Radiology Case Reports最新文献

{"title":"Unmasking measles in pregnancy: A fatal rare case of maternal measles with posthumous diagnosis in a resource-constrained setting","authors":"John Lugata ,&nbsp;Onesmo Mrosso ,&nbsp;Tecla Lyamuya ,&nbsp;Patricia Swai ,&nbsp;Rafiki Mjema ,&nbsp;Kajiru Kilonzo ,&nbsp;Bariki Mchome ,&nbsp;Nasra Batchu","doi":"10.1016/j.radcr.2025.06.039","DOIUrl":"10.1016/j.radcr.2025.06.039","url":null,"abstract":"<div><div>Measles, a highly contagious viral airborne disease, continues to loom as a public health concern worldwide. Despite the availability of an effective measles vaccine, maintaining a vaccine coverage of at least 95% is imperative to uphold herd immunity, which acts as a crucial barrier against the disease's resurgence. This safeguard against measles resurgence remains vulnerable, as outbreaks can occur in pockets of susceptible population where there is low vaccine uptake, even in regions that seemingly maintain satisfactory average vaccination coverage. We present a rare case from northern Tanzania of a 20-year-old female at 28 weeks of gestation age who presented with persistent cough with bloody sputum, chest pain, fevers, epistaxis, and episodes of bloody diarrhea. A postmortem examination was conducted and the findings revealed pathognomonic features of measles. Serum IgM was tested positive for measles result confirming the diagnosis. This rare case report of the pregnant woman with a posthumous diagnosis of measles emphasizes the ongoing complexities in diagnosing and managing measles. It highlights the necessity for an integrative diagnostic approach and heightened clinical awareness, particularly in resource-limited environments</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4749-4754"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501047","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":"Incidental discovery of Tornwaldt’s cyst during evaluation for suspected obstructive sleep apnea syndrome in a patient with auditory symptoms","authors":"Saad Bouchlarhem ,&nbsp;Achraf Amine Sbai ,&nbsp;Drissia Benfadil ,&nbsp;Azeddine Lachkar ,&nbsp;Fahd El Ayoubi El Idrissi","doi":"10.1016/j.radcr.2025.06.006","DOIUrl":"10.1016/j.radcr.2025.06.006","url":null,"abstract":"<div><div>Tornwaldt’s cyst is a rare, congenital lesion of the nasopharynx due to incomplete regression of the notochordal-pharyngeal connection. It forms a midline cystic cavity in the pharyngeal bursa. While often asymptomatic, symptomatic cysts may cause nasal obstruction, postnasal drip, halitosis, occipital headache, or Eustachian tube dysfunction. Diagnosis relies on nasal endoscopy revealing a well-circumscribed cystic mass in the posterior nasopharynx. High-resolution CT assists by demonstrating a low-attenuation midline lesion, aiding differentiation from other masses. Histology confirms the diagnosis. Management is conservative for asymptomatic cases; symptomatic cysts require surgical excision or endoscopic marsupialization, with excellent outcomes and low recurrence rates.</div><div>We report a 25-year-old male with suspected obstructive sleep apnea syndrome and auditory symptoms. Imaging revealed a Tornwaldt cyst. Early diagnosis and multidisciplinary management are essential to optimize outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4738-4744"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501049","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":"Nonseminomatous mixed germ cell tumor of the testis: Case report","authors":"Azer Hafsi MD ,&nbsp;Fares El Hafsi MD ,&nbsp;Ayoub Bahria MD ,&nbsp;Aymen Namrouti MD ,&nbsp;Omaima Bkekri MD ,&nbsp;Asma Saadaoui MD ,&nbsp;Imen Ganzoui MD","doi":"10.1016/j.radcr.2025.06.045","DOIUrl":"10.1016/j.radcr.2025.06.045","url":null,"abstract":"<div><div>Testicular germ cell tumors (GCTs) are the most common solid malignancies in young males, with nonseminomatous germ cell tumors (NSGCTs) representing a significant subset characterized by aggressive behavior and elevated tumor markers. This case report highlights the diagnostic and therapeutic challenges in a young male with a history of surgically corrected testicular ectopy, presenting with progressive testicular enlargement and pain, ultimately diagnosed as a mixed NSGCT. A 25-year-old male presented with a 1-month history of right testicular enlargement and pain. Physical examination revealed a tender, enlarged right testicle. Laboratory investigations showed elevated tumor markers, including Alpha-fetoprotein (AFP: 1,200 ng/mL) and Beta-human chorionic gonadotropin (BHCG: 450 IU/L). Magnetic Resonance Imaging (MRI) of the scrotum was performed, including T2-weighted axial and coronal sequences, diffusion-weighted imaging (DWI), and dynamic contrast-enhanced imaging (DCE-MRI) with gadolinium. Radical inguinal orchiectomy was performed, and the resected specimen was subjected to histopathological examination. MRI revealed a large, heterogeneously hyperintense mass (50 × 50 × 45 mm) replacing the right testicular parenchyma, with irregular margins, hemorrhagic streaks, and low apparent diffusion coefficient (ADC) values (0.6 × 10⁻⁶ mm²/s). Dynamic postcontrast imaging demonstrated weak and progressive enhancement, consistent with NSGCT. Radical orchiectomy confirmed a grossly enlarged testicle with necrotic and hemorrhagic regions. Histopathology confirmed a mixed NSGCT, comprising embryonal carcinoma and yolk sac tumor components. Postoperative recovery was uneventful, and the patient was referred for further oncological management. This case underscores the importance of a multimodal diagnostic approach, integrating clinical evaluation, tumor markers, advanced imaging, and histopathology, in the management of testicular malignancies. Elevated AFP and BHCG levels were pivotal in raising suspicion for NSGCT, while MRI provided detailed characterization of the tumor’s size, internal architecture, and enhancement patterns, guiding surgical intervention. The histopathological findings confirmed the aggressive nature of the tumor, necessitating a multidisciplinary approach for further management. Early diagnosis and prompt intervention are critical for improving outcomes in patients with NSGCTs, particularly those with mixed histological components. This case highlights the pivotal role of MRI in diagnosing and staging testicular malignancies, complemented by tumor markers and histopathology. The integration of these modalities ensures accurate diagnosis and guides appropriate surgical and oncological management. Future studies should focus on refining imaging techniques and biomarkers to enhance diagnostic precision and personalize treatment strategies for testicular GCTs.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4745-4748"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501050","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":"Hemiazygos-accessory hemiazygos continuation of left-sided inferior vena cava: A case report and review of the literature","authors":"Nedasadat Rezaei ,&nbsp;Manizhe Ataee Kachuee ,&nbsp;Peyman Famili ,&nbsp;Ghazaleh Salehabadi","doi":"10.1016/j.radcr.2025.05.086","DOIUrl":"10.1016/j.radcr.2025.05.086","url":null,"abstract":"<div><div>Left side transposition of the inferior vena cava (IVC) is a rare anatomical variation formed during its complex embryonic developmental process. We present a 71-year-old female patient with an incidentally identified left-sided IVC in contrast-enhanced computed tomography during gastrointestinal bleeding workup. The left-sided IVC formed a hemiazygos-accessory hemiazygos continuation. A narrowing of the right retroaortic renal vein, consistent with the nutcracker phenomenon, was observed. Left-sided IVC, although asymptomatic in the majority of cases, may act as source of diagnostic confusion or contribute to deep vein thrombosis of lower extremities, especially in younger patients. Care must be practiced to establish a comprehensive diagnosis and minimize procedural risks.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4760-4767"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144511083","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":"Pediatric hanging injury: Rapid intervention and full neurological recovery","authors":"Matyas Wondwossen Elssa MD ,&nbsp;Merahi Kefyalew Merahi MD ,&nbsp;Kebron Wossen Aweke MD ,&nbsp;Bement Girma Abera MD ,&nbsp;Kidist Nega Aragaw MD ,&nbsp;Kefelegn Negalign Mekuria MD ,&nbsp;Daniel Berhane Gebresilassie MD","doi":"10.1016/j.radcr.2025.06.007","DOIUrl":"10.1016/j.radcr.2025.06.007","url":null,"abstract":"<div><div>Hanging injuries are a subset of strangulation injuries that pose significant risks of hypoxia and neurological damage, especially in pediatric populations. This report presents a case of a 13-year-old boy with hypoxic brain injury following a suicide attempt by hanging. Key aspects include the prolonged duration of strangulation, absence of vertebral or laryngeal trauma, successful intensive care management, and full recovery without residual neurological deficits. This case emphasizes the importance of timely intervention, multidisciplinary management, and preventive education to address the acute and long-term challenges of pediatric hanging injuries.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4755-4759"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501048","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":"A hidden diagnosis: Axillary ectopic breast cancer presenting as progressive lymphadenopathy: A rare case report and literature review","authors":"Marouane Boukroute ,&nbsp;Abdelmajide Regragui ,&nbsp;Ibtissam Bellajdel ,&nbsp;Chetbi Zaineb ,&nbsp;Hafsa Taheri ,&nbsp;Hanane Saadi ,&nbsp;Ahmed Mimouni","doi":"10.1016/j.radcr.2025.06.011","DOIUrl":"10.1016/j.radcr.2025.06.011","url":null,"abstract":"<div><div>Ectopic breast cancer (EBC<strong>)</strong> is a rare malignancy arising from mammary tissue located outside the normal breast area, most commonly in the axilla. Its atypical presentation, often without associated breast abnormalities, can lead to delayed diagnosis. We describe the case of a 48-year-old woman presenting with progressive right axillary lymphadenopathy over 23 months. Imaging, including mammography and contrast-enhanced T1-weighted breast MRI, showed no identifiable primary breast lesion. Histopathological analysis of a core needle biopsy revealed undifferentiated carcinoma with positive hormonal receptor status, consistent with invasive lobular carcinoma arising from ectopic mammary tissue. The patient underwent neoadjuvant chemotherapy, surgical excision, axillary lymph node dissection, and received adjuvant radiotherapy and endocrine therapy. This case underscores the diagnostic challenge of EBC and highlights the importance of considering it in the differential diagnosis of axillary masses. Early histological confirmation and a multidisciplinary management approach are essential to optimize patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4690-4694"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490832","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":"Hypertrophic cardiomyopathy unveiling multiple myeloma: A diagnostic challenge","authors":"Lamassab Nour el houda ,&nbsp;Bilal Marwa ,&nbsp;Noha El ouafi ,&nbsp;Nabila Ismaili","doi":"10.1016/j.radcr.2025.05.029","DOIUrl":"10.1016/j.radcr.2025.05.029","url":null,"abstract":"<div><div>Hypertrophic cardiomyopathy can be a rare initial presentation of hematologic malignancies such as multiple myeloma that is caused by an uncontrolled clonal proliferation of plasma cells. We report a case of a 65-year-old man, presenting with congestive heart failure, in whom EKJ and echocardiography findings are suggestive of cardiac amyloidosis, and which the etiological assessment identified multiple myeloma as the underlying cause. Through this case, we demonstrate that cardiac amyloidosis secondary to multiple myeloma can present as a newly diagnosed and rapidly progressive heart failure before any typical clinical features of multiple myeloma appear.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4716-4721"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491583","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":"A rare unusual location of neuroblastoma in theanterior-middle mediastinum in infant: A case report and literature review","authors":"Quynh Giang Nguyen MD ,&nbsp;Duy Ngo Quang MD ,&nbsp;Van Manh Trinh ,&nbsp;Dinh Huy Phan ,&nbsp;Thi Hang Nguyen MD ,&nbsp;Thi Thuy Linh Nguyen MD","doi":"10.1016/j.radcr.2025.05.099","DOIUrl":"10.1016/j.radcr.2025.05.099","url":null,"abstract":"<div><div>Neuroblastoma is a common tumor in children; however, its occurrence in the mediastinum - particularly in the anterior-middle mediastinum - is rare. Early diagnosis is crucial to initiate timely treatment and prevent disease progression. Surgery and chemotherapy are the standard treatments for neuroblastoma. Neuroblastoma should be considered in the differential diagnosis of anterior-middle mediastinal masses in children.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4706-4711"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491584","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":"Early first trimester diagnosis and management of rudimentary horn pregnancy: A rare case report","authors":"Youssef Essebbagh,&nbsp;Khadija Errmili,&nbsp;Fatima Z. Belouazza,&nbsp;Aziz Slaoui,&nbsp;Najia Zeraidi,&nbsp;Aziz Baidada","doi":"10.1016/j.radcr.2025.05.074","DOIUrl":"10.1016/j.radcr.2025.05.074","url":null,"abstract":"<div><div>Rudimentary horn pregnancy (RHP) is a rare and potentially life-threatening form of ectopic pregnancy that occurs in the context of a unicornuate uterus resulting from incomplete development of 1 Müllerian duct. We present the case of a 31-year-old nulligravida woman diagnosed at 8 weeks and 2 days of amenorrhea with an RHP, initially suspected via pelvic ultrasound and confirmed by laparoscopy. The patient underwent surgical resection of the rudimentary horn containing the pregnancy, with an uneventful postoperative course. RHP often presents with nonspecific symptoms, making early diagnosis difficult, and carries a high risk of uterine rupture and placenta accreta if left untreated. This case highlights the critical role of early ultrasonographic evaluation and emphasizes the importance of prompt surgical intervention to prevent severe maternal morbidity.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4722-4726"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491585","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":"Spondylocostal dysostosis with split cord malformation in a resource-limited setting: A case report","authors":"Kidus Demelash MD ,&nbsp;Suleiman Belay MD ,&nbsp;Haymanot Alebachew MD ,&nbsp;Gebreegziabher Hailay MD ,&nbsp;Fire Yishar MD ,&nbsp;Abate Weldetsadik MD","doi":"10.1016/j.radcr.2025.06.013","DOIUrl":"10.1016/j.radcr.2025.06.013","url":null,"abstract":"<div><div>Spondylocostal dysostosis (SCD) is a rare congenital disorder marked by severe vertebral and rib malformations, often resulting in thoracic insufficiency and respiratory issues. This report presents an 11-day-old neonate with persistent respiratory distress and chest wall deformities<strong>,</strong> found to have multiple rib agenesis, vertebral segmentation defects, and an associated split cord malformation (SCM). Although early surgical intervention can improve outcomes, the family chose conservative management due to accessibility and socioeconomic factors. The case highlights the complexities of managing Spondylocostal dysostosis (SCD), particularly when complicated by split cord malformation (SCM), and emphasizes the need for early diagnosis, comprehensive imaging, and individualized treatment strategies to optimize prognosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4727-4730"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491586","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}