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Pott’s disease: A case of multilevel vertebral tuberculosis with spinal deformity 波特病：多节段椎体结核伴脊柱畸形1例
Radiology Case Reports Pub Date : 2025-08-01 DOI: 10.1016/j.radcr.2025.06.108
Charles K. Crawford BS, Hajra Arshad MD, Linda C. Chu MD, Elliot K. Fishman MD
{"title":"Pott’s disease: A case of multilevel vertebral tuberculosis with spinal deformity","authors":"Charles K. Crawford BS,&nbsp;Hajra Arshad MD,&nbsp;Linda C. Chu MD,&nbsp;Elliot K. Fishman MD","doi":"10.1016/j.radcr.2025.06.108","DOIUrl":"10.1016/j.radcr.2025.06.108","url":null,"abstract":"<div><div>Spinal tuberculosis (TB), also known as Pott’s disease, occurs in 1%-5% of TB patients. Spine is the most common musculoskeletal extrapulmonary site of infection in TB, with the thoracolumbar region affected the most. Spinal involvement leads to significant deterioration of the vertebrae, paraspinal abscesses, spondylodiscitis and may involve the spinal cord leading to neurologic deficits. Nonspecific signs and symptoms of back pain often delay and complicate the diagnosis. Computed tomography (CT) and magnetic resonance imaging (MRI) are the commonly used modalities for diagnosis as each can identify early bone destruction and abscess formation. MRI is highly sensitive for detecting disc and cord involvement. We present a case of a 29-year-old male with long standing back pain, diagnosed to be Pott’s disease, discussing the role of imaging through computed tomography (CT) and MRI in diagnosis and management of the disease.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5271-5275"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750082","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
Biparietal osteodystrophy in an 86-year-old woman: An incidental finding following minor head trauma 86岁女性双顶骨营养不良：轻微头部创伤后的偶然发现
Radiology Case Reports Pub Date : 2025-08-01 DOI: 10.1016/j.radcr.2025.06.118
Nur Hanani Binti Ruzman MD, MMed , Thai Hau Koo MD , Idris Bin Ibrahim MD, MMed , Azzam Baseri Huddin MD, MMed , Andee Dzulkarnaen Zakaria MD, Mmed , Fathinul Fikri Ahmad Saad MD, MMed , Mohd Hazeman Zakaria MD, MMed
{"title":"Biparietal osteodystrophy in an 86-year-old woman: An incidental finding following minor head trauma","authors":"Nur Hanani Binti Ruzman MD, MMed ,&nbsp;Thai Hau Koo MD ,&nbsp;Idris Bin Ibrahim MD, MMed ,&nbsp;Azzam Baseri Huddin MD, MMed ,&nbsp;Andee Dzulkarnaen Zakaria MD, Mmed ,&nbsp;Fathinul Fikri Ahmad Saad MD, MMed ,&nbsp;Mohd Hazeman Zakaria MD, MMed","doi":"10.1016/j.radcr.2025.06.118","DOIUrl":"10.1016/j.radcr.2025.06.118","url":null,"abstract":"<div><div>Biparietal osteodystrophy (bilateral parietal bone thinning) is a rare but well-documented phenomenon characterized by symmetric thinning of the parietal bones of the skull. It predominantly affects older adults, particularly women. We report the case of an 86-year-old woman who was incidentally diagnosed with this condition after a minor head injury. She presented with a low-impact fall and underwent neuroimaging to exclude intracranial hemorrhage. Computed tomography (CT) of the head revealed bilateral concave thinning of the parietal bones with an intact inner table, and no acute fracture or hemorrhage. A comprehensive workup, including metabolic and endocrine tests, showed no secondary causes of bone loss. Neurosurgical evaluation confirmed that no intervention was required. The patient was managed conservatively and advised on fall prevention measures, given the increased risk of skull fracture and brain injury in the presence of severe calvarial thinning. This case highlights the importance of recognizing biparietal osteodystrophy on imaging and distinguishing it from more acute pathologies as well as the need for appropriate counseling regarding its clinical implications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5276-5280"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750079","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
Total knee arthroplasty with fracture of polyethylene post 聚乙烯桩骨折全膝关节置换术
Radiology Case Reports Pub Date : 2025-08-01 DOI: 10.1016/j.radcr.2025.06.097
Bryanna McGowan BA, Cheng Zhou MD, Hyunji Shim MD, Alexandra Aronowitz MD, Emad Allam MD
{"title":"Total knee arthroplasty with fracture of polyethylene post","authors":"Bryanna McGowan BA,&nbsp;Cheng Zhou MD,&nbsp;Hyunji Shim MD,&nbsp;Alexandra Aronowitz MD,&nbsp;Emad Allam MD","doi":"10.1016/j.radcr.2025.06.097","DOIUrl":"10.1016/j.radcr.2025.06.097","url":null,"abstract":"<div><div>A total knee arthroplasty (TKA) is a common procedure performed in patients with symptomatic osteoarthritis that is refractory to conservative management. The use of polyethylene in prostheses has become the standard in many types of arthroplasties with improved longevity and increased patient satisfaction. We present a case of a rare postoperative complication of polyethylene post fracture detected on CT imaging in a patient who had a primary posterior stabilized total knee arthroplasty (TKA) performed several years prior.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5267-5270"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750078","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
Successful TAE of asymptomatic aneurysm associated with right inferior phrenic artery-to-pulmonary artery fistula 无症状动脉瘤伴右膈下动脉-肺动脉瘘的TAE成功
Radiology Case Reports Pub Date : 2025-08-01 DOI: 10.1016/j.radcr.2025.07.002
Junji Moriya MD , Yo Matsui , Hidenori Takahashi
{"title":"Successful TAE of asymptomatic aneurysm associated with right inferior phrenic artery-to-pulmonary artery fistula","authors":"Junji Moriya MD ,&nbsp;Yo Matsui ,&nbsp;Hidenori Takahashi","doi":"10.1016/j.radcr.2025.07.002","DOIUrl":"10.1016/j.radcr.2025.07.002","url":null,"abstract":"<div><div>We report a rare case of an asymptomatic aneurysm associated with a right inferior phrenic artery-to-pulmonary artery fistula, successfully treated with TAE. The lesion was discovered incidentally and was managed with a combination of NBCA glue and coil embolization. The patient remained asymptomatic at 2-year follow-up, confirming the efficacy and safety of preventive embolization in such rare vascular anomalies.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144748750","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
A case of multiple small bowel intussusceptions revealing a PEUTZ-JEGHERS syndrome 多发性小肠肠套叠1例，显示PEUTZ-JEGHERS综合征
Radiology Case Reports Pub Date : 2025-08-01 DOI: 10.1016/j.radcr.2025.06.112
Khaoula Boumeriem MD, Kabila Badr MD, Moatassim Billah Nabil PhD, Nassar Ittimade PhD, Imrani Kaoutar PhD
{"title":"A case of multiple small bowel intussusceptions revealing a PEUTZ-JEGHERS syndrome","authors":"Khaoula Boumeriem MD,&nbsp;Kabila Badr MD,&nbsp;Moatassim Billah Nabil PhD,&nbsp;Nassar Ittimade PhD,&nbsp;Imrani Kaoutar PhD","doi":"10.1016/j.radcr.2025.06.112","DOIUrl":"10.1016/j.radcr.2025.06.112","url":null,"abstract":"<div><div>Peutz-Jeghers Syndrome (PJS) is a rare autosomal dominant disorder marked by mucocutaneous pigmentation and gastrointestinal hamartomatous polyps, with a predisposition to malignancy. We present a 48-year-old male with known PJS who arrived at the emergency department with right flank abdominal pain. CT imaging revealed multiple small bowel intussusceptions—most notably in the right flank—alongside hyperdense intraluminal polyps. The patient underwent exploratory laparotomy, where manual reduction of the intussusceptions and surgical resection of polyps were performed. Postoperative recovery was uneventful, and he was enrolled in a surveillance program. We present the case of a 48-year-old male with Peutz-Jeghers Syndrome who developed multiple small bowel intussusceptions. This case highlights the importance of cross-sectional imaging, particularly CT and MRI enterography, in diagnosing complications and guiding treatment in adult PJS. Long-term management involves routine imaging, polyp surveillance, and cancer screening.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5251-5254"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750077","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
A case of retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations 视网膜血管病变伴脑白质脑病及全身表现1例
Radiology Case Reports Pub Date : 2025-08-01 DOI: 10.1016/j.radcr.2025.06.093
Musharaf Khan DO , Subtain Ali MD , Bushra Sayeed MD , Eyassu Hailemichael MD , Dhairya A. Lakhani MD
{"title":"A case of retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations","authors":"Musharaf Khan DO ,&nbsp;Subtain Ali MD ,&nbsp;Bushra Sayeed MD ,&nbsp;Eyassu Hailemichael MD ,&nbsp;Dhairya A. Lakhani MD","doi":"10.1016/j.radcr.2025.06.093","DOIUrl":"10.1016/j.radcr.2025.06.093","url":null,"abstract":"<div><div>Retinal vasculopathy with cerebral leukoencephalopathy (RVCL) is an autosomal dominant disorder caused by mutations in the TREX1 gene, which affects medium and small arteries and veins. Reported in fewer than 50 families worldwide, RVCL typically affects individuals between 35 and 40 years of age. It commonly presents with vision disturbances due to retinal vasculopathy and neurological deficits from cerebral leukoencephalopathy. Tumefactive brain lesions are sometimes seen, which can resemble gliomas or tumefactive multiple sclerosis. RVCL is also associated with systemic manifestations, including Raynaud's phenomenon, anemia, migraines, psychological issues, and dysfunction of organs such as the kidneys, liver, gastrointestinal system, and thyroid. A positive family history is frequently noted. Early recognition of RVCL is crucial for preventing unnecessary invasive procedures, facilitating early diagnosis, and enabling family counseling. This report presents a case of RVCL-S that was initially misdiagnosed as a glioma.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5263-5266"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750080","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
Closed spinal dysraphism: Think about it in the case of enuresis in children 闭合性脊柱发育异常：儿童遗尿症的思考
Radiology Case Reports Pub Date : 2025-07-31 DOI: 10.1016/j.radcr.2025.06.114
Eric Michel Charlemagne Junior Kessi, Kaoutar Maslouhi, Ibrahima Dokal Diallo, Gray Delors Tsioukaka, Lina Belkouchi, Siham El Haddad, Latifa Chat, Nazik Allali
{"title":"Closed spinal dysraphism: Think about it in the case of enuresis in children","authors":"Eric Michel Charlemagne Junior Kessi,&nbsp;Kaoutar Maslouhi,&nbsp;Ibrahima Dokal Diallo,&nbsp;Gray Delors Tsioukaka,&nbsp;Lina Belkouchi,&nbsp;Siham El Haddad,&nbsp;Latifa Chat,&nbsp;Nazik Allali","doi":"10.1016/j.radcr.2025.06.114","DOIUrl":"10.1016/j.radcr.2025.06.114","url":null,"abstract":"<div><div>Closed dysraphism is a rare but complex neurological disorder that can manifest as neurological deterioration secondary to an inherently tethered spinal cord. Spina bifida occulta is a spectrum of abnormalities ranging from lack of fusion of the vertebral arch without other associated abnormalities sometimes. An uro-neurological assessment is essential as this malformation may present urinary symptoms as the only urinary symptoms without other obvious neurological abnormalities. Spinal cord MRI is useful for diagnosing and determining the morphology of the pathology in young children with this condition.</div><div>This case highlights a correlation between closed spinal dysraphism and enuresis in children.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5255-5257"},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750081","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
Hydatid Cyst of the Liver complicated with a Fistula into the inferior Vena Cava 肝包虫病并发下腔静脉瘘
Radiology Case Reports Pub Date : 2025-07-31 DOI: 10.1016/j.radcr.2025.07.009
Souhaib Atri , Mahdi Hammami , Amine Sebai , Ahmed Ben Mahmoud , Dhouha Cherif , Youssef Chaker , Montassar Kacem
{"title":"Hydatid Cyst of the Liver complicated with a Fistula into the inferior Vena Cava","authors":"Souhaib Atri ,&nbsp;Mahdi Hammami ,&nbsp;Amine Sebai ,&nbsp;Ahmed Ben Mahmoud ,&nbsp;Dhouha Cherif ,&nbsp;Youssef Chaker ,&nbsp;Montassar Kacem","doi":"10.1016/j.radcr.2025.07.009","DOIUrl":"10.1016/j.radcr.2025.07.009","url":null,"abstract":"<div><div>Hydatid disease remains a significant public health concern in endemic countries such as Tunisia. Among its rare but serious complications is the rupture of a liver hydatid cyst into the inferior vena cava (IVC), leading to a wide range of clinical presentations and outcomes. This article reports 2 illustrative cases. The first involves a 45-year-old patient with recurrent right hypochondria pain, where imaging revealed a 6 cm liver cyst near the IVC. Surgical management included cyst resection and kysto-caval fistula repair, followed by recovery from a postoperative infection. The second case describes a 60-year-old woman with comorbidities, presenting with dyspnea and pain, where imaging showed multiple thromboses and a hepatic cyst; she was successfully managed conservatively with anticoagulants and Albendazole. These cases underscore the importance of timely diagnosis and tailored treatment for this rare but potentially life-threatening condition.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5258-5262"},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750075","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
The role of point-of-care ultrasound in detecting an occult pediatric elbow fracture missed on plain film: A case report 点护理超声在发现隐匿性儿童肘部骨折平片遗漏的作用：1例报告
Radiology Case Reports Pub Date : 2025-07-30 DOI: 10.1016/j.radcr.2025.06.087
India Rogers-Shepp , Andrew Parambath MD/MBA/M.Ed , Timothy J. Batchelor MD
{"title":"The role of point-of-care ultrasound in detecting an occult pediatric elbow fracture missed on plain film: A case report","authors":"India Rogers-Shepp ,&nbsp;Andrew Parambath MD/MBA/M.Ed ,&nbsp;Timothy J. Batchelor MD","doi":"10.1016/j.radcr.2025.06.087","DOIUrl":"10.1016/j.radcr.2025.06.087","url":null,"abstract":"<div><div>It has been proposed that sonography be utilized as an early imaging modality of choice when evaluating a pediatric elbow injury. We present a case where traditional plain film radiography was preferentially employed and failed to find diagnostic evidence of a fracture. When point-of-care ultrasound (POCUS) was employed to further evaluate for an occult fracture, it revealed indirect signs of injury requiring acute treatment and further orthopedic evaluation. Had POCUS been performed first, as proposed in some literature, its high sensitivity and ability to evaluate indirect signs of fracture may have spared this patient ionizing radiation exposure and longer wait times. This case shows the potential of POCUS to be used as a first-line imaging tool when evaluating pediatric elbow injuries. We advocate for more research to investigate this possibility.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5239-5242"},"PeriodicalIF":0.0,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738419","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
Vertebral hydatidosis cyst: Not the most common location. A case report 椎骨包虫病囊肿：不是最常见的部位。病例报告
Radiology Case Reports Pub Date : 2025-07-30 DOI: 10.1016/j.radcr.2025.06.086
Abdallah Bennasser, Ahmed El Mostarchid, Mehdi Oudrhiri Safiani, Ibtissam El Bqaq, Mohamed Jiddane, Firdaous Touarsa
{"title":"Vertebral hydatidosis cyst: Not the most common location. A case report","authors":"Abdallah Bennasser,&nbsp;Ahmed El Mostarchid,&nbsp;Mehdi Oudrhiri Safiani,&nbsp;Ibtissam El Bqaq,&nbsp;Mohamed Jiddane,&nbsp;Firdaous Touarsa","doi":"10.1016/j.radcr.2025.06.086","DOIUrl":"10.1016/j.radcr.2025.06.086","url":null,"abstract":"<div><div>Hydatid cyst is a well-known pathology today. Although uncommon in Western countries, it remains endemic in countries with a strong livestock culture. It is caused by <em>Echinococcus granuloses</em>, whose larval form develops in herbivores, primarily sheep, before infecting dogs. Humans, however, are considered accidental hosts. In the vast majority of cases, the liver and then the lungs are affected, but any organ can be involved, leading to atypical locations. Here, we present the case of a 32-year-old female patient who presented with a clinical picture of back pain and slow spinal cord compression. Imaging revealed a 12 cm polycystic dorsal costovertebral mass compressing the spinal cord. A decompressive laminectomy was performed, resulting in a reduction of spasticity.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5246-5250"},"PeriodicalIF":0.0,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738420","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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