Radiology Case Reports最新文献_第2页

Rare case of hard palate mucomycosis complicated by peri-orbital swelling: A diagnostic challenge 罕见的硬腭黏菌病合并眶周肿胀：一个诊断挑战

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.037

Khadija F. Hamdulay, Sunil Kumar, Sourya Acharya, Varun Daiya, Nishtha Manuja, Manjeet Kothari, Akshay M. Padwal

{"title":"Rare case of hard palate mucomycosis complicated by peri-orbital swelling: A diagnostic challenge","authors":"Khadija F. Hamdulay, Sunil Kumar, Sourya Acharya, Varun Daiya, Nishtha Manuja, Manjeet Kothari, Akshay M. Padwal","doi":"10.1016/j.radcr.2025.04.037","DOIUrl":"10.1016/j.radcr.2025.04.037","url":null,"abstract":"<div><div>Mucormycosis is a rare but aggressive fungal infection predominantly affecting immunocompromised individuals. It presents significant diagnostic and therapeutic challenges, particularly when involving uncommon sites such as the hard palate and peri-orbital region. A 61-year-old male with a history of type II diabetes mellitus presented with peri-orbital swelling of the left eye, fever, and oral discomfort. His symptoms began following a dental extraction complicated by alveolar osteitis. Physical examination revealed a lesion on the hard palate, and laboratory tests indicated an underlying infection. MRI of the brain and orbits showed signal abnormalities consistent with an infectious process involving the preseptal and peri-orbital regions, with extension to the optic nerve and orbital muscles. Based on clinical, imaging, and medical history findings, a diagnosis of hard palate mucormycosis with peri-orbital involvement was established. The patient received intravenous meropenem, fluconazole, and insulin for diabetes management alongside symptomatic treatments. Gradual clinical improvement was noted, including a reduction in peri-orbital swelling and better oral intake. The patient was discharged with a continued plan for antifungal therapy and close diabetic monitoring. This case underscores the importance of early recognition and aggressive treatment of mucormycosis, especially in immunocompromised patients. A multidisciplinary approach, incorporating advanced imaging and comprehensive management of underlying conditions, is crucial in improving outcomes and reducing the high morbidity and mortality associated with this infection.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3744-3747"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948896","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

Mammary Paget’s disease in a young woman: A rare occurrence 年轻女性乳腺佩吉特病：罕见

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.062

Chaimae Abourak, Aya Laridi, Ouafaa Chahboune, Siham Oukassem, Asmae Guennouni, Soukaina Bahha, Lina Belkouchi, Nazik Allali, Latifa Chat, Siham El Haddad

引用次数: 0

Discrepancy between MRI and intraoperative findings in a rare intramedullary epidermoid cyst: A case report and literature review 罕见髓内表皮样囊肿MRI与术中表现的差异：1例报告并文献复习

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.049

Isma Azam Zico MBBS, MRCS, MS(Neurosurgery) , Jahinul Anam MBBS , Ibrahim Khalil MBBS

{"title":"Discrepancy between MRI and intraoperative findings in a rare intramedullary epidermoid cyst: A case report and literature review","authors":"Isma Azam Zico MBBS, MRCS, MS(Neurosurgery) , Jahinul Anam MBBS , Ibrahim Khalil MBBS","doi":"10.1016/j.radcr.2025.04.049","DOIUrl":"10.1016/j.radcr.2025.04.049","url":null,"abstract":"<div><div>Intramedullary epidermoid cysts are rare, benign spinal tumors originating from ectodermal tissue during embryogenesis, comprising less than 1% of intraspinal lesions and posing diagnostic challenges due to their variable presentation and imaging overlap with other spinal pathologies. This case report describes a 22-year-old female who presented with progressive bilateral lower limb weakness, mid-back pain, and bowel-bladder incontinence, with preoperative MRI revealing a well-circumscribed intradural cystic lesion at the T5-T6 level exhibiting mixed-intensity patterns and a “shouldering effect,” initially suggesting an extramedullary location. Surgical exploration, however, confirmed an intramedullary position, and the lesion—characterized intraoperatively as a white, waxy, flaky mass—was excised en-bloc, with histopathology verifying an epidermoid cyst; the patient showed significant neurological recovery by her 12-month follow-up with no recurrence. This case highlights a critical discrepancy between MRI and intraoperative findings, emphasizing the need to integrate clinical, radiological, and surgical observations for accurate diagnosis and management of such rare spinal lesions. It underscores that intramedullary epidermoid cysts, though uncommon, should remain in the differential diagnosis for young adults with progressive neurological deficits, particularly in the thoracic spine, and that complete surgical resection is essential to prevent recurrence. Early diagnosis, meticulous surgical planning, and long-term follow-up are vital for optimizing outcomes, illustrating the importance of adaptability when imaging misaligns with operative reality and reinforcing the value of detailed case reporting to advance understanding of this rare pathology.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3755-3760"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948869","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

Diagnostic dilemma of seminal vesicle abscess: A serious case with a nonspecific clinical presentation 精囊脓肿的诊断困境：一个临床表现不明确的严重病例

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.051

Hicham Benramdane , Karim Haddar , Hamid Ziani , Siham Nasri , Imane Kamaoui , Imane Skiker

引用次数: 0

A large pedunculated subserosal myoma with cystic and red degeneration: A case report with literature review 大带蒂浆膜下肌瘤伴囊性红变性1例并文献复习

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.050

Siham Oukassem , Chaimae Abourak , Asmae Guennouni , Lina Belkouchi , Nazik Allali , Latifa Chat , Siham El Haddad , Khaoula Laaboud , Samia Bennaceur , Nada Douraidi , Maakoul Rachid , Zaki El Hanchi

引用次数: 0

Round ligament fibroid: A case report and literature review 圆形韧带肌瘤1例报告并文献复习

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.041

Rime Ezzeldin MD, Daniela Kerguelen Murcia BS, Siddharth Kumar MBBS, Mohamed Qayati MD, Peeyush Bhargava MD, MBA

引用次数: 0

Calcified intracranial epidermoid cyst presented during pregnancy: A case report 妊娠期颅内表皮样囊肿钙化1例

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.103

Parisa Pishdad MD , Amirhossein Soltani MD , Amirmehdi Ghanbarzadeh MD , Shakiba Houshi MD , Mohsen Salimi MD

{"title":"Calcified intracranial epidermoid cyst presented during pregnancy: A case report","authors":"Parisa Pishdad MD , Amirhossein Soltani MD , Amirmehdi Ghanbarzadeh MD , Shakiba Houshi MD , Mohsen Salimi MD","doi":"10.1016/j.radcr.2025.04.103","DOIUrl":"10.1016/j.radcr.2025.04.103","url":null,"abstract":"<div><div>We present the case of a 29-year-old female with a history of an intracranial tumor, initially diagnosed at age 22, who presented during her first pregnancy at 23 weeks with a seizure episode. MRI revealed a nonenhancing mass in the middle cranial fossa with high T1-weighted signal intensity. Despite concerns regarding the potential for eclampsia, the patient was conservatively managed with seizure prophylaxis, and a cesarean section was performed at 38 weeks’ gestation. Over the following years, the patient experienced stable imaging findings and mild headaches but later developed worsening symptoms due to mass effect, requiring a Ventriculoperitoneal shunt and subsequent tumor resection. Pathology confirmed the diagnosis of an epidermoid cyst. This case highlights the importance of a multidisciplinary approach to managing intracranial lesions in pregnancy, as early diagnosis and careful coordination between obstetrics, neurology, and neurosurgery teams are crucial to ensuring optimal maternal and fetal outcomes. Additionally, it underscores the need for long-term follow-up in patients with brain lesions during pregnancy, as complications may arise years later, necessitating timely interventions. Notably, this case also demonstrates unique characteristics of an epidermoid cyst with high T1-weighted signal and hyperdensity on CT that remained unchanged over time, favoring the diagnosis of a calcified epidermoid cyst—a rare entity.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3738-3743"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948877","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

Post-transplant lymphoproliferative disorder presented with diplopia; Diagnosis by FDG-PET/CT 移植后淋巴细胞增生性疾病伴复视；FDG-PET/CT诊断

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.102

Saki Sagara MD , Kenichiro Otsuka MD , Ryuichi Shimada MD , Masao Iwao MD , Shuhei Honda MD , Kazuki Okuhiro MD , Masaki Yoshida MD , Tsutomu Daa MD , Yoshiki Asayama MD

{"title":"Post-transplant lymphoproliferative disorder presented with diplopia; Diagnosis by FDG-PET/CT","authors":"Saki Sagara MD , Kenichiro Otsuka MD , Ryuichi Shimada MD , Masao Iwao MD , Shuhei Honda MD , Kazuki Okuhiro MD , Masaki Yoshida MD , Tsutomu Daa MD , Yoshiki Asayama MD","doi":"10.1016/j.radcr.2025.04.102","DOIUrl":"10.1016/j.radcr.2025.04.102","url":null,"abstract":"<div><div>Post-transplant lymphoproliferative disorder (PTLD) is a general term describing lymphoproliferative disorders that develop against the background of immunosuppression after organ transplantation, and that range from benign tumors to malignant lymphoma. PTLD is relatively rare after liver transplantation, and there are few cases of post-liver transplant lymphoma with lesions in the clivus. We here describe the case of a patient who visited our hospital complaining of diplopia after a liver transplant. Fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) revealed lesions with high FDG uptake in the clivus and throughout the body, and the patient was diagnosed with lymphoproliferative disease after liver transplantation. The diplopia was thought to have been caused by the clivus lesion infiltrating into the abducens nerve. In patients after organ transplantation, care must be taken to watch for onset of PTLD, and FDG-PET/CT is thought to be useful for its diagnosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3801-3805"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948902","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 gastritis: The diagnostic challenges and variable outcomes 气肿性胃炎：诊断的挑战和不同的结果

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.107

Devin Naidoo MS , Arun Kumar MD , Ranjit Chaudhary MD

{"title":"Emphysematous gastritis: The diagnostic challenges and variable outcomes","authors":"Devin Naidoo MS , Arun Kumar MD , Ranjit Chaudhary MD","doi":"10.1016/j.radcr.2025.04.107","DOIUrl":"10.1016/j.radcr.2025.04.107","url":null,"abstract":"<div><div>Emphysematous gastritis (EG) is a life-threatening condition characterized by gas within the gastric wall, typically caused by infectious gas-forming organisms. With nonspecific clinical presentations and a high mortality rate, EG poses significant diagnostic and therapeutic challenges. Diagnostic imaging, especially computed tomography (CT), is instrumental in diagnosing and evaluating progression of EG. We present 2 cases of EG with differing outcomes. The first patient, an 82-year-old male with multiple comorbidities, was managed conservatively with gastric decompression, intravenous antibiotics, and supportive care, leading to recovery. The second patient, an 81-year-old male with gastric adenocarcinoma, rapidly deteriorated due to sepsis and suspected gastric perforation, succumbing despite aggressive treatment. These findings emphasize the importance of early diagnosis and individualized management strategies. Both patients received prompt abdominal CT scans revealing hallmark features such as gastric pneumatosis and portal venous gas. Multiple entities share similar radiographic features such as intramural gas but differ in their etiology and clinical significance. Distinguishing between different radiographic findings provides critical clues for differentiating EG from its mimics, enabling timely and appropriate intervention. The variability in outcomes underscores the need for further research to improve diagnostic and treatment protocols for this rare and severe condition.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3780-3783"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948903","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 conservatively managed pelvic wandering spleen clinically mimicking uterine mass: A case report and literature review 保守治疗盆腔游离脾临床模拟子宫肿块1例报告并文献复习

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.097

Musie Negasi , Birhanu Kassie , Awash Solomon , Million Abraha , Hailemariam Kahsay , Akililu Gidey

引用次数: 0