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A case of laryngopharyngeal reflux: CT characterization in the acute setting 喉咽反流1例：急性CT表现
Radiology Case Reports Pub Date : 2025-04-24 DOI: 10.1016/j.radcr.2025.04.014
Joe Steinman PhD , Anna Hwang MD , Stefanie Lee MD, FRCPC
{"title":"A case of laryngopharyngeal reflux: CT characterization in the acute setting","authors":"Joe Steinman PhD ,&nbsp;Anna Hwang MD ,&nbsp;Stefanie Lee MD, FRCPC","doi":"10.1016/j.radcr.2025.04.014","DOIUrl":"10.1016/j.radcr.2025.04.014","url":null,"abstract":"<div><div>A case of supraglottic thickening and edema in a patient with laryngopharyngeal reflux (LPR) is presented. Symptoms included odynophagia and dysphagia acutely worse over the past 1 day prior to presentation, with recurrent vomiting and gastroesophageal reflux disease (GERD) over the past week. The patient underwent nasopharyngolaryngoscopy (NPL) and CT imaging to evaluate potential airway compromise or masses. Both CT and NPL demonstrated supraglottic swelling, with CT further revealing esophageal wall thickening and inflammation. CT findings of LPR are uncommonly reported, since diagnosis of LPR is typically based on clinical symptoms, direct observation (laryngoscopy), and reflux testing. LPR may be considered as part of the differential for laryngeal edema in the appropriate clinical setting, and awareness of this condition will aid in assessment for related imaging findings.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3393-3397"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870289","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
Emphysematous aortitis complicated by a rapidly evolving pseudoaneurysm of the abdominal aorta, a life-threatening emergency: Case report and literature review 肺气肿性主动脉炎并发快速发展的腹主动脉假性动脉瘤，危及生命的紧急情况：病例报告和文献复习
Radiology Case Reports Pub Date : 2025-04-21 DOI: 10.1016/j.radcr.2025.03.068
Tarik Bakkali , Safaa Mouhanni , Jalal Kherroubi , Saad Alyakine , Mehdi Lekehal , Ayoub Bounssir , Brahim Lekehal
{"title":"Emphysematous aortitis complicated by a rapidly evolving pseudoaneurysm of the abdominal aorta, a life-threatening emergency: Case report and literature review","authors":"Tarik Bakkali ,&nbsp;Safaa Mouhanni ,&nbsp;Jalal Kherroubi ,&nbsp;Saad Alyakine ,&nbsp;Mehdi Lekehal ,&nbsp;Ayoub Bounssir ,&nbsp;Brahim Lekehal","doi":"10.1016/j.radcr.2025.03.068","DOIUrl":"10.1016/j.radcr.2025.03.068","url":null,"abstract":"<div><div>Emphysematous aortitis is a rare but serious clinical form of infectious aortitis that can lead to potentially fatal complications, in particular pseudoaneurysms of the aorta that rapidly progress to rupture. This article describes the case of a 61-year-old man who presented with severe abdominal pain of 10 days duration associated with a hypertensive crisis. Imaging revealed emphysematous aortitis complicated by an abdominal aortic pseudoaneurysm measuring 14 × 11 mm surrounded by periaortic inflammation and intramural gas. Despite early probabilistic antibiotic therapy, angio-CT surveillance revealed rapid growth of the pseudoaneurysm to 28 × 24 mm within 48 hours. Emergency surgical treatment with an aortic allograft was performed, and postoperative cultures identified Salmonella species as the pathogen. This case highlights the importance of imaging, particularly angioscan, in establishing the diagnosis, assessing the severity of this disease and the importance of prompt surgery in the management of this highly aggressive condition. A review of similar cases in the literature is included to contextualize this rare clinical entity.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3380-3383"},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851627","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
Giant cell tumor of the thoracic spine: An unusual cause for spinal cord compression 胸椎巨细胞瘤：脊髓受压的一个不寻常原因
Radiology Case Reports Pub Date : 2025-04-19 DOI: 10.1016/j.radcr.2025.03.055
Ghassen Gader , Fatma Ben Attig , Wiem Mansour , Abdelhafidh Slimane , Malek Bourgou , Mohamed Badri , Ihsèn Zammel
{"title":"Giant cell tumor of the thoracic spine: An unusual cause for spinal cord compression","authors":"Ghassen Gader ,&nbsp;Fatma Ben Attig ,&nbsp;Wiem Mansour ,&nbsp;Abdelhafidh Slimane ,&nbsp;Malek Bourgou ,&nbsp;Mohamed Badri ,&nbsp;Ihsèn Zammel","doi":"10.1016/j.radcr.2025.03.055","DOIUrl":"10.1016/j.radcr.2025.03.055","url":null,"abstract":"<div><div>Giant cell tumors (GCTs) of bone are uncommon neoplasms, typically located in the metaphysis of long bones, with rare occurrences in the spine, especially in the thoracic region. We report the case of a 34-year-old woman with a history of psoriasis and celiac disease, who presented with progressive inflammatory back pain and paraparesis. Imaging revealed an osteolytic mass at the T11 vertebra, causing dorsal spinal cord compression. Emergency surgery was performed, with histopathology confirming GCT. Despite initial recovery of motor function, surgical stabilization was later necessary to prevent spinal instability. The patient was started on adjuvant Denosumab therapy and remained asymptomatic on follow-up. This case highlights the rarity of GCT in the thoracic spine and associated diagnostic and therapeutic challenges. Though benign, GCTs can cause severe spinal cord compression, necessitating prompt surgical intervention to preserve neurological function. Denosumab therapy shows promise in controlling tumor progression and enhancing surgical outcomes. Multidisciplinary management and regular follow-up are essential to prevent recurrence and improve prognosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3372-3375"},"PeriodicalIF":0.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847989","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
Outer lumen arterial imaging with CTA: A potential tool to diagnose vertebral artery dissection CTA外腔动脉成像：一种诊断椎动脉夹层的潜在工具
Radiology Case Reports Pub Date : 2025-04-19 DOI: 10.1016/j.radcr.2025.03.041
Joseph T. George MD, Girish Bathla MBBS, MMed, Ian T. Mark MD, MSM
{"title":"Outer lumen arterial imaging with CTA: A potential tool to diagnose vertebral artery dissection","authors":"Joseph T. George MD,&nbsp;Girish Bathla MBBS, MMed,&nbsp;Ian T. Mark MD, MSM","doi":"10.1016/j.radcr.2025.03.041","DOIUrl":"10.1016/j.radcr.2025.03.041","url":null,"abstract":"<div><div>Differentiating vertebral artery dissection (VAD) from vertebral artery hypoplasia (VAH) can be difficult with standard CT/CTA imaging. However, making this distinction is critical to providing appropriate patient management. In this brief report/technical note, we describe a new 3D CTA postprocessing technique to potentially distinguish VAD from VAH. We describe a case of right-sided VAD, where the initially rendered 3D images demonstrated a small inner lumen of the vertebral artery (VA). With this technique, VAD and VAH can potentially be conflated as the inner lumens in both conditions are narrow. A subsequent set of 3D images highlighted the outer lumen, which was relatively preserved - a finding in VAD but not VAH. With the proliferation of CTA imaging in the emergency setting, this 3D post processing technique can serve as an invaluable tool. Moreover, this technique offers the potential to be expanded and improved upon by utilizing deep learning (DL)-based segmentation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3376-3379"},"PeriodicalIF":0.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847988","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
Right bronchial artery aneurysm successfully managed by embolization: Report of a rare case 右支气管动脉瘤成功栓塞治疗：罕见病例报告
Radiology Case Reports Pub Date : 2025-04-18 DOI: 10.1016/j.radcr.2025.03.069
Tamara Aburiash , Moaath Sawalha , Yazan Giacaman , Mohammed Khader
{"title":"Right bronchial artery aneurysm successfully managed by embolization: Report of a rare case","authors":"Tamara Aburiash ,&nbsp;Moaath Sawalha ,&nbsp;Yazan Giacaman ,&nbsp;Mohammed Khader","doi":"10.1016/j.radcr.2025.03.069","DOIUrl":"10.1016/j.radcr.2025.03.069","url":null,"abstract":"<div><div>Bronchial artery aneurysms (BAAs) are rare but can cause life-threatening pulmonary hemorrhage. Early diagnosis and treatment are crucial for preventing fatal complications. BAAs may be associated with inflammatory lung diseases or may occur idiopathically. Super-selective bronchial artery embolization has become the preferred therapeutic approach due to its safety and efficacy in controlling bleeding.</div><div>We present a case of a 31-year-old otherwise healthy female who experienced recurrent hemoptysis and was found to have a large, tortuous right bronchial artery aneurysm measuring 2.3 × 3.6 cm, identified via computed tomography (CT) and angiography. The aneurysm originated from the descending aorta. Given the high risk of rupture, the patient underwent right bronchial artery embolization (BAE) using Contour particles and coils, achieving a favorable outcome. Follow-up imaging is planned to ensure long-term success and prevent recurrence.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3356-3360"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844019","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
Isolated gastric perforation following blunt abdominal trauma: A case report 腹部钝性创伤后孤立性胃穿孔1例
Radiology Case Reports Pub Date : 2025-04-18 DOI: 10.1016/j.radcr.2025.03.044
Karim Haddar , Leila Haddar , Mohammed Leknani , Wadia Baddou , Nadia Mouna , Hamid Ziani , Siham Nasri , Imane Kamaoui , Imane Skiker
{"title":"Isolated gastric perforation following blunt abdominal trauma: A case report","authors":"Karim Haddar ,&nbsp;Leila Haddar ,&nbsp;Mohammed Leknani ,&nbsp;Wadia Baddou ,&nbsp;Nadia Mouna ,&nbsp;Hamid Ziani ,&nbsp;Siham Nasri ,&nbsp;Imane Kamaoui ,&nbsp;Imane Skiker","doi":"10.1016/j.radcr.2025.03.044","DOIUrl":"10.1016/j.radcr.2025.03.044","url":null,"abstract":"<div><div>Gastric perforation resulting from blunt abdominal trauma is a rare but life-threatening condition, accounting for a small fraction of abdominal injuries in trauma patients. Early identification is crucial due to its nonspecific presentation and diagnostic challenges. We report the case of a 20-year-old male involved in a high-speed motorcycle collision who presented with diffuse abdominal pain and distension. Contrast-enhanced CT imaging revealed pneumoperitoneum and a 4 cm perforation in the anterior gastric antrum, with no associated organ injuries. The patient underwent emergency exploratory laparotomy with primary repair using an omental patch. His postoperative recovery was uneventful, and gastric biopsy results were normal. This case underscores the rarity of isolated gastric perforation in blunt trauma and highlights the pivotal role of CT imaging in diagnosis. It also emphasizes the necessity of prompt surgical intervention to mitigate morbidity and mortality.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3367-3371"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847987","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 thrombosed intracavernous carotid giant aneurysm with ipsilateral carotid thrombosis: Imaging, and management challenges 颈动脉海绵内巨大动脉瘤伴同侧颈动脉血栓形成1例：影像学和治疗挑战
Radiology Case Reports Pub Date : 2025-04-18 DOI: 10.1016/j.radcr.2025.03.040
Abdelhamid Maqsoudi MD , Mounir Salek MD , Mohamed Ayez MD , Houssam Rajad MD , Meryem Amghar MD , Mohamed Lmejjati MD , Soukaina Wakrim MD
{"title":"A Case of thrombosed intracavernous carotid giant aneurysm with ipsilateral carotid thrombosis: Imaging, and management challenges","authors":"Abdelhamid Maqsoudi MD ,&nbsp;Mounir Salek MD ,&nbsp;Mohamed Ayez MD ,&nbsp;Houssam Rajad MD ,&nbsp;Meryem Amghar MD ,&nbsp;Mohamed Lmejjati MD ,&nbsp;Soukaina Wakrim MD","doi":"10.1016/j.radcr.2025.03.040","DOIUrl":"10.1016/j.radcr.2025.03.040","url":null,"abstract":"<div><div>A 78-year-old woman presented with symptoms related to a giant thrombosed intracavernous carotid artery aneurysm (ICCA) complicated by ipsilateral carotid thrombosis, a rare and complex vascular pathology. ICCAs are uncommon aneurysms arising from the cavernous segment of the internal carotid artery (ICA), influenced by both anatomical and hemodynamic factors. The presence of thrombus within an intracranial aneurysm adds to the risk of severe complications, necessitating precise imaging evaluation using MRI and MRA to characterize the lesion and guide management. This case highlights the diagnostic challenges and the importance of a multidisciplinary approach in determining the optimal treatment strategy for complex ICCAs.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3361-3366"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844121","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 curious case of the protruding muscle: A case report of muscle hernia 肌肉突出的奇怪病例：肌肉疝1例报告
Radiology Case Reports Pub Date : 2025-04-17 DOI: 10.1016/j.radcr.2025.03.082
Basma Dghoughi MD, Basma Beqqali MD, Kaoutar Maslouhi MD, Hajar Andour MD, Zaynab Iraqi Houssaini PhD, Omar El Aoufir PhD, Laila Jroundi PhD, Ola Messaoud PhD
{"title":"The curious case of the protruding muscle: A case report of muscle hernia","authors":"Basma Dghoughi MD,&nbsp;Basma Beqqali MD,&nbsp;Kaoutar Maslouhi MD,&nbsp;Hajar Andour MD,&nbsp;Zaynab Iraqi Houssaini PhD,&nbsp;Omar El Aoufir PhD,&nbsp;Laila Jroundi PhD,&nbsp;Ola Messaoud PhD","doi":"10.1016/j.radcr.2025.03.082","DOIUrl":"10.1016/j.radcr.2025.03.082","url":null,"abstract":"<div><div>Muscle hernias are an uncommon clinical entity, characterized by the protrusion of a muscle through the overlying weakened fascia. The most affected muscle is the tibialis anterior muscle, although other locations such as the upper limb are possible. Patients typically present with a palpable, soft-tissue mass that may be reducible upon physical examination. Imaging plays a critical role in accurately diagnosing muscle hernias, distinguishing them from other causes of palpable soft-tissue masses. Magnetic resonance imaging (MRI) is particularly valuable, as it allows detailed visualization of the muscle contour and the superficial fascial layers at the site of the abnormality. We report the case of a 32 years-old patient with a palpable mass of the thigh, presenting to our structure for an MRI, in which we concluded to a hernia of the vastus lateralis muscle.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3327-3330"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844020","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
An incidental pulmonary amyloidoma detected during 18F-FDG PET/CT assessment of large vessel vasculitis 18F-FDG PET/CT检查大血管炎时发现偶发性肺淀粉样瘤
Radiology Case Reports Pub Date : 2025-04-17 DOI: 10.1016/j.radcr.2025.03.079
George Ashton MBChB, BMedSci , Karan Bir Singh MBBS SCHP , Max Yan MBBS FRCPA , Monica A Rossleigh MBBS (Hons), M.D., FRACP , Anthony M. Sammel MBBS, PhD, FRACP , Ivan Ho Shon BSc(Med), MBBS, FRACP, FAANMS, PhD
{"title":"An incidental pulmonary amyloidoma detected during 18F-FDG PET/CT assessment of large vessel vasculitis","authors":"George Ashton MBChB, BMedSci ,&nbsp;Karan Bir Singh MBBS SCHP ,&nbsp;Max Yan MBBS FRCPA ,&nbsp;Monica A Rossleigh MBBS (Hons), M.D., FRACP ,&nbsp;Anthony M. Sammel MBBS, PhD, FRACP ,&nbsp;Ivan Ho Shon BSc(Med), MBBS, FRACP, FAANMS, PhD","doi":"10.1016/j.radcr.2025.03.079","DOIUrl":"10.1016/j.radcr.2025.03.079","url":null,"abstract":"<div><div>A 78-year-old woman underwent an <sup>18</sup>F-FDG PET/CT scan as part of the investigation for giant cell arteritis. This demonstrated active large vessel vasculitis along with a moderately metabolically active pulmonary nodule in the left upper lobe; the appearances of which were concerning for malignancy. Subsequent biopsy of the pulmonary nodule was consistent with an amyloidoma. The nodule remained metabolically stable and of a similar appearance on repeat imaging performed 3 years later.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3347-3351"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844015","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
Massive nasal meningoencephalocele in a 4-month-old infant: A case report 4个月婴儿大面积鼻脑膜膨出1例
Radiology Case Reports Pub Date : 2025-04-17 DOI: 10.1016/j.radcr.2025.03.064
Shahin Rajaeih , Farshad Riahi , Sam Mirfendereski
{"title":"Massive nasal meningoencephalocele in a 4-month-old infant: A case report","authors":"Shahin Rajaeih ,&nbsp;Farshad Riahi ,&nbsp;Sam Mirfendereski","doi":"10.1016/j.radcr.2025.03.064","DOIUrl":"10.1016/j.radcr.2025.03.064","url":null,"abstract":"<div><div>A massive nasal meningoencephalocele is a rare congenital anomaly characterized by the herniation of brain tissue and meninges through a defect in the skull base into the nasal cavity. It typically manifests as nasal obstruction and respiratory distress in infancy and is diagnosed via imaging techniques such as magnetic resonance imaging, often necessitating surgical intervention for treatment. This document outlines the endoscopic treatment of a 4-month-old child with a significant nasal meningoencephalocele.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3344-3346"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844017","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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