of literature
Radiology Case Reports Pub Date : 2024-12-03 DOI: 10.1016/j.radcr.2024.07.020
Sundara Raja Perumal, K. Malathy, Revathi Rajagopal, Mohan S. Aparna
{"title":"Extracapsluar lipohaemarthrosis: A case report and review of literature","authors":"Sundara Raja Perumal,&nbsp;K. Malathy,&nbsp;Revathi Rajagopal,&nbsp;Mohan S. Aparna","doi":"10.1016/j.radcr.2024.07.020","DOIUrl":"10.1016/j.radcr.2024.07.020","url":null,"abstract":"<div><div>In the setting of trauma, occurrence of intracapsular lipo-hemarthrosis is not uncommon, highly useful and well known imaging finding. Occurrence of extracapsular lipohaemarthrosis is uncommon and have been noticed around the large joints like knee, hip, and shoulder joints. Extracapsular lipohaemarthrosis is rare especially around small joints like wrist joint. A 20-year-old male presented to emergency outpatient department following a fall on an outstretched hand, reported with subsequent pain, swelling, and restricted movement at the wrist joint. Imaging revealed a mildly displaced oblique fracture at the distal end of the radius with extension into the articular surface of the inferior radio-ulnar articulation. Additionally, fat-fluid level was observed around the extensor tendon at the wrist joint level, indicative of extra capsular lipo-hemarthrosis. Presence of fat fluid level around the joint, intra capsular or extra capsular should raise the suspicion of underlying fracture.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1175-1178"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759280","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
Magnetic resonance imaging in diagnosing spinal cord tuberculoma: A case series and literature review
Radiology Case Reports Pub Date : 2024-12-03 DOI: 10.1016/j.radcr.2024.10.156
Shimalis Fayisa MD , Sherief Ghozy MD , Armin Zarrinttan MD , Cem Bilgin MD , David F. Kallmes MD
{"title":"Magnetic resonance imaging in diagnosing spinal cord tuberculoma: A case series and literature review","authors":"Shimalis Fayisa MD ,&nbsp;Sherief Ghozy MD ,&nbsp;Armin Zarrinttan MD ,&nbsp;Cem Bilgin MD ,&nbsp;David F. Kallmes MD","doi":"10.1016/j.radcr.2024.10.156","DOIUrl":"10.1016/j.radcr.2024.10.156","url":null,"abstract":"<div><div>Spinal cord tuberculoma is a clinically significant form of extra-pulmonary tuberculosis, despite its rarity. It leads to considerable neurological deficits and morbidity. Accurate diagnosis and early intervention depend on radiologic imaging, typically MRI, which reveals T2 hypointensity with rim enhancement, forming a ``target sign'' characteristic of caseous stage tuberculoma. In this article, we present 3 cases of spinal cord tuberculoma without adjacent vertebral involvement; 2 cases affect the lower thoracic region, while one involves the cervical cord. All patients exhibited some degree of body weakness, which improved following the initiation of anti-tuberculosis treatment. Also, we discuss the role of MRI in diagnosing spinal cord tuberculoma, highlighting its characteristic findings, and review recent literature on the topic.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1182-1188"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759296","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
Left Para-duodenal hernia with distal bowel ischemia: An unusual presentation of the internal hernia: A case report and literature review
Radiology Case Reports Pub Date : 2024-12-02 DOI: 10.1016/j.radcr.2024.11.005
Manali Bhatta MD , Shailendra Katwal MD , Bigyan Paudel MD
{"title":"Left Para-duodenal hernia with distal bowel ischemia: An unusual presentation of the internal hernia: A case report and literature review","authors":"Manali Bhatta MD ,&nbsp;Shailendra Katwal MD ,&nbsp;Bigyan Paudel MD","doi":"10.1016/j.radcr.2024.11.005","DOIUrl":"10.1016/j.radcr.2024.11.005","url":null,"abstract":"<div><div>Internal hernias, including Left para duodenal Hernias (LPDH), are rare and challenging to diagnose due to their nonspecific symptoms and complex anatomical presentation. This report presents a unique case of a 29-year-old female with preoperatively diagnosed uncomplicated LPDH, complicated by distal bowel ischemia—a manifestation not extensively documented in existing literature. Initial imaging revealed dilated jejunal loops indicative of LPDH, with subsequent contrast-enhanced computed tomography (CECT) showing ischemic changes in bowel segments distal to the hernia. Surgical exploration confirmed 120 cm of gangrenous bowel, necessitating resection and jejunostomy. This case highlights the diagnostic and therapeutic challenges of LPDH and highlights the crucial role of advanced imaging in identifying associated complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1165-1169"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759281","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
Breast incidentaloma: Cardiac PET readers beware
Radiology Case Reports Pub Date : 2024-12-02 DOI: 10.1016/j.radcr.2024.10.152
Nirali Munshi DO , Julio Perez-Downes DO , Amie Leon DO , Haley Letter MD
{"title":"Breast incidentaloma: Cardiac PET readers beware","authors":"Nirali Munshi DO ,&nbsp;Julio Perez-Downes DO ,&nbsp;Amie Leon DO ,&nbsp;Haley Letter MD","doi":"10.1016/j.radcr.2024.10.152","DOIUrl":"10.1016/j.radcr.2024.10.152","url":null,"abstract":"<div><div>Breast cancer remains one of the most common causes of cancer and cancer-related death in women. With increases in medical imaging utilization, incidentally detected cancer has become more prevalent. Specifically, breast cancer can be incidentally detected on nuclear cardiac imaging scans due to its high metabolic activity and because the tumor may fall within the field of view during these studies. We report a unique case of ductal carcinoma in situ found on Nitrogen-13 ammonia myocardial perfusion positron emission tomography-computed tomography (PET-CT) in a patient undergoing work up for chest pain.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1141-1144"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759382","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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