Radiology Case Reports最新文献_第2页

A misdiagnosed case of tumefactive demyelinating lesion mimicking glioma: Imaging pitfalls and diagnostic lessons 模拟胶质瘤的肿瘤性脱髓鞘病变误诊1例：影像学缺陷及诊断教训

Radiology Case Reports Pub Date : 2026-05-01 Epub Date: 2026-02-13 DOI: 10.1016/j.radcr.2026.01.078

Cheng-Cai Li MD , Guan-liang Wang MD , Xing-pan You BM , Wu-jie Wei MM , Fang Pan MM , Zi-jing Deng MS , Guo-hong Shen BM , Xing-ping Tan BM

引用次数: 0

Purulent Streptococcus Pneumoniae meningitis with suppurative focus and infectious vasculitis leading to ischemic and hemorrhagic strokes: A rare case report 化脓性肺炎链球菌脑膜炎伴化脓性病灶和感染性血管炎导致缺血性和出血性中风：一例罕见病例报告

Radiology Case Reports Pub Date : 2026-05-01 Epub Date: 2026-02-13 DOI: 10.1016/j.radcr.2026.01.071

Ines Azouz MD, Yosra Mzid MD, Amine Mahdi MD, Mohamed Abed MD, Khaireddine Ben Mahfoudh MD

{"title":"Purulent Streptococcus Pneumoniae meningitis with suppurative focus and infectious vasculitis leading to ischemic and hemorrhagic strokes: A rare case report","authors":"Ines Azouz MD, Yosra Mzid MD, Amine Mahdi MD, Mohamed Abed MD, Khaireddine Ben Mahfoudh MD","doi":"10.1016/j.radcr.2026.01.071","DOIUrl":"10.1016/j.radcr.2026.01.071","url":null,"abstract":"<div><div>Acute bacterial meningitis (ABM) is a neurological emergency that continues to cause high levels of morbidity and mortality worldwide. Despite advances in antimicrobial therapy and vaccination, it continues to cause severe neurological sequelae. In both adults and children older than 2 years, <em>Streptococcus pneumoniae</em> is the leading cause of acute bacterial meningitis, often leading to life-threatening complications. Vascular complications are seen in 15%-20% of all cases of acute bacterial meningitis, and intracerebral hemorrhages occur in 2% of patients. Coexistence of ischemic and hemorrhagic complications is rare. The authors report an infrequent case of pneumococcal meningitis in a comatose patient transferred to the emergency department by civil protection. Radiological work-up with computed tomography (CT) and magnetic resonance imaging (MRI), followed by cerebrospinal fluid (CSF) analysis, enabled accurate identification of the underlying etiology and allowed timely, targeted therapeutic management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 5","pages":"Pages 1838-1845"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193261","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

Cervical vertebra plana secondary to Ewing sarcoma: A case report 继发于尤文氏肉瘤的颈椎平面1例

Radiology Case Reports Pub Date : 2026-05-01 Epub Date: 2026-02-13 DOI: 10.1016/j.radcr.2026.01.037

Richie Zhang BA , Mason C. Vaillancourt MD , Theodore S. Donta MD, PhD , Jenna M. Gedminas MD , Takashi S. Sato MD

引用次数: 0

Dual complications of type I endoleak and aorto-enteric fistula post-EVAR: A case report and review of literature evar术后I型腔内漏及主动脉肠瘘双重并发症1例并文献复习

Radiology Case Reports Pub Date : 2026-05-01 Epub Date: 2026-02-13 DOI: 10.1016/j.radcr.2026.01.034

Abel Tsehay Abebe MD, Sunskruthi Krishna BA, Peeyush Bhargava MD MBA

{"title":"Dual complications of type I endoleak and aorto-enteric fistula post-EVAR: A case report and review of literature","authors":"Abel Tsehay Abebe MD, Sunskruthi Krishna BA, Peeyush Bhargava MD MBA","doi":"10.1016/j.radcr.2026.01.034","DOIUrl":"10.1016/j.radcr.2026.01.034","url":null,"abstract":"<div><div>Aortoenteric fistula (AEF) is a rare but life-threatening complication following endovascular aortic repair (EVAR). Although individual complications such as endoleak and graft infection are well described, the simultaneous occurrence of an endoleak and AEF is exceedingly uncommon and poses significant diagnostic and therapeutic challenges. Most reported cases of this dual complication involve type II endoleaks; to our knowledge, this represents the first reported case of a type I endoleak occurring in conjunction with an AEF, specifically an aortocolic fistula. We describe a 94-year-old woman who presented with abdominal pain and sepsis 1 year after undergoing EVAR for a ruptured infrarenal abdominal aortic aneurysm. Contrast-enhanced computed tomography (CT) demonstrated a type I endoleak with associated graft infection and imaging findings highly suggestive of an aortoenteric fistula. This case adds to the limited existing literature and underscores the importance of maintaining a high index of suspicion for this potentially fatal dual complication, while highlighting the critical role of cross-sectional imaging in timely diagnosis and in guiding appropriate clinical management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 5","pages":"Pages 1830-1833"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192951","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

18F-FAPI-74 PET/CT findings of an inflammatory branchial cleft cyst mimicking cervical metastasis from carcinoma of unknown primary: A case report 18f - fpi -74 PET/CT表现：一例炎性鳃裂囊肿，模仿原发不明癌的宫颈转移

Radiology Case Reports Pub Date : 2026-05-01 Epub Date: 2026-02-13 DOI: 10.1016/j.radcr.2026.01.064

Seiji Oyagi MD , Tomohiko Yamane MD , Takuya Yamamoto MD , Norio Yamamoto MD , Hara Shigeo MD , Michio Senda MD , Masahiro Kikuchi MD

{"title":"18F-FAPI-74 PET/CT findings of an inflammatory branchial cleft cyst mimicking cervical metastasis from carcinoma of unknown primary: A case report","authors":"Seiji Oyagi MD , Tomohiko Yamane MD , Takuya Yamamoto MD , Norio Yamamoto MD , Hara Shigeo MD , Michio Senda MD , Masahiro Kikuchi MD","doi":"10.1016/j.radcr.2026.01.064","DOIUrl":"10.1016/j.radcr.2026.01.064","url":null,"abstract":"<div><div>Fibroblast-activation protein inhibitor (FAPI) positron-emission tomography (PET) is emerging as a promising alternative to <sup>18</sup>F-fluorodeoxyglucose (FDG) PET for head-and-neck cancer. Herein, we describe the case of a 51-year-old man with a cystic level-II neck mass that was intensely FDG-avid and even more avid on <sup>18</sup>F-FAPI-74 PET. FDG-PET was performed as standard imaging modality to search for the primary tumor, while <sup>18</sup>F-FAPI-74 PET was conducted as part of a clinical trial to detect potential occult lesions missed by FDG. While cytology suggested metastatic squamous-cell carcinoma and FDG PET revealed asymmetric tonsillar uptake, raising suspicion of an occult oropharyngeal primary tumor, <sup>18</sup>F-FAPI-74 PET demonstrated an absence of tracer uptake in Waldeyer’s ring. The patient subsequently underwent ipsilateral palatine-tonsillectomy, lingual-tonsil biopsy, and radical neck dissection. Histopathological examination definitively excluded malignancy, identifying the lesion as an inflamed branchial cleft cyst with marked fibroblast proliferation, and confirmed that both tonsils were benign. Consequently, the preoperative cytology suggesting metastatic squamous cell carcinoma was determined to be a false-positive finding. This case underscores the potential of <sup>18</sup>F-FAPI-74 PET to exclude tonsillar primaries in carcinomas of unknown primary origin, while highlighting that fibrotic inflammation can cause false-positive uptake.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 5","pages":"Pages 1851-1855"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192952","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

Steatocystoma multiplex presenting with breast lumps: Diagnostic findings on mammography and ultrasound 以乳房肿块为表现的多发性脂肪囊瘤：乳房x线摄影和超声的诊断结果

Radiology Case Reports Pub Date : 2026-05-01 Epub Date: 2026-02-13 DOI: 10.1016/j.radcr.2026.01.028

Cecile Swift DO , Kevin Pugh DO , Fadi Moaikel DO , Sasmita Misra MD , Gregory Henkle MD

引用次数: 0

Ultrasound in the diagnosis and management of plantar fibromatosis (ledderhose disease): A case report 超声在足底纤维瘤病（皮靴病）诊断和治疗中的应用：1例报告

Radiology Case Reports Pub Date : 2026-05-01 Epub Date: 2026-02-13 DOI: 10.1016/j.radcr.2026.01.038

Sara Skalli MD, Khaoula Mestour MD, Iman Akhrif MD, Samia Karkouri MD

引用次数: 0

Radiology Case Reports Pub Date : 2026-05-01 Epub Date: 2026-02-13 DOI: 10.1016/j.radcr.2026.01.077

Kanako Miyara MD , Nanae Tsuchiya MD, PhD , Takaaki Nagano MD, PhD , Satoko Yogi MD, PhD , Akihiro Nishie MD, PhD

{"title":"Pulsation-related motion artifact of the external iliac artery mimicking localized dissection: An unexpected finding","authors":"Kanako Miyara MD , Nanae Tsuchiya MD, PhD , Takaaki Nagano MD, PhD , Satoko Yogi MD, PhD , Akihiro Nishie MD, PhD","doi":"10.1016/j.radcr.2026.01.077","DOIUrl":"10.1016/j.radcr.2026.01.077","url":null,"abstract":"<div><div>Contrast-enhanced CT is widely used for the evaluation of acute aortic dissection, but non–ECG-gated studies may still be affected by motion artifacts that mimic true vascular pathology. We report a woman in her forties who presented with right back pain. Non–ECG-gated contrast-enhanced CT demonstrated a discontinuous linear finding in the right external iliac artery, suggestive of a localized dissection. Follow-up CT performed 3 weeks later showed a similar appearance. Cine MRI subsequently revealed marked pulsatile motion of the right external iliac artery with approximately 6-mm displacement, resulting in compression and deformation of the adjacent external iliac vein. These findings confirmed that the CT abnormality represented a pulsation-induced motion artifact rather than true dissection. Although advances in CT technology have reduced motion artifacts, they may still occur in vessels with substantial pulsatile mobility. When such artifacts are suspected, complementary imaging—such as ultrasound, cine MRI, or ECG-gated CT—can facilitate accurate diagnosis and prevent unnecessary intervention.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 5","pages":"Pages 1827-1829"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193260","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

Late-onset vascular and tumor complications after childhood brain radiotherapy: A rare case of dual sequelae 儿童脑放疗后迟发性血管及肿瘤并发症：一例罕见的双重后遗症

Radiology Case Reports Pub Date : 2026-05-01 Epub Date: 2026-02-13 DOI: 10.1016/j.radcr.2026.01.063

Quoc-Huy Ly BBA , Shimon Garrel BS , Karthik Kanamalla MD , Armin Mahabadi MD , Daniel Masri MD

引用次数: 0

Woven EndoBridge treatment for anterior communicating artery aneurysm with optic neuropathy: A case report 编织桥内治疗前交通动脉瘤伴视神经病变1例

Radiology Case Reports Pub Date : 2026-05-01 Epub Date: 2026-02-13 DOI: 10.1016/j.radcr.2026.01.044

Hideki Endo MD, PhD , Yasuyuki Tatsuta MD , Koichiro Shindo MD , Daishi Yamaguchi MD , Suguru Sakurai MD , Yohei Yamaguchi MD, PhD , Ryunosuke Yoshihara MD , Daigo Goto MD , Masahiro Okuma MD , Tomoaki Ishizuka MD , Tatsuya Ogino MD , Hirohiko Nakamura MD, PhD

引用次数: 0