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, Girish Bathla MBBS, MMed, 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}
{"title":"Right bronchial artery aneurysm successfully managed by embolization: Report of a rare case","authors":"Tamara Aburiash , Moaath Sawalha , Yazan Giacaman , 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}
{"title":"Isolated gastric perforation following blunt abdominal trauma: A case report","authors":"Karim Haddar , Leila Haddar , Mohammed Leknani , Wadia Baddou , Nadia Mouna , Hamid Ziani , Siham Nasri , Imane Kamaoui , 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}
{"title":"A Case of thrombosed intracavernous carotid giant aneurysm with ipsilateral carotid thrombosis: Imaging, and management challenges","authors":"Abdelhamid Maqsoudi MD , Mounir Salek MD , Mohamed Ayez MD , Houssam Rajad MD , Meryem Amghar MD , Mohamed Lmejjati MD , 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}
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 , 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","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}
{"title":"The curious case of the protruding muscle: A case report of muscle hernia","authors":"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","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}
Shahin Rajaeih , Farshad Riahi , Sam Mirfendereski
{"title":"Massive nasal meningoencephalocele in a 4-month-old infant: A case report","authors":"Shahin Rajaeih , Farshad Riahi , 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}
Riya Yadav, Pratapsingh Parihar, Paritosh Bhangale, Umang Jajoo
{"title":"Tolosa-Hunt syndrome presenting as persistent unilateral headache and painful ophthalmoplegia: A rare case report highlighting diagnostic challenges and therapeutic response","authors":"Riya Yadav, Pratapsingh Parihar, Paritosh Bhangale, Umang Jajoo","doi":"10.1016/j.radcr.2025.03.084","DOIUrl":"10.1016/j.radcr.2025.03.084","url":null,"abstract":"<div><div>Tolosa-Hunt syndrome (THS) is a rare idiopathic granulomatous inflammation of the cavernous sinus, superior orbital fissure, or orbital apex, presenting with painful ophthalmoplegia. The exact etiology remains unclear, but it is believed to be immune-mediated. Early diagnosis is essential, as prompt corticosteroid therapy results in rapid symptom resolution. This case report highlights the clinical presentation, diagnostic workup, and management of a patient with Tolosa-Hunt syndrome, emphasizing the role of neuroimaging in confirming the diagnosis and the efficacy of corticosteroid treatment. A 55-year-old male presented with a persistent right-sided headache for 2.5 months, accompanied by diplopia for 5 days. Neurological and ophthalmic examination revealed right-sided ptosis, restricted extraocular movements, and binocular diplopia. MRI findings demonstrated an asymmetric enlargement of the right cavernous sinus with inflammatory changes extending into the orbital apex and superior orbital fissure, confirming Tolosa-Hunt syndrome. The patient was treated with high-dose corticosteroids, leading to significant clinical improvement. Following corticosteroid therapy, the patient experienced rapid resolution of headache and improvement in ocular motility. Repeat MRI after 6 weeks showed a marked reduction in inflammation. There was no recurrence of symptoms upon gradual steroid tapering. Tolosa-Hunt syndrome should be considered in patients with unilateral headache and painful ophthalmoplegia. MRI plays a crucial role in diagnosis, and corticosteroids remain the mainstay of treatment, leading to excellent outcomes. Early recognition and intervention can prevent long-term complications and disability.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3340-3343"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844016","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}
Azad Star Hattam , Soran H. Tahir , Zana Omar Kak Abdullah , San Khasraw Mohammed , Hawkar A. Nasralla , Sanaa O. Karim , Berun A. Abdalla , Hawar A. Sofi , Sarhang Sedeeq Abdalla , Fahmi H. Kakamad
{"title":"Hemorrhagic complication of arachnoid cyst: A case report and literature review","authors":"Azad Star Hattam , Soran H. Tahir , Zana Omar Kak Abdullah , San Khasraw Mohammed , Hawkar A. Nasralla , Sanaa O. Karim , Berun A. Abdalla , Hawar A. Sofi , Sarhang Sedeeq Abdalla , Fahmi H. Kakamad","doi":"10.1016/j.radcr.2025.03.072","DOIUrl":"10.1016/j.radcr.2025.03.072","url":null,"abstract":"<div><div>Arachnoid cysts (ACs) are congenital malformations that can form anywhere in the subarachnoid space along the cerebrospinal axis. While intracystic hemorrhage and subdural hematoma (SDH) are rare, they can be urgent complications that may require emergency craniotomy. This report aims to present a case of an AC complicated by intracystic hemorrhage and SDH. A 63-year-old man presented after a fall, reporting a mild headache, right-sided weakness, confusion, speech difficulties, and gait ataxia. Brain magnetic resonance imaging (MRI) revealed an acute or early subacute SDH. A cystic structure measuring 9 × 6 × 5 cm and showing hemorrhagic characteristics was identified deep within the left SDH. The patient underwent a left-sided craniotomy to evacuate the SDH and remove all surrounding membranes. Additionally, an intracystic hematoma was evacuated, and the cyst wall was fenestrated. The patient remained stable during the follow-up. Over the past decade, a brief literature review on AC complicated by intracystic hemorrhage and SDH identified 9 case reports encompassing ten cases. Patient ages ranged from 6 to 47 years, with only 2 (20%) female patients. Headaches were the most frequent symptom, present in all patients, while eight patients (80%) had no history of head trauma. Only two cases (10%) were treated conservatively. In conclusion, individuals with AC are vulnerable to developing intracystic hemorrhage and SDH, either spontaneously or post-trauma. Open craniotomy combined with cyst fenestration can lead to preferred outcomes in treating this condition.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3335-3339"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844021","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}
Muhammad Idrees MBBS , Mushtaq Ahmed MBBS, FCPS , Waleed Tariq BSc, MBBS , Muhammad Junaid Tahir BSc, MBBS , Anis ur Rehman MBBS, FRCR
{"title":"An uncommon presentation of abdominal mass in an infant: A case report of fetus in fetu","authors":"Muhammad Idrees MBBS , Mushtaq Ahmed MBBS, FCPS , Waleed Tariq BSc, MBBS , Muhammad Junaid Tahir BSc, MBBS , Anis ur Rehman MBBS, FRCR","doi":"10.1016/j.radcr.2025.03.073","DOIUrl":"10.1016/j.radcr.2025.03.073","url":null,"abstract":"<div><div>Owing to the rare existence of fetus in fetu (FIF) with an incidence of one per 500,000 live births worldwide, embryologically it is characterized as diamniotic, monochorionic, monozygotic twins partially developing within the twin body. We present a case of a 10-month-old female suffering from progressively increasing abdominal distention and an immobile abdominal mass which was highlighted on contrast-enhanced computed tomography (CECT) consisting of soft tissue, gaseous, and fluid components. It was deciphered after surgical intervention as a stunted fetus characterized by the presence of structures such as the auricle, eye impressions, limb, vertebral column, brain, and gastrointestinal tissue. Such findings suggest the case of a fetus in fetu. Fetus in fetu must be considered as a differential diagnosis among infants and young children presenting with abdominal distention. Such a presentation must never be overlooked and probed clinically and radiologically, followed by surgical intervention to relieve the pressure effect over the viscera and abdomen.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3331-3334"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844122","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}